P.B. No, 4, B.H.Road, TARIKERE - 577228, Karnataka, India Ph: 222357, 222252 & 222313. E-mail:vil@beml.co.in/ vkp.vil@beml.co.in APPLIA!I"# $"%& A've()i*emen) #o. +++++++++. Po*) Applie' $o( +++++++++++. In case of working in Govt/Quasi-Govt Organizations/ PSU, whether applied through proper channel !es "o "ot applica#le If !es, Please attach a cop$ of the forwarding letter of the e%plo$er or "O& to #e produced at the ti%e of Interview ' #ame o, )he an'i'a)e (in )lock *etters+ ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,, (-irst "a%e+ (.iddle "a%e+ (*ast "a%e+ / -en'e( .please tick+
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E )reak during e%plo$%ent (if an$+1 Period @ Ceasons '01 If $ou selected, how soon would $ou #e a#le to Doin dut$ '21 Processing F-ee 77 "u%#er 7ate <%ount )ank )ranch 1ELA%A!I"# I here#$ declare that the a#ove state%ents are true, co%plete to the #est of %$ knowledge and #elief1 In the event, the infor%ation is found to #e false or incorrect, %$ candidature / appoint%ent %a$ #e considered ter%inated without an$ notice1 I also declare that I a% citizen of India #$ #irth / do%icile1 Place: 1a)e: .<i3na)0(e o, )he an'i'a)e4 -3- 2%IE$ 6%I!E 9P "# ;"9% 89ALI$IA!I"#, E@PE%IE#E A#1 E@PE%!I<E I# !AE %E<PE!IBE A%EA C1. #ame C2. $a)he(/* #ame C3. 80ali,ica)ion CD. P(o,e**ional 6o(k E:pe(ience C5. ")he( in,o(ma)ion, i, an5