1

AL / 2017 /

ld¾hd,Sh m%fhdackh i`oyd muKhs mYtyf cgNahfj;jpw;F kl;Lk;

For office use only

fiajd kshqla;hkaf.a Ndr wruqo,a uKav,h CopaH ek;gpf;ifg; nghWg;G epjpar;rig

EMPLOYEES’ TRUST FUND BOARD 2017 j¾Ifha Wiia fm< úNd.h iu;a fiajd kshqla;hkaf.a Ndr wruqof,a idudcslhskaf.a ¥ mq;=kag remsh,a

12"000$- l uq,HdOdr m%odkh i|yd b,a,qï m;%h' ^ mdie,a whÿïlrejka i`oyd muKhs &

2017 Mk; Mz;L caH jug; guPl;irapy; rpj;jpaile;j CopaH ek;gpf;ifg; nghWg;G epjpa mq;fj;jth;fSila gps;isfSf;F &gh 12,000/- gz ntFkjpf;fhd tpz;zg;gk;

(ghlrhiyg; guPl;rhHj;jpfs; kl;Lk;) APPLICATION FOR A FINANCIAL GRANT OF RS.12,000/- TO THE CHILDREN OF ETF MEMBERS WHO HAVE PASSED THE

GCE [A/L] EXAMINATION - 2017 (Only for School Candidates) b,a ï m;%h msrùug m%:u 5 msgqfõ Wmfoia lshjkak

tpz;zg;gj;jpid epug;Gtjw;F Kd;dH 05 Mk; gf;fj;jpYs;s mwpTWj;jy;fis thrpf;fTk ;. Before filling this application, please read instructions given on Page 5

1 fldgi $gFjp 1 $ PART (I) (- idudcslhd úiska iïmQ¾K l<hq;=hs$ mq;fj;jtuhy; G+Hj;jpnra;ag;gl Ntz;Lk;.$ To be filled by the member

(I) idudcslhd ms<sn| f;dr;=re /mq;fj;jthpd; tpguk; /DETAILS OF MEMBER bx.%Sis lemsg,a wl=frka ,shkak¡ / ngupatif Mq;fpy vOj;Jf;fspy; / In block Capitals : (-

01&¡fia¡ks¡Nd¡wruqof,a idudcslFjh ork uj/ mshd/ Ndrlref.a iïmQ¾K ku (- tl fldgqjl tl wl=r ne.ska bx.%Sis '

lemsg,a wl=frka ,shkak&¡ / C.e.ngh.epjpa mq;fj;jthpd; (jha;/jfg;gd;/ghJfhtyh;) ngaH: jpU/jpUkjp/nry;tp

/ Member’s (mother/father/guardian) full name: Mr/Mrs/Ms (In block Capitals) : (-

02&¡fm!oa.,sl ,smskh ^ tl fldgqjl tl wl=r ne.ska bx.%Sis lemsg,a wl=frka ,shkak & / nrhe;j Kftup (ngupatif Mq;fpy

vOj;Jf;fspy;;)/ Personal Address(In block Capitals) (-

03&¡ cd;sl ye÷kqïm;a wxlh

Njrpa milahs ml;ilapd; ,yf;fk; National Identity Card Number (Wmfoia wxl 08 n,kak mwpTWj;jy; ,y.08 ,idg; ghHf;fTk; Please see instruction No 08)

04&¡ 2016 cQ,s isg 2017 cq,s olajd ld,h ;=, fiajh lr we;s wdh;kj, úia;r"

2016 A+iy njhlf;fk; 2017 A+iy tiuAs;s fhyg;gFjpapDs; Nritahw;wpAs;s epWtdq;fspd; tpguk;.

Details of employment during the period from July 2016 to July 2017

wdh;kfha ku epWtdj;jpd; ngah; Name of Employer

wdh;kfha fia'w'w' / mq'w'w'wxlh

epWtdj;jpd; C.Nr.ep /j.Nr.ep ,yf;fk;

Employers EPF/PPF No

idudcsl wxlh

mq;fj;Jt ,yf;fk;

Member No

fiajd ld,h. .............. isg ............... olajd

Nritf;fhyk; …….. ,Ue;J ……. tiu

Period of Employment From To 1¡

2¡

3¡

05& ÿrl:k wxl/ njhiyNgrp ,yf;fk; /Telephone Number (-¡¡

ksji /tjptplk ; / Residence: (-…………………………..……… ld¾hd,h/ mYtyfk ; / Office (-…………………………………….

