ah'atil il gfihs odrn@ flsen)$o bexn -...

11
Ah'atil hprfx o.*t'D:Dm' rree*? zt'va muxofiQ gfihs odrn@ mlbc?)G)ffi - flSen)$O bexn frffal il b t zfzt o#a: D mr rJlypnm Glru-rzunnrf gtsilolarsrh - 6rnei: mnmncmrrh SFFICE OF THH CHIEF $H(NHTARY. WH$TTRN PR*VINCF 204. o$d&d om:ffiOrmQe* @:Sen, CItsen0&rds. 204, 6lraiurqlou 6iarruGu*lSol ir:n lltpeogr. ugrgrylglrr:*u, 2n4, Denzil Kobbekoduwo Mawaths, Bottoromullo. sJrJ: $io,E I sra.'rn. ,ri,&,,Di,,gur i Telenhrrc - 011 - Z0S2SS9 1A.r:ii "a 'l ,i1lt.,r ld+,ir, Ii) or,dd rt,1rrr., For -011 - 209260l i1:r'?", !;r"i l Ott"aOS3OOO Chiai Spc,eto"v J n-,"O,rt rrr. ^i ararn +-i / t-moi{ - [email protected] Ge ne.c re spro.eJ s*B ,&c,:*Eillrm lsorlEC: 17021 Qirls-0o1-01 is)ii(:il r?0a$(rl )r{i J, ;ji*riit 1[u] L4v lrlo. cswP/PTR/4-llFy8(F) BttS {X$c}, L0{,}, B,m$$d Yaur No. ilrrie 20t9.07. t) o6lzor@, ergcnl ecezr E@rr,sco@co (A.er.) Seminar on Energy. Environment & Hygiene Technology in Rural Areas for Government Officials from Developing Countries From:24 July to 13 August -2019 gtor: eoqoal gp€ OlOeoOara oqtoc Eo{ca esgoal oqocSzlog:rf4oO qO>a'leo eSardcglocr} q.zo TA/CHUSl20l9l33 ac 2019.07.01 Qa16 @SocorrJ mcgooCdorc zr:1qOc q16 qad, O@ @8oo$ Sooarzoj *ww.mdtu.ri,pc"gov.lk ooD qoEoceal occoa 2o16 @(Eoo oldcoco q1zrr. 02. eJ qpO,o99 OlCeoOo:lO esarerc8 E@O qoe$zsf8a OOcaJ@ ESE 6gOc8:docrJ ts:c@ocsJe5ac qceg@oanl Otocg OEOO 6OSe rodzlr ogeo nrcQ6zorO qrdo@. 03. zrOq, a:c@ocoCe5rrrc qcog9ezii gQ8eai 68o@Q gEBzrJ n3ezrJ zod q16 SBai oc gp€ 112015 arc 2015.08.11 Qm16 OgoglOcoO qpzQe O, OOocrJ 65o{oaco esEr:O gQSeszr} zoe gt:J q6ld qEce ac@ocoCdrrlc qcog9a:zsr gQ8oal zo:drrr dgOc8cec ogr8ce O5o 03a: Q 6teSr:t1l gp€/qfu5coar OlOeoOorf eoqoc ac@ocoCe3ac aQBooI 68@ toc Eo{o cozlE@ 8€Aq Ea$nd q gQ8eai zordzl ogeo Oi6gdOaJ r:cd16zorO qafo0. gOca oglzor@ oOpOO, Oe,iacEd eJgrzt ozs'j.S.o8".SQc€, Ssa:l*r ia:e, i9d'a$ rlliiI iJlr$ :,iai,trrirT: Dcputy'ihici Sercreiory cr(gs .61t q raLi Admirislrotioc Snr{ s) npt& _rti{d' u,itgri urljl rl Per:onnel & froiritg 9lBa Finnnrs *$q9 i';L rfrL+j Pinnn in.;1 :prSor$dr tul]) t rri Fng i n** ring f :.:)i;,tr,.1,{ai tli.$$* Li,j${* , il,si,{ $fi{Hii,ntil,i Cir*{ l.t6r${! Ar.liirr EIilt'#tr ffif,tlE# frffi Tel:0ll?0f2d06 fnr 0l I ?09?d0s drsrrnriri m,*n<.fl ct lL ]*l 0l1209?d3i tcx : 0] 1209?64I Jrrpiil:es,wpr.gcr. Ik Te1r0]l?0{15i0 tcr : Q1 1?{9?d36 rrrfir:uLer'ier.rpr 6or lk Tel r 011109?53? Fax :01 I 2C92533 drplonriu.rpc.g*r 1f Tol r *1 i209?5*l fsx 01 i ?09)5115 tlcr{ileng wpt s-rv ll 0 l I tost$2s 0 I i ?sr?6?5 -^ . .- - ^,. Ll- Tel For rtr

