Affix the photograph and across the signature	
भारत इलेक्ट्रॉनिक्स लिमिटेड
कोटद्वार-246149 (उत्तराखंड)
BHARAT  ELECTRONICS LIMITED
KOTDWARA - 246149 (UTTARAKHAND)

APPLICATION FOR THE POST OF …………………………………

1.	Name in full : (Mr./Ms.)	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 	 
(As per SSLC certificate)

2.	Age :	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 			
3.	Date of Birth :	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 		
4.	Gender: M/F :	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 		
5.	Marital Status : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 
6.	Father’s Name :	- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 		
7.	Nationality : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 			
8.	Category : 		GEN/SC/ST/OBC (Enclose Certificate in the prescribed format)
9.	Religion:			- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 
10.	Extra curricular activities :
a) Hobbies/Special Interests :  - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 
b) Whether participated in NCC/Scouts/Cultural activities/Debate/Competition/Sports etc.(Please specify) : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 	 
11.	Qualification (Academic /Professional) :
SNo	Education	Institution	Main Subject	Class or %	Year of Passing 	
1	SSLC					
2	12TH 					
3	Graduation					
4	Post Graduation					
5	In Service  Courses					
6	Others					

12.	Experience (Start with current employment) :
Organisation	Designation	From
DD/MM/YY	To
DD/MM/YY	Duration of Work 	Nature of Work 	  Scale of Pay 	Gross
Salary 	

								

								
Total Experience			
	(Enclose separate sheet if required) 

13.	Any medal/commendation during service :	

14.	Details of relative employed in BEL, if any :

a)	Name	:	
b)	Relationship:				  c) 	Designation :
d)	Department	:				  e)	Unit :

15.	Languages known: Read: Hindi/English/………..     Write: Hindi/English/…….....     Speak: Hindi/English/………...

16.	Address with Pin Code :
a)	Permanent Address			     b)   Correspondence Address

	

	

			

District :			District :	
State :                    Pin Code :			State :                    Pin Code :	

c)	Mobile No. :				     d)   E-mail id  :							
17.	Undertaking:
	I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In the event, if the information is found to be false or incorrect, my candidature/appointment may be terminated without notice. 
							
Date :
Place:									    	 Signature of Candidate