F/8/1
FOR OFFICE USE FOR OFFICE USE
(AP NO) (INDEX NO)
cd;sl wdOqksl;aj iy ldrAusl mqyqKq lsrSuz wOsldrsh
Njrpa gapYeu; kw;Wk; ifj;njhopw; gapw;rp mjpfhurig
NATIONAL APPRENTICE AND INDUSTRIAL TRAINING AUTHORITY
bxcsfkare ;dlaIK wdh;kh - lgqkdhl
ve;jputpay; njhopEl;g epWtfk; - fl;Lehaf;fh
INSTITUTE OF ENGINEERING TECHNOLOGY – KATUNAYAKE
bxcsfkare jsoHd cd;sl vsmaf,daud mdGud,dj ioZyd
bxcsfkare jsoHd jsfYaI wdOqkslhska noZjd .ekSu - 2017 lKavdhu
whoquz m;|h
Njrpa ve;jputpay; tpQ;Qhd bg;Nshkh ghlnewpf;F (NDES) ve;jputpay; rpwg;G
gapYeu;fis Ml;Nru;g;gjw;fhd tpz;zg;gk;.- 2017 gphpT
APPLICATION FOR THE RECRUITMENT OF SPECIAL APPRENTICES IN ENGINEERING FOR
NATIONAL DIPLOMA IN ENGINEERING SCIENCES (NDES) COURSE – 2017 BATCH
1. iuzmQrAK ku / KOg; ngah; /Name in Full :
2. w. ku/,Wjpg; ngau /Last Name
uq,l`re$ KjnyOj;Jf;fs ;/Initials
3. (I) ,smskh/ Kfthp/Address
(II) oqrl:k wxlh $ njhiyNgrp ,y $Telephone No
ia:djr$ epue;ju $ Fixed cx.u$ ifalf;f $ Mobile
(III) jsoHq;a ;eme,a ,smskh / மின்னஞ்சல் / E mail Address
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4.osia;|slalh/ khtl;lk; /District:
5. (I) m|dfoaYSh f,aluz fldgzGdYh/gpuNjr nrayhsh; gphpT/ Divisional Secretariat:
(II) .|du ks,Odrs fldgzGdYh/ fpuhk cj;jpNahfj;ju; gpupT/Grama Niladhari Division:
(III) .|du ks,Odrs fldgzGdY wxlh / fpuhk cj;jpNahfj;ju; gpupT ,yf;fk;
/Grama Niladhari Division Number:
6. Wmka oskh : oskh : udih : jrAIh :
gpwe;j jpfjp : jpfjp : khjk; : tUlk; :
Date of Birth: Date : Month : Year :
7’ ia;|S$mqreI Ndjh : 8. cd;sl yeoqkquzm;a wxlh $ Njrpa milahs ml;il ,y/
ghy; :Mz;/ngz; National Identity Card No:
Sex: (M/F)
9. wOHdmk iqoqiqluz$ fy;tpj; jifikfs; / Educational Qualifications
(I) w'fmd’i (id’fm) $ f.ngh.j (rh.j) /G.C.E. (O/L)
tlu jirloS iu;ajQ jsIhhka $ xNu mkh;tpy; rpj;jp ngw;w ghlq;fs; /
Subjects Passed at one and same sitting:
jrAIh$ tUlk;/ Year jsNd. uOHia:dkh$ ghPl;ir epiyak;/Examination Centre:
jsNd. wxlh $ Rl;nlz; / Index No
jsIhh $ghlk;/ Subject idudrA:h $ iu;a jQ j¾Ih$
juk;/Grade tUlk;/Year
1 .Ks;h/fzpjk; / Mathematics
2 jsoHdj/tpQ;Qhdk; /Science
3 NdIdj/nkhop /Language
4 bx.|Sis /Mq;fpyk;/English
5
6
7
8
9
10
w'fmd'i' (id'fm<) ioZyd fmkS isgs ish:Zu jsIhhka by; j.`jg we;`,;a lrkak
Enter the all subjects, you have faced at examination of GCE (O/L)
f'ngh'j (rh$j) ,y; Njhw;wpa vy;yh ghlq;fisAk; Nky; fhZk; ml;ltizapy;
Fwpg;gpLf
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(II) w’fmd’i (W’fm<) f.ngh.j (c.j) G.C.E. (A/L)
iu;ajQ jsIhhka rpj;jpaile;j ghlq;fs; Subjects Passed in one sitting
jrAIh$ tUlk;/Year: jsNd. uOHia:dkh$ ghPl;ir epiyak; /Examination Centre:
jsNd. wxlh$ Rl;nlz; /Index No :
idudkH Z ,l`Kq / ruhrup Z Gs;spfs; /Average Z Score :
jsIhh ixhqla; .KS;h fN^;sl jsoHdj ridhk jsoHdj f;dr;=re ;dlaIKh
