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    Bio Data Form

    Uploaded by

    Likhitha H Likhitha H

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bio Data Form

    Uploaded by

    Likhitha H Likhitha H
    17 views3 pages

    Original Title

    BIO-DATA-FORM

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views3 pages

    Bio Data Form

    Uploaded by

    Likhitha H Likhitha H

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    भारत इलेक्ट्रॉनिक्ट्स नलनिटेड / BHARAT ELECTRONICS LIMITED पंचकू ला / PANCHKULA

    APPLICATION FOR THE POST OF SENIOR ENGINEER (Fixed Tenure Basis) for PROJECT SITES
    IN MADHYA PRADESH

    ROLE APPLIED FOR: 1. INTERFACE MANAGER


    2. SHE MANAGER

    Instructions:
    a) All fields should be gilled in CAPITAL LETTERS only. Affix your
    Recent Colour
    b) Incomplete applications / applications without enclosures will be rejected. Photograph and
    Sign Across the
    c) Tick mark where appropriate. Photo

    1. Full Name : (Mr./Ms.) : _______________________________

    (As per SSLC certificate)

    2. Father’s Name : _______________________________

    3. Date of Birth (DD/MM/YYYY) : ____________

    4. Age (As on 01.09.2024) : _____Years _____Months

    5. Gender : Male/ Female/ Others

    6. Nationality : Indian

    7. Category : GENERAL/OBC/EWS/SC/ST

    8. a) Indicate if you are a Person with Benchmark Disability : Yes No

    If yes, indicate nature of Disability. _______________________

    (Enclose Disability certificate in the prescribed format)

    b) Degree of disability as indicated in the Certificate : ____________________

    9. Religion : Hindu/Muslim/Christian/Sikh/Neo-Buddhist/ Zoroastrian/ Others (Please specify)

    ____________________________________________________________________________

    Page 1 of 3
    10. (a) Qualification (Indicate division & year of passing)

    Main Subjects
    Education Class/ Grade/ % Year of
    Institution/University Studied /
    (SSLC onwards) Division of Marks Passing
    Specialtion
    10th

    12th

    11. Work Experience

    Name of the Employment Experience Designation Cost to Details of


    Organization Company responsibilities
    Details (In Rs.) in brief

    From To Years Months

    Total Work Experience (in Years and


    Months)
    Page 2 of 3
    12. Details of relatives employed in BEL, if any

    Name Relationship Designation Department Unit

    13. Address with Pin Code


    a) Permanent Address b) Correspondence Address
    ____________________________ ____________________________
    ____________________________ ____________________________
    ____________________________ ____________________________
    ____________________________ ____________________________
    ____________________________ ____________________________
    Pincode: ____________________ Pincode: ____________________

    c) E-mail ID (in BLOCK LETTERS) : _______________________________

    (All correspondence will be made to this email id only)

    d) Mobile No. : _______________________________

    14. Application Fee Payment Details :

    Challan No. / SBI Collect Payment Receipt No. Date of Payment Amount (in Rs.)

    15. Undertaking

    I hereby declare that the above statements are true and complete to the best of my knowledge and belief.
    In the event, the information is found to be false or incorrect; my candidature may be terminated without
    notice. 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 may employment
    terminated and no appeal in this regard shall be entertained.

    Date: SIGNATURE OF THE CANDIDATE

    Place:

    Page 3 of 3

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