Establishment of the Pool of Resource Persons for Examination Work
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Title *
Full Name *
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Name With Initial *
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Working Status *
Official Address *
If retired write the address of the final work place
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Private Address *
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District *
Province *
E-mail
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Official Phone No.
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Residential Phone No.
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Mobile No. *
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Fax
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Date of Birth *
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Age ( As at 30th January 2018) *
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National Identity Card No *
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Present/ Retired Post *
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Date of appointment to the present post *
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Service & Grade *
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Date of appointment to the service *
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If retired, date of retirement
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Subject Field *
Subject Fields and subjects intended to apply (Sinhala -S, Tamil- T, English -E) *
Please read the instructions sheet before fill this field. Please type your answer following format - You can enter more than one subject -------------------------------------------------------------------------------------------- Field No | Subject Field | Subject | Medium (S/T/E)
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Duty number intended to apply according to paragraph 01 of Detail sheet *
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Mother tongue *
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Medium Studied at School *
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High School & Professional qualifications *
Please type your answer following format. You can enter more than one qualification ------------------ Course | Institution | Subjects studied | Medium (S/T/E) | Year
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Professional experience *
Please enter the Post , Work place and Period/Years.
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Experience in the applied field *
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Details of Two non-related referees to certify particulars given by you : (optional)
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Agreement *
I do hereby declare that the information furnished above is true and accurate and that I have not been debarred from examination duties or accused of any disciplinary action at present. I am also aware that, I will not be selected if any disqualification is revealed . In case a disqualification is found after recruitment, my duties will be terminated under the Examinations Act No. 25 of 1968. I acknowledge that the decision of the Commissioner General of Examinations is final regarding this matter.
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