(for office use only)
Application for the post of ………………………………………………………………………………………………………
1.0 Personal information:
1. Name with inltials at the end :- GUNASEKARA U D A M S
2. Name in full :- Udapola Dhanagge Anjula Malshan Shalindha Gunasekara
3. Permanent Address :- Susiri Sevana, Udapola Deraniyagala
4. Gender:- Male
5. Marital Status:- Unmarried 6. Ethnic Group:- Sinhala
7. National Identity Card No:- 9 9 1 1 0 0 1 4 8 V
8. Date of Birth:- Date 1 9 Month 0 4 Year 1 9 9 9
9. Telephone No:-
0 7 4 1 5 6 1 2 3 9
10. District:- Kegoll
11. Electorate Division:- Deraniyagala
12. Grama Niladari Division:- Udapola
13. Email Address:- anjulamalshan639@gmail.com
14. Educational Quelifications:-
G.C.E (O/L) Examination: Year:- 2015
Subject Grade Subject Grade
1. Civic Education A 6. Mathemetics C
2. Sinhala B 7. Science S
3. History B 8. Agry S
4. Music B 9. English W
5. Buddhism C 10.
G.C.E (A/L) Examination: Year:- 2018
Subject Grade
1. Sinhala S
2. Music S
3. Political Science F
15. Professional Qualifications:-
I served in the army for three years
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16. Other Quelifications:-
Computer literacy and musical instrument skill
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17. Desiaration of the Applicant:
(a) 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
(b) I shall not subsequently change any information stated above.
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Date Applicant’s Signature