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Faculty of Education Leadership Development and Management, National Institute of Education
National Identity Card No.
(10 or 12
Character
s)
Initials
(Only 30 C)
Title
Rev.
Prof.
Dr.
Mr.
Mrs.
Miss.
Name without Initials
(Only 50 C)
Full Name (Only 150C)
Mother Language
Sinhala
Tamil
Home Address
Office Address
Home Address1(Only30C, Essential)
Office Address1(Only30C, Essential)
Home Address2(Only30)
Office Address2(Only30)
Home Address3(Only30)
Office Address3(Only30)
Home Address4(Only30C, Essential)
Office Address4(Only30C, Essential)
Postal Code(Only5C)
Postal Code(Only5C)
Land Phone No.
Official Land Phone No.
Mobile Phone No. (Only10C)
Email Address(Only100C)
Whatsapp No.(Only10C)
Current Post (Only120C)
Date of Birth
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Service Belong to
SLEAS II
SLEAS III
Academic Qualifications
First Degree (Only120C)
Above service received date
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Professional Qualifications
Trained
Institute/Zonal Office (Only 120C)
NCOE
Address (Line 1) to Institute/Zonal Off. (Only 120C)
B.Ed.
Address (Line 2) (Only 120C)
PGDE
PGDEA
NIC as User Name
(Only 10 or 12 Characters)
New Password
(6 to 15 Characters)
Confirm New Password
(6 to 15 Characters)
I certify that all the information (Text and Selections) given above is correct and accurate.