Application for the second language training

For Grade III Engineers of Sri Lanka Engineering Service

1) Name with Initials : ………………………………………………………………………….

2) Date of Birth : ………………………………………………………………………….

3) NIC Number : ………………………………………………………………………….

4) Permeant Address : ………………………………………………………………………….

5) Postal Address : ………………………………………………………………………….

6) Date of appointment : ………………………………………………………………………….

7) Date of Confirmation : ………………………………………………………………………….

8) Present Work Place : ………………………………………………………………………….

a) Address : ………………………………………………………………………….

b) Designation : ………………………………………………………………………….

c) Category : ………………………………………………………………………….

9) Phone number : ………………………………………………………………………….

10) E-mail Address : ………………………………………………………………………….

Date …………………………….. ………………………………..

Signature

Recommendation of the head of the Department:

The application of Engineer …………………………………………. For the above Training is recommended

and forwarded for necessary action. Officer can be released if selected for the above Training.

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

Name of the certifying officer : ………………………………………

Designation : ………………………………………
Mininstry/ Department : ………………………………………
(Official Stamp) : ………………………………………

Note: Advance copy to be forwarded to Director (ESB) via fax (0112698268) or email to esbpubad@gmail.com
as early as possible