LGSCApplication

LOCAL GOVERNMENT SERVICE COMMISSION

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Post Title

Municipal Council/ District Council/ Village Council/ Local Government Service

Date of Advertisement

Previous Post Applied For LGSC 1

Previous Post Applied For LGSC 2

Personal Info.Primary Qual.National Certificate Qual.Secondary Qual.Other Secondary Qual.Technical Qual.Tertiary Qual.Other Qual.Employment HistoryOther Info.Submit Application

Personal Details

National Identity Card No. (NIC) Mandatory field

Title

Marital Status

Surname Mandatory field

Other Name Mandatory field

Maiden Name

Date of Birth Mandatory field

Age

Place of Birth

Nationality

Certificate No. (If Naturalized)

Date of Certificate

Postal Code

Current Residential Address Mandatory field

Home

Office

Mobile Mandatory field

Email Mandatory field

Primary Qualification

Primary Education Details

First Sitting.Second Sitting.

Certificate Name

Month/Year

Exam. Centre No.

Index No.

Result

Aggregate

Subject	Grade	Add/Delete

Primary Qualification Attachment

Personal Details

National Certificate Education

National Certificate of Education Details

First Sitting.Second Sitting.

Month/Year

Exam. Centre No.

Index No.

Result

Aggregate

Subject	Grade	Add/Delete

National Certificate Education Attachment

Primary Qualification

Secondary Qualification

Month/Year

Exam. Centre No.

Index No.

Result

Aggregate

Subject	Grade	Add/Delete

National Certificate Education Attachment

Primary Qualification

Secondary Qualification

Secondary Education Details

Secondary Ordinary Level

First Sitting.Second Sitting.

Certificate Name

Month/Year

Exam. Centre No.

Index No.

Result

Aggregate

Subject	Grade	Add/Delete

Secondary Ordinary Level Attachment

Certificate Name

Month/Year

Exam. Centre No.

Index No.

Result

Aggregate

Subject	Grade	Add/Delete

Secondary Ordinary Level Attachment

Secondary Advanced Level

First Sitting.Second Sitting.

Certificate Name

Month/Year

Exam. Centre No.

Index No.

Result

Subject	Grade	Level	Add/Delete

Secondary Advanced Level Attachment

National Certificate Qualification

Other Secondary Qualification

Certificate Name

Month/Year

Exam. Centre No.

Index No.

Result

Subject	Grade	Level	Add/Delete

Secondary Advanced Level Attachment

National Certificate Qualification

Other Secondary Qualification

Other Secondary Qualifications

Type of Certificate (e.g Baccalaureat, Matriculation, Secondary & Higher Secondary Certificates from Overseas).

Examining Body

Country

Date of Result

Certificate

Subject	Grade	Mark	Percentage	Add subject	Delete subject

Result

Total

Attachment

Certificate	Examining Body	Country	Date of Result	Attachment	Delete qual.	View subjects
No certificate attached

Secondary Qualification

Technical and Vocational Qualification

Technical and Vocational Qualifications

Qualilfication

University

Country

Class/Division/Level

From

Mode of Course

Date of Result

Result

Technical or Vocational Qualification Attachment

Technical Qual.	University	Country	Attachment	Delete	View

Technical Qual.	University	Country	Class/Division/Level	Result

Other Secondary Qualification

Tertiary Qualification

Tertiary Qualifications

Qualification

Qualilfication

University

Country

Class/Division/Level

From

Mode of Course

Date of Result

Result

Tertiary Qualification Attachment

Qualification	University	Country	Attachment	Delete	View

Qualification	University	Country	Class/Division/Level	Result

Technical Qualification

Other Qualifications

Licenses

Type of Vehicle

License No

License Date

Attachment

Type of Vehicle	License No	License Date	Attachment	Delete license
No license attached

Other Qualifications

Other Qualifications as laid down in the advertisement (e.g First Aid, IT etc .Specify date)

Experience and skills

Experience and skills relevant to the post applied for

Kindly scan all your attachments as one document and submit same.

Other Qualifications & Experience/Skills Attachment

Tertiary Qualification

Employment History

Present Employment in the Local Government Service

Post held

Temporary/Substantive/PPE

Local Authority

Date of Present Appointment

Date of Confirmation in the Service

Present Salary per month

Previous Employment in the Local Government Service

Post held	Temporary/Substantive	Local Authority	Date of Appointment	Add/Delete

Employment other than in Local Government Service

Post held	From	To	Name and address of employer	Add / Remove

Other Qualifications

Other Information

If on leave without pay whilst in the Local Government Service during the last five years state :

From	To	Purpose (Study,Employment etc.)	Details (Organisation, Post held etc.)	Add/Delete

Have you been the subject to an investigation/enquiry for any offence during the past 10 years ? Mandatory field
Yes No

Have you ever been prosecuted before a court of law for any offence AND subsequently found guilty during the last 10 years ? Mandatory field
Yes No

Have you ever resigned or retired or been dismissed from the public service on any ground whatsoever ? Mandatory field
Yes No

Employment History

Submit Application

IMPORTANT !

PLEASE READ THE ADVERTISEMENT CAREFULLY : Incomplete, inadequate or inaccurate filing of the form may cause the applicant’s elimination from consideration. It is an offence to give false information or to conceal any relevant information. This may lead to an application being rejected or, if a candidate has already been appointed, to the termination of his appointment

Photo Attachment
Note: Please attach your passport photo here.

I declare that the particulars in this application are true and accurate and that I have not wilfully suppressed any material fact.

Signature

Date

Captcha

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Other Info

Note: You should receive a Transaction ID confirming that the application has gone through.

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IMPORTANT !

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