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: