Computer Applications Assistant Gr – III



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01' (a) Name with Initials (Please leave one space after each part of the name)

|Family | |

|Name/Surn| |

|ame | |

|Mr | |

(b)

(c) Name denoted by Initials (Please leave one space after each part of the name)

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1st sitting Year 2nd sitting Year

Subjects Passed Grade Subjects Passed Grade

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(b) G'C.E. (A/L)

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1st sitting Year 2nd sitting Year

Subjects passed Grade Subjects passed Grade

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2……………………………… ……… ………………………………….. ………

3……………………………… ……… ………………………………….. ………

4……………………………… ……… ………………………………….. ………

06. University Education From – To Course followed (Date of (Give Class

(Degree, Diploma, etc. and (with subjects) Final Exam or grade)

the name of university/Institute)

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07. Professional qualifications (Details of the program etc. with the dates of obtaining such qualifications)

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08. Medium of school education

|G.C.E. (O/L) | |

|Sinhala | | |

|Tamil | | |

|English | | |

12. Present occupation (If applicable)

1 Post :………………………………………………………………….…..

2 Date of appointment to such post : ……………………………………………………………………..

3. Whether confirmed in the present post : ……………………………………………………………………..

4. Place of work : ……………………………………………………………………...

5. Salary scale of the post : ……………………………………………………………………..

6. Present Salary ^a& Basic :………………………………..

^b& Allowances :………………………………..

13. Any other particulars (Team work, Societies, Teaching, Sports, Leadership etc.) – Please attach copies of certificates)

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14. List of certificates attached

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15. Names of two non-related referees and the following details :

Name 1. ……………………………………………

Address ……………………………………………

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Designation …………………………………………….

Institute/ Dept. …………………………………………

Contactable Phone No. ……………………………….

16. I certify that all particulars stated by me in this application are true and accurate. I am aware that if any particulars are found to be false or inaccurate prior to my selection, my application will be rejected, and that if particulars are found to be false or inaccurate after my selection, I will be dismissed from service without compensation.

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Date

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Signature of Applicant

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Institute of Human Resource Advancement

Application for the Post of Technical Officer (ICT) – Gr III

(To computerize the information please fill this form in English Language)

Name 2. .………………………………………………

Address ………………………………………………

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Designation ………………………………………….

Institute/ Dept. ……………………………………………

Contactable Phone No………………………………….

Phone No. …………………………………………….

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