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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

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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.

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