cx.u/ ifalf;fj; njhiyNgrp / Mobile (-¡¡………………………………………….………

jeo.;a IMPORTANT Kf;fpak;

2

(II) YsIHhd/YsIHhdj ms<sn| f;dr;=re/ khztd;/khztpapd; tpguk;/DETAILS OF STUDENT

úNd. wxlh wxlh

guPl;ir Rl;byf;fk; Index No.

osia;s%lalh khtl;lk; District

úIhOdrdj ghlj;Jiw

Subject Stream

cd;sl ye÷kqïm;a wxlh

Njrpa milahs ml;ilapd; ,yf;fk;

National Identity Card No.

^Wmfoia wxl 01 n,kak mwpTWj;jy; ,y.01 ,idg; ghHf;fTk; Please see Instruction No. 1)

02&¡ i¡¡YsIHhd/YsIHhdjf.a uq,l=re iu`. ku ^bx.%Sis lemsg,a wl=ßka meyeÈ,sj ,shkak& KjnyOj;Jf;fSld; khztdpd;/khztpapd; ngaH (ngupatif Mq;fpy vOj;Jf;fspy;) Student’s name with initials (In block Capitals) :

ii¡ YsIHhd / YsIHhdjf.a iïmQ¾K ku ^bx.%Sis lemsg,a wl=ßka meyeÈ,sj ,shkak& / khztdpd;/khztpapd; KOg; ngaH

(ngupatif Mq;fpy vOj;Jf;fspy;) Student’s full name (In block Capitals) : (-

03&¡ i¡¡ YsIHhd /YsIHhdjf.a Wmka oskh / khztdpd;/khztpapd; gpwe;j jpfjp /Student’s date of birth(…………….………...…….

ii¡ ia;%S / mqreI Ndjh Mz; / ngz; Sex (- ………………………………………………….

^ Wmfoia wxl 02 n,kak/ mwpTWj;jy; ,y.02 ,idg; ghHf;fTk; /Please see Instruction No. 2)

04&. YsIHhd / YsIHhdjf.a nexl= .sKqu ms<sn`o úia;r ^ Wmfoia wxl 03 n,kak & tq;fpf; fzf;F njhlHghd tpguk;. (mwpTWj;jy; ,y.03 ,idg; ghHf;fTk;) Bank account details (Please See Instruction No. 3).

i . nexl=fõ ku /tq;fpapd; ngaH /Name of Bank (- ………………………………………

ii. YdLdj /fpis /Branch (¡- ………………………………………

iii. .sKqï wxlh/ fzf;F ,yf;fk; Account No (- ……………………………………….

…………………………………………………¡ ………………………………………………………..…………………. YsIHhd / YsIHhdjf.a w;aik / idudcsl;ajh orkakdf.a ^uj/ mshd/Ndrlre&¡ w;aik / khztdpd; / khztpapd; ifnahg;gk; / mq;fj;jthpd; ifnahg;gk; / Student’s signature Signature of Member

…………………………………… ……………………………………..………….

oskh/jpfjp/ Date oskh/jpfjp/ Date

2 fldgi $ gFjp – 2 $PART (II) (- YsIHhd$YsIHhdj Wiiafm< úNd.hg fmkS isá mdif,a úÿy,am;s úiska iïmQ¾K l<hq;=hs f.ngh.j caHjug; guPl;irf;F Njhw;wpa ghlrhiyapd; mjpgupdhy; G+Hj;jpnra;ag;gLjy; Ntz;Lk;. To be filled by the principal of the school where the applicant sat the GCE (A/L) ^01& 2017 j¾Ifha Wiia fm< úNd.h i`oyd bosrsm;a jq mdif,a ku iy ,smskh / 2017 Mk; Mz;L f.ngh.j caHjug;

guPl;irf;F Njhw;wpa ghlrhiyapd; ngaUk; KftupAk; / Name and address of school where the applicant sat the GCE [AL] Examination in 2017 ………………………………………………………………………………………………………………………..……………………………………………………………

………………………………………………………………………………………………………………………………………………………..…………….………..

^02& i¡ YsIHhd / YsIHhdjf.a iïmQ¾K ku. ^ Wmfoia wxl 04 n,kak& khztdpd; / khztpapd; ngaH (mwpTWj;jy; ,y.04

,idg; ghHf;fTk;)/Student’s full name [Please See Instruction No. 4] (-

……………………………………………………………………………………………………………………………………………………….…………………..……..

