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BEL India 2012(SRD): Online Application For PE

BEL : PROBA T IONA RY ENGINEERS(PE) - 2012 SPECIA L RECRUIT M ENT DRIVE FOR SC / ST A pplic a t io n Fo r m A pplica t ion No. : 208652 *

* A pplica t ion f or t he Post of : PR O BA TIO NA R Y ENGINEER S(PE) - Me cha nica l

Per s onal Par t icular s

* Na me (a s it a ppe a rs in Mr. SA UR A V SHEEMA R y our SSLC /SSC ce rt if ica t e ) A ddre ss f or C ommunica t ion #1915 SEC TO R -8

* C it y /Dist rict * St a t e * C ont a ct No. wit h STD C ode

F A R IDA BA D HA R YA NA 129 -2240815 F A R IDA BA D MA LE 24-De c-1989 HINDU sa ura v . pe c@gma il. com

* Pin C ode

121006

Mobile No * Na t iona lit y

9780596261 INDIA N

* Ne a re st R a ilwa y St a t ion * Ge nde r * Da t e of Birt h * R e ligion * E-ma il ID

A lt e rna t e E-ma il ID, if a ny

Qualificat ions Det ails

* Engine e ring De gre e * Inst it ut ion * Engine e ring De gre e St a t us * Bra nch B. E. PEC , UNIVER SITY O F TEC HNO LO GY A ppe a ring in Q ua lif y ing Ex a m Me cha nica l * Mont h & Ye a r of Pa ssing * Pe rce nt a ge / C la ss in Engine e ring De gre e J un-2012 /

Employ ment Det ails

* A re y ou Employ e d? If Ye s, Ty pe of O rga nisa t ion De signa t ion NO Na me of t he O rga nisa t ion Pa y Sca le (C TC f or ot he rs)

Gener al Infor mat ion

* C a t e gory SC
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BEL India 2012(SRD): Online Application For PE

A re y ou a Domicile of J &K * During 1. 1. 1980 t o 31. 12. 1998? A re y ou a Pe rson wit h Disa bilit ie s (PWD)? A re y ou a n Ex Se rv ice ma n? If Ye s, Indica t e bra nch of A rme d f orce s a nd da t e of discha rge (DD/MM/YYYY)

NO

NO

If Ye s, Indica t e t y pe of disa bilit y a nd Pe rce nt a ge of disa bilit y Se rv ice in De f e nce

% 0 Ye a rs 0 Mont hs

NO

Wr it t en Tes t Det ail

* Writ t e n t e st ce nt e r De lhi La ngua ge in which y ou wa nt t o t a ke t he t e st English

De cla ra t ion I he re by de cla re t ha t I ha v e v e rif ie d t he de t a ils indica t e d a bov e a nd a lso conf irm t ha t a ll t he inf orma t ion submit t e d is corre ct t o t he be st of my knowle dge . A t a ny st a ge , if it is f ound t ha t a ny of t he a bov e inf orma t ion is incorre ct a nd/or is suppre sse d, t he ma na ge me nt of BEL sha ll ha v e t he right t o t a ke a ct ion, a s de e me d f it . A pplica t ion No. 208652 Pla ce Da t e Kindly s a v e t his pa ge by us ing pr int o ut . Signa t ure of A pplica nt (To be signe d prior t o de spa t ch) 'SA VE A S' o pt io n giv e n in t he br o ws e r be fo r e t a k ing t he Print (Ple a se Print t he f orm f or F urt he r R e f e re nce ) A n a c k no wle dge m e nt m e s s a ge ha s no w be e n s e nt t o y o ur giv e n Em a il- ID. Ple a s e c he c k .

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BEL India 2012(SRD): Online Application For PE

Im po r t a nt Ins t r uc t io n fo r Ca ndida t e s : 1. 2. 3. 4. A t t a ch y our pa ssport siz e phot ogra ph (wit hout a t t e st a t ion) in t he spa ce prov ide d be low. Endorse y our signa t ure s in t he spa ce prov ide d be low. A pplica t ion F orm re ce iv e d wit hout t wo phot ogra phs, signa t ure s a t t wo pla ce s will be re je ct e d. Se nd t he duly comple t e d A pplica t ion f orm a t t he f ollowing a ddre ss on or be f ore 16 M a y 2012: Po s t Bo x No 4334, Ka lk a ji He a d Po s t Offic e (HPO), Ne w De lhi - 110019. 5. Do NO T se nd a ny copy of t he ce rt if ica t e a longwit h t he duly comple t e d a pplica t ion f orm. O rigina l ce rt if ica t e s of t he short list e d ca ndida t e s will be scrut iniz e d / v e rif ie d a t t he t ime of int e rv ie w.

A pplic a t io n No .: 208652

Na me : SA UR A V SHEEMA R A ddre ss: #1915 SEC TO R -8 F A R IDA BA D -121006 HA R YA NA

T e s t Da t e : 24 J une 2012 (Sunda y ) Signa t ure of A pplica nt (in t he spa ce prov ide d)

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BEL India 2012(SRD): Online Application For PE

Ple a se C ut & A f f ix t he A ddre ss La be l giv e n be low on t he e nv e lop f or se nding print v e rsion of O nline A pplica t ion F orm a t t he f ollowing a ddre ss on or be f ore 16 M a y 2012:

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BEL- 2012(SRD): Applic a tion for the Post of PROBATIONARY ENGINEERS(PE) SPEC IAL REC RUITMENT DRIVE F OR SC / ST

Discipline: Mechanical To POST BOX NO. 4334, KALKAJI HEAD POST OFFICE(HPO), NEW DELHI-110019.

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