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Page 1: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

Ah'atil hprfx o.*t'D:Dm' rree*? zt'va muxofiQgfihs odrn@ mlbc?)G)ffi - flSen)$O bexn

frffal il b t zfzt o#a: D mr

rJlypnm Glru-rzunnrf gtsilolarsrh - 6rnei: mnmncmrrhSFFICE OF THH CHIEF $H(NHTARY. WH$TTRN PR*VINCF

204. o$d&d om:ffiOrmQe* @:Sen, CItsen0&rds.204, 6lraiurqlou 6iarruGu*lSol ir:n lltpeogr. ugrgrylglrr:*u,2n4, Denzil Kobbekoduwo Mawaths, Bottoromullo.

sJrJ: $io,E I sra.'rn. ,ri,&,,Di,,gur i Telenhrrc - 011 - Z0S2SS9 1A.r:ii "a 'l,i1lt.,r ld+,ir, Ii) or,dd rt,1rrr., For -011 - 209260l i1:r'?", !;r"i l Ott"aOS3OOOChiai Spc,eto"v J n-,"O,rt rrr. ^i ararn +-i / t-moi{ - [email protected] Ge ne.c re spro.eJ

s*B,&c,:*Eillrm

lsorlEC: 17021Qirls-0o1-01

is)ii(:il r?0a$(rl)r{i J, ;ji*riit 1[u]

L4v lrlo.cswP/PTR/4-llFy8(F)

BttS {X$c},L0{,}, B,m$$dYaur No. ilrrie

20t9.07. t)

o6lzor@,

ergcnl ecezr E@rr,sco@co (A.er.)

Seminar on Energy. Environment & Hygiene Technology in Rural Areas forGovernment Officials from Developing CountriesFrom:24 July to 13 August -2019

gtor: eoqoal gp€ OlOeoOara oqtoc Eo{ca esgoal oqocSzlog:rf4oO qO>a'leo eSardcglocr} q.zo

TA/CHUSl20l9l33 ac 2019.07.01 Qa16 @SocorrJ mcgooCdorc zr:1qOc q16 qad, O@ @8oo$Sooarzoj *ww.mdtu.ri,pc"gov.lk ooD qoEoceal occoa 2o16 @(Eoo oldcoco q1zrr.

02. eJ qpO,o99 OlCeoOo:lO esarerc8 E@O qoe$zsf8a OOcaJ@ ESE 6gOc8:docrJts:c@ocsJe5ac qceg@oanl Otocg OEOO 6OSe rodzlr ogeo nrcQ6zorO qrdo@.

03. zrOq, a:c@ocoCe5rrrc qcog9ezii gQ8eai 68o@Q gEBzrJ n3ezrJ zod q16 SBai oc gp€112015 arc 2015.08.11 Qm16 OgoglOcoO qpzQe O, OOocrJ 65o{oaco esEr:O gQSeszr} zoe gt:J

q6ld qEce ac@ocoCdrrlc qcog9a:zsr gQ8oal zo:drrr dgOc8cec ogr8ce O5o 03a: Q 6teSr:t1lgp€/qfu5coar OlOeoOorf eoqoc ac@ocoCe3ac aQBooI 68@ toc Eo{o cozlE@ 8€Aq Ea$nd q

gQ8eai zordzl ogeo Oi6gdOaJ r:cd16zorO qafo0.

