F/8/1

FOR OFFICE USE FOR OFFICE USE

(AP NO) (INDEX NO)
cd;sl wdOqksl;aj yd ldrAusl mqyqKq lsrSuz wOsldrsh
Njrpa gapYeh;f; ifj;njhopw; gapw;rp mjpfhurig
NATIONAL APPRENTICE AND INDUSTRIAL TRAINING AUTHORITY

bxcsfkare ;dlaIK wdh;kh - lgqkdhl

ve;jpu njhopEl;gtpay; epWtfk; - fl;Lehaf;fh
INSTITUTE OF ENGINEERING TECHNOLOGY – KATUNAYAKE
(Former TECHNICIAN TRAINING INSTITUTE)

bxcsfkare jsoHd cd;sl vsmaf,daud mdGud,dj ioZyd

bxcsfkare jsoHd jsfYaI wdOqkslhska noZjd .ekSu - 2011 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;.- 2011 FO
APPLICATION FOR THE RECRUITMENT OF SPECIAL APPRENTICES IN ENGINEERING FOR
NATIONAL DIPLOMA IN ENGINEERING SCIENCES (NDES) COURSE – 2011 BATCH

1. iuzmQrAK ku / KOg; ngah; /Name in Full :

2. uq,l`re iu. ku/ ngau; KjnyOj;Jf;fSld;/Name with Initials

3. ,smskh / Kfthp/Address

3. (I) oqrl:k wxlh $ njhiyNgrp ,y $Telephone No

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4. osia;|slalh/ khtl;lk; /District:

5. m|dfoaYSh f,aluz fldgzGdYh/gpuNjr nrayhsh; gphpT/ Divisional Secretariat:

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

9 (I) w'fmd’i (id’fm) $ f.ngh.j (rh.j) /GCE 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 idudrA:h
ghlk; juk;
Subject Grade
1 .Ks;h/fzpjk; / Mathematics

2 jsoHdj/tpQ;Qhdk; /Science

3 NdIdj/nkhop /Language

4
5
6
7
8
9
10
11
12

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9. (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

ghlk; ,ize;j fzpjk; ngsjPftpay; ,urhadtpay;
Subject Combined Maths Physics Chemistry
idudrA:h
juk;
Grade

9. (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 09 olajd ,l`Kq lrkak)
rpwg;ghf;fq;fspd; JiwfSf;fhd tpUg;nghOq;F (tpUg;nghOq;fpid mbg;gilahff;
nfhz;L 1 Kjy; 09 tiu Fwpg;gpLf)

Order of preference of fields of specialization:

(Mark from 1 to 09 based on order of preference)
Se.No Field Code Preferences
1 Building & Structural Engineering CB
2 Highway & Railway Engineering CH
3 Water & Environmental Engineering CW
4 Electronics Engineering EE
5 Electrical Power Engineering EP
6 Telecommunication Engineering ET
7 Mechanical (Automotive) Engineering MA
8 Mechanical (General) Engineering MG
9 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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