b,a¨ïm; fkdñ,fha ksl=;a flf¾ mq',s'fo'ú'1"7"8 /M.g.jp.

1>7>8 / DRP 1,7, 8

tpz;zg;gg;gbtk; fl;lzkpd;wp toq;fg;gLfpwJ wkqms<sfj, wxlh
Application form is issued free of charge njhlh; ,y.
Serial No

QR Code
mqoa.,hka ,shdmosxÑ lsÍfï fomd¾;fïka;=j
"wd" wdlD;sh
1968 wxl 32 ork mqoa.,hka ,shdmosxÑ lsÍfï mkf;a 9"16 iy 17 jk j.ka;s hgf;a
ye÷kqïm;%hla i|yd b,a¨ï m;%h
Ml;fisg; gjpT nra;Ak; jpizf;fsk;
gbtk; “M”
1968 Mk; Mz;bd; 32 Mk; ,yf;f
Ml;fisg; gjpT nra;jy; rl;lj;jpd; 9>16 kw;Wk; 17 vd;Dk; gphpTfspd; fPo; milahs ml;ilnahd;Wf;fhd tpz;zg;gk;
Department for Registration of Persons
Form "B”
Application for an Identity card under sections 9,16 and 17 of the Registration of Persons Act, No 32 of 1968

osia;%slalh m%d'f,a' fldÜGdih .%d'ks wxlh yd fldÜGdih

khtl;lk; gp. nr. gphpT fp. Nr. ,yf;fKk; gphpTk; PdhdrEmh
District D.S. Division G.N. Number and Division fuys w,jkak
Gifg;glj;ij
,q;Nf xl;lTk;

ld¾hd,Sh m%fhdackh i|yd /mYtyfg; ghtidf;F / FOR OFFICE USE Affix Photograph
Here
IDENTITY CARD NO.

REGISTRATION OFFICER'S
CODE & INITIALS

fuu b,a¨ïm; Wmfoia m;%sldfjys we;s Wmfoia wkqj iïmQ¾K l< hq;= h
tpz;zg;gg;gbtkhdJ mwpTWj;jy; ifE}ypy; mlq;fpAs;s mwpTWj;jy;fSf;fpzq;f epug;gg;gLjy; Ntz;Lk;
Application form should be completed according to the instructions contained in the instructions manual.

m<uqjk fldgi - b,a¨ïlre úiska iïmQ¾K l< hq;= h / ghfk; xd;W - tpz;zg;gjhuhpdhy; G+uzg;gLj;jg;gl Ntz;Lk;/
Part One - To be filled by the Applicant

iïmQ¾K ku ^isxyf,kaa fyda fouf<ka& $KOg;ngaH (rpq;fsk; my;yJ jkpopy;)$ Name in Full (in Sinhala or Tamil)

1 fm<m;a kduh/
FLk;gg; ngah;/
Family Name

ku/ngah;/Name

jdi.u/je;ijapd; ngah;/Surname

iïmQ¾K ku ^bx.%Sis lemsg,a wl=ßka& $KOg; ngah; (Mq;fpy nghpa vOj;Jf;fspy;) /Name in Full (English Block Letters)

2 fm<m;a kduh/
FLk;gg; ngah;/
Family Name

ku/ngah;/Name

jdi.u/je;ijapd; ngah;/Surname

ye÷kqïmf;ys i|yka úh hq;= ku ^ ku 1 fldgqfjys kug jvd fjkia jkafka kï& $ milahs ml;ilapy; Njhd;w Ntz;ba ngah;
(1k; $l;bYs;s ngahpypUe;J NtWgl;bUg;gpd;) / Name to be appeared in the Identity Card (If the name is different to the name in cage 1)
3 fm<m;a kduh/
FLk;gg; ngah;/
Family Name

ku/ngah;/Name

jdi.u/je;ijapd; ngah;/Surname
1
4' ia;%S$mqreI Ndjh/ghy;/Sex : ia;%S$ngz;/Female mqreI$Mz;/Male

5. isú,a ;;ajh ( újdyl/ wújdyl/ jekaoUq/ oslalido /

Fbapay; me;j];J jpUkzkhdth;/ jpUkzkhfhjth;/ tpjit/ tpthfuj;J/
Civil Status Married Single Widowed Divorced

6. jD;a;sh$/lshdj$;k;=r/
cau; njhopy;/ njhopy;/ gjtpg; ngah;/
Profession/Occupation/Designation (

7' Wm; ms,sn| úia;r /gpwg;G tpguq;fs; /Details of Birth :

7'1 Wmka Èkh/gpwe;j jpfjp/Date of Birth 7'2 Wmamekak iy;slfha wxlh$gpwg;G rhd;wpjo; ,yf;fk;$Birth Certificate No
Y Y Y Y M M D D

7'3 Wmka ia:dkh/gpwe;j ,lk;/Place of Birth

7'4 fldÜGdih/gphpT/Division

7'5 Èia;%slalh/khtl;lk;/District

whÿïlre Y%S ,xldfjka msg; Wmka ;eke;a;l= kï 1948 wxl 18 orK mqrjeis mkf;a 5^2& jk j.ka;sh hgf;a ksl=;a lrk ,o mqrjeis iy;slfha
f;dr;=re / tpz;zg;gjhuh; ,yq;iff;F ntspNa gpwe;jpUg;gpd;> 1948 Mk; Mz;bd; 18 Mk; ,yf;f> gpurhThpikr; rl;lj;jpd; gphpT 5(2) ,d; fPo;
toq;fg;gl;l gpurhThpikr; rhd;wpjopd; tpguq;fs;/If the applicant is born outside of Sri Lanka, details of Citizenship Certificate issued under Section
5(2) of the Citizenship Act, No.18 of 1948

7'6 Wmka rg/gpwe;j ehL/Country of Birth

7'7 k.rh/efuk;/City

7'8 iy;slfha wxlh/rhd;wpjopd; ,yf;fk;/Certificate No.