gOca oglzor@ oOpOO,Oe,iacEd eJgrzt

ozs'j.S.o8".SQc€,

Ssa:l*r ia:e, i9d'a$

rlliiI iJlr$ :,iai,trrirT:

Dcputy'ihici Sercreiory

cr(gs.61t

q raLiAdmirislrotioc

Snr{ s) npt&_rti{d' u,itgri urljl rl

Per:onnel & froiritg

9lBa

Finnnrs

*$q9i';L rfrL+jPinnn in.;1

:prSor$drtul]) t rriFng i n** ring

f :.:)i;,tr,.1,{ai tli.$$*

Li,j${* , il,si,{ $fi{Hii,ntil,iCir*{ l.t6r${! Ar.liirr

EIilt'#trffif,tlE#frffiTel:0ll?0f2d06

fnr 0l I ?09?d0sdrsrrnriri m,*n<.fl ct lL

]*l 0l1209?d3itcx : 0] 1209?64I

Jrrpiil:es,wpr.gcr. Ik

Te1r0]l?0{15i0tcr : Q1 1?{9?d36

rrrfir:uLer'ier.rpr 6or lk

Tel r 011109?53?Fax :01 I 2C92533

drplonriu.rpc.g*r 1f

Tol r *1 i209?5*lfsx 01 i ?09)5115

tlcr{ileng wpt s-rv ll

0 l I tost$2s0 I i ?sr?6?5-^ . .- - ^,. Ll-

Tel

Forrtr

Page 2: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's
Page 3: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

o Selected Participants may be informed by the Embassy of the People's

Republic of China in Sri Lanka most probably within one week before the

training programmes begin.

o A1l the selected participants must wear a formal dress when they meet the \-/officials at the Embassy of the People's Republic of China in Sri Lanka and

they should be there on time.. Air Tickets may be issued most probably one day before the departure.

o Course details may be given to the participants on the day before they leave

the country or may be received in China.

o Selected participants should participate in all the lectures & all events

conducted under the training prografirme.

Your early attention in this regard is highly appreciated.

Yours faithfully

)NN-L. A.Y Daishanie de SilvaDirector / TA Divisionfor Director General

Copies to: Chairmen, Aii Municipal Councils

Page | 2

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Seminar on Energy,_Environment and Hygiene Technology inRural Areas for Government officials form Developing countries

Proiect DescrintiSemlnar on EnelC;rEt rtS,

Officials llom Developing Countries

Biogas Institute of Ministry ofA$iculh]re and Rural Affairs (BIOMA), pR. China

July24-August13, 2019

Govemment officials and ."r.ur.h t"promotion and lranagement of rural energy, environment and hygiene liorn developingcountries.

About the

Participants

Under 50 for parlicipants at di.""to. gin"*[ I.*l; ilnd..E roiparticipants at or under director,s Ievel_

Physical Health

In good hearrh with health "..tffiissued by local public hospitals; without diseases prohibited llomentry by China's laws and regulations; without severe chronic diseasessuch as serious high blood pressure, cardiovascular andcerebrovascular diseases and diabetes; without mental illnesses orinlectious diseases that may pose serious threats to public health; notduring the postoperative recovery period after a major operation orduring the outbreak period of acute diseases; without severe physical

English listening, rp"uting,@requirements of lectures and serninar discussions.Participants who come to Ctinr@spouses or relatives.

Summer, 24"C-34"C

Cities to visit

Dujiangyan City, DeyangCity, Sichuan province;

Kunming City, yunnan

Province, Beijing City

Dujiangyan Ciry, Sichuan province: 23 C-32 C

Deyang City, Sichuan province: 21.C-3q.C

Kunming City, yuman province: lgC_26C

Beijing City: 24"C-35'C

belbrehand, so as to arrange airport pick_ups.

