AL / 2016 /

ldhd,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
2016 jIfha Wiia fm< Nd.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,q m;%h'
^ mdie,a whlrejka i`oyd muKhs &
2016 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 - 2016 (Only for School Candidates)
jeo.;a b,a m;%h msrug m%:u 5 msgqf Wmfoia lshjkak
IMPORTANT tpz;zg;gj;jpid epug;Gtjw;F Kd;dH 05 Mk; gf;fj;jpYs;s mwpTWj;jy;fis thrpf;fTk;.
Kf;fpak;
Before filling this application, please read instructions given on Page 5
1 fldgi $gFjp 1 $ PART (I) (-
idudcslhd iska imQK l<hq;=hs$ mq;fj;jtuhy; G+Hj;jpnra;ag;gl Ntz;Lk;.$ To be filled by the member

(I) s | f;dr;=re /mq;fj;jthpd; tpguk; /DETAILS OF MEMBER

idudcslhd ms<n
bx.%Sis lemsg,a wl=frka ,shkak / ngupatif Mq;fpy vOj;Jf;fspy; / In block Capitals : (-

01&fiaksNdwruqof,a idudcslFjh ork uj/ mshd/ Ndrlref.a imQK 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
/ Members (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 yekqm;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& 2015 cQ,s isg 2016 cq,s olajd ld,h ;=, fiajh lr we;s wdh;kj, ia;r"
2015 A+iy njhlf;fk; 2016 A+iy tiuAs;s fhyg;gFjpapDs; Nritahw;wpAs;s epWtdq;fspd; tpguk;.
Details of employment during the period from July 2015 to July 2016

wdh;kfha ku wdh;kfha fia'w'w' / idudcsl fiajd ld,h.

epWtdj;jpd; ngah; mq'w'w'wxlh wxlh .............. isg ............... olajd
Name of Employer epWtdj;jpd; C.Nr.ep mq;fj;Jt Nritf;fhyk;
/j.Nr.ep ,yf;fk; ,yf;fk; .. ,Ue;J . tiu
Employers EPF/PPF No Member No Period of Employment From To
1
2
3

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

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

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

1
(II) YsIHhd/YsIHhdj ms<sn| f;dr;=re/ khztd;/khztpapd; tpguk;/DETAILS OF STUDENT

01& Nd. wxlh

IhOdrdj
wxlh osia;s%lalh cd;sl yekqm;a wxlh
guPl;ir Rl;byf;fk; khtl;lk; ghlj;Jiw Njrpa milahs ml;ilapd;
Subject Stream
Index No. District ,yf;fk;
National Identity Card No.

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

02& iYsIHhd/YsIHhdjf.a uq,l=re iu`. ku ^bx.%Sis lemsg,a wl=ka meye,sj ,shkak&

KjnyOj;Jf;fSld; khztdpd;/khztpapd; ngaH (ngupatif Mq;fpy vOj;Jf;fspy;)
Students name with initials (In block Capitals) :

ii YsIHhd / YsIHhdjf.a imQK ku ^bx.%Sis lemsg,a wl=ka meye,sj ,shkak& / khztdpd;/khztpapd; KOg; ngaH
(ngupatif Mq;fpy vOj;Jf;fspy;) Students full name (In block Capitals) : (-

03& i YsIHhd /YsIHhdjf.a Wmka oskh / khztdpd;/khztpapd; gpwe;j jpfjp /Students 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 ia;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=f ku /tq;fpapd; ngaH /Name of Bank (-

ii. YdLdj /fpis /Branch (-
iii. .sKq 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; /
Students signature Signature of Member

...
oskh/jpfjp/ Date oskh/jpfjp/ Date

2 fldgi $ gFjp 2 $PART (II) (-

YsIHhd$YsIHhdj Wiiafm< Nd.hg fmkS is mdif,a y,am;s iska imQK 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& 2016 jIfha Wiia fm< Nd.h i`oyd bosrsm;a jq mdif,a ku iy ,smskh / 2016 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 2016
..
.....
^02& i YsIHhd / YsIHhdjf.a imQK ku. ^ Wmfoia wxl 04 n,kak& khztdpd; / khztpapd; ngaH (mwpTWj;jy; ,y.04
,idg; ghHf;fTk;)/Students full name [Please See Instruction No. 4] (-
.....

