Gazette No. 2504 - PDF page 63

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA –28.08.2026
3045
09.	 Examination fees :-
	
Money order number from which the 
examination fee was paid
Date
Paid Post Office/ Sub Post Office
Amount paid
Paste the original copy of the money order here
(Apply gum only on the top of the back of the money order)
10.	 Applicant's Certificate :-
	
	
I hereby certify that the information furnished by me in this application is true and correct. I understand that if any 
information provided herein is found to be false or incorrect, or if any such information is discovered to be false or 
incorrect before my selection, I shall be liable to be disqualified. If such information is discovered after my appointment, 
I shall be liable to be dismissed from service without any compensation.
	
I hereby declare that I will abide by the rules and regulations imposed by the Director (Extension and Training) of the 
Department of Agriculture regarding the conduct of this examination and the release of results.
	
Date :- ....................................................	
...........................................................,
	
	
	
Applicant's signature
11.	 Verification of Applicant's Signature :-
	
	
This application is forwarded from ............................................................................. I personally know the applicant 
and certify that he/she affixed his/her signature in my presence on ....................................................... and that the 
prescribed examination fee has been paid and the receipt has been attached.
	
	
	
...............................................................,
	
	
	
Signature of the officer certifying the signature.
	
Date 	
:-
	
Full name of the certifying officer	
:-
	
Position	
:-
	
Address	
:-
	
(Verify with official seal)
12.	 Applicant in Government Service - Certificate from the Head of the Institution, if Applicable :-
	
	
I hereby certify that the above-mentioned Mr./ Mrs./ Miss ............................................................ is serving in the 
Ministry/ Department/ Office/ Service, that his/her service is satisfactory, and that the prescribed examination has been 
paid. If selected for appointment on the results of this examination, he/she may/may not be released from the post 
currently held. I further certify that the information given above is true and correct.
	
Date : ............................................	
	
............................................................,
	
	
	
Signature of the Head of the institution.
	
Full Name of the certifying officer	
:- .................................................................
	
Position 	
:- ................................................................
	
Address	
:- ................................................................
	
	
                    (Official seal) 
08-312
PRINTED   AT   THE   DEPARTMENT   OF   GOVERNMENT   PRINTING,   SRI LANKA.