Gazette No. 2506 - PDF page 60

Extracted page text

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PART  I :  SEC.  (IIA) – GAZETTE OF THE DEMOCRATIC SOCIALIST REPUBLIC OF SRI LANKA – 11.09.2026
3196
14.	 Declaration of the Applicant:
	
I hereby solemnly declare that the information furnished by me in this application is true and accurate. I acknowledge 
that if any information contained herein is found to be false or inaccurate, my application will be cancelled if such 
fact is discovered before selection, and if discovered after selection, I will be dismissed from service without any 
compensation and subject to the relevant legal action.
	
Date: ...........................................	
                                         ............................................................, 
                                                                                                                   Signature of the Applicant.
15.	 Certification of the Applicant’s Signature:
	
I certify that Mr./Mrs./Miss ............................................................... who submits this application is personally known 
to me and that he/she signed this application in my presence on ...................
	
............................................................................... 
	
Signature of the Certifying Officer
Full Name of the Certifying Officer: ......................................................... 
Designation: .......................................................... 
Address: .......................................................... 
(To be authenticated with the official seal)
16.	 This section is applicable only to officers currently serving in the Public Service, Provincial Public Service who have 
fulfilled the basic qualifications specified in the Gazette Notification.
16.1.	 Details to be completed by the Head of the Department/Institution:
	
(i.)	 Name of the Officer: .............................................................................................................
	
(ii.)	 Permanent service station and Address:................................................................................
	
(iii.)	 Telephone Number of the Permanent service station: .........................................................
	
(iv.)	 National Identity Card Number of the Officer: ....................................................................
 	
(v.)	 Post held at the time of applying for the examination:...........................................................
	
(vi.)	 Date of appointment to the said post:......................................................................................
	
(vii.)	 Has the officer been confirmed in the said post? (If “Yes”, state the date of confirmation.) 
..........................................................................................................................................
	
(viii.)	 Has the officer been subjected to any disciplinary punishment during the period of service?  
(If “Yes”, provide details.) 
........................................................................................................................................
	
(ix.)	 Is the officer currently subject to any disciplinary punishment? (If “Yes”, provide details.) 
..........................................................................................................................................
	
(x.)	 Is any disciplinary inquiry currently being conducted against the officer? (If “Yes”, provide details.) 
..........................................................................................................................................
I hereby certify that Mr./Mrs./Miss ........................................... the above applicant has been serving in this institution 
as ........................................... (state the post) from ........................................... and holds a permanent pensionable post. 
I further certify that all the information stated above has been verified against the records available at this office and 
found to be correct and that, if selected for this post, he/she will be released / will not be released from the post currently 
held.
	
..................................................................................... 
	
Signature of the Head of the Department/Institution.
 
Name: ............................................................................... 
Designation: .................................................................... 
Date: ............................................................................. 
Department/Institution: ......................................... 
(To be authenticated with the official rubber stamp)
09-87