01&¡

3

m%;sM, f,aLkhg wkqj ku /ngWNgw;W gj;jpuj;jpw;Nfw;g ngaH/ Name appearing in the Results Schedule (-

………………………………………………………………………………………………………………………….……………………………………….

Wmamekak iy;slhg wkqj ku /gpwg;Gr;rhd;wpjOf;Nfw;g ngaH /Name appearing in the Birth Certificate (-

…………………………………………………………………………………………………………………………………………….…………………….

cd;sl ye|qkqïm; wkqj ku/ Njrpa milahs ml;ilapd;gb ngah; /Name appearing in the NIC (-

……………………………………………………………………………………………………………………………………………………………………

ii¡ úNd. wxlh/ guPl;ir Rl;byf;fk; /Index No (- ¡…………………..…………………………

iii¡ úNd.hg fmkS isá udOHh /guPl;irf;Fj; Njhw;wpa nkhop /Medium in which the student sat the exam (-

………………………….………………

iv. osia;%slalh/ khtl;lk ; /District (- ………………………………..…………

V. úNd.hg fmkSs isá úIh Odrdj/ guPl;irf;Fj; Njhw;wpa ghlj; Jiw /Subject stream which the student followed (-

……………………………………..……

vi. úNd. m%;sM, ^ Wmfoia wxl 05 n,kak& /guPl;irg; ngWNgW (mwpTWj;jy; ,y.05 ,idg; ghHf;fTk;) /

Examination results[ please See Instruction No. 05]

úIhh / ghlq;fs; / Subject idud¾:h / juk; /Grade

¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡ ¡ ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡

¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡ ¡ ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡

¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡ ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡

¡ ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡ ¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡

fuu YsIHhd / YsIHhdj 2017 Wiia fm< úNd.h mdi,a whÿïlrefjl= f,i iu;a njg yd by; ioyka lreKq ksjeros njg uu iy;sl lrñ¡

,e;j khztd; / khztp 2017 Mk; Mz;L f.ngh.j caHjug; guPl;irapy; ghlrhiyg; guPl;rhHj;jpahfr ; rpj;jpaile;Js;shH vdTk;> Nkw;Fwpg;gpl;l tplaq;fs; rupahditnad;Wk; cWjpg;gLj;Jfpd;Nwd;.

I certify that the above student passed the GCE (A/L) Examination in 2017 as a School Candidate and that the information given

above is correct. úÿy,am;sf.a ÿrl:k wxlh/ghlrhiy mjpgupd; njhiyNgrp ,yf;fk; /Principal’s Telephone No(¡………………………..…………

oskh/jpfjp/ Date(-………………………………… ………………………………………………….

úÿy,am;sf.a w;aik ^ks, uqødj ;nkak& ghlrhiy mjpgupd; ifnahg;gk; (mYtyf ,yr;rid ,lTk;)

Signature of Principal [Please place official stamp]

3 fldgi $ gFjp – 3 $PART (III) (- idudðlhd ^uj/ mshd/ Ndrlre& oekg fiajh lrk wdh;kfha m%Odkshd úiska iïmQ¾K l<hq;=hs

mq;fj;jth;(jha;/jfg;gd;/ghJfhtyH) jw;NghJ njhopy;Gupfpd;w epWtdj;jpd; jiytupdhy; G+uzg;gLj;jg;gl Ntz;baJ. To be completed by the current Employer of the member (Mother/father/guardian)

01¡ wdh;kfha ku/ epWtdj;jpd; ngaH/ Name of Company / Estate / Institution (-

……………………………………………………………………………………………………………………………………………………………….………………

02¡ wdh;kfha ,smskh /epWtdj;jpd; Kftup /Address (

…………………………………………...………………………………………………………………………………………………..…………………………………

03¡ ÿrl:k wxlh /njhiyNgrp ,yf;fk;/ Telephone No (- ……………………………………………………………………………...…

04¡ idudcslhdf.a iïmQ¾K ku / mq;fj;jtUila KOg; ngaH / Full Name of Member (-

……………………………………………………………………………………………………………………….………………………………………………...……

i yh udisl jd¾;d / R 4 ys we;=<;a ku /MW khj mwpf;if II / MH 4 ,Ys;sthW ngaH /Name appearing in half-

yearly Form II Returns / R4 (- ………………………………………….…………………………………………………………….…………………

ii¡ cd;sl ye÷kqïmf;ys ku/ Njrpa milahs ml;ilapYs;sthW ngaH /Name appearing in the National Identitycard:

(-………………………………………………………………………………………………………………………………………………………..……………...……

4

05¡ idudcslhdf.a cd;sl ye÷kqïm;a wxlh/ mq;fj;jtUila Njrpa milahs

ml;ilapd; ,yf;fk; /Member’s National Identity Card No

^Wmfoia wxl 08 n,kak/mwpTWj;jy; ,y.08 ,idg; ghHf;fTk/ ; Please See Instruction No. 08)

06¡ fiajhg ne|qKq oskh/ Nritapy; NrHe;j jpfjp /Date of joining (- ………………………………………………………………………

07¡ oekg orK ;k;=r/ njhopy; / gjtp /Nature of employment / position(- …………………………………………………………...……

08¡ i wdh;kfha fia'w'w' wxlh fyda mq'w'w' wxlh /CopaH Nrkyhg epjpak; my;yJ jdpahH Nrkyhg epjpa gjpT

,yf;fk;/ Employers EPF / PPF Registration Number (-…………………………………………

ii¡ idudcsl wxlh / mq;fj;Jt ,yf;fk; /Member Number (-…………………………………………

iii. YsIHhd / YsIHhdj Wiia fm< úNd.hg fmkS isá udihg fmr wdikak udi 13 odhl uqo,a ms<sn`o úia;r

khzt>khztpaH caH jug; guPl;irf;Fj; Njhw;wpa khjj;jpw;F Kd;duhd 13 khj cjTnjhif njhlHgpyhd

tpguq;fs;./ Details of contributions during the 13 months preceding the month in which the student sat the GCE (AL) Examination:

j¾Ih Mz;L

Year

Udih khjk; Month wdh;kh úiska fia'ks'Nd

wruqo,g fuu idudðlhd

fjkqfjka f.jQ odhl uqo,

contribution paid to ETF on

behalf of the member

epWtdj;jpduhy;

mq;fj;jtupw;fhf C.e.ngh.ep nrYj;jg;gl;l cjTnjhif

wdh;kh úiska fia'ks'Nd' wruqo,g ish¿u fiajlhska

fjkqfjka f.jQ odhl uqo,

contribution paid to ETF on behalf of all

employees epWtdj;jpdhy;

C.e.ngh.epjpaj;jpw;F nrYj;jg;gl;l KO cjTnjhif (rfy CopaH nghUl;Lk;)

fplam;a wxlh

Cheque No

fhNrhiy ,yf;fk;

odhl uqo,a f.jk ,o Èkh Date

contribution was paid

cjTnjhif nrYj;jpa jpfjp

odhl uqo,a f.jk ,o fmdaruh

^wd¾1 fyda wd¾4o hkak&

Method of payment (R1

or R4) cjTnjhif nrYj;jpa gbtk; (MH 1 my;yJ MH 4)

2016 cQ,s / A+iy/ July

2016 wf.daia;= / Mf];l/August

2016 iema;eïn¾/ nrg;nuk;gH September

2016 Tlaf;dan¾ /Xf;NlhgH/October

2016 fkdjeïn¾/ etk;gH/November

2016 foieïn¾ /jpnrk;gH/December

tl;=j /nkhj;jk; /Total

2017 ckjdß/ rdtu/January

2017 fmnrjdß /ngg;utup/February

2017 ud¾;=/ khHr; / March

2017 wfm%a,a /Vg;gpuy; /April

2017 uehs /Nk /May

2017 cqqks /A+d; /June

tl;=j /nkhj;jk; /Total

2017 cQ,s / A+iy/ July

2017 wf.daia;= / Mf];l/August

2016¡07¡01 osk isg 2017¡08¡31 osk olajd by; i|yka fiajlhd fuu wdh;kfha fiajh lr we;s nj;a by; i|yka lr we;s odhl uqo,a Tyq$weh fjkqfjka fia'ks'Nd' wruqo,g f.jd we;s nj;a iy;sl lrñ' 2016.07.01 Mk; jpfjpapypUe;J 2017.08.31 Mk; jpfjp tiu ,e;epWtdj;jpy; Nritahw;wpAs;shnudTk;> ,e;j Copahpd;Nghpy; Nkw;Fwpg;gpl;l cjTnjhif C.e.ngh.ep rigf;Fr; nrYj;jg;gl;Ls;sJ vdTk; cWjpg;gLj;Jfpd;Nwd;. I certify that the above employee has been employed in this Company / Estate / Institution from 01.07.2016 till 31.08.2017 and the above mentioned contributions have been paid to ETFB on behalf of this employee. oskh /jpfjp/Date (- ………………………………………… ……………………………………………………………………….…………………

iy;sl lrk ks,Odrshdf.a w;aik iy ;k;=r ^ks,uqødj& cWjpg;gLj;Jk; mYtyupd; ifnahg;gKk; gjtpAk; (mYtyf ,yr;rid ,lTk;)

