Gazette No. 2506 - PDF page 13

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA – 11.09.2026
3149
Specimen Application
APPLICATION FOR THE POST OF LEGAL OFFICER IN THE MERCHANT SHIPPING SECRETARIAT 
OF MINISTRY OF PORTS AND CIVIL AVIATION
  
    (Sinhala – 1/Tamil – 2/English - 3)	
      (For Office use only) 
   Note: The medium of application cannot be changed.
01.	 Name of the Applicant : 
	
(i.)	 Name with initials (Mr./Mrs./Miss)      :.........................................................................................
     	
	 (E.g.- GUNAWARDHANA, H.M.S.K. (In English Capital Letters))
	
(ii.)	 Full Name (Mr./Mrs./Miss) :.............................................................................................................
     	
	 ..........................................................................................................................................................
                (In English Capital Letters)
	
(iii.)	 Full name : ........................................................................................................................................
      	
	 (In Sinhala/Tamil)
02.	 Address and Telephone No. : 
	
(i.)	 Official Address : ...................................................................................................................
      	
  	Phone Number : .....................................................................................................................
	
(ii.)	 Permanent Address : ..............................................................................................................
	
	 Phone Number : .......................................................
	
	 Mobile Number : .....................................................
03.	 Date of Birth :
Year : .............................. Month : .................................. Date : ....................................
04.	 Age as at ............ 2026 : (Application Closing Date)
	
Year : .............................. Month : .................................. Days : ....................................
05.	 National Identity Card Number : ....................................................................
06.	 Gender : ..............................................................
07.	 Marital Status : ...................................................
08.	 Educational Qualifications :
Qualifications
Year obtained
Qualifications
Subject Stream
Grade
Name of 
Institution
Remarks
09.	 Professional Qualifications :
Qualifications
Year obtained
Qualifications
Subject Stream
Grade
Name of 
Institution
Remarks
Write the relevant medium 
number in the box