Gazette No. 2502 - PDF page 17

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA –14.08.2026
2821
3.0	 Date of Graduation	
: - ……………………….... 
University / Institute	
: - ………………………… 
Registration Number	
: - ………………………… 
Internal / External	
: - ………………………… 
Degree   	
:-  ……………………….… 
Subjects	
:- .……………………….… 
Class   	
:-  ………………………..... 
Upper/ Lower	
: - ……………………….....
Effective Date of Degree	 : - ………………………… 
Language Medium of Examination : - ……………………. 
4.0	 Payment of Examination Fee:
Examination Fee
i)
Branch of People’s Bank at which the fee was paid   ……………………….
ii)
Amount paid        …………………………….
iii) Date of payment ……………………………….
Paste the original copy of the receipt of the deposit here. (It is advisable to keep a photocopy of the receipt 
with you)
5.0	 Declaration of the Candidate :-
I hereby declare that all the particulars furnished by me in this application are true & accurate to best of my knowledge 
& I have pasted the receipt. I agree to follow the rules & regulations in this Examination & if it is found to be disqualified 
as per the Service Minute recruitment inclusive of the Provisions on the Examination, I am liable to be cancelled my 
candidature prior or during or after the examination. Further, I am liable to follow the rules & regulations, imposed by 
the General Manager- Railways.
Date: - ………………………				
…………………………,
Signature of the applicant 
6.0	 Attestation of the candidate’s Signature (Be in terms of the 7(d) in the Gazette Notification.)   
I do hereby certify that the applicant ……………………..(Full Name) is personally known by me & the relevant 
examination fee has been paid &pasted the receipt & placed his signature in my presence on ………………….. .
            …………………………
………………………………., 
Date
Signature of the Attester
Full Name of the Attester: - ………………………………....
Designation: - ……………………………………………….. 
Address: - ……………………………………………............  
(Must attest by an official stamp)	
7.0     Recommendation of the Head of the Institution: - (Only for the candidates who are in Government /Local   Governments 
/State Corporations. )
I do hereby certify that the applicant Mr./Mrs./Miss ………………………………… is serving as a 
………………….……………….…………………… in this Ministry /Department /Institute & forward his/her 
application with my recommendation. He can /cannot be released from the service, if he has been selected. 
............…………………………………,
Signature of the Head of the Department.