2
 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|qkqm; wkqj ku/ Njrpa milahs ml;ilapd;gb ngah; /Name appearing in the NIC (-

ii Nd. wxlh/ guPl;ir Rl;byf;fk; /Index No (- ..
iii Nd.hg fmkS is udOHh /guPl;irf;Fj; Njhw;wpa nkhop /Medium in which the student sat the exam (-
.
iv. osia;%slalh/ khtl;lk; /District (- ..
V. Nd.hg fmkSs is Ih Odrdj/ guPl;irf;Fj; Njhw;wpa ghlj; Jiw /Subject stream which the student followed (-
..
vi. Nd. m%;sM, ^ Wmfoia wxl 05 n,kak& /guPl;irg; ngWNgW (mwpTWj;jy; ,y.05 ,idg; ghHf;fTk;) /
Examination results[ please See Instruction No. 05]
Ihh / ghlq;fs; / Subject idud:h / juk; /Grade




fuu YsIHhd / YsIHhdj 2016 Wiia fm< Nd.h mdi,a whlrefjl= f,i iu;a njg yd by; ioyka lreKq ksjeros njg
uu iy;sl lr
,e;j khztd; / khztp 2016 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 2016 as a School Candidate and that the information given
above is correct.

y,am;sf.a rl:k wxlh/ghlrhiy mjpgupd; njhiyNgrp ,yf;fk; /Principals Telephone No(..

oskh/jpfjp/ Date(- .
y,am;sf.a w;aik ^ks, uqdj ;nkak&
ghlrhiy mjpgupd; ifnahg;gk; (mYtyf ,yr;rid ,lTk;)
Signature of Principal [Please place official stamp]
3 fldgi $ gFjp 3 $PART (III) (-
idudlhd ^uj/ mshd/ Ndrlre& oekg fiajh lrk wdh;kfha n,h,;a ks,Odrshd iska imQK 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 s h /epWtdj;jpd; Kftup /Address
wdh;kfha ,smk (
.....
03 rl:k wxlh /njhiyNgrp ,yf;fk;/ Telephone No (- ...
04 idudcslhdf.a imQK ku / mq;fj;jtUila KOg; ngaH / Full Name of Member (-

....

i yh udisl jd;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 yekqmf;ys ku/ Njrpa milahs ml;ilapYs;sthW ngaH /Name appearing in the National Identitycard:

(-.....
3
05 idudcslhdf.a cd;sl yekqm;a wxlh/ mq;fj;jtUila Njrpa milahs
ml;ilapd; ,yf;fk; /Members 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< Nd.hg fmkS is udih yd fmr wdikak udi 13 odhl uqo,a ms<sn`o ia;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: ( ish`:u fldgia imqK lsrSu wksjdh f/ fPOs;s gFjpfs; ahtw;iwAk; G+uzg;gLj;jy; Kf;fpakhdjhFk;/
Filling all the following details is important )
jIh Udih khjk; Month wdh;kh iska wdh;kh iska fplam;a odhl uqo,a odhl uqo,a
Mz;L fia'ks'Nd fia'ks'Nd' wruqo,g wxlh f.jk ,o f.jk ,o
Year wruqo,g fuu ishu fiajlhska kh Date fmdaruh
idudlhd fjkqfjka f.jQ odhl ^wd1 fyda
fjkqfjka f.jQ uqo, wd4o hkak&
odhl uqo, contribution paid to Cheque Method of
contribution ETF on behalf of all No contribution payment (R1
paid to ETF on employees was paid or R4)
behalf of the epWtdj;jpdhy; fhNrhiy cjTnjhif
member C.e.ngh.epjpaj;jpw; ,yf;fk; cjTnjhif nrYj;jpa
epWtdj;jpduh F nrYj;jg;gl;l nrYj;jpa gbtk;
y; KO cjTnjhif jpfjp (MH 1
mq;fj;jtupw;fh (rfy CopaH my;yJ
f C.e.ngh.ep nghUl;Lk;) MH 4)
nrYj;jg;gl;l
cjTnjhif

