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TRAINING PROGRAM

ON
DESIGNING MAINTAINING AND TROUBLESHOOTING OF AUTOMATED
SYSTEMS BASED ON PROGRAMMABLE LOGIC CONTROLLERS (PLC)
DEPARTMENT OF MECHANICAL ENGINEERING
UNIVERSITY OF MORATUWA

whÿï m;%h / Application Form


iïmQ¾K ku
Full Name
uq,l=re iu. ku
Name with initials
cd;sh cd. yeªkqïm;a wxlh ia;%S mqreI Ndjh ia;%S /mqreI
Nationality NIC Number Gender Female/ Male
ksjfia ,smskh / Residential address ld¾hd,hSh ,smskh / Official address
…………………………………………………………… …………………………………………………………
…………………………………………………………… …………………………………………………………
…………………………………………………………… …………………………………………………………

ÿ.l wxlh (ksji) ÿ.l wxlh (ld¾hd,h)


Telephone Number (Home) Telephone Number (Office)
cx.u ÿ.l wxlh ‘elaia (ld¾hd,h)
Mobile Phone Fax (Office)
úoHq;a ;emE,
Email
wOHdmk iqÿiqlï / Educational Qualifications

fiajd m,mqreoao ( wdh;kh, ;k;=r iy fiajd ld,h i|yka lrkak) / Work experience (state the work place, position and
duration)

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fuu whÿï m;%fha i|yka l< iEu f;dr;=rlau i;H yd ksjeros njg uu fuhska iy;sl fjñ.
I affirm that all the information furnished by me is true and correct.

…………………………………
whÿïlref.a w;aik/Applicant’s Signature oskh / Date : 2018 / …… /……

igyk /Note

ksjerosj iïmQ¾K lrk ,o whÿïm; iu. my; i|yka ,shlshú,s j, Pdhd msgm;a wuqKd tjkak. (lsisÿ fya;=jla u; iy;sl m;a j, uq,a
msgm;a tùfuka j,lskak. hï fyhlska uq,a msgm;a tjd we;s kï tAjd kej; wdmiq ndr oSu ms<sn| j.lSu úYaj úoHd,h ndr .kq
fkd,efí.)

Please attach copies of the following documents with the duly competed application. (Do not attach originals of any
of the documents under any circumstance. If you have attached originals, the University does not take the
responsibility of handing over them to you)

 wOHdmk iqÿiqlï ;yjqre lrSu i|yd wod, iy;sl m;a j, Pdhd msgm;a /Photo copies of certificates to prove the
educational qualifications

 cd;sl ye¥kqïmf;a iy;sl l< msgm;la /Certified copy of national identity card

wod, ,shlshú,s imhd fkdue;s iy wiïmQ¾K whÿm;a m%;sfÌam lrkq ,efí


Incomplete applications and applications without documents are rejected

whÿïm;a túh hq;= ,smskh / Application sending address විද්‍යුත් තැපැල් අයදුම්පත් / Email applications
Dr. Manoj Ranaweera
Course Coordinator PDF ලිපි ග ොනුවක් ගෙසින් ස්කෑන් කරන ෙද්‍ය
Department of Mechanical Engineering අයදුම්පත සහ අගනකුත් ලියකියවිලි පහත ඊගම්ල්
University of Moratuwa ලිපිනයට එවන්න.
Moratuwa 10400 Please scan the completed application form and
,shqï ljrha jï mi by, fl,jf¾ “PLC Training Program” other documents to a PDF file and email to the
f,i i|yka lrkak. following address.
Please write “PLC Training Program” at the upper left
corner of envelop. Email: plctraining.uom@gmail.com

ld¾hd,hSh m%fhdackh i|yd muKs / For office use only

Application Number: ……….. Status : Selected Not Selected

Date Received : ……../……./2018 If not selected, Reason(s)

Required documents attached : Yes No …………………………………………………………

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