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17 July 2012 Engr Ad Naval Systems App Form
17 July 2012 Engr Ad Naval Systems App Form
17 July 2012 Engr Ad Naval Systems App Form
BHARATELECTRONICSLIMITED
R&FCSNAVALSYSTEMS.
1.Name
AffixyourRecent
Passportsize
photograph
(AsperSSLC/SSCcertificate)
2.Age&DateofBirth
3.Gender :Male/Female
5.Occupation:
6.MothersName
7.Occupation:
8.Nationality
9.Religion :
(ason01.07.2012)
4.FathersName
10.Category
(Enclosecertificateintheprescribedformat)
11.a)IndicateifyouareaPersonwithDisability
ifyes,indicatenatureofDisability
b)DegreeofdisabilityasindicatedintheCertificate
Gen/SC/ST/OBC
VH
HH
OH
12.Minority
:
Muslim/Christian/Sikh/NeoBuddhist/
Zorastrian,Other(pleasespecify)
13.a)Hobbies/SpecialInterests:
b)Whetherparticipatedin :
NCC/Scouts/Cultural
Activities/Debate/
Sportsetc.(PleaseSpecify)
14.Qualification:(Academic/Professional)(indicateclass/division&yearofpassing)
Yearof
Educational
Institution/
MainSubject
Class/
Division
passing
Statusfrom
Percentage
(SSLConwards) University
ofmarks
15.DetailsofExperience(*):
Sl.
Nameofthe
No.
Organization
Startwiththepresentemployment
From
To
Designation Emoluments
Natureof
(CTC)
responsibility
inbrief
(*Encloseseparatesheetifrequired)Pleaseindicatethedate(DD/MM/YYYY)of
joining&exitofeachemployerandalsofurnishthedetailsofbreakinyourservice/
experience(ifany).
16.PostalAddresswithPinCode.
a) PermanentAddress
b)CorrespondenceAddress
MobileNo.:
MobileNo.:
c)emailid:1.
2.
17.PleaseindicateifanyofyourrelativeisemployedinBEL?Ifyes,indicate
Name
Staff
Designation
Department/Unit
18.Undertaking:
Iaffirmthattheinformationgivenaboveustrueandcorrect.Ifurtherdeclarethatifat
any stage it is discovered that an attempt has been made by me to willfully conceal or
misrepresent facts, my candidature may be summarily rejected or my employment
terminated.
SIGNATUREOFTHECANDIDATE
Date :
Place :