2. PIease wait patiently at the intemational

l.Forexceptionalcircumstances,iftheflight"un,o.@during transfbr, prease get in touch with the pick-up contact of your latest flight status

anival exit after you claiming your

Page 5: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

luggage,thestaffwillwaityouthelewithpickupboard.Ifyoucannotfindthestaffwithin

I 5 minutes, please call the contact on project description'

3-PleasekeepaclosewatchontheweatherofthehostcitiesandbringtheclothesthatSuit

theweather;preparecomfortableshoesforfieldvisits;fonnalclothesornationalcoshlmes

are required for important event.

Contact of the

Organizer

Project or

Pick-up Contacl

Mr. LAI Chengxi/Mr. LUO Ximin

Oflice Phone 0086-28-85230677,0086-28-8522265 8

Cell Phone

0086-1 3308229597(LAI)

oo86-1 388064841 5(LUO)

Fax 0086-28-85230677

E-mail [email protected]

About the

Organizer

wechat I lsq'^+'q

e*na"ain\glg,BiogaslnstituteofMinistryofAgricultureandRuralAffairsBIoMA),PR.Chinaismainlyresponsibietbrthebasicantiappiiedresearch,Iiontierechnology research, [na.;or] tgy-gpng1q !eq!401-ogy 1999a-rc-11o-tletlg!]ie We!&Le- reseqqq!

rnd the corresponding technical promotion and training in biogas and other rural renewable

:nergy, rural energy and rural environmental treatment and the cross field ofagro-ecological

restoration.BloMAhasbeencommittedtoactivelyplomotingknowledgedisseminationand

technologyhansferinrelatedfieldsthroughtraining,demonstlationprojectsandcooperative

research. In 1981, upon the agreement between Chinese government and TINDB the

Asia-pacific Biogas Research and Training Center (BRTC) in Chengdu of China was

established at BIOMA. In April 20i0, BIOMA was approved to set the "Prot'essional

identiltcationstationforspecialtypesofworkinagriculturalindustry,'In2012,BIoMIbecame the "Intemational Science and Technology Cooperation Base for Biogas Technologl

Base in Sichuan Province". In 2014, FAO designated BIOMA as "FAO Reference Center for

Biogas Research and Training". In 2016, BIOMA became the "International Science ant

Technology Cooperation Base for Biogas Technology of Ministry of Science ant

Technologl'.

Since its establishment, BIOMA has held 105 intemational training courses sponsore(

by the chinese government and international organizations fot more than 3000 internationz

participants from over 120 countries engaged in technical research' management an

promotion and the training R?es covered multilateral, bilateral' overseas trainings' technict

training courses, seminars for offrcials and ministerial seminars' Training subjects covere

agriculture, environmental science, sanitation, energy and so on At the same time' entruste

-b1 itre eiriirese govemmen+ ald' interational organizations, e{peds tqm pIOMA larconducted more than 10 ovelseas training and demonstration projects in developin

I .ount i.r, activety participated in the introduction and export of agricult

@

I Commentetl lall: H111ih:t

@

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and products, and established tong+.instihrtions in Europe, America and other developed areas.

Seminar Course

Content

This seminar will discuss China rural .from all over the world through special lectures, fierd visits, synposiums and culturalexperiences. The contents of special rectures incrude ..Basic National conditions of china,Qye.,ruew sflhe -Bpltandroad-Initiarive,,Introduetio+ tc biogas saniiation aad,tecirnorogy

the importance ofrurar energy in protecting the ecological environment, increasing farmers,income and bu,ding a new socialist countryside. It w,l also provide reference for thedeveloprnent of rural energy, environment and hygiene in the countries where theparticipants live, and promote the exchange and cooperation with developing countries in the

development in china, Design and construction ofRural Household Digesters , septic rantsTechaology and Equipment for Rurar Domesric wastewater Treatment, Biogas prant fors*rall farms, Utirization and Environmental Effect of Bio-slurry, straw Biogas plants,Biogas Sanitary Effect, saritary Requirements of Rural Househord Digester Constnrction,Sanitary Requirements of Rural Househord Digester on Toilet construction in EpidemicAreas of Schistosorniasis, Brief Introduction to chinese Agriculture, china,s Intemationalcooperation in Agriculture,- presented by experts and professors from BI.MA, chineseAcaderny ofAgricurturar Sciences and Sichuan center for Disease control and prevention.This serninar also conducts field visits to rural energy recycling demonstration sites, rurarbiogas service stations, new rural construction, environmental sanitation management inrural areas, the visits to historicar and cultural heritage in Sichuan, Guizhou and Beijing arealso included so as to experience local cultural custorns.

