ඡායාႆ පය

ႂ&යා අය࿼ၨ ප@ය

(අදාල ෙකcටæ පමණB සၨ၆&ණ කර9න)

…………………………………………………………………………………………… තන࿝ර සඳහා

අංශය

(අදාල අංශය දැ9aමට අပ༩ලව Øර႐ය ၾ࿝ය. උදා: ප&ෙၻෂණ ႐දУාඥ - ආහාර තාBෂණ අංශය)

01. ෙප༟ęග£ක ෙතcර࿝ႆ

02. අධУාපන Ⴍ࿼Ⴍකၨ (කႆණාකර සහ&කවල Øටප9 අၫණ9න)

2.1 අ.ෙපc.ස (සා/ෙපළ) ႐භාගය ව&ෂය: ႐භාග අංකය:.........................

2.2 අ.ෙපc.ස (උ/ෙපළ) ႐භාගය ව&ෂය ႐භාග අංකය

:...........................

2.3 උපා4/ ඊට සමාන අධУාපන Ⴍ࿼Ⴍකၨ

ෙවන9සටහ9:.........................................................................................................................

.

2.4 පæචා9 උපා4/ ඊට සමාන අධУාපන Ⴍ࿼Ⴍකၨ

ෙවන9සටහ9:.........................................................................................................................

.

2.5 උසæ ྷæෙල༞මා / ྷæෙල༞මා මྤටෙමႴ Ⴍ࿼Ⴍකၨ (ප&ඝනක දැပම, භාෂා දැပම ඇ࿝ල9ව)

ෙවන9සටහ9:.........................................................................................................................

.

2.6 සහ&කප@ පාඨමාලාව9Ⴔ Ⴍ࿼Ⴍකၨ (ප&ඝනක දැပම, භාෂා දැပම ඇ࿝ල9ව)

ෙවන9සටහ9:.........................................................................................................................

.

3. වෘ9&ය Ⴍ࿼Ⴍකၨ (කႆණාකර සහ&කවල Øටප9 අၫණ9න)

ෙවන9සටහ9:.........................................................................................................................

.

4. ෙæවා පළ၆ႆęද (කႆණාකර සහ&කවල Øටප9 අၫණ9න)

ෙවන9සටහ9:.........................................................................................................................

.

5. අෙන༩9 බාႴර gයාකාරකၨ

ෙවන9සටහ9:.........................................................................................................................

.

6. ප&ෙၻෂණ, රසායනාගාර, වУාපාර සංව&ධන, වУාපෘ&9Ⴔ

ෙය࿻ම / පළ၆ႆęද

ෙවන9සටහ9:.........................................................................................................................

.

7. ෙවන9 ႐ෙæෂ අ9ප9 කර ගැ&ၨ ( නායක9වහැ&යාව, කළමනාකරණ හැ&යාව ආęය)

ෙවන9සටහ9:.........................................................................................................................

.

8. #කාශන, ෙæට9ྤ හා සၨමාන

කႆණාකර ෙවන9 පØකාවB භා႐තාකර එය අၫණ9න

9. ෙවන9 අදාළ ෙතcර࿝ႆ (ඉහත සඳහ9 ෙනc႒࿋)

............................................................................................................................

............................................................................................................................

.............................................................................................................................

.............................................................................................................................

10. ඥා& ෙනcවන ෙතcර࿝ႆ දැනගත හැ& ෙදෙදෙන༩ෙg

႐æතර

ඉහත දBවන ලද ෙතcර࿝ႆ මාෙg දැပමට අပව සතУ හා &වැරę බවට #කාශ කරၩ.

………………………………………….. ………………………………

අය࿼ၨකႆෙg අ9සන ęනය

ආයතන #ධා&9ෙg &&ෙęශය

(අය࿼ၨකႆවB දැනට රජෙၻ අමාත༢ාංශ /ෙදපා&තෙၨB࿝ / රාජ༢ සංæථා/ ව༢වæථාØත ම࿈ඩලයBႴ ආęෙයႴ ෙæවෙයႴ &ၾ࿝ a ඇ&නၨ තම අය࿼ၨප& අදාල ආයතන #ධාနB මཅB ඉę&ප& කල ၾ࿝ය. අය࿼ၨපෙතႴ Øටපත༦ කĈB ඉę&ප& කළ හැක)

ඉහත සඳහB තන࿝▇ සඳහා ……………………………………………………….ෙP අය࿼ၨ ප@ය &&ෙęශ කර ඉę&ප& කරන අතර, ඒ සඳහා ඉႈႋၨ කළ තන࿝රට ෙතªරා ප& කර ගතෙහc& ඔႶ / ඇය &දහæ iႅමට එකඟ ႐ය ෙව8.

