Post: DY.

ENGINEER

HUMAN RESOURCE DEPARTMENT ELECTRONICS WARFARE & AVIONICS (SBU) BHARAT ELECTRONICS LIMITED (BG. CX.)

Affix your Recent Passport-size Photograph

1. Name in full : (Mr./Ms.) (As per SSLC certificate) 2. Age & Date of Birth (01.07.2013) 3. Gender: Male/Female 4. Fathers Name 5. Nationality

: : : :

6. Category-SC/ST/OBC (Enclose Certificate in the prescribed format)

7. a) Indicate if you are a Person With Disability If yes, indicate nature of Disability. : (Disability certificate in the prescribed format to be enclosed) b) Degree of disability as indicated in the Certificate 8. Religion: Hindu / Muslim/ Christian/Sikh/Neo-Buddhist/ Zorastrian, other (please specify) 9. a) Hobbies/ Special Interests b) Whether participated in NCC/Scouts/Cultural activities/ Debate/ Competition/ Sports etc. (Please specify) :

OH VH

HH

: :

10. Qualification: (Academic / Professional) (indicate division & year of passing) Educational status from SSLC onwards Institution/University Main subject Class secured/ Percentage of marks Year of passing

-211. Details of Experience : Sl. Name of the Organization From To Designation Emoluments Nature of responsibility in brief

(*Enclose separate sheet if required) Please indicate the date (DD/MM/YYYY) of joining & exit for each employer.

12. Address with Pin Code a) Permanent Address --------------------------------------------------------------------------------------------------------------------------------------------------------------------Phone No: (c) e- mail id : 13. Please indicate if any of your relative is/are employed in BEL? If yes, indicate name, staff no., designation, Unit/Division. b) Correspondence Address --------------------------------------------------------------------------------------------------------------------------------------------------------------------Phone No:

Undertaking I affirm that the information given above by me is true and correct. I further declare that if at any 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 my employment terminated.

SIGNATURE & NAME OF THE CANDIDATE

Date: Place: