1

CENTRE FOR LANGUAGE STUDIES (CLS)

1. Course Title : SLIDA DIPLOMA IN ENGLISH – 2017 1st Intake

2. Preferred Day : ()

Weekends (9.00 a.m.-4.00 p.m.) Saturday Sunday

Weekdays (5.00 p.m.-8.00 p.m.) Mon + Wed Tue + Thu

3. Name With Initials:

Name in Full :

4. National Identity Card No :

5. Designation :

6. Service Record (Last 3 Years)

Place of Work Designation From (Year) To (Year) 1.

2.

3.

7. Organization :

Mr./Ms.

For Office Use

Application No: Form No:

S / PD / E FO – 01 Rev : 00

SRI LANKA INSTITUTE OF DEVELOPMENT ADMINISTRATION (SLIDA)

2

8. SLAS : Yes No Other

(Sri Lanka Administrative Service)

9. Official Address :

Tele No :

Fax No :

10. Private Address :

Tele No :

11. Postal Address :

Contact No :

I certify that the particulars given by me in this application are true and correct.

Date ………………… ……………………… (Signature)

Director / SLIDA

I do hereby nominate Mr. / Ms.………………………………………………………………….. for the SLIDA Diploma in English(SDE) programme conducted by SLIDA, and his / her application is forwarded herewith. His / her course fee will be / will not be paid by the organization.

……………………………………

Signature (Head of Organization)

Date: ………………… Name and Designation: …………………………. (Rubber stamp)

N.B. : The Application to be addressed to: Coordinator, SLIDA, 28/10, Malalasekara Mawatha, Colombo 7