Official use only

Date: 01/02/2023 10:33:32

Department of Examinations, Sri Lanka. Application Reference: E4XPGQ

Competitive Examination for the recruitment of

Graduates in the Public Service to the Sri Lanka Barcode #: 0000249439
Teachers’ Service for Sinhala, Tamil and English Serial #: 0000003789
medium Teacher Vacancies in National and NIC #: 877071740V
Provincial Schools of the Island - 2023

(1). Medium / Town / School Type

(I). Medium of Language:

Sinhala

(II). Exam Town First Preference

Anuradhapura

(III). Exam Town Second Preference

Polonnaruwa

(IV). School Type applied for: (Please use schedule 2)

Both National and Provincial Schools

(2). Subjects (Select maximum of two subjects related to Note 03 consistent with two categories)

Subjects under G.C.E. (Advanced Level) and 13-Year Guaranteed Education Program

(I). (a) Subject 01

Construction Studies

(II). (a) Subject 02

Engineering Technology

Subjects under G.C.E. (Ordinary Level) and other subjects

(III). (b) Subject 01

Practical and Technical Skills

(IV). (b) Subject 02

Mathematics

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(3). Personal Information

(I). Full Name : (In English Block Letters) Eg-AMRAKOON MUDIYANSELAGE NAMAL HERATH

RANATHUNGA MANCHANAYAKA APPUHAMILAGE UDARI PRIYANGIKA RANATHUNGA

(II). Name with initials: (Name with last name first and the initials of the other names at the end (In
English Block Letters) Eg. : HERATH A.M.N)

RANATHUNGA R.M.A.U.P

(III). Current Address (Admission card will be posted to this address)

NO 2973, STAGE 03, ANURADHAPURA

(IV). Province/District related to permanent residence

North Central Province/Anuradhapura

(V). Do you agree to work in another province if there are no vacancies for the relevant subject in the
national school or provincial school applied for ?

Yes - Central Province

(VI). Gender

Female

(VII). Mobile Telephone Number

0716302973

(VIII). Fixed Telephone Number.

0716302973

(IX). Email Address

udari.priyangika4@gmail.com

(X). Marital Status

Single

(XI). Date of Birth

July 25, 1987

(XII). Age as at 10.02.2023

35 Years 07 Months 13 Days

(4). Particulars about Educational Qualifications

G.C.E. (Ordinary Level) Examination

(I). Year:

2003

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(II). Index No:

32579926

(III). Results

Subject Grade

BUDDHISM A

LANG. & LIT (S) B

ENGLISH C

SC. & TECH. C

MATHEMATICS B

SOC. ST. & HIS. C

DANCING (SIN) B

ENG. LITT. W

HEALTH & PH. A

BUSS. & ACCT. B

G.C.E. (Advanced Level) Examination

(IV). Year :

2007

(V). Index No. :

5505356

(VI). Results

Subject Grade

PHYSICS S

CHEMESTRY F

COMBINED MATHEMATICS S

(5). Particulars about Higher Educational Qualifications

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(I). Degree obtained : -

BACHELOR OF TECHNOLOGY IN BUILDING SERVICES TECHNOLOGY

(II). University awarded :-

UNIVERSITY OF VOCATIONAL TECHNOLOGY

(III). Effective Date of the Degree :-

2015.07.01

(IV). Main subject/subjects followed for the Degree

Subject / Subjects

CONSTRUCTION TECHNOLOGY

ENGINEERING MATHEMATICS

ANCILLARY SERVICES IN BUILDING

(V). Medium of language in which the degree has been obtained :-

English

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(6). Applicant's Statement

I do hereby declare that the information furnished here are true according to my knowledge and
belief. I am aware that I will be dismissed from the service if it is revealed that I am not eligible to
be appointed to this Post after being selected to the Post. Any information mentioned herein will not
be altered later. Also, I declare that I have paid the due examination fee. Further, I declare that I
will be subject to rules and regulations imposed by the Commissioner General of Examinations
pertaining to the conduct of the Examination and the issuance of results.

Date :- ______________________ Signature of Candidate :- _________________________

(7). Attestation of Signature of the Applicant

I certify that Mr./Mrs./Miss. _________________________________________________ submitting this application is personally

known to me and he/she placed his/her signature before me on__________________________ and he/she has paid the due
Examination fee.

Date :- _______________ Signature of the officer attesting the signature :- _________________________

Full Name of the attester:-

Designation:-

Address:-
(Please substantiate with the official stamp)

(8). Certification of the Head of the Institute / Department

The application of Mr. /Mrs. /Ms._________________________________________________ is submitted. It is

notified that Mr. /Mrs. /Ms.____________________________________________________________ is serving in
this Ministry/ Department as a permanent employee and that he/she can be released from the
service if he/ she is selected for this post.

_______________________________________

Signature of the Head of the Department or the officer Authorized

Date:-

Designation:-

Ministry / Department:-

(Substantiate with the Official Stamp)

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 Official use only

Payment Information

NIC 877071740V

Application Reference E4XPGQ

Payment Type BOC Deposit payment

Payment Date and Time 01-02-2023 15:43:14

Competitive Examination for the recruitment of Graduates in the Public

Service to the Sri Lanka Teachers’ Service for Sinhala, Tamil and English
Exam Applied
medium Teacher Vacancies in National and Provincial Schools of the Island
- 2023

Exam Fee 2,700.00 LKR

Total fee Paid 2,700.00 LKR

In accordance with section 3 of the Electronic Transaction Act No.19 of 2006, electronic version of the bill has the same validity as a conventional bill.

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