8' mÈxÑh ms<sn| úia;r / tjptpl tpguq;fs; / Details of Residence

iaÓr ,smskh /epue;ju Kfthp / Permanent Address

8.1 ksjfia ku fyda wxlh/tPl;bd; ngah;

my;yJ ,yf;fk;/Name or number of the House

iydêm;Hfha$ksjdifha$ksjdi fhdackd l%ufha$

kjd;efka fyda fjk;a mosxÑ ia:dkfha ku
$l;lhl;rpahjdj;jpd;> mLf;F tPl;bd;>
tPlikg;Gj; jpl;lj;jpd;> Fbkidapd;>
Njhl;lj;jpd; my;yJ NtNwNjDk;
fl;blj;jpd; ngah;
Name of Condominium, flat, scheme, quarters,
estate or any other buildings

mdr$ùÈh/mgqu.$fmfoi$WoHdkh/
tPjp/njU/xOq;if/,lk;/Njhl;lk;/
Road/Street/Lane/Place/Garden

.u$k.rh/fpuhkk;/efuk;/Village/City

;eme,a fla;h/mQ;rw;FwpaPL/Postal Code

;eme,a ,smskh /mQ;ry; Kfthp/Postal Address

8.2 ksjfia ku fyda wxlh/tPl;bd; ngah;

my;yJ ,yf;fk;/Name or number of the House

iydêm;Hfha$ksjdifha$ksjdi fhdackd l%ufha$

kjd;efka fyda fjk;a mosxÑ ia:dkfha ku
$l;lhl;rpahjdj;jpd;> mLf;F tPl;bd;>
tPlikg;Gj; jpl;lj;jpd;> Fbkidapd;>
Njhl;lj;jpd; my;yJ NtNwNjDk;
fl;blj;jpd; ngah;
Name of Condominium, flat, scheme, quarters,
estate or any other buildings

mdr$ùÈh/mgqu.$fmfoi$WoHdkh/
tPjp/njU/xOq;if/,lk;/Njhl;lk;/
Road/Street/Lane/Place/Garden

.u$k.rh/fpuhkk;/efuk;/Village/City

;eme,a fla;h/mQ;rw;FwpaPL/Postal Code

2
9' mqrjeis iy;slh $ oaú;aj mqrjeis iy;slh ms<sn| úia;r ^wod< fkdjk fldgi lmd yßkak&
gpurhTupikr; rhd;wpjo;/,ul;il gpurhTupikr; rhd;wpjo; njhlHghd tpguq;fs; (nghUj;jkw;wij fPwptpLf.)
Details of Citizenship Certificate /Dual Citizenship Certificate (strike off which ever is inapplicable)
9'1 iy;slfha wxlh /rhd;wpjopd; ,yf;fk;/Certificate Number

9'2 iy;slh ksl=;a l< oskh /rhd;wpjo; tpepNahfpf;fg;gl;l jpfjp/ Date of issue of Certificate Y Y Y Y M M D D

ye÷kqïmf;ys fojk msgm;la b,a¨ï lrkafka kï lreKdlr 10 jk fldgi iïmQ¾K lrkak

milahs ml;ilapd; ,izg;gpujpf;fhf tpz;zg;gpf;fg;gbd; jaT nra;J $L ,yf;fk; 10,id epug;gTk;
If the duplicate of the Identity Card is applied for, please complete cage No.10

10'^wod, fldgqj bosßfhka  ,l=K fhdokak& / ,iaghd $l;by; vd milahsk; ,lTk; /
Purpose of application (Mark in the relevant cage)

10'1 ye÷kqïm; ke;sjQfha kï ta i|yd 10'2 ye÷kqïm; ixfYdaOkh lsÍu i|yd

milahs ml;il fhzhky; NghapUg;gpd; milahs ml;ilapy; jpUj;jq;fis nra;tjw;F
if the Identity Card is lost to make changes to the Identity Card

10'3 j,x.= ld,h w¨;a lsÍu i|yd 10'4 ye÷kqïm; ydks ùu$m¿ÿ ùu$wmeyeos,s ùu i|yd
nry;YgbahFk; fhyg;gFjpia GJg;gpg;gjw;F milahs ml;il Nrjg;gLj;jg;gbd;/cUtopf;fg;gbd;/thrpf;fKbahjpUg;gpd;
to renew the period of validity if the Identity card is damaged/ defaced /illegible

10'5' ke;sjQ fyda wjika jrg ,nd .;a ye÷kqïmf;a wxlh

fhzhky; Nghd / ,Wjpahfg; ngw;Wf; nfhz;l milahs ml;il ,yf;fk;
Lost or last obtained Identity Card Number

10'6' ye÷kqïm; ksl=;a l< oskh /milahs ml;il tpepNahfpj;j jpfjp / Y Y Y Y M M D D

Date of the issue of the Identity Card

10'7' ke;sjQ ye÷kqïm;la i|yd fmd,sia jd¾;dj fyda wod< fjk;a ,shlshú,s ms<sn| úia;r
fhzhkw; Nghd milahs ml;il njhlh;ghd nghyp]; mwpf;ifapd; my;yJ NtW Mtzj;jpd; tpguq;fs;
Details of the police report or other document pertaining to the lost Identity Card

fmd,sia ia:dkfha ku $
nghyp]; epiyaj;jpd; ngah; /
Name of the Police Station

fmd,sia iy;slh ksl=;a l< oskh $nghyp]; mwpf;if toq;fg;gl;l jpfjp$ Y Y Y Y M M D D

Date of the issue of the Police report

11'úuiSï i|yd wjYH f;dr;=re/ tprhuizfSf;fhf Njitg;gLj;jg;gLk; tpguq;fs; /Details required for inquiries :

11'1 ÿrl:k wxlh ksji/tjptplk;;/Residence cx.u/ifalf;fj; njhiyNgrp /Mobile

njhiyNgrp ,yf;fk;
Telephone No

11'2 úoHq;a ;emE,

kpd;dQ;ry;
E-mail

mßf,dalkh lsÍfï PdhdrEmh

PdhdrEmh fuys w,jkak
fuys w,jkak Gifg;glj;ij
,q;F ,q;Nf xl;lTk;
epoYUntLj;jYf;f Affix
hd Gifg;glj;ij the Photograph
xl;lTk;. Here
Affix the Photograph
iy;sl lsÍfï ks,Orhdf.a w;aik iy
for scanning ks, uqødj
here rhd;Wg;gLj;Jk; mYtyhpd;
ifnahg;gKk; gjtp Kj;jpiuAk;
Signature and official frank of the
certifying officer
b,a¨ïlref.a m%ldYh
1' uu Y%S ,xldfõ mqrjeishl= nj m%ldY lrñ'
2' uu fuu b,a¨ïm; iïmQ¾K lsÍug fmr fï iuÕ we;s Wmfoia m;%sldj lshjd f;areï.;a nj m%ldY lrñ'
3' uu uf.a PdhdrEm folla fuys we;=<;a lrñ'
4' uu fï iuÕ wxl '''''''''''''''''''''''''''''''''ork ye÷kqïm;$ke;sjQ wxl '''''''''''''''''''''''''''''''''' ork ye÷kqïm; fjkqfjka ,nd .;a fmd,sia
jd¾;dj iy;sl lsÍfï ks,Orhd fj; Ndr foñ' ^wod, fkdjk fldgi lmd yßkak&
5' ñka fmr ud úiska fjk;a b,a¨ïm;%hla bosßm;a lrk ,o $ fkdlrk ,o nj uu m%ldY lrñ' ^wod, fkdjk fldgi lmd yßkak&
6' fuys by; oelafjk úia;r ud fyd|ska okakd mßos yd úYajdi lrk wkaoug i;H yd ksjeros nj uu fuhska m%ldY lrñ'
7' fï b,a¨ïm;%h iuÕ bosßm;a lrkq ,nk ish¨u ,shlshú,s ud fyd|ska okakd mßos yd úYajdi lrk wkaoug i;H yd ksjeros nj;a" i;H
f;dr;=re jika lsÍu i|yd tlS ,shlshú,s jHdc f,i fjkia lsÍï j,g fyda tl;= lsÍï j,g Ndckh fkdlrk ,o nj;a mqoa.,hka ,shdmosxÑ
lsÍfï mk; hgf;a ,shdmosxÑ ù y÷kd.ekSfï m;%hla $ y÷kd.ekSfï m;%fha fojk msgm;la b,a¨ï lsÍug ysñlï we;s nj;a ^wod, fkdjk
fldgi lmd yßkak& uu fuhska iy;sl lr m%ldY lr isáñ' ;j o wi;H o;a;" f;dr;=re fyda ,shú,s bosßm;a lsÍu o`vqjï ,eìh yels jrola
nj uu oksñ''

