BOR - Application Form

Application

Fields marked with * are required.

Post Applied For *

Medium for Examination *

සිංහල தமிழ் English

Applicant Type *

Internal Applicant (Currently employed at the Bureau of Rehabilitation) External Applicant

Personal Information

Full Name (in English Capital letters) *

Full Name (in Sinhala / Tamil)

Name with initials *

Permanent address (in English) *

Permanent address (in Sinhala / Tamil)

Address to which interview invitation letters should be sent *

Date of Birth *

Age (as at the closing date for receipt of applications)

Years

Months

Days

Please enter the correct Date of Birth below. This age will be calculated automatically as at the closing date.

National Identity Card No *

Gender

Civil status

Grama Niladhari Division

Divisional Secretary’s Division

District

Telephone No (Landline)

Telephone No (Mobile)

Contact No (Whatsapp) *

Email address *

Educational Qualifications

G.C.E. (Ordinary Level) Examination

Year

Index No

No	Subject	Grade

G.C.E. (Advanced Level) Examination

Year

Index No

Subject stream

Z-score

No	Subject	Result

Degree Qualifications

Degree	University	Year	Class obtained

Higher Diploma / Diploma / NVQ Qualifications

Name of Diploma	Institute	Year	Duration

Certificate Courses

Name of Certificate Course	Institute	Duration	Year

Other Higher Educational Qualifications

Type of Qualification	Institute	Year	Results

Professional & Other Qualifications

Professional Qualifications

Qualification	Institute	Year	Registration No. (If any)

Other Qualifications

* Please attach copies of certificates relevant to the qualifications specified in Sections 18 to 26. If the space provided is insufficient to include all qualifications, please submit the additional details as an attachment.

Work Experience (Provide details in order, commencing with the current employment)

Add your employment history with duration.

Designation	Place of Work	From	To	Experience (in years and months)

Extracurricular Activities

Activities

Language Proficiency

Language	Speaking Proficiency	Writing Proficiency
සිංහල	Speaking Proficiency	Writing Proficiency
தமிழ்	Speaking Proficiency	Writing Proficiency
English	Speaking Proficiency	Writing Proficiency

Application Fee Payment Details

Name of the Bank

Name of the Branch

Date of Payment

Invoice No. / Deposit Slip Number

Amount

Upload Payment Proof (if any)

Accepted: PDF / JPG / PNG

Details of Two Non-Related Referees

Please provide details of two non-related referees.

Declaration

I agree to the conditions stated in the advertisement and the instruction sheet, and hereby certify that all information provided above is true and accurate to the best of my knowledge. *

Signature of Applicant *

Date *

Attachments

Attach relevant documents for qualifications and experience.

Upload Documents

You can upload multiple files.