Specimen Application ATS Elec Eng Officer

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Application No.

Call Up No.
Office Use Only

Qualified Not Reason

AIRPORT & AVIATION SERVICES (SRI LANKA) LIMITED


BANDARANAIKE INTERNATIONAL AIRPORT, KATUNAYAKE

APPLICATION FOR THE POST OF AIR TRAFFIC SAFETY ELECTRONICS


ENGINEERING OFFICER

1 Title : Mr Mrs Miss

Last Name:

Initials with Last


Name

Full Name as in :
NIC (In Block
Letters)

Other Names :

2 NIC No: Date of Issue:


Date Month Year

Date Of Birth : Age as at 05/03/2021:


Date Month Year year Month

Gender: Male Female Nationality:

Marital Status : Single Married Divorced Widow

3 Contact Details

Permanent Address :

City/Town: Postal Code :

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

University Education (Degrees, Diplomas etc.)(Copies of certificates should be

attached)

7 Name of the University/ Period Field of Results Effective


Degree/ Institution Degree (indicate Date
Diploma From To Class or
(dd/mm/yyyy) (dd/mm/yyyy) Grade)
Postgraduate Qualifications (Postgraduate Diplomas, Master Degrees, Ph.D. etc.)
(Copies of certificates should be attached)

8 Name of the Degree/ University/ Period Subject Effective


Postgraduate Diploma Institution Area/s Date
From To
(dd/mm/yyyy) (dd/mm/yyyy)

Professional Qualifications (Examination/Memberships of Professional Bodies


(Associate/Corporate Membership etc.) (Copies of certificates should be attached)

9 Institution Name of the Membership Effective Date


Examination/Membership Category

Training Programmes/Workshops/Seminars/Conferences participated:


(Copies of certificates should be attached)

10 Name of the Training Institution Period


Programme/Work shops ets.
11 Special Achievements

Employment History

(a) Present Post:(Copy of Service certificate or Appointment Letter should be


attached)

12 Post Institution Period Describe the


work done
From To
(dd/mm/yyyy) (dd/mm/yyyy)

(b) Previous Employment

(Copies of Service certificates or Appointment Letters should be attached)

Post Institution Period Total Service

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:

14 Category Type Achievement Date/Year

Details of two non related referees:

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.

Signature of the applicant: Date:

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