Gazette No. 2506 - PDF page 14

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA – 11.09.2026
3150
10.	 Particulars of Experience : 
Institute
Post
Functions of the
Post in brief
Period of
Service
Remarks
11.	 Proficiency in Computer Literacy :
	
(i.)	 Dgree 	:.............................................................
	
(ii.)	 Diploma  :.............................................................
	
(iii.)	 Certificate Course :...........................................................
12.	 Have you ever been convicted by a Court of Law? ......................................
I, hereby declare that all the information provided by me in this application is true and correct, that all the parts have 
been duly completed and that I am aware that I will be subject to disqualification if this declaration is found to be untrue 
prior to my selection and dismissal if such a situation is discovered after the selection.
	 ..................................	
	
	
	
	
	
.......................................,
	 	
Date	
	
	
	
	
	
	
            Signature.
13.	 Attestation of the Signature of the Applicant :
	
I certify that Mr./Mrs./Miss ...........................................who has submitted this application, is personally known to me 
and that he/she placed his/her signature on .......................... in my presence. 
Name	
:
Designation	
:
Address	
: 
Date	
:
14.	 Recommendation of Head of Department :
	
(Only for Public Service Applicants)
	
I certify that the above mentioned Mr./Mrs./Miss ............................................... Sevices at the Ministry/ Department/ 
Institute of ..............................................that the information furnished by him/her is accurate, that work and attendance 
are satisfactory, that no allegations have been levelled against him/ her and that if he/ she is selected for the post,  
he/ she can be released from the service of this Institution. 
	
	
	 ...................................	
	
	
	
.......................................................,
	Date 	
	
	
	
	
Signature of Head of Department. 
		
	
	
	
                    (Place the Official Stamp)
09-59/2