भारत इले ॉिन स िलिमटे ड

कोट ार-246149 (उ राखंड)

BHARAT ELECTRONCIS LIMITED
KOTDWARA- 246 149 (UTTARAKHAND)

PERSONAL PARTICULARS

1. Name in full : (Mr./Ms.)

(As per SSLC certificate)
Affix the
2. Age : photograph and
across the
3. Date of birth : signature

4. Gender: M/F :

5. Father’s Name :

6. Nationality :

7. Category : GEN/SC/ST/OBC

(Enclose Certificate in the prescribed format)

8. a) Indicate if you are a Physically Disabled Person

OH VH HH
If yes, indicate nature of Disability

(Disability certificate in the prescribed format to be enclosed)

b) Degree of Disability :

9. Religion: Hindu/Muslim/Christian/Sikh/Neo-Buddhist/

Zorastrian, others (please specify):

10. Marital Status :

11. a) Hobbies/Special Interests :

b) Whether participated in NCC/Scouts/Cultural

activities/Debate/Competition/Sports etc.(Please specify) :

12. Qualification: (Academic /Professional)

EDUCATIONAL
STATUS FROM INSTITUTION DIV./MARKS YEAR OF
SL.NO MAIN SUBJECT
SSLC /UNIVERSITY SECURED PASSING
ONWARDS

1
SSLC

2 12THE

3 GRADUATION

4 OTHER
P.T.O.
13. Details of Experience (Start with current engagement) :

FROM TO DURATION NATURE OF

COMPANY DESIGNATION SALARY
DD/MM/YY DD/MM/YY OF WORK WORK

TOTAL EXPERIENCE

Enclose separate sheet if required.

14. If you were interviewed previously for any post in this Company : If Yes,

Details: :__________________________________________________________________

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

a) Name :

b) Relationship:

c) Designation :

d) Department :

e) Unit

16. Address with Pin Code

a) Permanent Address b) Correspondence Address

District : District :

State : State :

Pin Code : Pin Code:

c) Mobile No. : d) e-mail id :

17. Undertaking

I affirm that the information given above is true and correct. 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 my employment terminated.

Date :

Place:

SIGNATURE THE CANDIDATE