SriLankan Technical Training

INITIAL- EXAMINATION REQUEST FORM

(Basic / Type Courses)

Name of the student: Kuranage Roshith Davinda Perera

Staff No / TR No.: _______________________ Designation: Trainee

Section: ________________________ Department: STT

Course Title: Training Course in Aircraft Maintenance Category B2

Course Dates: From: 21.02.2023 To: 02.03.2023

Phase for which the Initial-exam is being requested (if applicable): Module 01

Telephone No: Mobile: 0775827572 Home:

I hereby declare that the attendance requirement to sit for the above requested examination is covered.

28.02.2023
Date Applicant’s signature

For Office Use Only

Minimum attendance requirement for participation of exam covered: Yes No

Remarks (If any) :-

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________________ ______________________________________
Date Examination Support Supervisor / Assistant

Rev. No :- 21 – 23rd April 2019 Form No :- STT/CF-22A R3 Page 1 of 1

No of Copies :- 01