3
tpz;zg;gjhuhpd; ntspg;gLj;Jif
1. ehd; ,yq;ifg; gpuirahfTs;Nsd; vd ntspg;gLj;Jfpd;Nwd;.
2. ehd; ,t;tpz;zg;gg;gbtj;ij epug;G Kd;dh; ,jNdhL ,izf;fg;gLs;s mwpTWj;jy;fs; ifE}iy thrpj;J tpsq;fpf; nfhz;Nld; vd
ntspg;gLj;Jfpd;Nwd;.
3. ehd; vdJ epow;glq;fspd; ,uz;L gpujpfis cs;slf;Ffpd;Nwd;.
4. ehd; ……………………….. Mk; ,yf;fj;jpidf; nfhz;l milahs ml;ilia /…………………………………Mk; ,yf;fj;jpidf;
nfhz;l njhiye;j milahs ml;il ,yf;fj;jpw;Fg; gjpyhf ngw;Wf; nfhz;l nghyp]; mwpf;ifia rhd;Wg;gLj;Jk; mYtyhpw;F
,j;jhy; rkh;g;gpf;fpd;Nwd;.
5. ehd; ,t;tpz;zg;gj;jpw;F Kd;dh; NtW VNjDk; tpz;zg;gj;ij nra;jpUf;fpNwd;/ nra;atpy;iy vd ntspg;gLj;Jfpd;Nwd;.
(nghUj;jkw;wij fPwptpLf.)
6. NkNy nfhLf;fg;gl;l tpguq;fs; vdJ mwpTf;Fk; ek;gpf;iff;Fk; vl;ba tiu cz;ikahditAk; nrk;ikahditAk; vd ehd; ,j;jhy;
ntspg;gLj;Jfpd;Nwd;.
7. ,t;tpz;zg;gg;gbtj;Jld; Nrh;j;J nfhLj;Jjtg;gl;l vy;yh Mtzq;fSk; vdJ vdJ mwpTf;Fk; ek;gpf;iff;Fk; vl;ba tiu
cz;ikahditAk; nrk;ikahditAk; vd;Wk; mj;Jld; cz;ikahd tpguq;fis kiwf;Fk; nghUl;L mit Nghypahfg;
Gidag;gltpy;iy my;yJ khw;wq;fSf;F cw;gltpy;iy vd;Wk; ehd; ,j;jhy; rhd;Wg;gLj;Jfpd;Nwd;. mj;Jld; 1968Mk; Mz;bd; 32Mk;
,yf;f Ml;fisg; gjpT nra;jy; rl;lj;jpd; Vw;ghLfspd; fPohd gjptpd;; kPJ milahs ml;ilf;F / ,izg;gpujp ml;il xd;Wf;fhf
tpz;zg;gpf;fj; jifik cilatdhNtd;. gpioahd tpguq;fs;> jfty;fs; my;yJ Mtzq;fisf; nfhLj;JjTjy;
jz;bf;fg;glw;ghyjhd jtnwhd;whFk; vd;w epfo;it ehd; mwpNtd;.

Declaration of the Applicant

1. I declare that I am a citizen of Sri Lanka ;
2. I declare that I have read and understood the instructions manual attached here to before completing this application form ;
3. I enclose two copies of my photographs ;
4. I hereby hand over the Identity Card bearing number……………………/Police report obtained in lieu of the lost Identity Card bearing number
……………………………… [Strike off whichever is inapplicable] to the certifying officer.;
5. I declare that I have/have not made any other application previous to this application ; (strike off whichever is inapplicable)
6. I hereby declare that the particulars given above are true and accurate to the best of my knowledge and belief ;
7. I do hereby certify that all the documents furnished along with this application form are true and accurate to the best of my knowledge and belief and
they have not being subjected to forgery or alterations in order to conceal true details and also I am eligible to apply for and identity card/ duplicate
card upon registration under the provision of Registration of Persons Act. I am aware of the fact that furnishing of incorrect details, information or
documents is a punishable offence.
b,a¨ïlref.a w;aik fyda jï uymgeÕs,s i,l=K
oskh tpz;zg;gjhuhpd; ifnahg;gk; my;yJ ,lJ ifg;
jpfjp Y Y Y Y M M D D ngUtpuy; milahsk;
Date Signature or left thumb impression of the applicant.

fldgqfõ bßj, fkd.Efjk mßos w;aik fyda jï uymgeÕs,s i,l=k ;nkak

Fwpj;njhJf;fg;gl;l $l;bw;F ntspNa nry;yhjthW ifnahg;gk;
my;yJ ,lJ ifg; ngUtpuy; milahsk; ,Lf
Please place your signature inside the cage without touching the border

fojk fldgi - iy;sl lsÍfï ks,Orhd úiska iïmQ¾K l< hq;=h / ghfk; ,uz;L - rhd;Wg;gLj;Jk; mYtyhpdhy; epug;gg;gLjy; Ntz;Lk; /
Part Two - Should be completed by the Certifying Officer

iy;sl lsÍfï ks,Orhdf.a iy;slh / rhd;Wg;gLj;Jk; mYtyhpd; mj;jhl;rpg;gLj;Jif / Attestation of the Certifying Officer:

