Gazette No. 2505 - PDF page 26

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA –04.09.2026
3108
3.1	 Date of Birth :-
Year
    Month
         Day
3.2	 Age as at the date of calling for Applications:-
Years
   Months
        Days
04.	 Administrative District of Applicant: - ................................................................................
4.1	
Divisional Secretary’s Division:-...................................................................................
4.2	
Grama Niladari Division:- .............................................................................................
05.	 Educational Qualifications
5.1	 G.C.E. (O/L) Examination   Index No :-.......................... Year :- ................
Subject
Result
Subject
Result
01
06
02
07
03
08
04
09
05
10
	
5.2	 G.C.E. (A/L) Examination   Index No :-.......................... Year :- ..................... 
Subject
Result
01
02
03
04
5.3	 Professional Qualifications:
Institution
Course Followed
Duration
Result
Certificate No. 
and Date
06.	 Computer Literacy:-............................................................................................
07.	 Other Qualifications:- …………………………………………………………………………
08.	 Have you ever been convicted by a court of law of any offence? (Mark in the relevant cage)
Yes
                              No
If yes, give details.
........................................................................................................................................