Professional Documents
Culture Documents
(1). Exam Town, Province, District and The Subject/Medium applied for the vacancy
Galle
Sothern Province
Galle
(IV). The Medium applied for the Examination (Candidates should sit for the Examination only through
the medium mentioned here)
Sinhala
(II). Name with last name first and the initials of the other names at the end (IN ENGLISH BLOCK
CAPITALS)
NIMESHIKA J.K.M.C
(III). Current Address without Postal Town - Admissions will be posted to this address (IN ENGLISH
BLOCK CAPITALS)
(IV). Postal Town of the Current Address (IN ENGLISH BLOCK CAPITALS)
GONAPINUWALA
987861932v
0761236864
(VIII). Gender
Female
Single
(I). Have you passed the G.C.E. (Ordinary Level) Examination with following conditions ? Should pass
minimum of 06 subjects at G.C.E. (Ordinary Level) Examination with at least 05 Credits passes in one
& the same sitting. It is compulsory to possess Credit passes for Sinhala/Tamil Language, Mathematics
and English language.
Yes
(II). Do you have minimum 03 simple passes at G.C.E. (Advanced Level) Examination in one & the
same sitting (Excluding General English) ?
Yes
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(I)
Name : _______________________________________________________
Address : __________________________________________________________________________________________
(II)
Name : _______________________________________________________
Address : __________________________________________________________________________________________
I do hereby declare that the particulars furnished here are true according to my knowledge and
belief. At any stage of the recruitment if it is revealed that I do not possess the required eligibility
criteria, I am aware that I am disqualified and I cannot hold the position. I am aware that I will be
dismissed from the service if it is revealed that I am not eligible to be appointed to this Post after
being selected to the post. Any information mentioned herein will not be altered later. Further, I
agree to be bound by the rules and regulations imposed by the Commissioner General of
Examinations on conducting the Examination and the issuance of results.
Date : ____________________________________________
Date : _______________________
Payment Information
NIC 987861932v
In accordance with section 3 of the Electronic Transaction Act No.19 of 2006, electronic version of the bill has the same validity as a conventional bill.