le,Ksh YajoHd,h - Ys% ,xldj

wh m;%h - wOHhk ;k;=re

UNIVERSITY OF KELANIYA SRI LANKA
APPLICATION ACADEMIC POSTS
;k;=r
POST

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

wOHhk wxYh
.................................................................................................................
ACADEMIC DEPARTMENT
01. imqK ku
................................................................................................................................
Name in Full
mqcH$uy;d$uy;ah$fufkh ^fkd.e,fmk jpk lmd ykak&
Rev/Mr/Mrs/Miss (delete whichever is not applicable)
02. uq, wl=re iu. ku
Name with Initials

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

03. ia:_r ,smskh

......................................................................................................................
Permanent Address
......................................................................................................................
......................................................................................................................
......................................................................................................................
rl:k
Tele

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

04. jHdmdl ,smskh

Business Address

*elaia
Fax

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

oHq;a ;eme,
E-mail

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

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

05. Wmka oskh

Date of Birth

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

06. whm;a Ndr .kakd wjika oskg jhi (

wjq(
........
Age as on closing date of Applications: Years:

07. jdyl$wjdyl nj
Civil Status

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

08. mqrjeis Ndjh ..........................................................

Citizenship
(mrmrdfjka o ke;ak ,shdmosx fuka o hkak i|yka lrkak&
(State whether by descent or by registration)
09. cd;sl yekqm;a wxlh
National Identity Card No

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

udi(
....... osk( .......
Months:
Days:

10' oas;h
s l
s wOHdmkh ms<sn| sia;r
Details of Secondary Education
issg

mdief,a$oHd,fha ku
Name of School/College

olajd
To

From

iu;a jq mlaIKh
Examination Pass

11' Wiia wOHdmkh ^m%:u iy mYajd;a Wmd&

Higher Education [First Degree and Postgraduate Degree (s)]
YajoHd,h$ wdh;kh
University/Institution

issg - olajd
From - To
osskhla iys;j
(with Dates)

,nd .;a Wmd iy mka;sh

Degrees and Class Obtained

Ih$Ihka
Subject /
Subjects

Wmd ,nd .;a

oskh
Effective
Date of the
degrees

12. m%:u Wmdfha Ih ud,dj $ Subjects offered for the first degree
1. ................................................................

2. .................................................................

3. ................................................................

4. .................................................................

m%:u Wmdh fYaI Wmdhla o idudkH Wmdhla o

hkak i|yka lrkak
State whether first Degree is a Special Degree
or a General Degree

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

13. YsIH;aj$molala$;Hd. wdosh ms<sn| ia;r $ Details of Scholarships, Medals &Prizes etc.

^bv m%udKj;a fkdfs ka fa m%udKfha fjk;a lvodishla Nds;d fldg w.g wuqKkak&
(If space is not sufficient use separate sheet of same size and attach to the end)

14' mfhaIK yd m%ldYk ^fjk;a lvodishla Nd;d fldg w.g wuqKkak&

Research and Publications (Please use separate sheet and attach to the end)

15' oekg ork ;k;=r iy wdh;kh

Present Post and Institution
..
m;af oskh
Date of Appointment

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

jegqma mudj
Salary Scale

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

jegqma ;,h
Salary Step

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

^ia:_r ;k;=rla o ke;ak ;djld,sl$ fldka;%d;a ;k;=rla o hkak i|yka lrkak'&

^State whether a Permanent post or a Temporary /Contract Appointment)

16' jD;a;sh m,mqreoao ^g fmr ork ,o ;k;=re wdh;kh iy ld,h iu.&

Professional Experience (state previous appointments with post held and duration)
;k;=r
Post

wdh;kh
Institution

ld, iSudj
From - To

^bv m%udKj;a fkdf k fjk;a lvodishla Nd;d fldg w.g wuqKkak&

(If space is not sufficient use separate sheet and attach to the end)

17' ndysr ls%hdldrl (

Extracurricular activities:

^bv m%udKj;a fkdf k fjk;a lvodishla Nd;d fldg w.g wuqKkak&

(If space is not sufficient use separate sheet and attach to the end)
fjk;a f;dr;=re ( Other Information
cSj o;a;h wuqKkak $ Attach curriculum vitae

18' NdId m%k;dj$ Proficiency in Languages

^kssjeros fldgqj ,l=Kq lrkak& ^Tick correct cage)
,s; $ Written
NdIdj
Language

b;d
fyd|hs
Very
Good

fyd|hs
Good

jHjydrK $ Spoken
i;=gq
odhlhs
Satisfa
ctory

idudkHhs
Normal

j,hs
Weak

b;d
fyd|hs
Very
Good

fyd|hs
Good

i;=gq
odhlhs
Satisfa
ctory

idudkHhs
Normal

i isxy,
Sinhala
ii fou<
Tamil
iii bx.s%is
English
iv fjk;a
Other

19' Wiia wOHdmkh i|yd nexl= Kh ,ndf.k ;sfk

Details of Bank Loans for higher studies if any
nexl=f ku
Name of the Bank

Kh wxYh
Loan

osskh
Date

m%udKh
Amount

j,hs
Weak

20. Tn wksjdh cd;sl fiajhla i|yd nelrhlg w;aika ;nd we;a o@

Are you under any obligatory National Service?
T$ke; ^ia;r imhkak&
Yes/No (Specify)

21. Tn .ek uish yels {d;s fkdjk mqoa.,hska fofofkl=f.a k yd ,smskhka

Names and addresses of two non- related referees
^1&

^2&

uf.a oekSf yd Yajdifha yehg fuys we;=<;a lreKQ i;H yd ksjeros nj;a" we;=<;a h hq;= lsis f;dr;=rla hgm;a
lr ke;s nj;a" f;dard .ekSug fmr ud iska imhd we;s f;dr;=re wi;H nj Tmamq jqjfyd;a udf.a wfma;dj wj,x.=
jk nj yd m;a lsfuka miq Tmamq jqjfyd;a jkaos f.ulska f;drj fiajfhka wialsug th m%udKj;a fya;=jla nj uu
fyd|ska okakd nj;a fuhska iy;sl lr'
I hereby declare that the particulars furnished by me in the application are true and accurate. I am
also aware that if any particulars contained herein are found to be false or incorrect I am liable to
disqualification if the inaccuracy is discovered before the selection and dismissal without any
compensation if the inaccuracy if the inaccuracy is discovered after the appointment.

whlref.a w;aik
........................................................
Signature of Applicant

oskh
Date

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

rdcH wxYfha whlrejka i|yd muKhs

For Public Sector Candidates

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ;k;=r i|yd

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' uhd$h$fuh iska
bosm;a lrkq ,nk wh m; f iu. Mjk w;r h fyhlska whlre MlS ;k;=r i|yd
f;dard.kq ,enqjfyd;a Tyq $ weh fiajfhka ksoyia l< yels $ fkdyels nj iy;sl lr'

Application for the post of .submitted

by is forwarded herewith. If he/she is selected for
the said post he/she can/cannot be released.
.
wdh;k m%Odkf.a w;aik
Signature of the head
of the Institution

ku
Name:

;k;=r
Designation:

uqqdj
Seal:

lreKdlr wd, iy;slj, Pdhd msgm;a wuqKkak

Please attach photocopies of the relevant certificates to the application.