Through this seminar, the participants can get a comprehensive understanding of thetechnology and development ofrurar energy, envirorulent and hygiene in china, and realize

field ofrural energy, environment and hvsi

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f'{ame of the serr:!na!/trair)ing course!1frE,./r*# trt -E4z\ |

'l*ffi , B-ftn &rto ll*rttr,Jtil

Family name+*)(a

Fil;;;;;

i'r.otel Fiease {iiI i:- tbe _hh*l:s piHi Engiisn Lr&ei.

,*illl&H I

Page 8: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

,t.E ffiffi&HiE*Physical Examination Record for Foreigner

IJ{, # rlT ill Jti irl:Present Mailine Address

trE Maie

U.( FemaleU!iilryJ

Bi rth Day-l{qn11i:1"u;

ItE{

t.-.

Pho loH'iltjtj:l:Birrh PIace

Hi D tfi'ry

4,)LBit*tF.

It t&

&rJ-#Et [1 #r

rJ*iE6,tst--fyt9kffi (6rfrfimffi1"18,, E " &,, #,)Ilave you eyet had any ot' the folloring diseases?

(Each iten nust be ansyered ttl'es!' or tilot, )

Tlphus fever trNo lYes '& iiil Bacillary dysentery trNo UyesPol iomyelitis DNo OYes fiftf+i8*lirj Brucellosis tr No DyesDiphtheria DNo flyes ih#$frt/- Viral heparitjs DNo nyesScarlet fever ENo OYes ,+il+;t!ftI.t'tr'ffipRelapsing fever ONo EYes Puerperal streptococcus infection DNo Eyes

fiiKtllfii)bin+ Typhoid and paratrphoid fever

iftftt+fdfffilll.ft Epi demic cerebrospinal meningit isONo DYes

flNo EYes

,17f.#H l.,l/a&.AltEkFfnf A0iriljft : (furfi EmiHE#Do vou have any of t'he follorring djseases or disorders endangering the public order and securitv?

ft +rJ tr. Toriconania '*.'-0..'.'.": :.':.'..u:.::."..::.0 "tes" ot' 'No" ) '

DNo Eyesf#i'lffiEL Hentat conrusi"^ ....,...,...:..,.....:.:......,......,:.-:...... . trNo CyesH +4' Ifi Psychosis:, e*{+.fiI Hanic psychosis r.,.!.-r DNo Eyes.

tlff{! Haliuclnatory Psychosis ENo Eyes

pressure mmllg

,r.B-l'f.F,,rDevelopnent

Y!s!o1 Xl R

,fttril,{.lt /:: L

Corrected vision fi R

t)IE)tCol our Sense

EtxSkin

Ilr

No se

Page 9: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

t

it:i,,

IJ

I

I

II

ii

lit

'NErfifi,

0ther abnormal findings

l1M{i$ x4t

ffi'.8

Chest X-ray

0xam.

,L. t!, El

LLL

.kw!{nE

Efifr.ii5-#a6?

Laboratory

Exan.

(Serodiagnosis)

e4i&uearrumlgexr+rrt galtemm gua,Do you have any of the following diseases or disorders found during the present eranination

(Each itea nust be aaswered oYest' or "No,')

{t fi Yenereal Disease trNo Oyes

)tlf;tl'Iii1#'&. 0peni.ng lung ruberculosis trNo tryes

Jt W tii AIDS DNo EyesH +{t lil Psychosis. DNo Eyes

:H-Xl &gs{ti{isSuggestion Official Stanp

Page 10: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

tissEN'i'lAt. tNIURMA',I'loN olf 't rrti NoMlNlilil, I'l'itlc ol"liaining I)roglatnnrc

1,2 DulaLi0n in Wccks

1.3 EIll) Codo

2.1 Ministry.,,.,

2,2 Agcnc),.. .

