Adv. No : PN/18601/EST/2015-16
Paste self attested recent
passport size
photograph
1) INSTRUCTIONS:
a) All columns should be filled in BLOCK LETTERS
b) Incomplete applications / applications without enclosures will be rejected.
2) a) POST APPLIED FOR :
b) POST CODE :
3.)FULL NAME:
(Last-First-Middle Name)
d) FATHER’S / MOTHER’S NAME:______________________________________
e) DATE OF BIRTH: (dd/mm/yyyy) ____/____/________
f) SEX: (put Tick Mark)
MALE:
g) MARITAL STATUS: (put Tick Mark)
FEMALE:
MARRIED
UNMARRIED
h) NATIONALITY ____________________________
4. a) CATEGORY (put Tick Mark) : GEN
OBC
SC
4. b.1) WHETHER PHYSICALLY CHALLENGED: (put Tick Mark) YES
ST
NO
b.2) Nature of Disability ______________________________________________
b.3) Percentage of Disability
5) PERMANENT ADDRESS: ______________________________________________
______________________________________________________________________
_________________________________
PIN
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Adv. No : PN/18601/EST/2015-16
6) CORRESPONDENCE ADDRESS: _______________________________________
_____________________________________________________________________
________________________________
7)
PIN
TELEPHONE NO: (R) _____________________________
8)
MOBILE NO
: ____________________________
9) E-MAIL ID:
NOTE: In future, correspondence will be made on the above e-Mail address only.
10) LANGUAGES KNOWN
: (UNDERLINE MOTHER TONGUE)
READ
WRITE
SPEAK
______
_______
_______
______
_______
_______
______
_______
_______
11) EDUCATIONAL QUALIFICATIONS (starting from Matriculation): Specify which is
applicable
EDUCATION
NAME OF
THE
INSTITUTION/
BOARD/
UNIVERSITY
YEAR
STUDIED
FROM TO
CLASS /
DIV.
TRADE /
BRANCH /
DISCIPLINE
GRADE/
% OF
MARKS
SSLC / SSC
Matriculation
(10th Std)
Degree
OTHERS
(please specify)
12) ANY PRIZE/ DISTINCTION, (IF ANY) : ________________________________
13) EXPERIENCE: a) (Start with the current employment –may use extra sheet)
NAME OF THE
EMPLOYER AND
ADDRESS
DURATION
DESIGNATION
FROM
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TO
BRIEF NOTE ON DUTIES
& RESPONSIBILITIES /
PROJECTS HANDLED
Adv. No : PN/18601/EST/2015-16
b) LAST SALARY DRAWN (please furnish details of all components like Basic, DA, HRA
including Pay scale etc. may use extra sheet)
14. Names and Address along with their contact numbers of two Referees, under whom
you have worked:
1
Name
2
Name
Address
Address
Phone / Mobile No.
Phone / Mobile No.
Email Id (if any)
Email Id (if any)
15. Additional information, if any …………………………………………………………
16. DETAILS OF RELATIVES EMPLOYED IN BEL, IF ANY
a) NAME:
b) RELATIONSHIP:
c) DESIGNATION:
d) DEPARTMENT:
e) UNIT:
17. Details of DEMAND DRAFT
i.
To be drawn in favour of ‘Bharat Electronics Limited’ payable at PUNE.:
ii.
Amount: rupees 500/- for GEN /OBC candidates)
iii.
Demand Draft Number:__________________________ and Date:__________
iv.
Name of the Bank:________________________________________________
v.
Branch:_____________________________________ .
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Adv. No : PN/18601/EST/2015-16
18. DECLARATION
I,
________________________________________
son/
daughter/wife
of
__________________________________________ here by solemnly declare that
the information made in this application as above are correct and complete to the
best of my knowledge and belief, and that no material information has been
concealed or suppressed and if in future it is detected that there has been
suppression of any factual information, my candidature can be cancelled or my
service can be terminated, if selected.
Place: _________________
Signature of the Applicant
Date: __________________
(
)
Name of the Applicant
Attached the followings along with duly filled Application Form (Form should be
downloaded only from the BEL Website www.bel-india.com/recruitment )
A. Demand Draft
B. Attested copies of (in the sequence):
I.
SSC/SSLC Board Certificate as proof of date of birth.
II. Marks card of Degree
III. Degree Certificate issued by the Competent Authority / University.
IV. Caste Certificate / Medical Certificate, as applicable.
V. Experience Certificate/s, if any.
VI. “No Objection Certificate (NOC)” from the employer, as applicable
VII. Any other document/s
NOTE: Envelope super-scribing the Post applied for __________ Post Code _____.
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