fuu b,a¨ïmf;a w,jd we;s PdhdrEm yd imhd we;s f;dr;=re wxl '''''''''''''''''''''''''''''''''''' ork b,a¨ïm; bosßm;a lrkq ,nk tu b,a¨ïm;%fha
wxl 8 ys i|yka ,smskfhys mosxÑ ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' f.a njo" w,jd
we;s PdhdrEmh fjia udre lsÍï j,ska fyda ieÕùï j,ska f;drj b,a¨ïlref.a iajNdúl ;;ajh ms<sìUq lrk njo uu iy;sl lrñ' by;
PdhdrEmh u; udf.a w;aik yd ks,uqødj ;nk ,o nj;a" b,a¨ïlref.a w;aik$ jï uymgeÕs,s i,l=K ud bosßmsgoS ;nk ,o nj;a iy;sl lrñ'
,t;tpz;zg;gj;jpy; xl;lg;gl;l epow;glKk; ,t;tpz;zg;gg;gbtj;jpy; nfhLj;Jjtg;gl;l tpguq;fSk; ………………………………….. Mk;
,yf;fj;jpidf; nfhz;l tpz;zg;gg;gbtj;jpd; 8 Mk; ,yf;fj;jpy; Fwpg;gplg;gl;l Kfthpapy; trpf;fpd;w …………………. vd;gthpd;
epow;glKk;> tpguq;fSk; vd;Wk;> xl;lg;gl;l epow;glk; ngha; NtlNkh my;yJ kiwj;jNyh ,d;wp tpz;zg;gjhuhpd; ,aw;ifahd Njhw;wj;ij
Fwpj;Jf; fhl;Lfpd;wJ vd;Wk; ,j;jhy; rhd;Wg;gLj;Jfpd;Nwd;. vdJ ifnahg;gKk; gjtp Kj;jpiuAk; mjid cWjpg;gLj;Jtjw;F mNj
epow;glj;jpy; ,lg;gl;Ls;sJld; tpz;zg;gjhuhpd; ifnahg;gk; / ,lJ ifg; ngUtpuy; milahsk; tpz;zg;gjhuhpdhy; vd; Kd; ,lg;gl;lJ.
I hereby certify that the photograph affixed to this application and details furnished in this application form are of ………………………………
residing at the address mentioned in cage 8 of the application form bearing number …………………………….…………………………… and that
the photograph affixed is duplicating the natural status of the applicant without disguise or concealment. I certify that I have placed my signature and
official frank across the photograph and that the applicant placed his signature/ left thumb impression before me.

iy;sl lsÍfï ks,Orhdf.a ku

rhd;Wg;gLj;Jk; cj;jpNahfj;jhpd; ngah;
Name of the Certifying Officer

oskh iy;sl lsÍfï ks,Orhdf.a w;aik yd ks, uqødj

jpfjp Y Y Y Y M M D D rhd;Wg;gLj;Jk; cj;jpNahfj;jhpd; ifnahg;gk;
Date kw;Wk; gjtp Kj;jpiu
Signature and official frank of the certifying Officer

wkq w;aika lrñ Nknyhg;gkplg;gl;lJ Countersigned

m%dfoaYSh f,alïjrhdf.a w;aik yd ks, uqødj
gpuNjr nrayhshpd; ifnahg;gKk; gjtp Kj;jpiuAk;
Signature and official frank of the Divisional Secretary

4
.dia;= f.ùu ms<sn| úia;r / fl;lzk; nrYj;jy; njhlh;ghd tpguk; /Details of the Payments made

iy;slfha$l=ú;dkaisfha wxlh / gw;Wr;rPl;bd; my;yJ

rhd;wpjopd; ,yf;fk; /Number of the receipt or the certificate

uqoaor$iy;slh$l=ú;dkaish fuys w,jkak / Kj;jpiu/ rhd;wpjio/ gw;Wr; rPl;il ,q;Nf xl;lTk; /Affix stamps/Certificate/Receipt here

ld¾hd,Sh m%fhdackh i|yd / mYtyfg; ghtidf;F / FOR OFFICE USE ONLY

igyka $ Fwpg;G $ Notes

5
“wd” b,a¨ïm; iïmQ¾K lsÍu i|yd Wmfoia

1' b,a¨ïm; msrùu i|yd ks,a fyda l¿ fnda,afmdhskaÜ mEkla muKla Ndú;d lrkak' tla fldgqjl tla wl=rla muKla ,shkak' PdhdrEmh ñ'ó' 35
m<, x ñ'ó' 45 Wi m%udKfha j¾K PdhdrEm úh hq;=h' mßf,dalkhg wod, PdhdrEm u; lsisjla fkd,súh hq;= w;r th úlD;s fkdl< hq;= h'
2' meyeos,s yd lshúh yels w;a wl=frka ,shkak'
3' 1 jk fldgqj isxy, fyda fou< wl=frka msrúh hq;= w;r" 2 jk fldgqj bx.%Sis wl=frka msrúh hq;= h'
4' iEu iïmQ¾K jpkhlg u miqj tla fldgqjla ysiaj ;nkak'
5' kshñ; .dia;=j mqoa.,hka ,shdmosxÑ lsÍfï flduidßia ckrd,a jrhdg" .%du ks,OdÍ jrhdg" m%dfoaYSh f,alïjrhdg fyda flduidßia ckrd,a
jrhd úiska kñ lrk ,o hï ;eke;a;l=g f.jkq ,enQ njg jk l=ú;dkaish w,jd ;sìh hq;= h' l=ú;dkais wxlh o igyka l< hq;=h' uqoaor j,ska
f.jkafka kï tu uqoaor we,úh hq;= h'
6' .%du ks<OdÍjrhd úiska b,a¨ïm; iy;sl lrkafka kï mosxÑh ikd: lsÍu i|yd fjk;a ,shlshú,s wjYH ke;' fjk;a ks,Orfhla
iy;sl lrkafka kï mosxÑh ikd: lsÍu i|yd ,shlshú,s wjYH fõ'
7' b,a¨ïlref.a w;aik fyda jï uymgeÕs,s i<l=K iy;sl lsÍfï ks,Orhd bosßmsg ;eìh hq;= h'
8' .%du ks,OdÍjrhd úiska iy;sl lrk ,o b,a¨ïm; m%dfoaYSh f,alïjrhd fyda iyldr m%dfoaYSh f,alïjrhd fyda mßmd,k ks,OdÍ fyda
mßmd,k .%du ks,OdÍ úiska muKla wkq w;aika l< hq;= h'
9' whÿïmf;a ;Srhka iïmq¾K lsÍfï § my; olajd we;s Wmfoia ms<smeosh hq;= h :-
i' Wmamekak iy;slfha$wkqudk jhia iy;slfha$mqrjeis iy;slfha $oaú;aj mqrjeis iy;slfha $mQcH;ajh ikd: lrk iy;slfha$orelug
yod .ekSfï iy;slfha i|yka mßÈ iïmQ¾K ku ,shkak' my; oelafjk wdo¾Yh wkqj whÿïm;%h msrúh hq;= h' fm<m;a kduh fyda
jdi.u fkdue;s kï wod< fldgq ysiaj ;nkak'
“mqrjeis iy;slh” hkakg 1949 wxl 03 orK bkaoshdkq iy mlsia:dkq jdiSkaf.a ^mqrjeis& mk; fyda 1967 wxl 14 orK bkaÿ - ,xld .súiqu
^l%shd;aul lsÍfï& mk; hgf;a ksl=;a lrk ,o ,shdmosxÑ iy;slhla fyda 1948 wxl 18 orK mqrjeis mk;" 1988 wxl 39 orK
wfoaYslhkag mqrjeisNdjh m%odkh lsÍfï ^úfYaI úêúOdk& mk;" 2003 wxl 35 orK bkaoshdkq iïNjhla iys; ;eke;a;kag
mqrjeisNdjh m%odkh lsÍfï mk; fyda 2008 wxl 38 orK Ök iïNjhla iys; ;eke;a;kag" mqrjeisNdjh m%odkh lsÍfï mk; hgf;a
ks;=;a lrk ,o mqrjeis iy;slhla we;=<;a fõ'

