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Ceylon Electricity Board: Vacancies of Electrical / Civil Superintendents - NTDND & EI Project

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(For office use only)

Ceylon Electricity Board


National Transmission and Distribution Network Development & Efficiency Improvement (NTDND & EI) Project
Vacancies of Electrical / Civil Superintendents – NTDND & EI Project

1.0 Personal Information:

1.1 Name with Initials at the end (In English block capitals) :- .......................................................................

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

(Ex : GUNAWARDHANA H.M.S.K)

1.2 Name in full (In English block capitals) :- ..................................................................................................

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

(Ex : HERATH MUDIYANSELAGE SAMAN KUMARA GUNAWARDHANA)

1.3 Name in full (In Sinhala/Tamil) :- ..............................................................................................................

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

1.4 Permanent Address (In Sinhala/Tamil) :- ..................................................................................................

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

1.5 Permanent Address (In English block capitals) :- ......................................................................................

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

1.6 Gender:- ....................................................................................................................................................

1.7 Marital Status:- .........................................................................................................................................

1.8 Ethnic Group :- ..........................................................................................................................................

1.9 National Identity Card No:-

1.10 Date of Birth: - Date Month Year

1.11 Telephone No :

1.12 District:- ..................................................................................................................................................

1.13 Electorate Division:- ................................................................................................................................

1.14 Grama Niladhari Division :- .....................................................................................................................

1.15 Email Address:- .......................................................................................................................................


2.0 Educational Qualifications:-
2.1 G. C. E. (O/L) Examination: Year: - …………………………………… Index No :- ..................................................

Subject Grade Subject Grade


1. 6.
2. 7.
3. 8.
4. 9.
5. 10.

2.2 G. C. E. (A/L) Examination: Year: - …………………………………… Index No :- ...................................................

Subject Grade Subject Grade


1. 3.
2. 4.

3.0 Professional Qualifications:- ...........................................................................................................................


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

4.0 Other Qualifications:- .....................................................................................................................................


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

5.0 Working Experience:- ......................................................................................................................................


.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
6.0 Non-Related Referees
Name / Telephone No Position Address
1.

2.

7.0 Declaration of the Applicant:


(a) I respectfully declare that the particulars furnished by me in this application are true and correct to the
best of my knowledge. I agree to bear the loss which may occur due to incomplete and /or incorrect
completion of any part of this application. Further, I state that, all sections of this application completed
are true and correct to the best of my knowledge.
(b) I shall not subsequently change any information stated above.

…………………………… ….………………………………...
Date Applicant’s Signature

8.0 Attestation:
I do hereby certify that Mr./Mrs./Miss ………………………………………...……………………………
……………………………….. is personally known to me and placed his/her signature in my presence on
……………………………

Date …………………………… ….………………………………...


Signature of Certifying Officer
Name: ..............................................................................................................................................................
Designation: ....................................................................................................................................................
Address: ..........................................................................................................................................................
9.0 (This part is applicable only for candidates who engage in government employment) Attestation of the
head of the Department/ Institution:

I hereby certify that Mr./Mrs./Miss ………………………………………………………………………


………………………………… who is working in this ministry/department/institution, is working in the post of
……………………………. and his/her work and conduct are satisfactory, no disciplinary action pending
against him/her and no decision has been taken to impose any such in the future. If he/she will be selected
for this post, he/she can/cannot be released from the service.

Date …………………………… ….………………………………...


Signature of the Head of the
Department or Authorized Officer.

Name: ..............................................................................................................................................................
Designation:- ...................................................................................................................................................
Ministry / Department:- .................................................................................................................................

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