Certifying Officer’s Signature & Designation (Please place Official Stamp)

5

fiajd kshqla;hkaf.a Ndr wruqo,a uKav,h

CopaH ek;gpf;ifg; nghWg;G epjpar;rig

EMPLOYEES’ TRUST FUND BOARD 2017 j¾Ifha Wiia fm< uq,HdOdr m%odkh

gz ntFkjp – f.ngh.j caH jug; guPl;ir -2017 FINANCIAL GRANT - GCE [A/L] EXAMINATION - 2017

Wmfoia (- 1. YsIHhd / YsIHhdjf.a cd;sl ye÷kqïmf;a cdhd msgm;la úÿy,am;s úiska iy;sl lr bosrsm;a l<hq;=hs¡ 2. YsIHhd / YsIHhdjf.a Wmamekak iy;slfha cdhd msgm;la úÿy,am;s úiska iy;sl lr bosrsm;a l<hq;=hs¡ 3. YsIHhd / YsIHhdjf.a ku" .sKqï wxlh"^ noaO .sKqï fyda nd,jhialdr .sKqï wod, fkdfõ& nexl= YdLdj hkd§

f;dr;=re we;=,;a nexl= fmdf;a meyeos,s cdhd msgm;la bosrsm;a lrkak.^ uyck nexlj yryd fuu m%odkhka ,ndfok neúka tu nexl=fõ .sKqula we;akï th jvd;a myiqfõ'&

4. YsIHhd $ YsIHhdjf.a m%;sM, f,aLKfha i|yka ku yd Wmamekak iy;slfha i|yka ku w;r fjkila we;akï tu kï foflkau ye¢kafjkafka fuu YsIHhd / YsIHhdj njg úÿy,am;s úiska iy;sl lrk ,o ,smshla bÈßm;a l, hq;=h'

5. YsIHhd / YsIHhdjf.a m%;sM, f,aLkfha msgm;la úÿy,am;s úiska iy;sl lr bosrsm;a l<hq;=hs¡ 6. YsIHhd / YsIHhdjf.a Wmamekak iy;slfha i|ykajk ujf.a $ mshdf.a fyda Ndrlref.a ku" yd yeoqkqïmf;ys ku w;r

fjkila mj;S kï tu kï ish,af,kau yeoskafjkafka tla whl= njg .%du ks,OdrS úiska iy;sl lrk ,o m%dfoaYsh f,alï wkq w;aika lrk ,o ,smshla bÈßm;a lrkak'

7. fiajd fhdacl úiska whÿïmf;ys ioyka lrk ,o ku" wdlD;s II jd¾;dj, ioyka ku yd yeoqkqïmf;ys ku w;r fjkila mj;S kï tu kï ish,af,kau yeoskafjkafka tla whl= njg fiajd fhdacl úiska iy;sl lrk ,o ,smshla bÈßm;a lrkak'

8. idudcslhdf.a cd;sl ye÷kqïmf;a msgm;la fiajd fhdacl úiska iy;sl lr bosrsm;a l<hq;=hs ' Pdhd msgmf;a ku wmyeos,s kï iy;sl lrk ks,Odrshd úiska iñmq¾K ku my;ska ,shd iy;sl lrkak.

