POST: DEPUTY ENGINEER ON FIXED TERM BASIS

BHARAT ELECTRONICS LIMITED

GHAZIABAD

1. Name in full : (Mr./Ms.) :

(As per SSLC certificate)

2. Father’s Name : 3. Age & Date of birth : 4. Gender: M/F : 5. Nationality : 6. Category-General/SC/ST/OBC : (Enclose Certificate in the prescribed format) 7. Demand Draft No. : 8. a) Indicate if you are a Physically Disabled Person:

If yes, indicate nature of Disability (Disability certificate in the prescribed format to be enclosed)

b) Degree of Disability : 9. Religion: Hindu / Muslim / Christian / Sikh / Neo-Buddhist / Zoroastrian, others (please specify) : 10. a) Hobbies / Special Interests : b) Whether participated in NCC/Scouts/Cultural activities/Debate/ Competition / Sports etc. (Please specify) :

OH VH HH

Affix your

Photograph

(optional)

11. Qualification: (Academic / Professional) (Indicate division & year of passing)

Educational status from

SSLC onwards

Institution/University Main subject

Class secured/

Percentage of marks

Year of passing

12. Details of Experience :

13. Address (Pin Code, email id and phone no. are mandatory fields)

PERMANENT CORRESPONDENCE

Phone No.(With STD Code):

Phone No.:

Mobile No:. Email address:

Sl. No.

Name of the Organisation

From To Designation Nature of

responsibilities in brief

14. Details of relatives employed in BEL, if any

Name Relationship Designation Department Unit

15. Have you appeared for any previous selection for Appointment in BEL? If so,

please furnish details in brief: 16. Undertaking I affirm that the information given above is true and correct. I further declare

that if any at stage it is discovered that an attempt has been made by me to willfully conceal or mis-represent facts, my candidature may be summarily rejected or my employment terminated.

SIGNATURE OF THE CANDIDATE Date: Place: