රාජ්‍ය භාෂා දෙපාර්තමේන්තුව

NIC number: *

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Email address: *

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Mobile number:*

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Full name of the candidate (in English block letters): * (E.g:- SAMARASINGHE ARARACHIGE SAMAN KUMARA SAMARASINGHE)
Name of the candidate with initials at the end (in English block letters): * (E.g:- SAMARASINGHE S A S K) *

Address *

Postal City: *

Province: *

Gender: *

Date of Birth: *

Mother Language: *

Second Language Qualifications:

Are you a Government employee ?

Yes

If No

If other Specify :

Are you a person with special needs (Blind/Deaf) ?*

Yes

Examination fee (Rs):*

Date of payment: (MM/DD/YYYY) *

Payment slip number: (E.g:- 639/PF166654/1/19)*

Copy of the Bank Slip (Make sure to upload JPEG or PNG files less than 2MB)
I hereby declare that the above information furnished by me is true and correct to the best of my knowledge and I shall be bound by the examination rules and regulations. I further declare that the decision of the Commissioner of Official Languages in relation to any matter relevant to the Examination shall be final and that I have read and understood all the terms and conditions mentioned in the Public Administration Circular No. 01/2014 (III) relevant to this examination. *

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Information submitted by you given below

Personal Details

Full Name:
Name with Initials:
Gender:
Date of Birth:
NIC:
Email:
Mobile:
Address: , ,
Province:
Mother Language:
Are you a person with special needs ?:
Special need description:
Are you a government employee ?:
Position:
Service Category:
Workplace:
Language medium in which you joined the service:
Employement type:
Education level:
Other qualifications:

Payment Details

Examination fee (Rs):
Payment slip no:
Date of payment:

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