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~"~/~" ~f.»/Qo(5)~ ~&5 Qo&:>~ ~ @Q'leD
e~/~~ ~(5» lf~@OtD
APPLICATION FOR PERMISSION FOR
FUNCTIONS/ EVENTS ORGANIZED BYTHE STUDENTS/STUDENT
SOCIETIES/UNIONS
~(1)~/Important:
ens oa~ Cl\!lsbillJ !:DOes>@~ crCO~i!loOlcr~ !:Dlbc.ocXleDc.oi!lOl~eDCOcrc:J@~c.0e3 ~eD 07!:DC)eeo cr~@~rnc.oCl~CSl)eil6cold13co~@oBl~@) 6c:JeD6CO)~!:D@g~f.3. Cf@@~Blco@Q»)~6itl @8co (5)t»13 6cOc:J)cro(S)CO@M eil~e»6!:D1!b.
The dilly filled application should be submitted to the Deputy Vice-Chancellor for approval at least 07
days prior to the date of the event: The letter of approval will be issued by the Student Services Branch.
I C)eDe!:DJOCl/ Part I
~itlr.sx:x./ ~rnc.o/C)o~ ~~ ~c5tIlO
Details of the ApplicantfSocietyfUnion
crc.o~i!l!:DC'(lIcsSeD@01
Name of Applicant
(5)t»13 @COlO~o~ cro!:DCO02
Student Registration No.
(5)t»13Clitl~ /Clo(1)@6de!)i!)
03Name of Student Society/Union
OleD~C
Position
~@~ Cl~CSl)~C!:DOleDcro!:DCOCSl)@8eDCO04
Contact Tel. No. & Address
II C)eDetSlJOc::)/part II
C~/!:DJbc.oc.o ~~ ~c5tIlO
Details of the Function/Eventco3t::JeJ6C08J / !:D)/:)c.o6CO€i>~Je)c.o/ e!)i!)
01Name/Nature of the Function/Event
~eDCO <!I~@)C) So ~cW)02
Date Time From To
cOO)eD'"03
Venue(&ss~13)@ ~co ~@ eIli!l IV C)eD6!:D)0ClQ)@I!Ml/Ifwithin University premises see Part IV)
6e1Se:JJS!:D(5)~Je:JeDCl~CSl)~)~ crC)c)OO~ crC)(S)13~6eI5~?
Indicate whether late passes are required for female resident ~ D eDtOl D04 students Yes No
(*(s))@JWoOOCO<!lcsScre:lClC@Q»)(S)0lg~)
(*Permission of the Warden should be obtained)
8Oc:00lC ~(S)@c.0e30 crJC)(;)e!))!:DCiD<!I~?
Indicate whether outsiders are invitedI!lCl D D05 eDlOl
(*cr)C)WOlCO~ecsSeDi!lClCSl@8eDco~ crt~@e» e@Q)eDcoi:Dcr~eD~eD Yes No
(* Attach a list with names and addresses of invitees)
IV f)a) etll>Dc:l I Part IV
~~l@ ~/~ o&>o~ ~(5» qE>c::lOO
Permission for use of University premises/facilities
~(5)0l ~eileli C~/tIl)~, ~(5» ............................................... ~ ~en ....................so....................~ClSe>1
............................................................................... o~~'" (5)~0l1 CD~@)Dq~o (!l~~ .
Permission is granted for the use of.. ................................................................................. for the
above function/ event on ....................................... from ..................... to ........................
(Please note that the WUS premises is under the Director/Career Guidance Unit)
~ (5)JO~c;)fu~cs5 en@)
Name of the Officer-in-charge of the
premise
tIleDq}o
Designation
~oJbOle~diq}Cl
Department
~eoc,:)/Date
O~c.:l C5»O alSWJac.:lI<!csS ('fo\Qen/Signature of the Officer-in-charge
V f)a) etIl>Dc:l I Part V
CfOO ~&Jecs5 ~c;sx.,/Recommendation of the relevant officer
(tIl~ q~ ~c;sx., @Q)lGldien/Obtain the recommendation based on the event)
a::x.x; C'QIi' ~ 6J6!lfa Faculty evellt ~ ~ ~ 6J6!lfa University eveut
en(!c,:)lozs~enc,:)ol@tIl/Deputy Proctor
~eDc.:l/Date .