1 fm<m;a kduh/Family Name ke jq ka . , cd f.d v f.a

ku / Name p ñ ka o c h ,d ,a

jdi.u / Surname fia kd r ;a k

ii' by; 1 jk fldgqfõ isxy, fyda fou< wl=rka i|yka l< ku bx.%Sis lemsg,a wl=ßka 2 jk fldgqj ;=< igyka l< hq;= h'
iii' by; 1 jk fldgqfõ ioyka l< kug jvd fjkia kula ye÷kqïm;g we;=,;a lr .ekSug wjYH jkafka kï ta ms<sn|j i<ld ne,Su i|yd
tu ku 3 jk fldgqfjys i|yka l< hq;= h' tu ku Wmamekak iy;slfha i|yka kug jvd fjkia kï ta nj ikd: lsÍu i|yd ,shú,s
bosßm;a l< hq;= h'
iv' 6 jk fldgqfõ ld¾h i|yd /lshdj$ jD;a;Sh$ ;k;=r ikd: lsÍu i|yd iy;slhla $ f,aLk.; idlaIs wuqKd ;sìh hq;= h' ^udi 6la
we;=<; ,nd .;a iy;slhla úh hq;= h'&
v' 7'1 isg 7'5 olajd fldgq Wmamekak iy;slfha ioyka f;dr;=re j,g wkqj iïmQ¾K lrkak' 7'6 isg 7'9 olajd fldgq iïmQ¾K l< hq;af;a Y%S
,xldfjka msg; Wmka ;eke;a;ka muKs' foudmshkaf.ka tla whl= fyda Y%S ,dxlsl jQ foudmshkaf.a orejl= Y%S ,dxldfjka msg; Wmka
wjia:djl oS 1948 wxl 18 orK mqrjeis mkf;a 5^2& j.ka;sh hgf;a ksl=;a lrk ,o mqrjeis iy;slfha f;dr;=re we;=<;a l< hq;= h'
vi' iaÓr mosxÑ ,smskh 8'1 fldgqfõ i|yka l< hq;= h' 8'2 fldgqj iïmQ¾K l< hq;af;a whÿïlre 8'1 ys i|yka ,smskh yer fjk;a ,smskhl
mosxÑj isákafka kï muKs'
vii' 9 fjks fldgqj iïmQ¾K l< hq;af;a oaú;aj mqrjeis Ndjh ,nd we;s fyda ,shdmosxÑfhka Y%S ,xldfõ mqrjeis Ndjh ,nd we;s ;eke;a;ka
muKs' wod< iy;slfha úia;r fuys i|yka lrkak'
viii' 10 jk fldgqj iïmQ¾K l< hq;af;a ye÷kqïmf;a wkq msgm;la i|yd b,a¨ï lrkafka kï muKs' ke;s jQ ye÷kqïm; ms<sn| fmd,sia
meñKs,af,a msgm; whÿïm; iuÕ wuqKd túh hq;= h'
ix' b,a¨ïm; ms<sn| ;;ajh iïnkaOj oekqï oSu i|yd Tnj iïnkaO lr .; yels f;dr;=re 11 jk fldgqfjys we;=<;a lrkak'
10' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o wjYH f,aLkj, Pdhd msgm;a whÿï m;%h iuÕ wuqKd túh hq;=h' ^fï iïnkaO
jeäÿr Wmfoia i|yd .%du ks,OdÍjrhd wu;kak'& :-
ii' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o Wmamekak iy;slfha $ wkqudk jhia iy;slfha Pdhd msgm;la
ii' osjqreï m%ldYhla iuÕ 1951 Wm;a iy urK ,shdmosxÑ wd{dmkf;a 51 jk j.ka;sh hgf;a ksl=;a lrk ,o f,aLk fiùfï m%;sM, igyk
iy Wmka oskh yd ku ikd: lsÍu i|yd fjk;a f,aLk'
iii' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o újdy iy;slfha Pdhd msgm;la ^újdyl ldka;djla" újdyfhka miq
iajdñmqreIhdf.a ku" y÷kd.ekSfï m;%fhys we;=<;a lsÍug woyia lrkafka kï&
iv' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o mqrjeis iy;slfha $ oaú;aj mqrjeis iy;slfha Pdhd msgm;la
v' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o idufkar$ Wmiïmod iy;slfha Pdhd msgm;la ^ meúÈ kñka yeÿkqïm;
b,a,Sfï§&
vi' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o WmeúÈ iy;slfha Pdhd msgm;la ^WmeúÈ jQ miq .sys kñka yeÿkqïm;
b,a,Sfï§&
vii' iy;sl lsÍfï ks,Orhd úiska i;H njg iy;sl lrk ,o" wod, wud;HdxYh$fomd¾;fïka;= u.ska hï wd.ul mQcH;ajh ;yjqre lsÍu
i|yd ksl=;a lrk ,o iy;sl j, $ ,shú,a,l Pdhd msgm;a'
viii'kshñ; ld<h ;=< b,a¨ï lsÍug fkdyels ùu ms<sn| whÿïlrejka úiska i|yka lrk ,o fya;= wvx.= m%dfoaYSh f,alï jd¾;dj'

tpz;zg;gg;gbtk; “M” it epug;Gjy; njhlh;ghd mwpTWj;jy;fs;

