Specimen Application ATS Elec Eng Officer
Specimen Application ATS Elec Eng Officer
Specimen Application ATS Elec Eng Officer
Call Up No.
Office Use Only
Last Name:
Full Name as in :
NIC (In Block
Letters)
Other Names :
3 Contact Details
Permanent Address :
Telephone Numbers
Home: Mobile No:
Office : e-Mail:
District : Province :
4 Highest Education Qualification :
Academic Qualifications
G C E (O/L)
5 Subject Grade Index No Year
G C E (A/L)
6 Index No : Year jir :
Subject Grade Subject Grade fY%aKsh
attached)
Employment History
From To
(dd/mm/yyyy) (dd/mm/yyyy)
13 Working Experience
Please explain the key responsibilities handled under each position mentioned above in part (b) in brief
Extra Curricular Activities:
15 No. Name & Position Official Address & Tele. Nos. Residential Address & Tele. Nos.
I hereby certify that the particulars submitted by me in this application 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.