~enc,:)OI@tIlfProctor
~eoc,:)/Date .
OG)lwoffi/Dean of the Faculty C)cs»offi,&IIIZSCO(!~CSltll/Chairman, Student Counsellors
~eoc,:)/Date .~eDc.:l/Date .
O(;@ ~QO Sges5Q~~}ffi ~es5ees5~?06
Indicate whether first year students are aprticipating
t:l)>b~ ~~) ('f~Qrn~CSlrn ~~® (~c:5rno}tD®t:l)('fc.xJ~~ 8()~ ('f@!l:tJes5eD)07
Budgeted Estimate for the event/function with details
~ @~@@Q)}cs:>eOOl}~®c (!~ces5 ~eDes5 tDOes5en
08 Fund collecting methods in brief
Sges50CSles5~~@ ~~ ~es5 e:D~~tD ~eCSles5 8c ~ffies5~?09
If money is collected by students, amount expected from a student
edO}e~~ ~~~}@co ('f~e:D 8161 e» eO~@JSC)@O('f~@~ %'>~ Q«;,(S)es\C~c/t:l)~ Qo~eJ}e:DCeese ~. ~ ~~) ~~rn} t:l)O~ @Q)e:DQ0}e:D(!ciSi('flOarn/Soo~ Q)~ SGQ)r;.~ ~CSlQ)@}CSl~8>®O~. ('f}og CiI~~@Q)e:D~ ~~@ CilcOO®O~. ~ ~~.
I undertake to organize the above function/ event, adhering to the rules and regulations of the University
of Peradeniya and ensure the safety/cleanliness of the premises used for the purpose and to pay the
refundable deposit.
~e:DC/Date : . ~~tDO~~ ('foX.oe:o/Signatureof Applicant
aoo ('fot:l)C
Receipt Number
-e,e:DC:
Date
~ ~QalO/payment Details
III ~e:Det:l)lOo /Part III
(@C~~ &.!:s ~8>ctD/~ @ffies5~le:DC ~ e:D8
If organized by a registered Students' SocietyfUnion)
~rn ~(S)es\ C~/t:l)Jbcc. ~6\ee3/QoC5:>®@e3~@O ('f~@ Q)~ ~~(S) ~/Cile:D~.
The above function/event is recommended/not recommended as it is within the objectives of the
Society /Union.
e:D®/Name
(!~o>b!1l<!~~~/Department
Cl®1MlQ«;,~) ~Ot:l)tool('fot:l)Ce» @SeDc
Contact Tel. No. & Address
-e,e:DC/Date
ed~ ~lll%lC)}(S)}~~('foX:le:D/Signatureof Senior Treasurer
'L======~ -=====r= _
VI E)eI) et»lC)Q I Part VIge;l>eD ~>¢CGKD ~Q~ ~~
Recommendation of the Chief Marshall
~e!XOl/Date : . gQ>eD ~>¢~I Chief Marshal
@3l0) Q«;,eileI5 eoSQ~)(""r;D)~ Q«;,3l) rJ~~O)c.o @~) ~i!l BlbCllt!<Sl r;Do./ClIe!l)r;D~.
Recommendation is provided/not provided for the above function/ event.
VII E)eI) eeDlDco I Part VIIeoq~(!)JecsS/eDecold£s eoq@~JecsS rJ~6X:o
Approval of the Vice ChancellorjDeputy Vice Chancellor
~e!XOl/Date : . eollll@OO)/~k:Si!I eoI\ll@OO)
Vice Chancellor/Deputy Vice-Chancellor
~O) Q«;,eileI5 e~/r;D~ Q«;,3l) (f~t6)c.o @~) ~&i/C5e!l~~.
Permission is granted/ not granted for the above function/ event.
-'L=======- ~=- _====rr-===~ _
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