1. tpz;zg;gg;gbtj;jpid epug;Gtjw;F ePy my;yJ fWg;G Fkpo;Kidg; Ngdhit kl;LNk gad;gLj;jTk;. xU rJuj;jpy; Xh; vOj;ij
kl;LNk vOjTk;. epow;glq;fs; epwj;jpy; ,Uj;jYk; 35kp.kP mfyk; x 45kp.kP cauk; vd;w msthftpUj;jYk; Ntz;Lk;.
epoYUntLj;jYf;fhd epow;glj;jpy; vJTk; vOjg;glyhfhJ vd;gJld; mJ cUtopf;fg;gLjYk; MfhJ.
2. njspthd> thrpf;fj;jf;f ifnaOj;jpy; jaT nra;J vOjTk;.
3. $L 1 rpq;fs my;yJ jkpo; vOj;Jf;fspy; epug;gg;gLjYk;> $L 2 Mq;fpy vOj;Jf;fspy; epug;gg;gLjYk; Ntz;Lk;.
4. xt;nthU KOr; nrhy;Yf;Fk; gpd;dh; xU rJuj;ij ntWikahf tplTk;.
5. Ml;fisg; gjpT nra;Ak; Mizahsh; jiyikajpgjpf;F> fpuhk mYtyhpw;F> gpuNjr nrayhshhpw;F my;yJ Mizahsh;
jiyikajpgjpapdhy; ngah; Fwpj;J epakpf;fg;gl;l vtNuDk; MSf;F nrYj;jg;gl;l fl;lzj;jpd; Vw;GWjpg; gw;Wr;rPl;L xl;lg;gLjy;
Ntz;Lk;. mj;Jld; gw;Wr; rPl;L ,yf;fKk; Rl;bf;fhl;lg;gLjy; Ntz;Lk;. Kj;jpiufspy; nrYj;jg;gl;bUg;gpd; Kj;jpiufs; xl;lg;gLjy;
Ntz;Lk;. 6
6. tpz;zg;gkhdJ fpuhk mYtyhpdhy; mj;jhl;rpg;gLj;jg;gbd; tjpit vz;gpg;gjw;F NtW Mtzq;fs; vitAk; Njitg;gLj;jg;glkhl;lhJ.
NtnwtNuDk; mYtyh; mj;jhl;rpg;gLj;jpdhy; tjpit cWjpg;gLj;Jtjw;F Mtzq;fs; Njitg;gLj;jg;gLjy; Ntz;Lk;.
7. tpz;zg;gjhuhpd; ifnahg;gk; my;yJ ,lJ ifg; ngUtpuy; milahsk; mj;jhl;rpg;gLj;Jk; mYtyhpd; Kd;dpiyapy ,lg;gLjy;
Ntz;Lk;.
8. fpuhk mYtyhpdhy; mj;jhl;rpg;gLj;jg;gl;l tpz;zg;gg;gbtk;> gpuNjr nrayhsh; my;yJ cjtpg; gpuNjr nrayhsh; my;yJ eph;thf
mYtyh; my;yJ eph;thf fpuhk mYtyhpdhy; kl;LNk Nknyhg;gkplg;gLjy; Ntz;Lk;.
9. $Lfis epug;Gk; NghJ gpd;tUk; mwpTWj;jy;fs; gpd;gw;wg;gLjy; Ntz;Lk;.
ii . gpwg;Gr; rhd;wpjo; /cj;Njr taJr; rhd;wpjo; /gpuhrhThpikr; rhd;wpjo; /,ul;ilg; gpurhThpikr; rhd;wpjo; /FUj;Jt epiyia
cWjpg;gLj;Jfpd;w rhd;wpjo; /kfNtw;G rhd;wpjo; vd;gtw;wpy; fhzg;gLfpd;wjhd KOg; ngahpid vOjTk;. tpz;zg;gg;gbtkhdJ
gpd;tUk; gbtj;jpw;F ,zq;f epug;gg;gLjy; Ntz;Lk;. FLk;gg; ngah; my;yJ jfg;gdpd; ngah; ,y;yhjpUg;gpd; $l;il ntWikahf
tplTk;.
“gpurhThpikr; rhd;wpjo;” vd;gJ> KiwNa 1949 Mk; Mz;bd; 3Mk; ,yf;f ,e;jpa ghfp];jhdpa tjpNthh; (gpurhThpik) rl;lk;
my;yJ 1967 Mk; Mz;bd; 14 Mk; ,yf;f ,e;jpa ,yq;if cld;gbf;if (eilKiwg;gLj;jy;) rl;lk; vd;gtw;wpd; fPo; toq;fg;gl;l
gjpTr; rhd;wpjo; kw;Wk; 1948Mk; Mz;bd; 18 Mk; ,yf;f gpurhThpikr; rl;lk; my;yJ 1988 Mk; Mz;bd; 39 Mk; ,yf;f ehlw;w
Ml;fSf;F gpurhThpik toq;Fjy; (rpwg;Ngw;ghLfs;) rl;lk; my;yJ 2003 Mk; Mz;bd; 35 Mk; ,yf;f ,e;jpa tk;rhtspapduhd
Ml;fSf;F gpurhThpik toq;Fjy; rl;lk; my;yJ 2008 Mk; Mz;bd; 38Mk; ,yf;f rPd tk;rhtspapduhd Ml;fSf;F gpurhThpik
toq;Fjy; (tpNrl Vw;ghLfs;) rl;lk; vd;gtw;wpd; fPo; toq;fg;gLk; gpurhThpikr; rhd;wpjo; vd;gtw;iw cs;slf;Ffpd;wJ.

