215

APPLICATION FOR THE POST OF-
 
1. (a) Date of Gazette in which vacancy is advertised :---------
    (b) Post applied for :---------,

2. Name in full (in block letter) :------------,
    Nationally :------------,

   (State whether Ceylonese or not as per definition in condition 5 above. If you are a citizen of Sri Lanka by registration state reference number and the date of certificate of Citizenship).

3. Postal address :------------,
    (Any change of address should be communicated immediately).

4. (a) Exact age on the closing date of application: -
   Years :------------, Months :------------, Days : -.--------- ,
   (b) Date of birth :------------,
   Year :------------,Month :------------.Date :------------,

5.  Place of birth of :------------,
    (a) Applicant:------------,
    (b) His/Her father:------------,
    (c) His/Her paternal grandfather:-------------,
    (d) His/Her paternal great-grandfather:------------,
   If the applicant was not born is Sri Lanka of the (b) or both (c) and (d) should be filled in addition to (e).
   If the applicant was not born in Sri Lanka either (b) and (c) or (c) and (d) should be filled in apart from (e).
 
6. Whether married, single, a widow or widower:------------,
 
7. Schools, Colleges and other Institutions attended since the age of 12 years :------------,

General Education
Professional/technical Education
 
School or College Prom To Institution Form To

8. Educational Qualifications :------------,

(A) Senior School Certificate/General Certificate of Education

(Ordinary Level)
 
Wear of Passing the Examination Index

No.

 Subject Credits/ Distinction
First Occasion
Second Occasion

                                          (B) General Certificate of Education (Advanced Level)
Wear of Passing the Examination Index No. Subject Credits/ Distinction

                                         (C) Other Educational Qualifications : -
Name of the Examination Year of passing such Examination Index No. Subject
(D) Highest examination Passed in :-------------,
   (a) Sinhala: -----------,
   (b) Tamil:------------,
   (c) English :-------------,

9. Professional and/or technical qualifications obtained if ant, with dates and names of the Institutions :---------- ,
 
10. Professional/Technical/Trade Experience:------------,
 
Name of Establishment Nature of Apprenticeship/ Post held From To

(Copies of certificates should be attached).
11.

(a) Employment since leaving school (state posts held indicating
dates of engagement and leaving) :------------,


(b) If employed under Government or in a Local Authority previously whether in a permanent or temporary capacity and if such employment was terminated at any time, give detail stating clearly the cause of termination of services, with dates :------,

(c) Record of employment in Local Bodies (Post Local Authority
and period) :---------- ,

(d) Present employment state :------------,
     (i) Designation and grade of post and date of appointment
    (ii) Present salary (exclusive of allowances) and salary scale
    (iii) Whether Pensionable:------------,
 
(e) If an ex-Servicemen, particulars of unit, rank and dates of joining and discharges :------------,
 
12. Whether proficiency in reading, writing, conversing :------------,

  (a) Sinhala:------------,
  (b) Tamil:------------,


13. Special Qualifications.- Do you posses the special qualifications and/or the experience specified in the advertisement. If is, give details thereof with dates :------------,
 

14. Whether convicted of any criminal offence in a court of law if so give dale, number of case and nature of the conviction :------------,
 

15. Whether free from pecuniary embarrassment. If not what what is the extent of your commitments : ----------,
 
16. Any further particulars (special claims, etc.):------------,
 
17. Names and designations of persons from whom Character Certificates have been obtained (Copies not originals of such certificate should be attached, Members of the Local Government Service holding scheduled posts need not comply with this requirement):---------,
 
I hereby certify that the particulars furnished by me in the application are true and accurate. I am also aware that if any particulars contained herein are found to be false or incorrect. I am liable to disqualification before the selection and to dismissal without and compensation to me if the inaccuracy is detects after the appointment.

Date :---------- Signature of Applicant.

To

216

SPECIMEN APPLICATION FORM
 
Official Address:.............
Date:.....................1991.
 