9. whÿïm; bosrsm;a lrkq ,nkafka ^uj / mshd úiska fkdjk wjia:djl&Ndrlre kï ks;Hdkql+, Ndrldr;ajh ikd: lsrsug wjYH ,shlshú,s bÈßm;a lrkak'

10. foudmshka fofokdu fiajd kshql;ahkaf.a Ndr wruqof,a idudcsl;ajh orkafka kï tla wfhl= úiska muKla b,a,qï l<hq;=h¡ tfiau fuu uq,HdOdr m%odkhg tla YsIHfhl= ysñlï ,nkafka tla wjia:djla muKs'

11. tla YsIH;aj,dNsfhla fjkqfjka bosrsm;a l< hq;af;a tla whÿïm;la muKs¡' fudku fya;=jla ksidj;a whÿïm;a folla bosrsm;a fkdlrkak

12. Wiia fm< úNd.hg fmkS isák wjia:dj jk úg ^2017 wf.daia;=& uj / mshd / Ndrlre fuu wruqof,a il%Sh idudcslhl= úh hq;=hs¡

13. Wiia fm< úNd.hg fmkS isák wjia:dj jk úg ^2017 wf.daia;= & idudcslhd fjkqfjka úNd.hg fmks isá udihg fmr wdikak udi 12 l odhl uqo,a f.jd ;sìh hq;=hs¡ ' tu ner lrk ,o odhl uqo,a fjkqfjka w¾O jd¾Isl jd¾:do fuu wruqo, fj; tjd ;sìh hq;=hs¡ 'iajhx /lshd idudcslhka i`oyd úNd.hg fmks isá udihg fmr wdikak udi 36 l odhl uqo,a YsIHhd / YsIHdj úNd.hg fmkS isá wjia:dj jk úg wLkavj f.jd ;ssìh hq;=h¡

14. idudcslhl=f.a jhi wjqreÿ 70 blaujQ wjia:djloS il%sh idudcsl;ajh wjqreÿ 25 la ;sìh hq;= w;r tu ld,iSudj ;=, odhl uqo,a wdmiq ,nd fkdf.k ;sìh hq;=hs¡

15. iïmQ¾K lrk ,o whÿïm;a 2018.03.16 oskg fmr ,efnk mrsos YsIH;aj ks<OdÍ" fiajd kshqla;hkaf.a Ndr wruqo,a uKav,h " wxl 92 " lsre< mdr " kdrdfyakamsg, fld<U 05¡ hk ,smskhg tjkak'¡ ,sms ljrfha jïmi by, fl<jf¾ “ Wiia fm< 2017” hkqfjka ioyka lrkak'

16. by; ioyka fldkafoais iïmQ¾K fkdjq yd wiïmQ¾K " wmeyeos,s " jeros f;dr;=re imhk b,a,qïm;a iy m%udo ù ,efnk b,a,qïm;% m%;slafIam lrkq ,efí¡¡ iqÿiaika f;dard .eksu ms<sn`o wjidk ;SrKh fiajd kshql;a;hkaf.a Ndr wruqo,a uKav,fha wOHCI uKav,h i;=h¡

tpz;zg;gj;jpidg; G+uzg;gLj;Jtjw;fhd nghJ mwpTWj;jy;fs;+ (01) khztd; / khztpapDila Njrpa milahs ml;ilapd; epow;glg; gpujpnahd;W ghlrhiy mjpgupdhy;

cWjpg;gLj;jg;gl;L rkHg;gpf;fg;gLjy; Ntz;Lk;. (02) khztd; / khztpapDila gpwg;Gr;rhd;wpjopd; epow;glg; gpujpnahd;W ghlrhiy mjpgupdhy;

cWjpg;gLj;jg;gl;L rkHg;gpf;fg;gLjy; Ntz;Lk;. (03) khztd; / khztpapDila ngaH> fzf;F ,yf;fk; (guhakilahNjhh; fzf;F> ,ize;j fzf;F vd;gd

Vw;fg;glkhl;lhJ) vd;gd cs;slq;fyhf tq;fpf; fzf;Fg; Gj;jfj;jpd; njspthd epow;glg; gpujpnahd;W rkHg;gpf;fg;gLjy; Ntz;Lk;. (gz ntFkjpfs; kf;fs; tq;fpf;$lhf toq;fg;gLtjhy;> mt;tq;fpapy; fzf;nfhd;iw itj;jpUj;jy; tpUk;gj;jf;fJ.)

(04) ngWNgw;W gj;jpuj;jpy; Fwpg;gplg;gl;Ls;s ngaH kw;Wk; gpwg;Gr; rhd;wpjopy; Fwpg;gplg;gl;Ls;s ngaHfSf;fpilapy; NtWghbUg;gpd; me;j ,U ngaHfspdhYk; miof;fg;gLk; khztd; / khztp xNu egH vd;W ghlrhiy mjpgupdhy; cWjpg;gLj;jg;gl;l fbjnkhd;W rkHg;gpf;fg;gLjy; Ntz;Lk;.

