BHARAT ELECTRONICS LIMITED
KOTDWARA- 246 149 (UTTARAKHAND)
APPLICATION FOR THE POST OF CONTRACT ENGINEER
1. Name in full : (Mr./Ms.)
(As per 10th Certificate) Affix the
photograph and
2. Age : across the
signature
3. Date of birth :
4. Gender: M/F :
5. Father’s Name :
6. Nationality :
7. Category : GEN/SC/ST/OBC
(Enclose Certificate in the prescribed format)
OH VH HH
8. Whether Physically Challenged :
9. If yes, indicate nature of Disability :
(Disability certificate in the prescribed format to be enclosed)
10. Religion: Hindu/Muslim/Christian/Sikh/Neo-Buddhist/
Zorastrian, others (please specify):
11. Qualification (Academic /Professional) :
GRADE OR YEAR OF
EDUCATION INSTITUTION MAIN SUBJECT
S.N. % PASSING
1 10th
2 12th
3 GRADUATION
4 OTHER
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12. Details of Experience (Start with current engagement) :
FROM TO DURATION NATURE OF
COMPANY DESIGNATION SALARY
DD/MM/YY DD/MM/YY OF WORK WORK
TOTAL EXPERIENCE
Enclose separate sheet if required.
13. Details of relative employed in BEL, if any :
a) Name :
b) Relationship:
c) Designation :
d) Department :
e) Unit :
14. Address with Pin Code :
a) Permanent Address b) Correspondence Address
District : District :
State : State :
Pin Code : Pin Code:
c) Mobile No. : d) e-mail id :
15. Undertaking :
I hereby solemnly affirm that the information given above is true and correct to the best of knowledge
and belief. I further declare that if any at any stage 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.
Place :
Date : Signature of The Candidate
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