The Secretary,
Central Provincial Public Service Commission,
P.O.Box 114,
Kandy.
Through
(Secretary to Ministry/Head of Department)
 
Application For The Post of ........................
In The Central Provincial Service
 
1. Name with initials:------------          Post held:—---------------
 
2. Service-Class/Grade:------------
 
3.Official Address:—
 
4. Private Address:—------
 
5. Datcof Birth:......... Age:--------- Years:
 
6. The Ministry/Department to which the Officer is attached:
 
Station :------------
7. Stations within the Central Province preferred by the officer:
 
(in order of preference)
(i)------------------
(2)------------------
(3)----------------
 

8. Whether the applicant would be willing to be posted to a different station with the Central Province in event of non-availability of a vacancy in a preferred station:-----------

---------------------
Signature of applicant.
RECOMMENDATION OF SECRETARY TO MINISTRY/HEAD OF
DEPARTMENT
 

I will agree/will not agree to release this Officer in the event of his/her being selected for service in the Central Provincial Service. .
 

--------------------------------------------
Secretary to Ministry/Head of Department.
(Official seal)
 
Date:-----------------------------.

 

SCHEDULE OF VACANCIES
Service/Designation   Department/Ministry in which vacancies exist Number of Vacancies
 
S.L.A.S.II/I   Provincial Ministry of Agriculture and Irrigation C.P. 01
 
  Provincial Department of Small Industries - C. P. 01
 
  Provincial Ministry of Education, Industries and Animal husbandry-cap. 01
 
  Divisional Secretary's Offices under Provincial Administration ; 18
 
S.L.A.S.II/II   Provincial Ministry of Health, Food & Co-operative,Trade and Commerce, Sports and Tourism-C.P.
 		 03
  Provincial Ministry of Land, Tex tiles, Local Government and Cultural Affairs - C.P.
 		 02
S.L.P.S.II/II   Provincial Ministry of Land, Textiles, Local Government and Cultural Affairs - C.P.
 		 01
  Provincial Ministry of Agriculture and Irrigation - C.P.
 		 01
  Provincial Ministry of Transport, Highways, Youth Services, Women's Affairs, Housing and Construction-C.P.
 		 01
  Divisional Secretary's Offices under Provincial Administration
 		 33

217

Service/Designation Department/Ministry in which vacancies exist Number of Vacancies
 
S.L.Eng. S.I Central Engineering and Construction Unit
 		 02

II/I

 Central Engineering and Construction Unit(Kandy/Matale/Nuwara Eliya Regional Offices) .
 		 06
S.L. Accountant's Service II/II Divisional Secretary's offices under Provincial Administration-C.P.

 		 22
S.L. V.S.I Veterinary Hospital- C.P., Peradeniya
 		 01

II/II

 Provincial Veterinary Surgeons Offices (Wilgamuwa/Teldeniya/Bagawanthalawa/ Talawakele/Nawalapitiya)- C.P.
 		 05
S.L. Agri. S II/I and II Central Provincial Agricultural Department, Peradeniya 02
S.L.E.A.S.I Provincial Ministry of Education, Industries and Animal Husbandry
 		 01

Administrative Officers: . G.C.S. Supra Class L.G.C.S. Supra Class Health Clerical Service Supra Class

Provincial Ministry of Land, Textiles, Local Government and Cultural Affairs-C.P.
Divisional Secretary's Office -Minipe		 01

01
do. -Udadumbara 01
do. -Dambulla 01
do. -Panwila 01
do. -Pujapitiya 01
do. -Medadumbara 01
do. -Pasbage Korale 01
do. -Ambanganga 01
do. -Udahewaheta . 01
do. -Ambagamuwa 01
do. -Udunuwara 01
do. -Naula 01
do. -Pallepola 01
do. -Yatawatta 01 .
do. -Kundasale 01
do.  
Regional Education Office - Walapane 01
do. -Galewela 01
do. -Laggala 01
do. -Gampola 01
do. -Wattegama 01
do. -Katugastota 01
do. -Kandy 01
do. -Denuwara 01
Municipal Council -Kandy
 		 05
Town Council - Gampola
 		 01
Town Council - Hatton
 		 01
G.C.S. L.G.C.S. Health Clerical Service (Class I, II 'A'&  II 'B' Provincial Ministry of Agriculture, and Irrigation, - C.P.
 		 01
Provincial Ministry of Land, Textiles, Local Government and Cultural Affairs-C.P.
 		 03
Provincial Ministry of Transport, Highways, Youth Services, Women's Affairs,Housing, and Construction. -C.P.
 		 01
Governors Office - C.P.
 		 01
Provincial Department of Animal Production and Health
 		 02
Provincial Department of Motor Transport -C.P.
 		 06
Provincial Director of Social Services - C.P.
 		 01
Central Engineering and Construction Unit
 		 14
Provincial Land Commissioner's Department
 		 01
Provincial Department of Cultural Affairs
 		 02