(05) khztd; / khztpapDila ngWNgw;W rhd;wpjopd; gpujpnahd;W ghlrhiy mjpgupdhy; cWjpg;gLj;jg;gl;L rkHg;gpf;fg;gLjy; Ntz;Lk;.

(06) khztd; / khztpapDila gpwg;Gr; rhd;wpjopy; Fwpg;gplg;gl;Ls;s mq;fj;jtUila (je;ij my;yJ jha;) ngaH mtupd; Njrpa milahs ml;ilapy; Fwpg;gplg;gl;Ls;s ngaH Mfpatw;Wf;fpilapy; NtWghLfs; ,Uf;Fkhapd; mg;ngah;fspdhy; miof;fg;gLgtH xNu egH vd;W fpuhk mYtyh;> gpuNjr nrayhsh; MfpNahuhy; cWjpg;gLj;jg;gl;l fbjnkhd;W rkHg;gpf;fg;gLjy; Ntz;Lk;.

(07) njhopy;jUeupdhy; tpz;zg;gg;gbtj;jpy; Fwpg;gplg;gl;Ls;s mq;fj;jtUila ngaH> gbtk; II ,d; %yk; mDg;gg;gl;l mwpf;ifapy; Fwpg;gplg;gl;Ls;s mtupd; ngaH; Mfpatw;Wf;fpilapy; NtWghLfs; ,Uf;Fkhapd; mg;ngah;fspdhy; miof;fg;gLgtH xNu egH vd;W njhopy;jUeupdhy; cWjpg;gLj;jg;gl;l fbjnkhd;W rkHg;gpf;fg;gLjy; Ntz;Lk;.

6

(08) mq;fj;jtupd; Njrpa milahs ml;ilapd; epow;glg; gpujpnahd;W njhopy;jUeupdhy; cWjpg;gLj;jg;gl;L rkHg;gpf;fg;gLjy; Ntz;Lk;. epow;glg; gpujpapy; mq;fj;jtupd; ngah; njsptpy;yhky; ,Ug;gpd;> mg;gpujpapy; fPo;g;gFjpapy; mg;ngaiu vOjp cWjpg;gLj;j Ntz;Lk;>

(09) jha; my;yJ je;ijapdhy; tpz;zg;gpf;fhJ ghJfhtyupdhy; rkHg;gpf;fg;gLkhapd; mtH rl;luPjpahd ghJfhtyH vd;gij cWjpnra;tjw;Fj; Njitahd Mtzq;fisr; rkHg;gpj;jy; Ntz;Lk;.

(10) ngw;NwhHfspy; xUtH CopaH ek;gpf;ifg; nghWg;G epjpaj;jpy; mq;fj;jth; xUtuhf ,Uj;jy; Ntz;Lk;. ,UtUk; mq;fj;jtuhf ,Ug;gpd; xUtupdhy; kl;LNk tpz;zg;gg; gbtj;jpidr; rkh;g;gpf;f KbAk;. xU khzth; ,g;gz ntFkjpapid xU jlit kl;LNk ngw;Wf;nfhs;s KbAk;.

(11) khztH xUtH rhHgpy; xNunahU tpz;zg;gk; kl;LNk rkHg;gpf;f KbAk;. jaTnra;J xd;Wf;F Nkw;gl;l tpz;zg;gq;fisr; rkHg;gpg;gjidj; jtpHj;Jf; nfhs;sTk;.

(12) khztu; ; caH jug; guPl;irapf;Fj; Njhw;wpaNghJ (Xf];l 2017) guPl;irf;Fj; Njhw;wpa khjj;jpw;F Kd;duhd 12 khjq;fSf;Fupa cjTnjhif guPl;irf;Fj; Njhw;wpa khjk; Kbtiltjw;F Kd;dH njhopy;jUeupdhy; nrYj;jg;gl;bUj;jy; Ntz;Lk;. njhopy;jUeupdhy; itg;Gr; nra;ag;gl;l cjTnjhif njhlh;ghd gbtk; II jpul;Lf;fs; rigapdhy; ngwg;gl;bUj;jy; Ntz;Lk;. Ranjhopy; mq;fj;jtHfs; guPl;ir eilngw;w khjj;jpw;F Kd;duhd 36 khjq;fSf;Fupa cjTnjhif guPl;irf;Fj; Njhw;wpa khjk; Kbtiltjw;F Kd;dH; nrYj;jpapUj;jy; Ntz;Lk;.