3.1 Narrs of Nonrinec

(Plcase Eutcr Fan:ily Nan':c First and Uadcllin4 Faorjly Nanrc Only)

Natjonai !den1i1y Ca!-d N,umber f- --- -- --l3J PassportNumber:

Illl) l:oltM 2

Phone/Fax.-....e-mail

Ycar,

Years

Years

Years

Page 1 of 2

3,2

3.2

3.4

3.5

6 6.1 Date of Birth [------lo.t"6.2 Age Lt the Commencement of the Programme (To the Closest Year)

7.1 Years of Scrvico to tlre Covemment in the Nominee's Career

7,2 Nominee's Ycars oi Service in the Prescnt Agency

onirnee

r-------lttIt

IO

Ed u cational.0lralifi catj lons Describe)

Local Long Term Training Successfully Completed & Full Professional Qualifrcations Achieved byNominee

ate the Number Only

Indicate the Number Only

Indicate the Numbcr Only

Indicate the Numbcr Only

Local Shon Term Training Received by theN

.Total number of local training received

Management or.Technical GradeTcclniciarr,

Supporlivc &Allied Groups

Ofter (Spccify)Designation Group of thc Nominee in the

Agency

ilndicatc the appropriatc box)

Senior Level Middlc Level J unior Levcl

ton tcauon$ Use Abbrevlal to

8.1 Academic Qualifications of theNominee

Sp, Degree(4v)

General Degree (3yr) Other First Degrees & EquivalentFullProfessional Qualifi cations

8.2 Perlormance at the First DegreeOrdinary

Pass

2nd Class

Lower2nd Class Upper First Class Not Relevant

(Please Check in case of Special aadGeneral Degrees only)

Medium Term Training of more thanthree month Duration

Full Professional Q ual ifications

printed on 212612A16

Page 11: Ah'atil il gfihs odrn@ flSen)$O bexn - mdtu.wpc.gov.lkmdtu.wpc.gov.lk/english/wp-content/uploads/2019/07/... · o Selected Participants may be informed by the Embassy of the People's

i

i I Previotrs Forcign 'l)irining Rcccivcd by thc Nomincc

lr.lF̂or'eign'frainirrg ouch lcss than one woek duration rcocivc(l in thc Prrst 3 Years

ta

I I 2 For.ign Training llaoh Creater than onc wcek & Loss lhun l2 wecks(lhrec months) duration received irr thc Past 3 Yenrs

Total nurnbcroltrairrng f.".-"...."....--'-rll1J

For"ign Training Each Creater than l2 weeks & Less than 32 wecks duration received ln the Past 3 Years

Totalnumbcroftrainng t_ ]]lI I.4 Forsign Tmining Each Greater than or equal to 32 weeks Duration in Nominee's Career (Training Funded by thc

Governrnent ofSri Lanka or Funded by a Scholarship offersd to the Government ofSri Lanka)

Nomineehasreceiveda!leastonetrainingopportunityofdurationBreateIthafl32weeks

72 Nominee's Dectaration

I, the undersigned, certi$ that the details provided in this conectly describc myscl{, my qualifications and my experience.

72.1 Date:,...r.,.i,.a;..,-;;;;..,.j. I2,2 Nominee'sSignature ii:,i.,.\.i!;,r,*,..rii;ii:.!:r:*.:ii,ii

t3 Certification of the Head of Department

Iti

;

i

i

Relevancy of this TrainingProgramme to Nominee's Work

(Please Check only one Box)

Vital forpresent worl

DirbctlyRelated to

PressntWork

Connccted toPresent Work

Helptul inFuture Work

ForPromo{ions

Other(Specify)

Main Function 6f the Agency in the Field of Training(Please Check only one Box)

Execution Supei-viSorv Trainins/Teachinu

I certiSr the accuracy ofthe information given above.

.., ,-. r:j ,:,1., ^-;.,r.:;

r::. rt ..- i1.,,,, i.,

Signatureof Head oftheDepartmentand Stamp Datc:..,.........,....i,....,-

printed on 4z6lz1t6 Pagez of 2