2015 cQ,s / A+iy/ July

2015 wf.daia;= / Mf];l/August
iema;en/ nrg;nuk;gH
2015
September
2015 Tlaf;dan /Xf;NlhgH/October
2015 fkdjen/ etk;gH/November
2015 foien /jpnrk;gH/December
tl;=j /nkhj;jk; /Total

2016 ckjd/ rdtu/January

2016 fmnrjd /ngg;utup/February
2016 ud;=/ khHr; / March
2016 wfm%a,a /Vg;gpuy; /April
2016 uehs /Nk /May
2016 cqqks /A+d; /June
tl;=j /nkhj;jk; /Total

2016 cQ,s / A+iy/ July

2016 wf.daia;= / Mf];l/August
20150701 osk isg 20160831 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 lr'
2015.07.01 Mk; jpfjpapypUe;J 2016.08.31 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 01.07.2015 till 31.08.2016 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,uqdj&
cWjpg;gLj;Jk; mYtyupd; ifnahg;gKk; gjtpAk; (mYtyf ,yr;rid ,lTk;)
Certifying Officers Signature & Designation (Please place Official Stamp)

4
 fiajd kshqla;hkaf.a Ndr wruqo,a uKav,h
CopaH ek;gpf;ifg; nghWg;G epjpar;rig
EMPLOYEES TRUST FUND BOARD
2016 jIfha Wiia fm< uq,HdOdr m%odkh
gz ntFkjp f.ngh.j caH jug; guPl;ir -2016
FINANCIAL GRANT - GCE [A/L] EXAMINATION - 2016
Wmfoia (-
1. YsIHhd / YsIHhdjf.a cd;sl yekqmf;a cdhd msgm;la y,am;s iska iy;sl lr bosrsm;a l<hq;=hs
2. YsIHhd / YsIHhdjf.a Wmamekak iy;slfha cdhd msgm;la y,am;s iska iy;sl lr bosrsm;a l<hq;=hs
3. YsIHhd / YsIHhdjf.a ku" .sKq wxlh"^ noaO .sKq fyda nd,jhialdr .sKq wod, fkdf& nexl= YdLdj hkd
f;dr;=re we;=,;a nexl= fmdf;a meyeos,s cdhd msgm;la bosrsm;a lrkak.^ uyck nexl`j yryd fuu m%odkhka ,ndfok
neka tu nexl=f .sKqula we;ak th jvd;a myiqf'&
4. YsIHhd $ YsIHhdjf.a m%;sM, f,aLKfha i|yka ku yd Wmamekak iy;slfha i|yka ku w;r fjkila we;ak tu k
foflkau yekafjkafka fuu YsIHhd / YsIHhdj njg y,am;s iska iy;sl lrk ,o ,smshla bm;a l, hq;=h'
5. YsIHhd / YsIHhdjf.a m%;sM, f,aLkfha msgm;la y,am;s iska 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 yeoqkqmf;ys ku w;r
fjkila mj;S k tu k ish,af,kau yeoskafjkafka tla whl= njg .%du ks,OdrS iska iy;sl lrk ,o m%dfoaYsh
f,al wkq w;aika lrk ,o ,smshla bm;a lrkak'
7. fiajd fhdacl iska whmf;ys ioyka lrk ,o ku" wdlD;s II jd;dj, ioyka ku yd yeoqkqmf;ys ku w;r
fjkila mj;S k tu k ish,af,kau yeoskafjkafka tla whl= njg fiajd fhdacl iska iy;sl lrk ,o ,smshla
bm;a lrkak'
8. idudcslhdf.a cd;sl yekqmf;a msgm;la fiajd fhdacl iska iy;sl lr bosrsm;a l<hq;=hs ' Pdhd msgmf;a ku
wmyeos,s k iy;sl lrk ks,Odrshd iska imqK ku my;ska ,shd iy;sl lrkak.
9. whm; bosrsm;a lrkq ,nkafka ^uj / mshd iska fkdjk wjia:djl&Ndrlre k ks;Hdkql+, Ndrldr;ajh ikd:
lsrsug wjYH ,shlsh,s bm;a lrkak'
