University of Colombo School of Computing

UNIVERSITY OF COLOMBO SCHOOL OF COMPUTING

Post applied for

Post Subject

1. Full Name of the applicant (Last name first)

Name with initials

2. Civil Status

Reverend Male Female

Married Unmarried Widower

3. Present Address / Phone
4. Permanent Address / Phone
5. Email Address

6. Date of Birth Age as at closing date

Year / Month / Date
Years / Months / Days

Tick Ö Relevant Cage

7. (a) Applicants citizenship …………………………………………..

8. (b) If a Citizen of Sri Lanka How obtained

(i) By descent

(ii) By registration

9. Educational Qualifications

(a) Secondary Education

School / From / To / Examination passed / Year

(b) Higher Education

Institution / From / To / Degree Obtained / Class / Year / Index No

10. Subject offered for the first degree

1 / 3
2 / 4 /

Subjects for any additional degree

11. Other Diplomas, Memberships, Fellowships, etc

Institution / Diploma etc / Year
1
2
3
4
5

12. Professional Qualifications

Institution / From / To / Examinations Passed or Degrees obtained
1
2
3
4
5

13. Proficiency in Sinhala / Tamil/ English

Language / Ability to Work / No Knowledge / Ability to Teach / No Knowledge
Very Good / Good / Fair / Very Good / Good / Fair
Sinhala
Tamil
English

14. Proficiency in other Languages

Language / Ability to Speak / Ability to Read / Ability to Write
Very Good / Good / Fair / Very Good / Good / Fair / Very Good / Good / Fair

15. Employment Record

Post held / Institution / From / To / Last Monthly Salary Received
1
2
3
4
5
6
7
8
9
10

16. Experience relevant to the post applied for

17. Details of research and publications

18. Special Qualifications

19. Referees

Name / Designation / Address
1
2
3

N.B. One of the referees should be either the Professor or a Senior Lecturer of the Department of Study in which the applicant had his/her University Education or the Head of the Institutions in which the candidate works

20. Any other information not indicated above

I hereby declare 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 if the inaccuracy is discovered before the selection and dismissal without any compensation if the inaccuracy is discovered after the appointment.

Date ……………………………….

Signature

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