1 fm<m;a kduh/Family Name ne T d; f y [h nfh l Nf

r kp e; j [ a yh y;
ku / Name

jdi.u / Surname Nr dh u j; d

ii. $L 1y; rpq;fs my;yJ jkpo; vOj;Jf;fspy; vOjg;gl;Ls;s ngah; $L 2 y; Mq;fpyg; nghpa vOj;Jf;fspy; vOjg;gLjy; Ntz;Lk;.
iii. milahs ml;ilapy; Nrh;f;fg;gLtjw;F Njitg;gLj;jg;gLk; NkNy cs;s $L 1y; Fwpg;gplg;gl;l ngah; my;yhj tpj;jpahrkhd
ngah; xd;W mj;jifa ngah; ftdj;Jl; nfhs;sg;gLtjw;fhf $L 3y; cs;slf;fg;gLjy; Ntz;Lk;. mg;ngah; gpwg;Gr; rhd;wpjopy;
fhzg;gLfpd;w ngahpypUe;J tpj;jpahrg;gbd; mj;jifa ngaiu vz;gpg;gjw;fhf vOj;jpyhd Mtzq;fs; rkh;g;gpf;fg;gLjy;
Ntz;Lk;.
iv. $L 6d; Nehf;fj;jpw;fhf njhopiy / cah; njhopiy / gjtpg; ngaiu cWjpg;gLj;Jfpd;w rhd;wpjio MtzKiwahd vz;gpg;ig
,izj;jy; Ntz;Lk;. (6 khjq;fSf;F Nkw;glhky; ngw;Wf; nfhz;l rhd;wpjohf ,Uj;jy; Ntz;Lk;.)
v. gpwg;Gr; rhd;wpjopd; tpguq;fSf;F ,zq;f 7.1 Kjy; 7.5 tiuapyhd $Lfis epug;gTk;. 7.6 Kjy; 7.9 tiuapyhd $Lfs; ,yq;iff;F
ntspNa gpwe;j Ml;fspdhy; epug;gg;gLjy; Ntz;Lk;. ,yq;iff;F ntspNa gpwe;j gps;isnahd;wpd; ngw;Nwhh;fspy; Mff; Fiwe;jJ
xUth; ,yq;ifauhfTs;s tplaj;jpy; 1948 Mk; Mz;bd; 18 Mk; ,yf;f gpurhThpikr; rl;lj;jpd; gphpT 5(2)d; fPo; toq;fg;gl;l gjpTr;
rhd;wpjopd; ,yf;fkhdJ cs;slf;fg;gLjy; Ntz;Lk;.
vi. $L 8.1y; epue;jukhd Kfthpia vOjTk;. tpz;zg;gjhuh; $L 8.1y; Rl;bf;fhl;lg;gl;l NtW Kfthp jtph;e;j tpj;jpahrkhd Kfthpapy;
trpj;jhy; kl;LNk 8.2 epug;gg;gLjy; Ntz;Lk;.
vii. $L 9 gjptpd; %yk; ,ul;ilg; gpurhThpikia nfhz;Ls;s my;yJ gpurhThpikiag; ngw;Ws;s Ml;fspdhy; kl;Lk; epug;gg;gLjy;
Ntz;Lk;. ,iaghd rhd;wpjopd; tpguq;fs; cs;slf;fg;gLjy; Ntz;Lk;.
viii.milahs ml;ilapd; ,izg;gpujpf;fhf tpz;zg;gpf;fg;gl;lhy; kl;LNk $L 10 epug;gg;gLjy; Ntz;Lk;. milahs ml;il fhzhky;
Nghdik njhlh;gpyhd nghyp]; gjpNtl;by; gpujp xd;iw ,j;Jld; ,izf;fg;gLjy; Ntz;Lk;.
ix. tpz;zg;gj;jpd; epiyik gw;wp jfty;fisg; ngw;Wf; nfhs;tjw;F njhlh;G nfhs;s Ntz;ba tpguq;fis $L 11y; cs;slf;Fjy;
Ntz;Lk;.
10. tpz;zg;gj;Jld; ,izf;fg;gLtjw;F Njitg;gLj;jg;gl;l rhd;Wg;gLj;Jk; mYtyhpdhy; mjpfhukspf;fg;gl;l ,iaghd Mtzq;fspd;
epow;glg; gpujp (Nkyjpf mwpTWj;jy;fSf;fhf fpuhk mYtyUld; njhlh;G nfhs;sTk;.)
ii. rhd;Wg;gLj;Jk; mYtyu;fspdhy; nka;AWjpg;gLj;jg;gl;l gpwg;Gr; rhd;wpjo; my;yJ mz;zsT taJr; rhd;wpjo; xd;wpd; epow;glg;
gpujp.
ii. 1951 Mk; Mz;bd; 17 Mk; ,yf;f gpwg;Gfs; ,wg;Gfs; gjpTr; rl;lj;jpd; 56 Mk; gphptpd; fPo; toq;fg;gl;l Mtzq;fspd; NjLjy;
tpisTg; gj;jpuk; kw;Wk; ngaiuAk; gpwg;Gj; jpfjpiaAk; vz;gpf;f KbAkhd vitNaDk; NtW Mtzq;fs; cs;slq;fpa rj;jpaf;
fljhrp.
iii. rhd;Wg;gLj;Jk; mYtyhpdhy; nka;AWjpg;gLj;jg;gl;l jpUkz rhd;wpjopd; epow;glg; gpujpnahd;W (jpUkzkhd ngz; xUthpdhy;
fzthpd; ngah; milahs ml;ilapy; Nrh;f;fg;gLtjw;Fj; Njitg;gbd;)
iv. rhd;Wg;gLj;Jk; mYtyhpdhy; nka;AWjpg;gLj;jg;gl;l gpurhThpikr; rhd;wpjo; /,ul;il gpurhThpikr; rhd;wpjopd; epow;glg;gpujp.
v. rhd;Wg;gLj;Jk; mYtyhpdhy; nka;AWj;jpg;gLj;jg;gl;l JwT epiyapy; cs;sthpd; /FUj;Jt epiyapy; cah;thd gjtpaspg;Gr;
rhd;wpjo; vd;gtw;wpd; epow;glg; gpujp. (FUj;Jt ngahpy; milahs ml;ilf;fhf tpz;zg;gpf;Fk; NghJ.
vi. rhd;Wg;gLj;Jk; mYtyhpdhy; nka;AWjpg;gLj;jg;gl;l FUj;Jt Mil fisjw; rhd;wpjo;fspd; epow;glg; gpujp. (FUj;Jt Mil
fise;j gpd;dh; FUj;JtQ;rhuh ngaiu milahs ml;ilf;fhf tpz;zg;gpf;Fk; NghJ).
vii. rhd;Wg;gLj;Jk; mYtyhpdhy; nka;AWjpg;gLj;jg;gl;l vitNaDk; ,iaghd mikr;Rf;fspdhy; /jpizf;fsq;fspdhy; toq;fg;gl;l
rhd;wpjo; my;yJ VNjDk; kjj;jpd; FUthftpUg;gjid cWjpg;gLj;Jk; Mtzk; vd;gtw;wpd; epow;glg;gpujp.
viii. chpa fhyg;gFjpapd; NghJ tpz;zg;gpg;gjw;F ,ayhjpUe;jikf;fhf tpz;zg;gjhuhpdhy; vLj;Jf; fhl;lg;gLfpd;w fhuzq;fis
cs;slf;fpa gpuNjr nrayhshpd; mwpf;if.

