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w;s úfYI
wxl 2251$48 - 2021 Tlaf;dan¾ ui 28 jeks n%yiam;skaod - 2021'10'28

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I jeks fldgi: (I) jeks fPoh - idudkH

rcfha ksfõok
bvï ixj¾Ok wd{dmk;

1969 wxl 19 ork mk;ska" 1981 wxl 27 ork mk;ska" 1993 wxl 22 ork mk;ska" 1995 wxl 09 iy 1996 wxl 20 ork mk;ska
ixfYdaê; ^464 jk wêldrh jQ& bvï ixj¾Ok wd{dmkf;a 155 iy 156 j.ka;s hgf;a bvï wud;Hjrhd úiska mkjkq ,nk
fr.=,dis'

tia' tï' pkaøfiak"

bvï wud;H'

2021 Tlaf;dan¾ ui 25 jeks Èk"

fld<U § h'

fr.=,dis

1' fuu fr.=,dis 2021 bvï ixj¾Ok fr.=,dis hkqfjka y÷kajkq ,efí'

2' wd{dmkf;a 25 jk j.ka;sh hgf;a ksl=;a lrkq ,nk wjir m;%hl yd wd{dmkf;a 27 jk j.ka;sh hgf;a ksl=;a
lrkq ,nk §ukdm;%hl fldkafoaisj,g we;=,;a lr we;s wju wkq fnÿï tAllh my; mßÈ ixfYdaOkh lrkq ,efí'

I. f.dv bvï - tu bvï msysá m<d;a md,k n, m%foaYfha wju wkq fnÿï tAllh

II. jdßud¾. myiqlï iys; bvï - wlalr 1 hs

III. jd‚c fNda. i|yd neyer lr we;s bvï - wlalr 1 hs

1A - PG 5585 - 370 (2021/10)

fuu w;s úfYI .eiÜ m;%h www.documents.gov.lk fjí wvúfhka nd.; l< yel'
2A I fldgi: (I) fPoh - Y%S ,xld m%cd;dka;%sl iudcjd§ ckrcfha w;s úfYI .eiÜ m;%h - 2021'10'28

IV. uOHu mdka;sl bvï - wlalr 2 1$2 hs

V. wyia Èfhka j.d lrkq ,nk f.dv bvï - wlalr 1 hs

3' fuu ixfYdaê; wju wkq fnÿï tAllhg wkqrEm jk f,i wju Nd.h ks¾Kh l<hq;= fõ'

4' oekgu;a ksl=;a lr we;s wjir m;%hl fyda §ukdm;%hl wju wkq fnÿï tAllh yd wju Nd.h ixfYdaOkh lsÍu
i|yd b,a,Sï bÈßm;a jk wjia:dj,§ m%dfoaYSh f,alï úiska wjir m;%fha fyda §ukdm;%fha msgikla fh§u uÕska tu
ixfYdaOkh l< yels fõ' tu msgik zwZ wdlD;shg idrdkql+, úh hq;= h'

5' §ukdm;%hla uÕska fnod§ we;s bvu fyda bka fldgila kshñ; mQ¾j ,sÅ; wjirhla u; fkd;dßia Tmamqjla uÕska
neyerlr we;s wjia:djl tu fkd;dßia Tmamqfõ wju wkq fnÿï tAllh yd wju Nd.h ixfYdaOkh lsÍu i|yd
b,a,Sula bÈßm;a jk wjia:djl§ by; 4 fr.=,dish mßÈ l%shdl, hq;= fõ' tys§ fhdod.kq ,nk msgik zwdZ wdlD;shg
idrdkql+, úh hq;=h'

zwZ wdlD;sh

bvï ixj¾Ok wd{dmk; hgf;a ksl=;a lrk ,o wjirm;%$ §ukdm;% j, wju wkq fnÿï
tAllh yd wju Nd.h ixfYdaOkh lsÍu

……………………… Èia;%slalfha ……………………… m%dfoaYSh f,alï fldÜGdifha ………………………… .%du ks,OdÍ jifï msysá

……………………… wxl orK msUf

q ¾$ is;h
s fï wxl ……………………… orK m%udKfhka fylaghd¾ ……………… $wla ………………

rEâ ……………… m¾ ……………… jk bvï fldgi i|yd bvï ixj¾Ok wd{dmk; hgf;a ksl=;a lr we;s wxl ………………

ork wjirm;%fha $ §ukdm;%fha wju wkq fnÿï tAllh fylaghd¾ ……………… $wla ……………… rEâ ……………… m¾

……………… f,i;a wju Nd.h ……………… f,i;a igyka lr we;' tu wju wkq fnÿï tAllh yd wju Nd.h my; i|yka
mßÈ ixfYdaOkh lsÍug udf.a wkque;sh ,ndfoñ'

I' wju wkq fnÿï tAllh fylaghd¾ ……………… $wla ……………… rEâ ……………… m¾ ………………

II' wju Nd.h ……………… la fõ'

…………………………………… ……………………………………
m%dfoaYSh f,alï wjirm;%lre $ §ukdm;%lre
Èkh ( …………………………………… Èkh ( ……………………………………

zwdZ wdlD;sh

bvï ixj¾Ok wd{dmk; hgf;a ksl=;a lrk ,o §ukdm;% fkd;dßia Tmamq u.ska neyer lr we;s
wjia:dj,§ wju wkq fnÿï tAllh yd wju Nd.h ixfYdaOkh lsÍu

……………………… Èia;%slalfha ……………………… m%dfoaYSh f,alï fldÜGdifha ………………………… .%du ks,OdÍ jifï msysá

……………………… wxl orK msUf

q ¾$ is;h
s fï wxl ……………………… orK m%udKfhka fylaghd¾ ……………… $wla ………………

rEâ ……………… m¾ ……………… jk bvï fldgi i|yd bvï ixj¾Ok wd{d mk; hgf;a ksl=;a lr we;s wxl ………………

ork §ukdm;%fha wju wkq fnÿï tAllh fylaghd¾ ……………… $wla ……………… rEâ …………………… m¾ …………………

f,i;a wju Nd.h ………………… f,i;a igyka lr we;' tu §ukdm;%h u.ska mjrd § we;s iïmQ¾K bvu$ bvfuka
 I fldgi: (I) fPoh - Y%S ,xld m%cd;dka;%sl iudcjd§ ckrcfha w;s úfYI .eiÜ m;%h - 2021'10'28 3A

fylaghd¾ ……………… $wla ……………… rEâ ……………… m¾ ……………… l m%udKhla udf.a wxl ……………………… yd

……………………… Èke;s ,smsh uÕska ……………………………………………………………………………… ,smskfha

……………………………………………… hk wh fj; neyer lsßu i|yd wkque;sh ,nd § we;s neúka tu wkque;sh mokï lr

.ksñka m%isoaO fkd;dßia ……………………………………………… úiska ,shd iy;sl lrk ,o wxl ……………………………………
ork fkd;dßia Tmamqj u.ska neyer lr we;' tu fkd;dßia Tmamqfõ i|yka wju wkq fnÿï tAllh yd wju Nd.h my; mßÈ
ixfYdaOkh lsÍug udf.a wkque;sh ,ndfoñ'

I' wju wkq fnÿï tAllh fylaghd¾ ……………… $wla ……………… rEâ ……………… m¾ ………………

II' wju Nd.h ……………… la fõ'

…………………………………… ……………………………………
m%dfoaYSh f,alï mejreï,dNshd
Èkh ( …………………………………… Èkh ( ……………………………………

11 - 221

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