218

Service/Designation Department Ministry in which vacancies exist Number of
Vacancies
 
School Clerks
 		 05
Provincial Department of Co-operative
 		 06
Assistant Director of Agriculture - Matale
 		 01
. do. -Kandy 01
Divisional Secretary's Office -Minipe 05
do. -Udadumbara 06
do. -Laggala 07
do. -Wilgamuwa 05
do. -Dambulla 02
do.. -Panwila 06
do. -Walapane 04
do. -Gangaihala 03
do. -Pujapitiya 02
do. -Medadumbara 03
do. -Abanganga 04
do. -Nawalapitiya 01
Municipal Council -Kandy 12
do. -Matale 02
do. -Nuwara Eliya 01
Town Council -Gampola 01
do. -Nawalapitiya 02
do. -Hatton 01
do. -Kadugannawa 01
do. -Talawakele-Lindula(Tamil Medium) 01
Pradeshiya Sabha -Nawalapitiya(Pasbage Korele) 01
do. -Yatinuwara 02
do. -Udapalatha 01
do. -Panwila 01
do. -Medadumbara
 		 05
Stenographer's Service Governor's Office - C. P.
 		 02
Provincial Ministry of Health, Food & Co-operative, Trade & Commerce, 01
Sports & Tourism -C.P.
 
Provincial Ministry of Transport, Highways, Youth Services, Women's 01
Affairs, Housing and Construction - C.P.
 
Provincial Department of Animal Production and Health 01
Provincial Education Office -Kandy 01
Municipal Council -Kandy 02
do. -Nuwara Eliya 01
Town Council -Hatton
 		 01
Divisional Secretary's Offices under 12
Provincial Administration  
Typists Service Municipal Council -Nuwara Eliya 01
do. -Matale 01
Pradeshiya Sabha -Dambulla
 		 01
Provincial Director of Education (Tamil Medium) 01
Provincial Department of Animal Production and 01
Health (English)
Translators Service Governor's Office-C.P. 02
Chief Secretary's Office - C.P.
 		 02
Provincial Department of Animal Production & Health 01
Divisional Secretary's Offices under Provincial Administration 33
(Kandy.Matale and Nuwara Eliya District)

219

Service/Designation Department/Ministry in which vacancies exist Number of
Vacancies
 
Book-Keepers Service Regional Education Office - Laggala
 		 01
Central Engineering and Construction Unit, Kandy .
 		 01
Divisional Secretary's Office - Minipe 02
do -Udadumbara 02
do. -Laggala 02
do -Wilgamuwa 02
do. -Panwila 01
do. -Walapane 02
do. . -Gangaihala 02
do. -Pujapitiya 02
do. -Medadumbara 01
do. -Pasbage Korele 02
do. -Abanganga 02
do. -Udahewaheta 01
do. . -Kothmale 01
do. -Ambagamuwa Korale 01
do. -Udunuwara . 01
do. -Naula 01
do. -Pallepola
 		 01
Store Keepers Service Provincial Department of Ayurveda-Kundasale 01
Provincial Education Office -Kandy
 		 01
K.K.S. Service Pradeshiya Sabha - Yatinuwara
 		 03
do. -Udapalatha 01
do. -Pathadumbara 01
do. -Medadumbara 02
do. -Pujapitiya 02 .
do. -Laggala 01
do. -Rattola 01
do. -Yatawatta
 		 01
Municipal Council - Nuwara Eliya 02
Pradeshiya Sabha - Kothmale 03
Provincial Ministry of Agriculture & Irrigation 01
Divisional Secretary's Office - Minipe
 		 02
do. -Udadunabara 01
do. -Laggaia 01
do. -Wilgamuwa 03
do. -Panwila 01
do. -Walapane 01
do. -Gangaihala 01
do. -Pujapitiya 01
do. -Medadumbara 01
do. -Abanganga 02
do. -Kotmale 01.
do. -Naula 01
do. -Pallepola 02
do. -Yatawatta 01
do. -Kundasale
 		 01
Provincial Ministry of Health,.Food and Co-operative, Trade and 02
Commerce, Sports and Tourism - C.P.
 
