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YsIHhka$YsIH iñ;s$ix.ï ix.ï u.ska ixúOdkh lrkq ,nk<br />

pdrsldjka a i|yd wkque;sh b,a,Sfï whÿïm;<br />

APPLICATION FOR PERMISSION FOR EXCURSIONS/TRIPS<br />

ORGANIZED BY THE STUDENTS/STUDENT SOCIETIES/UNIONS<br />

jeo.;a$Important:<br />

ksis f,i iïmQrAK lrk ,o whÿïm; pdrsldj fhdod.kakd kshñ; oskg wju jYfhka osk 07lg fmr wkque;sh i|yd ksfhdacH<br />

Wml=,m;s;=ud fj; fhduq l, hq;=h’' wkque;sh ,ndoSfï ,smsh YsIH fiajd wxYh u.ska ksl=;a flf¾'<br />

The duly filled application should be submitted to the Deputy Vice-Chancellor for approval at least 07 days prior to the<br />

date of the trip. The letter of approval will be issued by the Student Services Branch.<br />

………………………………………………………………………..…….iñ;sfha$ix.ufha ….………………………………………<br />

jk uu my; i|yka úia;r bosrsm;a lrñka pdrsldjla hdu i|yd wjir b,a,ñ’<br />

I………………………………………………..………………..………of………………………………………....……Society/Union<br />

solicit your kind approval to proceed on this excursion/trip, details of which are given below for your perusal please.<br />

01 hk ia:dkh<br />

Place of Visit<br />

02 hk .uka ud¾.h<br />

Route of journey<br />

03 wdmiq tk ud¾.h<br />

Route of return journey<br />

04 msg;ajk oskh<br />

Date of departure<br />

05 kshñ; ia:dkhg ,xùug wfmaCId lrk fõ,dj<br />

Anticipated time of reaching the destination<br />

06 wdmiq úYajúoHd,hg meñfKk oskh yd fõ,dj<br />

Date and time of return to the University<br />

07<br />

niar: .Kk<br />

08<br />

09<br />

pdrsldjg iyNd.sjk ixLdj<br />

^ish¿Ω úia;r iys; kdu f,aLk msgm;a folla wuqkkak<br />

No. of participants (Attach 02 copies of a detailed list)<br />

rd;S% ld,fha kjd;eka .kafka<br />

kï tu ia:dkfha ,smskh<br />

Address & other particulars<br />

of lodging, if staying<br />

overnight<br />

10 pdrsldj Ndr<br />

l:sldpd¾h$iyldr<br />

l:sldpd¾hjrhdf.a úia;r<br />

Details of the Lecturer/<br />

Asst. Lecturer in-charge of<br />

the excursion/trip<br />

11 YsIHdjka Ndrj hk<br />

.=reuy;añhf.a úia;r<br />

Details of lady teacher incharge<br />

of female students<br />

ku<br />

Name<br />

wxYh<br />

Department<br />

cd'ye'm' wxlh<br />

NID No.<br />

ÿrl:k wxlh<br />

Contact Tel. No.<br />

w;aik<br />

Signature<br />

ku<br />

Name<br />

wxYh<br />

Department<br />

cd'ye'm' wxlh<br />

NID no.<br />

ÿrl:k wxlh<br />

Contact Tel. No.<br />

jdyk wxlh<br />

≥ÿr m%udKh<br />

Distance km<br />

≥ÿr m%udKh<br />

Distance km<br />

msg;ajk fõ,dj<br />

Time of departure<br />

w;aik<br />

Signature<br />

pdrsldj Ndrj hk wm fuys w;aika ;nñka tlS j.lSu Ndr.kakd nj fuhska m%ldY lruq'<br />

By signing this, we take the responsibility of being the officers in-charge of this excursion/trip.<br />

ia;%S$Female<br />

mqreI$Male


2<br />

pdrsldj ixúOdkh lrk uu fuys w;aika ;nñka tlS j.lSu Ndr.kakd nj fuhska m%ldY lrñ'<br />

By signing this, I take the responsibility of being the organizer of this excursion/trip.<br />

12 wheÿïlref.a ku<br />

Name of Applicant<br />

mSGh<br />

Faculty<br />

Yd,dj<br />

Hall<br />

,shdmosxÑ wxlh<br />

Registration No.<br />

fomd¾;fïka;=j<br />

Department<br />

ÿrl;k wxlh<br />

Telephone No.<br />

by; i|yka úia;rj, lsishï fjkila jqjfyd;a ta ms

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