jdia;=úoHd iy;slm;% mdGud,dj i|yd whÿïm; 2017$2018

APPLICATION FOR VASTU VIDYA CERTIFICATE COURSE - 2017/2018

le,Ksh úYajúoHd,h" ixialD; wOHhk wxYh whÿïm;a wxlh

Application No.
University of Kelaniya, Department of Sanskrit

01' iïmQ¾K ku ^isxyf,ka&Name in Full (in Sinhala)

02' iïmQ¾K ku ^bx.%Sisfhka&Name in Full (IN ENGLISH BLOCK LETTERS)

03' uq,l=re iu`. ku ^isxyf,ka&Name with Initials (in Sinhala)

*wod< fldgqj ;=< ,l=K fhdokak&
ysñ ffjoH uhd ñh fukúh

04' uq,l=re iu`. ku ^bx.%Sisfhka&Name with Initials(IN ENGLISH BLOCK LETTERS)

Rev. Dr. Mr. Mrs. Miss *Please tick

05' Wmka Èkh$Date of Birth:

06' cd'ye' wxlh$NIC No:
07' cd;sh$Nationality:
08' rCIdj$Employment:
09' iaÓr ,smskh^isxyf,ka& Permanent address (in English)

Tel Mobile
10' wOHdmk iqÿiqlï $ Educational Qualifications

úNd.fha ku j¾Ih
Name of Examination Year

*^iqÿiqlï ikd: lsÍu i|yd iy;slm;aj, iy;sl lrk ,o msgm;a bÈßm;a l< hq;= h'$ Certified copies of certificates should
be attached)

11' fjk;a iqÿiqlï$ Other Qualifications:

by; i|yka lreKq i;Hh yd ksjerÈ nj fuhska iy;sl lrñ' I certify that above information are true
and correct, I am aware that my candidature may cancell if the information provided by me found false or
incorrect.

Èkh $ Date whÿïlref.a w;aik$signature of the applicant

ld¾hd,Sh m%fhdackh i|yd

wxYdêm;s ks¾foaYh$ Recommendation of the Head of the Department …………..............……………
ks¾foaY lrñ $ fkdlrñ ……wxYdêm;s

ie,lsh hq;=h
whÿïm;a tùfï oS wxl 10 ys olajd we;s iy;slj, iy;sl lrk ,o msgm;a yd Wmamekak iy;slfha
iy;sl lrk ,o msgm;la o túh hq;= h' ^iy;sl msgm;a lsÍfï § úydrdêm;s ysñ" mQcl mCIh"
.%duks,OdÍ" iduodk úksiq/jrfhl=" rcfha ms<s.;a úOdhl ks,Odßfhl=" úiska iy;sl lr .; hq;= h'
tfia fkdlsÍu whÿïm; m%;sfCIam ùug fya;= jkq we;'&