Provincial Department of Health - C.P.
 		 06
Provincial Department of Co-operative 02
Provincial Department of Ayurveda- Kundasale 02
Provincial Department of Trade and Commerce, Sport and Tourism 01
Provincial Department of Cultural Affairs
 		 02
Provincial Department of Textiles - C.P.
 		 01
Provincial Department of Local Government 01
Provincial Department of Small Industries 01
Provincial Department of Animal Production and Health 01.
Governor's Office 01
Provincial Ministry of Transport and Highways . 02
Provincial Department of Motor Transport
 		 01
Provincial Director of Social Service - C.P. 01
Provincial Department of Housing 01
Central Engineering and Construction. Unit (Kandy
/Matale/Nuwara Eliya Regional Offices)                                        10

220

Service/Designation Department/Ministry in which vacancies exist Number of
Vacancies
 
Draughtsman Service Central Engineering and Construction Unit (Kandy/Matale/Nuwara Eliya Regional Offices) 12
Divisional Secretary's Offices under Provincial Administration 46
(Kandy/Matale/Nuwara-Eliya)
 
Surveyor Service Divisional Secretary's Offices under Provincial Administration 29
(Kandy/Matale/Nuwara-Eliya)
 
Plan Implementation Provincial Ministry of Education, Industries and Animal Husbandry 03
Officer's Service Chief Secretary's Office -C.P. 03
M.L.T.S. Divisional Secretary's Offices under Provincial Administration 91
(Kandy/Matale/Nuwara-Eliya)
Central Engineering and Construction Unit(Kandy/Matale/Nuwara Eliya) 39
Regional Engineers Offices).
Assessor Chief Secretary's Office - C.P. 04
Tax Officer do 10
Data Processing Officer do. 02
Legal Officer do. 01
Training Centre Keeper do. 01
Rest-house Keeper do. 02
Pump Operator do. 01
Architect Central Engineering and Construction Unit 01
Electrical Superintendent do. 01
Roneo Machine Operator do. 01
Plan Printer do. 01
Foreman Mechanical I do. 01
Foreman Mechanical II do. . 01
Minor Supervisor I do. 03
Minor Supervisor II do. 03
Minor Supervisor HI do. 03
Serviceman do. 01
. Welder do. 01
Shop clerk do. 01
Electrician do. 01
Operator (Heavy Mechanical) do. 07
Tractor Operator do. 05
Inspectors Provincial Department of Motor Transport, Kandy 04
Authorised Officer Provincial Department of Housing.- C.P. 01
Probation Officer Provincial Department of Probation and Child Care 04
House Mothers do. 01
Cook do. 01
Messenger do. 01
Needle work demonstrator Provincial Department of Rural Development 03
(Ukuwela/Galagedera/Nawalapitiya) .
Statistical Officer Provincial Ministry of Education, Industries and Animal 01
Husbandry, Peradeniya
Lab Attendant Provincial Education Office (Nuwara-Eliya/Matale/Kandy Schools) 43
Cooks Provincial Education Department 33
Library Assistant do. 26
Supervising Manager Provincial Director of Small Industries , Kandy 01
Inspector Industrial do. 01
Mechanist do. 01
Electrician do. 01
Demonstrator (Carpentry) do. 03
Fitters do. 02