(13) njhopy;jUeupdhy; itg;Gr; nra;ag;gl;l cjTnjhif njhlh;ghd gbtk; II jpul;Lf;fs; rigapdhy; ngwg;gl;bUj;jy; Ntz;Lk;.

(14) mq;fj;jtH xUtUila taJ 70 tajpw;F Nkw;gLkhapd; nraw;ghLila mq;fj;Jtk; 25 tUlq;fshf ,Ug;gJld;> me;j fhy vy;iyapDs; cjTnjhifia kPsg;ngw;wpUj;jy; $lhJ.

(15) G+uzg;gLj;jg;gl;l tpz;zg;gbtj;ij 2018.03.16 Mk; jpfjpf;F Kd;dH fpilf;Fk; tifapy; Gyikg;guprpy; cj;jpNahfj;jh;> CopaH ek;gpf;ifg; nghWg;G epjpar; rig> ,y.92> fpUs tPjp> ehun`d;gpl;b> nfhOk;G -05 vd;w Kftupf;F mDg;gp itf;fTk;.(jghYiwapd; ,lJ gf;f Nky; %iyapy; “cah; juk; - 2017” vdf; Fwpg;gpLjy; Ntz;Lk;)

(16) Nkw;$wpa epge;jidfisg; G+Hj;jp nra;ahjJk;> G+uzg;gLj;jg;glhjJk;> njsptw;wJk;> jtwhd jfty;fis cs;slf;fpaJkhd tpz;zg;gg;gbtq;fs; kw;Wk; KbTj; jpfjpf;Fg; gpd;dH fpilf;fg;ngWk; tpz;zg;gg;gbtq;fs; epuhfupf;fg;gLk;. gadhspfisj; njupT nra;tjpy;> CopaH ek;gpf;ifg; nghWg;G epjpar; rigapd; gzpg;ghsH rigapdhy; vLf;fg;gLk; KbNt ,WjpahdjhFk;.

Instructions for Filling the Application 01. A photo-copy of the National Identity Card of the student, certified by the school principal should be submitted. 02. A photo-copy of the Birth Certificate of the student, certified by the school principal should be submitted. 03. Please submit a clear photo-copy of the Bank Passbook of the student showing account details (Minor accounts

and Joint accounts are not valid), name, address, bank branch, etc. (As the grants are credited through Peoples Bank, having an account in that Bank will be preferable.)

04. If the student’s name appearing in the Results Schedule differs from the name appearing in the Birth Certificate, please submit a letter certified by the school principal stating that both names refer to one and the same person.

05. A copy of the Results Schedule, certified by the school principal should be submitted. 06. If the member’s name ( Father or Mother ) appearing in the Birth Certificate of the student differs from the name in

the N I C, a letter certified by the GS and Divisional Secretary stating that all names refer to one and the same person should be submitted.

07 If the member’s name stated in the application by the employer differs from member’s name appearing in Form II Returns, a letter certified by the Employer stating that all names refer to one and the same person should be submitted.

08. A photo-copy of the National Identity Card of the Member should be certified by the Employer. If the name is not clear, the full name should be written and certified by the authorizing officer.

09. If the application is not made by either the father or mother of the student but by the guardian, he/she should furnish required documents in proof legal guardianship.

10. If both parents are members of ETF, Only one should apply. A student is eligible to receive this Financial Grant only once.

11. Only one application in respect of a student should be submitted. Please do not submit more than one application. 12 At the time of the student sat for the A/L Examination ( August 2017), contributions should have been

paid on behalf of the member for the 12 months preceding the month in which the Examination was held. Form II Returns in respect of contributions remitted by the Employer should have been received by the Board. Self Employment members should have paid contributions for the 36 months proceeding the month in which the Examination was held.

13. FormII Returns in respect of contributions remitted by the Employer should have been received by the Board. 14. In instances where the member’s age is over 70 years, such member should have 25 years of active membership of

the Fund and should not have obtained a refund of contributions during that period. 15. Correctly completed applications should be sent before 16.03.2018 addressed to Scholarships Officer,

Employees’ Trust Fund Board, No. 92, Kirula Road, Narahenpita, Colombo 5. The top left hand corner of the envelope should be marked “Advanced Level 2017”.

16. Applications which are incomplete, illegible or containing erroneous information and received after the closing date will be rejected. The decision of the Board of Directors of ETF Board in selecting beneficiaries shall be final.