SRI LANKA GAZETTE · NO. 2504
Gazette No. 2504 - PDF page 48

Published 28 August 2026 Physical PDF page 48 Printed Gazette page 3030
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Gazette-2026-08-28-E.pdf
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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA –28.08.2026
3030
1.3	 Full Name (In Sinhala / Tamil)	
: ..........................................................................................................................
	
	
............................................................................................................................
2.
2.1	 Permanent Residential Address	
	
: ........................................................................................
	
(In English Capital Letters)	
	
..........................................................................................
2.2	 Address to which the Admission Card should be sent	 : .........................................................................................
	
	
............................................................................................
3. National Identity Card (NIC) Number: 
4. Gender:                                                     Female - 1  
(Write the relevant number in the box)        Male - 0  
5.  Date of Birth: 
 
(a)  Year:                                       Month:                            Date:  
(b) Age as at the closing date of applications: 
    Years:                                 Months:                        Days: 
6.
	
6.1	 Mobile Phone Number: 
	
6.2	 Email Address: .................................................................
7.  Educational Qualifications:
(a)	
i.	 Post Graduate Degree	
	 : ........................................
    	
ii.	 University / Institution	
	 : ........................................
	
iii.	 Registration Number	
	 : ........................................
	
iv.	 Effective Date of Degree	
	 : .......................................
(b)	
i.	 Bachelor's Degree	
	 : ........................................
	
ii.	 University / Institution	
	 : ........................................
	
iii.	 Registration Number	
	 : ........................................
	
iv.	 Effective Date of Degree	
	 : ..........................................
(c)	 G.C.E. (Advanced Level) :
   	
Year of Examination	
: ....................   
	
Index Number	
	
: .................... 
Subject
Grade
Subject
Grade