Instructions regarding the filling of Application Form “B”

1. Use only Blue or Black ballpoint pen for filling the application form. Write only one letter in a square. Photographs should be in colour and 35 mm in
width x 45 mm in height. Nothing should be written on scanning photograph and it should not be defaced.
2. Please write in clear and legible handwriting.
3. Cage 1 should be filled in Sinhala or Tamil characters and cage 2 should be filled in English characters.
4. Leave one square after each complete word.
5. The receipt of acknowledgment of the fee paid to the Commissioner General of Registration of Persons, the Grama Niladhari, the Divisional Secretary
or any person nominated by the Commissioner General should be affixed. Also the receipt number should be indicated. If paid in stamps, the stamps
should be pasted.
6. If the application is attested by the Grama Niladhari no other documents are required to prove the residence. If any other officer attests, document shall
be required to prove the residence.
7. The applicant's signature or the left thumb impression should be placed in the presence of the attesting officer.
8. The application form attested by the Grama Niladhari should be countersigned only by the Divisional Secretary or Assistant Divisional Secretary or
Administrative Officer or, Administrative Grama Niladhari.
9. When Completing the cages, following instructions should be followed:
7
ii. Write the full name as appearing in the Birth Certificate/ Probable age Certificate/Citizenship Certificate/Dual Citizenship Certificate/
Certificate confirming priesthood/adoption certificate. The application shall be filled according to the following format. If there is no family
name or surname leave the cage blank.
“Citizenship Certificate” includes a certificate of registration issued under the Indian and Pakistani Residence (Citizenship) Act, No.3 of 1949
or the Indo-Ceylon Agreement (Implementation) Act, No.14 of 1967 and a Certificate of Citizenship issued under the Citizenship Act, No. 18 of
1948 or the Grant of Citizenship to stateless persons (Special Provisions) Act, No.39 of 1988 or the Grant of Citizenship to Persons of Indian
Origin Act, No. 35 of 2003 or the Grant of Citizenship to persons of Chinese Origin (Special Provisions) Act, No. 38 of 2008.

1 fm<m;a kduh/Family Name ke jq ka . , cd f.d v f.a

ku / Name p ñ ka o c h ,d ,a

jdi.u / Surname fia kd r ;a k

ii. The Name written in Sinhala or Tamil Characters in Cage 1 should be written in English block letters in cage 2.
iii. If a different name other than the name mentioned in cage 1 above is required to be included in the Identity Card, such name should be included
in cage 3 for consideration. If the name is different to the name appearing in Birth Certificate, written documents should be produced, to prove
such name.
iv. For the purpose of cage 6, a certificate/ documentary proof should be attached confirming occupation/ profession/ designation. (A Certificate
obtained should not be older than 6 months)
v. Complete cages 7.1 to 7.5 in accordance with the details of the Birth Certificate. Cage 7.6 to 7.9 should be completed by persons born outside of
Sri Lanka. In the case of a child born outside of Sri Lanka where at least one of whose parent is a Sri Lankan, number of the certificate of
registration issued under section 5 (2) of the Citizenship Act, No. 18 of 1948 should be included.
vi. In cage 8.1 permanent address should be written. Cage 8.2 should be filled only if the applicant is residing in a different address other than the
address indicated in cage 8.1.
vii. Cage 9 should be filled only by the persons who have dual citizenship or have received citizenship by registration. The details of the relevant
certificate should be included.
viii. Cage 10 should be filled only if a duplicate of the Identity Card is applied for. A copy of the police entry in respect of the lost Identity Card should
be attached.
ix. Cage 11 should include the contact details to receive information regarding the status of the application.
10. Photocopy of the relevant documents authenticated by certifying officers required to be annexed with the application.
(Contact Grama Niladhari for further instructions)
i. Photocopy of the birth certificate and probable age certificate authenticated by the certifying officer.
ii. An Affidavit including documents search, issued under Section 56 of the Birth and Death Registration Act, No. 17 of 1951, and any other
documents to prove the name and date of birth.
iii. A photocopy of the Marriage Certificate authenticated by the certifying officer. (If the name of the husband is required to be included in the
Identity Card by a married woman).
iv. Photocopy of the Citizenship Certificate/ Dual Citizenship Certificate authenticated by the certifying officer.
v. Photocopy of the Novice/ higher ordination certificate of priesthood authenticated by certifying officer. (when applying for Identity Cards in
priesthood name)
vi. Photocopy of the certificate of disrobe authenticated by certifying officer. (when applying for Identity Cards in lay name after disrobing)
vii. Photocopy of the certificate issued by the relevant Ministries/ departments or document of confirmation or priesthood of any religion
authenticated by certifying officer.
viii. Report of the Divisional Secretary including the reasons cited by the applicants for his or her inability to apply during the due period.
---------------------------------------------------------------------------------------------------------- fu;ekska fjka lrkak /,q;Nf kbj;J NtWgLj;jTk;/ Detach here -------------------------------------------------------------------------------------------

;=ka jk fldgi - y÷kd.ekSfï m;%hla i|yd b,a¨ï m;%hla bosßm;a l< njg ksl=;a lrk l=ú;dkaish
ghfk; %d;W – milahs ml;ilf;fhf tpz;zg;gpj;jikf;fhf tpepNahfpf;fg;gLk; Vw;GWjpg; gw;Wr;rPl;L
Part Three – Acknowledgment of the application for an Identity Card
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ye÷kqïm;la ,nd .ekSu i|yd ''''''''''''''''''''''''''''''''''''''''''''''''''''''''' jeks osk ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''

''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''iajdóka jykafia$mQcl;=ud$mQcl;=ñh$uy;d$ñh$fuh úiska
ud fj; Ndr fok ,o wxl '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ork whÿïm;%h mqoa.,hka ,shdmosxÑ lsÍfï flduidßia ckrd,a fj; heùug
Ndr.;a nj fuhska okajd isáñ'
…………………………….. Mk; jpfjpad;W tz /mUl;jpU /jpU /jpUkjp /nry;tp ………………………………………… vd;gthpdhy;
milahs ml;ilf;fhff; ifaspf;fg;gl;l …………………………………. Mk; ,yf;fj;ijf; nfhz;l tpz;zg;gg;gbtk; Ml;fisg; gjpT
nra;jy; Mizahsh; jiyikajpgjpf;F mDg;gg;gLtjw;fhf vd;dhy; ngwg;gl;lnjd ,j;jhy; mwptpf;fpd;Nwd;.

I hereby notify that the application form bearing No ……………………………………… dated for an Identity Card by Ven./Rev./Mr./Mrs./Ms./
………………………………………………………………… was received by me to be forwarded to the Commissioner General of Registration of
Persons.

iy;sl lsÍfï ks,Orhdf.a ku

rhd;Wg;gLj;Jk; mYtyhpd; ngah;
Name of the certifying officer

oskh iy;sl lsÍfï ks,Orhdf.a w;aik yd ks, uqødj

jpfjp Y Y Y Y M M D D rhd;Wg;gLj;Jk; mYtyhpd; ifnahg;gKk;
Date gjtp Kj;jpiuAk;
Signature and official frank of the certifying officer