ghlk; ,ize;j fzpjk; ngsjPftpay; ,urhadtpay; Information
Combined Maths Physics Chemistry
Subject Technology /
jfty;
njhopy;El;gtpay;
idudrA:h
juk;
Grade
(III) w’fmd’i' (W’ fm<) ioZyd fmkS isgs jdr ixLHdj:
f.ngh.j (c.j) ,y; Njhw;wpa mku;Tfspd; vz;zpf;if :
Number of sittings for GCE A/L Exam:
10. leue;af;a wkqms<sfj,g jsfYaIs; lafIa;| jrA.SlrKh :
(leue;a; wkqms<sfj,g 1 isg 8 olajd ,l`Kq lrkak)
rpwg;ghf;fq;fspd; JiwfSf;fhd tpUg;nghOq;F (tpUg;nghOq;fpid mbg;gilahff;
nfhz;L 1 Kjy; 8 tiu Fwpg;gpLf)
Order of preference of fields of specialization:
(Mark from 1 to 8 based on order of preference)
Se.No Field Code Preferences
1 Civil - Building & Structural Engineering CB
2 Civil - Highway & Railway Engineering CH
3 Civil - Water & Environmental Engineering CW
4 Electrical – Electronics & Communication EE
Engineering
5 Electrical - Electrical Power Engineering EP
6 Mechanical - Automotive Engineering MA
7 Mechanical - General Engineering MG
8 Mechanical - Marine Engineering MM
11 uqo,a f.jQ rsisgzm; fuys w,jkak
gzk; nrYj;jpa ngWtdTj; Jz;il ,q;F xl;Lf>
Stick paying Receipt
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fuu b,a,quz m;|fhys imhd we;s jsia;r oekajSfuys ioZyka iqoqiqluz j,g wkql~, njo”
i;H yd ksjeros njo" uu jsYaj jsoHd,hl fyda fjk;a rcfha wOHdmk wdh;khl mQrAK ld,Sk
WmdOs fyda vsmaf,daud mdGud,djla yeoErSu ioZyd ,shdmosxps jS ke;s njo ikd: lrus’ fuys
we;`,;a huslsis f;dr;`rla wi;H fyda jeros nj ikd: jqjfyd;a fuu mqyqKq mdGud,djg
f;dard .ekSfuka miqj jqjo lsisu uqo,la fkdf.jd ud mdGud,dfjka bj;a l< yels njo
uu oksus’
NkNy je;Js;s jfty;fs; cz;ikahditnadTk; rupahditnadTk;> mit
tpsk;guj;jpyhd jifikfSf;F xj;Js;snjdTk; NkYk; gy;fiyfofnkhd;wpNyh my;yJ
ahNjDnkhU murhq;f fy;tp epWtfnkhd;wpNyh gjpT nra;J nfhs;stpy;iy vd ,j;jhy;
cWjp $Wfpd;Nwd;.gapw;rp epfo;r;rp Kiw Muk;gpf;fg;gl;ljd; gpd;dNuDk;> Nkw;gb jfty;fs;
ngha;ahdit my;yJ gpioahditnad fz;L gpbf;fg;gbd;> el;l <l;Lf;fhd vJtpj
Nfhupf;ifAkpd;wp gapw;rp epfo;r;rp KiwapypUe;J ePf;fg;gLjiy Vw;f jahuhAs;Nsd;.
I do hereby certify that the information furnished above is true and correct
and confirm to the qualifications laid in the advertisement and I have not
registered for full time Degree or Diploma in a University or any other
Government Academic Institutions. I hereby state that I am prepared to
accept discontinuance from the training programme without any claim for
compensation, if any of the above information is found to be false or
inaccurate even after the commencement of the training programme.
oskh $ jpfjp $ Date :
whoquzlref.a w;aik
tpz;zg;gjhhpapd; ifnahg;gk;
Signature of Applicant
ldrAhd,Sh m|fhdackh ioZyd mYtyf cgNahfj;jpw;fhdJ for office use only
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