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Shan Creation Youtube

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0% found this document useful (0 votes)
72 views2 pages

Shan Creation Youtube

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SPECIMEN APPLICATION

STATE PHARMACEUTICALS MANUFACTURING


CORPORATION

FOR THE POST OF…………………………………………

1. Full Name of the Applicant : …………………………………………………………………………

2. Name with Initials : ………………………………………………………………………...

3. Permanent Address : …………………………………………………………………………

4. District : …………………………………………………………………………

5. Date of Birth : …………………………………………………………………………

6. Age as at Closing date of application : …………. Years ………. Months ………. Days ………….

7. Gender : …………………………………………………………………………

8. Civil Status : …………………………………………………………………………

9. NIC No : …………………………………………………………………………

10. Contact No : …………………………………………………………………………

11. Educational Qualifications


G.C.E (O/L) – YEAR …………………….
SUBJECT GRADE SUBJECT GRADE

G.C.E (A/L) – YEAR ………………………


SUBJECT GRADE SUBJECT GRADE

12. Degree
i. Valid date of Degree : ……………………………………………………………..

ii. University / Institution : ……………………………………………………………..

iii. Degree / Subject : ……………………………………………………………...


13. Postgraduate Qualification
i. Valid date of Postgraduate Degree / Diploma: ……………………………………………….
ii. University / Institution : ……………………………………………………………
iii. Subject : ……………………………………………………………

14. Professional qualifications : ……………………………………………………………………………………


……………………………………………………………………………………….

15. Other qualifications : ………………………………………………………………………………………………...

16. Experience :

Experience Institute Position Salary Scale No of Years


Managerial
Experience
Executive
Experience
Non-Executive
Experience

17. Details of Non related referees : …………………………………………………………………………………………………

I hereby declare that the details given above are true and correct to the best of my knowledge and belief.

Date : ……………………………….. Signature : ………………………………

Recommendation of Head of Department :


I hereby certify that Mr / Mrs / Ms ………………………………………. is employed in this Ministry / Department
/ Corporation / Board as …………………………………………… His / Her work and conduct are satisfactory and
the particulars furnished by him /her are correct. If selected he / she / can / cannot released from his /
her present post.

………………………………………………….. ………………………………………………
HEAD OF DEPARTMENT DATE

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