SWAMI VIPULANANDA INSTITUTE OF AESTHETIC STUDIES,
EASTERN UNIVERSITY, SRI LANKA
APPLICATION FORM
POST OF
DEPARTMENT OF
1. PERSONAL INFORMATION:
1.1 Name in full
1.2 Name with initial/s
1.3 Date of Birth 1.4 Age
1.5 Sex M F 1.6 Civil Status Single
Married
1.7 Whether Citizen of Sri Lanka Yes No Divorced
1.8 National Identity Card No.
1.9 a. Permanent Address
b. Telephone Number
c. Fax Number
d. E-mail Address
1
2. EDUCATIONAL RECORD
2.1 Senior Secondary
Schools Attended From To
2.2 University/ Post Graduate Education (Degrees, Diplomas, Etc)
University From To Subject/Field Degree/ Grades/
of Study Diploma Class/
GPA
2.3 Professional Qualifications
2
3. ACADEMIC DISTINCTIONS
Institution Year Award
4. RESEARCH, PUBLICATIONS, COMMUNICATIONS ETC.
(Please use additional sheets, if necessary)
List under:
(a) Publication in Research Journals
(b) Communication to Learned Societies
(c) Others
(d) Current Research Activities
5. LANGUAGE PROFICIENCY
Language Highest Examination Passed & Institution
Year
6. EMPLOYMENT RECORD
6.1 Present Employment
Institution Post Salary per With effect
month from
3
6.2 Previous Employment
Institution/Department Post From To Salary per
month
7. EXTRA CURRICULAR ACTIVITIES
Year Activities
8. OTHER RELEVANT PARTICULARS
4
9. NAMES OF REFEREES
Name Affiliation Address
Telephone/e-mail:
Telephone/e-mail:
10. CERTIFICATION BY APPLICANT
I hereby certify that the particulars submitted by me in this application form are true and
accurate. I am aware that if any of these particulars are found to be false or inaccurate I am
liable to be disqualified before selection and to be dismissed without any compensation, if the
inaccuracy is detected after appointment.
……………………….
Date:…………………… Signature of Applicant
11. TO BE COMPLETED BY THE PRESENT EMPLOYER (IF ANY)
Applicant can/ cannot be released, if selected for appointment.
Any Special Comments:
………………………….
Signature
Name :…………….……………………..
Designation :……………………………………
Date :……………………………………
5
For Office Use
Date Received
Eligibility Yes No
If No, Reasons
Deputy Registrar/ Academic
Establishments
Comments of Head/Dean