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NCC ID - 03
Application No
No

NATIONAL CADET CORPS Affix


Photograph
No 15 Dutugemunu Street, Here
Pamankada - Dehiwala. 2cm x 2.5cm

RETIRED OFFICERS’ IDENTITY CARD - APPLICATION FORM

To be filled by the Applicant (English Block Letter)


Battalion
1. Officer No

2. Rank

3. Full
Name

4. Name to be appeared in
the Identity Card

5. Sex Male Female


6. Civil Status Single Married Widowed Divorced
7. Date of Birth

8. Permenet Residential Address

9. Personal Contact Number

10. National Identity Card No

11. Nearest Police Station

12. Nearest Army Camp

13. Divisional Secretory

14. Grama Niladari Division

15. NOK and Relationship

16. Contact numbers of NOK

Date ……………………………… Signature of Applicant


(Signature should be inside the box)
(RETIRED OFFICERS’ IDENTITY CARD - APPLICATION FORM)

Application
17. Recommendation of Commanding Officer
No
I recommend that above named officer to issue NCC Identity Card (if any special)
………………………………………………………………………………………………………………………
………………………………………………

………………………………………..
Date……………………………………………… Signature of Commanding Officer
(Official frank)

18. Recommendation of Provincial Deputy Director


I recommend that above named officer to issue NCC Identity Card

………………………………………………………………………………………………………………………
……………………………………………….

…………………………………………
Date……………………………………………… Signature of Provincial Deputy Director
(Official frank)

NCC HEADQUARTERS
19. Recommendation of Brigadier Training
………………………………………………………………………………………………………………………
……………………………………………….

…………………………………………
Date ……………………………………. Signature of Brigadier Training
(Official frank)

20. Recommendation of corps secretary


………………………………………………………………………………………………………………………
……………………………………………….

………………………………………..
Date ……………………………………. Signature of corps secretary
(Official frank)

21. Approved by Director - NCC


………………………………………………………………………………………………………………………
……………………………………………….

…………………………………………
Date ………………………………… Signature of Director - NCC
(Official frank)

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