Gazette No. 2506 - PDF page 34

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA – 11.09.2026
3170
7.0	 Experience : 
Workplace
Designation
Service period
From
To
1.	
2.	
3.	
4.	
8.0	
Have you ever been convicted of an offense by a court of law?
(put a tick √)
      
 Yes   	
	
	
	
No
8.1	 If "Yes", provide details:: .............................................................................................................................
	
.......................................................................................................................................................................
9.0	 Applicant's Certification:
(a)	 I hereby declare that the information provided by me in this application is, to the best of my knowledge, true and 
correct.
(b)	 I am aware that if any statement made by me is proven to be false, I will be disqualified for recruitment, and if 
proven so after receiving the appointment, I am liable to be dismissed from service.
(c)	 Furthermore, I declare that I shall abide by the rules and regulations laid down by the Director General of 
National Museums regarding the conduct of the eligibility  assessment interview.
(d)	 I shall not alter any information stated herein at a later date.
	
	
	
	
	
	
	
	
..........................................................,
	
	
	
	
	
	
	
	
       Signature of Applicant.
Date : .............................................
10.0	 Attestation of Applicant's Signature:
	
I certify that ...................................................... who is submitting this application is personally known to me, and that 
he / she signed in my presence on .................................... .
	
	
                                    .............................................................,
	
	 Signature of Attester.
Date: .............................................................
Name of Attester: .........................................
Designation: .................................................
Address: .......................................................
(Confirm with official seal)
09-75/3