10. foudmshka fofokdu fiajd kshql;ahkaf.a Ndr wruqof,a idudcsl;ajh orkafka k tla wfhl= iska muKla b,a,q
l<hq;=h tfiau fuu uq,HdOdr m%odkhg tla YsIHfhl= ysl ,nkafka tla wjia:djla muKs'
11. tla YsIH;aj,dNsfhla fjkqfjka bosrsm;a l< hq;af;a tla whm;la muKs' fudku fya;=jla ksidj;a whm;a folla
bosrsm;a fkdlrkak
12. Wiia fm< Nd.hg fmkS isk wjia:dj jk g ^2016 wf.dai; a =& uj / mshd / Ndrlre fuu wruqof,a il%Sh
idudcslhl= h hq;=hs
13. Wiia fm< Nd.hg fmkS isk wjia:dj jk g ^2016 wf.daia;= & idudcslhd fjkqfjka Nd.hg fmks is udihg fmr
wdikak udi 12 l odhl uqo,a f.jd ;sh hq;=hs ' tu ner lrk ,o odhl uqo,a fjkqfjka wO jdIsl jd:do fuu wruqo,
fj; tjd ;sh hq;=hs 'iajhx /lshd idudcslhka i`oyd Nd.hg fmks is udihg fmr wdikak udi 36 l odhl uqo,a
YsIHhd / YsIHdj Nd.hg fmkS is wjia:dj jk g wLkavj f.jd ;ssh hq;=h
14. idudcslhl=f.a jhi wjqre 70 blaujQ wjia:djloS il%sh idudcsl;ajh wjqre 25 la ;sh hq;= w;r tu ld,iSudj
;=, odhl uqo,a wdmiq ,nd fkdf.k ;sh hq;=hs
15. imQK lrk ,o whm;a 2017.03.31 oskg fmr ,efnk mrsos YsIH;aj ks<Od" fiajd kshqla;hkaf.a Ndr wruqo,a
uKav,h " wxl 92 " lsre< mdr " kdrdfyakamsg, fld<U 05 hk ,smskhg tjkak' ,sms ljrfha jmi by, fl<jf
Wiia fm< 2016 hkqfjka ioyka lrkak'
16. by; ioyka fldkafoais imQK fkdjq yd wimQK " wmeyeos,s " jeros f;dr;=re imhk b,a,qm;a iy m%udo
,efnk b,a,qm;% m%;slafIam lrkq ,ef iqiaika 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;.

5
(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 2016) 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; $lhJ.
(15) G+uzg;gLj;jg;gl;l tpz;zg;gbtj;ij 2017.03.31 Mk; jpfjpf;F Kd;dH fpilf;Fk; tifapy; Gyikg;guprpy;
cj;jpNahfj;jh;> CopaH ek;gpf;ifg; nghWg;G epjpar; rig> ,y.92> fpUs tPjp> ehun`d;gpl;b> nfhOk;G -05
vd;w Kftupf;F mDg;gp itf;fTk;.(jghYiwapd; ,lJ gf;f Nky; %iyapy; cah; juk; - 2016 vdf;
Fwpg;gpLjy; Ntz;Lk;)
(16) Nkw;$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 students 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 members 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 members name stated in the application by the employer differs from members 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 2016), 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. Form II Returns in respect of contributions remitted by the Employer should have been received by the Board.
14. In instances where the members 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 31.03.2017 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 2016.
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.