………………………………………….. ………………………………........ ආයතන #ධාန (&ල ၫEාව) ęනය

සටහන :

1. පහත සඳහB ĈØ වල Øටප& පමණ༦ ඇ8࿉ය ၾ࿝ය. (නැවත භාරෙදပ

ෙනcලැෙæ)

i. ජා&ක හැါပၨපෙ& Øටපත༦

ii. උæපැBන සහ&කය

iii. අධ༢ාපන හා වෘ&&ය Ⴍ࿼Ⴍකၨ වල Øටප&

iv. ෙවන& Ⴍ࿼Ⴍකၨ වල Øටප&

2. සහ&කෙၻ ၫႈ Øටප& අය࿼ၨප@ය සමඟ ඉę&ප& ෙනcකළ ၾ࿝ය. ඒවා පႅ༦ෂා කරပෙၻ සၨၫඛ පႅ༦ෂණය සඳහා කැඳවပ ලැ@වෙහc& පම࿉.

3. ඉහත දැ༦ෙවන ෙකcටæ ࿝ල ඉඩ #මාණව& ෙනcවBෙBනၨ කႆණාකර

ෙවන9 පØකා භා႐තාකර අၫණ9න

කා&යා£ය #ෙය༞ජන සඳහා පම࿉

Photo

JOB APPLICATION FORM

(Please complete only the sections relevant to applicant)

POSITION APPLIED FOR ……………………………………………………………………………………………

SECTION

(Section should be filled according to the advertisement – Ex : Research Scientist (RS)– Food Technology Section)

01. Personal Details

02. Educational Qualifications (Please attach copy of certificates)

2.1 G.C.E. (O/L) Examination in ………………… under the index number ………………………………….

2.2 G.C.E. (A/L) Examination in ………………….. Under the index number ……………………………….

Stream …………………………………………………………….

2.3 Degree/ Equivalent

Remarks:……………………………………………………………………………………………………………

2.4 Post Graduate Degree/ Equivalent

Remarks:…………………………………………………………………………………………………………….

2.5 Advanced Diploma/ Diploma Level Qualifications (Including Computer, Language etc.)

Remarks:……………………………………………………………………………………………………………..

2.6 Certificate Level Qualification (Including Computer, Language etc.)

Remarks :……………………………………………………………………………………………….

3. Professional Qualifications (Please attach copy of certificates)

Remarks:……………………………………………………………………………………………………

4. Working Experience (Please attach copy of certificates)

Remarks:……………………………………………………………………………………………………

5. Extra Curricular Activities

Remarks:…………………………………………………………………………………………………..

6. Research , Laboratories, Business Development, Project Involvements / Experience

7. Other Special Achievements (Including Leadership, Managerial etc. )

8. Publications , patent & Awards Please use separate sheet and attach

9. Any further relevant particulars (Not included above)

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

10. Two Non Related Referees

I hereby certify that the above particulars furnished by me are true and accurate to the best of my Knowledge.

………………………………………….. ………………………… Signature of Applicant Date

Recommendation of the Head of the Institution

( If employed in Government Departments/ State Corporations/ Statutory Boards should send in their applications through the respective heads of their Establishments. An advance copy of the application may be sent direct.)

I recommended and forwarded herewith the application of ………………………………………………………………

for the above post and agree/ do not agree to release him/ her in case selected to the post applied for.

…………………………….. …………………………………......

Date Head of the Institution (Official Stamp)

……………………………………………………………………………………………………………………………………

Notes:

1. The following documents should be annexed to the application (Photo Copies only) (non –returnable) of

I. Copy of the National ID card

II. Certificate of Birth

III. Certificates of educational and professional qualifications.

IV. Any other testimonials obtained in support of your application.

2. Originals of certificates should not be forwarded along with the application but they should be produced for examination only if summoned for interview.

3. If given space is not sufficient in above sections, please use separate sheets and attach.

………………………………………………………………………………………………………………………………….....

For office use only

……………………………. ………………………………

Checked by Certified by

Kaspk/ab 11072018