Professional Documents
Culture Documents
Documentviews
Documentviews
Documentviews
2. Date of Birth :
(as per Matriculation/ SSLC Certificate)
4. Gender (Male/Female) :
11. Qualification: (Academic/ Professional) : Full time in B.E/B.Tech/B.Sc Engg. (4-year course)
(indicate division & year of passing) (Please Tick ) B.E B.Tech B.Sc
Education starting Main Subject/ Discipline/ Aggregate
Month &
from Institution / University Branch/ Specialisation Percentage
Year of
SSLC/ Matriculation (Place) (as given in the Degree & Class
passing
onwards Certificate) Secured
13. If you have appeared for any previous selection for appointment in BEL, please furnish the details of the
same:
……………………………………………………………………………………………………………...........
……………………………………………………………………………………………………………...........
16. Address :
a) Permanent Address b) Correspondence Address
e) e-mail id 1: f) e-mail id 2:
(Mandatory)
17. Enclosures:
Please Tick () the below mentioned photocopies of the documents that has been enclosed along with the
application.
Category/ Disability Certificate (if applicable). EWS/ OBC/ SC/ ST/ PwBD
4 certificate should be latest on or after 01.10.2021 and strictly in the
prescribed formats available on the website.
5 Experience Certificate/s
UNDERTAKING
I, affirm that the information given above is true and correct. I further undertake that, if at any stage,
it is discovered that any attempt has been made by me to willfully conceal or misrepresent the facts
stated above, my candidature may summarily be rejected or my employment terminated.