UNIVERSITY OF VOCATIONAL TECHNOLOGY
(UoVT)
FORM OF APPLICATION
Post: INSTRUCTOR IN INFORMATION COMMUNICATION TECHNOLOGY
1. Name in Full : ………………………………………………….
………………………………………………….
Name with initials : ………………………………………………….
(Rev./ Mr./ Ms/ Dr/ Prof)
2. i. Sex: Male Female
ii. Civil Status: Single Married
3. Postal Address: Permanent Address:
………………………………. ……………………………….
………………………………. ……………………………….
………………………………. ……………………………….
Telephone No. : …………………… Telephone No. : …………..………
e-mail: ……………………….…… e-mail: ………………………
4. Date of Birth Age at Closing Date
Year Month Date Years Months Days
5. Citizenship: By Descent By Registration
6. National Identity Card No:
7. O/L and A/L Results: (attach copy of certificate)
Grade
Name of School Year
1st attempt 2nd attempt
1
8. University Education: First Degree/ PG Degree (attach copy of certificate)
Name of the University Duration Course followed Results
From To with Subjects (give class or grade
(Special/ General) with effective date
9. Other Diploma, Membership, Fellowships etc. (attach copy of certificate)
Institute Diploma etc. Year
10. Professional Qualifications: (attach copy of certificate)
Institute From To Examination passed or
Degree obtained etc
11. Language Proficiency (Please tic ):
Language Ability to Work
Very Good Fair No
good Knowledge
Sinhala
Tamil
English
2
12. (i) Professional/ Special Qualifications and Experience:
(ii) Research & Publications:
13. For Public Service/ Corporation/ Statutory Board Candidates Only
(a) Present Occupation:
i. Post:
ii. Date of appointment to such post:
iii. Whether confirmed in the present post:
iv. Place of work with the Address:
v. Salary Scale of the post:
vi. Present Salary a. Basic Salary:
b. Allowances :
(b) Previous Employment Records:
Period of Service Last Monthly Reason for
Post held Institute From To Salary Cessation of
received Employment
14. Any further relevant particulars:
(not included above)
3
15. Two non-related Referees:
Name Designation Address
(i) …………………………..… …………………………… ……………………………
…………………………..… …………………………… ……………………………
…………………………..… …………………………… ……………………………
(ii) …………………………..… …………………………… ……………………………
…………………………..… …………………………… ……………………………
…………………………..… …………………………… ……………………………
16. I hereby certify that the particulars submitted by me in this application are true and
accurate. I am aware that if any of particulars are found to be false of inaccurate, I am
liable to disqualified before selection and to be dismissed without any compensation,
if the inaccuracy is detected after appointment.
Date: ……………………… ………..…………………
Signature of Applicant
For Public Service/ Corporation/ Statutory Board Candidates Only
Application for the post of …………………………………………………….
Submitted by …………………………………………………………………..
is forwarded hereby. If he/ she is selected for the said post he/ she can be / cannot be released.
………………..…………………
Signature of the Head of the Department
(Official Seal)
Name : ………..…………………
Designation : ………..…………………
Date : ………..…………………
(N.B.: when applying for several posts, each post should be applied for separately)