ee _ Seeaterana ame =e eee Gostgrtinss Bovbmaurhdr sysumens ‘RI LANKAN IDENTITY OVERSEAS. com» 082 QgogOS, SEB/ormscis8 cofinad arm sdgboos Barina soFG, vm3y/ sve_usond soKgip afoainad [APPLICATION FOR A SRI LANKAN PASSPORT, EMERGENCY/ IDENTITY CERTIFICATE stobacd to a enone gat oe seed 9:85 momabd obec abs qaegom eBBaad! Bed Boa gaa. 8 Ecos oem) cone 6: i Wi Gunn HLABe eiglaNnagHe ame ann aides UHRe Yidinige® Came Rave prasess alanine sme The dt andinfermstion refed nt the computer in English Hence the application must be iledin Engh, Pese ead the instruction shu or fra tion REDEBS HOAIGSS ORO) oepmmm e_UBuNHb ibe wndByb/ For Official use only \|N | | | | | 1. Typecof Service } Normal ‘One Day [_ 2. Type of Travel Document J} ancounties eae [ Identity 2. Preent Travel Document No. (any) 4. NMRP No any) TTT} | J a [ 6 sama } + : | 7. Other Names } 8. Permanent Address } } | ! I ! a District [ 9. Date of ith } om won [[] Yer 10. Birth Certificate } no ] District TC] 11, Place of Birth } 7 Lo CL 12 Sex } remote [7] wate 7] 14, Mave you obtained Ou Cizeshipinsitnkat } ves no [J ies, Dual ctizenship No. (Please fil up eds 17 and 18 inthe next page) 15 Noble Phone, tobe rid SH when psn sey frac } 16, mal Address } I 3 Sri Lanka, Cee oe ey pe eetehy ee ee es Enjoy the best rates from Mobitel while you roam across the world eeei 20, a Foreign Nationality Foreign Passport No, If this application is fora child below the age of 16 years, following information must also be provided. Father / Guardian Mother / Guardian National identity Card No, / Present Travel Document No. National identity Card No. Present Travel Document No, TTI am] Clo LO aePinds BBs one erAladD and ago mH OO gODe sororBH abe qelow BBs Bae os Ns. 2p ack Grats mGaendgsreyh pula Grips etanch maGumaypng Grass, sau mGecks GCL& mrss “Applicant, Please place your signature inside both cages below, Signature should not touch the border, aaxqHmcced gx ofesiambupanfich x_pxbiyss / Declaration of the Applicant 20 § @afia godiBacn 20d & BBe gon ogud os amdac © 6B exeBomd BIE GE gaDAE eFDO cH BECO 200 GaP BO, aHe, Gems aISRS: OO BAHADH gOS SOO HOB ara xe OSes AO eB. prc 9@ Goria GymexGumayd, Gushup cabana ayjrimiea’Gaton gmnndnemd Remmmdninn Goer AINEMUSAK! sFaNIOAGUsOp, a-conoutaoaCusIaR Baste e_prLujersadarGnes.saroion | earn Siammisaend sojidiugs sah. madehus ermorGwnsiuepigd prot oxpCavc | declare that am a citizen of Sri Lanka and the above information provided by me and the dacuments attached hereto are true and correct. Also, lam aware ofthe fact that producing forged/falsifed documents and information i a punishable offence, Bisa /ag Date qxgedced eeleom /abmtomingnficeh svaGumiuab Signature ofthe Applicant mEMess peckina Ow/ spans audumadslns wrswnd/For Official use only Controllers Order | Minute sheet attached (fany) | ppt no, PPT Lost:Yes/No "BCT AC Signature Police Report /TTD / NMIRP val citizen: Yes /No 8C No. & District NIC/OL/ Postal | MC No. & District F's PPT / NIC Copy & Concent Letter Pending at Computer Division M's PPT/NIC Copy & Concent Letter C/ ACs Order: rare One eee eee er ote rd Telecom Cane etre Seren ere ne ae ere ees ee see et eee ae!