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Plusinfo - LK 1114567452-1

The document is an application form for a job posting that collects personal details, education history, work experience, references, and a declaration from the applicant. It requests information such as name, address, contact details, date of birth, civil status, education qualifications from secondary school through university along with grades/scores, professional qualifications, work experience, references, and a signed declaration of truthfulness. Instructions are provided on how to fill out and submit the application along with an envelope cover and sample email format.

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RZK Abbadon
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1K views5 pages

Plusinfo - LK 1114567452-1

The document is an application form for a job posting that collects personal details, education history, work experience, references, and a declaration from the applicant. It requests information such as name, address, contact details, date of birth, civil status, education qualifications from secondary school through university along with grades/scores, professional qualifications, work experience, references, and a signed declaration of truthfulness. Instructions are provided on how to fill out and submit the application along with an envelope cover and sample email format.

Uploaded by

RZK Abbadon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form

For office use only

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..................................................................................................................... Your Color Photo
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Application for the Post of ……………………….…………………………………………………

01. PERSONAL INFORMATION

Status Dr. Mr. Mrs. Miss.

Name in Full
(in English block
letters)

Name with Initials


(in English block
letters)

Permanent Address
(in English block
letters)

Province District

Divisional Secretariat

Grama Niladhari Division

E-mail Address

Telephone Ethnic Group

NIC No Civil Status Gender

Date Month Year Age as at Days Months Years


Date of Birth
closing date
02. EDUCATIONAL QUALIFICATIONS (ATTACH COPIES OF CERTIFICATES)

Index No
I. G.C.E (Ordinary Level) Examination
Year

# Subject Grade # Subject Grade


01. 06.
02. 07.
03. 08.
04. 09.
05. 10.

Index No
Year
II. G.C.E (Advanced Level) Examination
Stream
Z-Score

# Subject Grade # Subject Grade


01. 03.
02. 04.

03. ACADEMIC QUALIFICATIONS (ATTACH COPIES OF CERTIFICATES)

University Period Major field Degree / Diploma Class - if any Year

04. PROFESSIONAL QUALIFICATIONS (ATTACH COPIES OF CERTIFICATES)

Institution Period Field of Study / Training Qualification Year


05. WORK EXPERIENCE (ATTACH A SERVICE CERTIFICATE FROM EMPLOYER/S)

Organization Period Position held Nature of Work

06. ANY OTHER QUALIFICATIONS (IF ANY)

07. TWO NON-RELATED REFEREES

Name Position Address Telephone No

08. DECLARATION OF THE APPLICANT

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.

I shall not subsequently change any information stated above.

Date: ……………………….. ……………………………..


Signature of Applicant
09. ATTESTATION

I do hereby certify that Dr. / 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: …………………………………………………………..
INSTRUCTIONS
APPLICATION FORM

Name of the Company / Organization

Name of the Post (Name of the Vacancy)

ENVELOP COVER

Name of the Post


(Name of the Vacancy)

Sender Name and Address Receiver Name and Address


(Your Name and Address)

E-MAIL

Receiver E-mail Address

Name of the Post (Name of the Vacancy)

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