7/29/2019 Application Form BEL Engineer Asst. Trainee Posts

1/2

APPLICATION FORM

(To be filled in block letters only)

Name of the post applied for: Engineering Assistant Trainee

Trade (tick as applicable): a) Diploma (Electrical) b) Diploma (Civil)

1. Name of the candidate: ___________________________________________________

2. Fathers Name: _________________________________________________________

3. Age (as on 1.9.2013) / Date of Birth : _____________________4. Gender: _____________

5. Nationality: __________ 6. Religion (Please specify) : _________________________

7. Category: ________(General/OBC/SC/ST/PWD) 8. Married Unmarried

9. Contact details:

PERMANENT ADDRESS:

.

.

.

.

PIN CODE: .

POSTAL ADDRESS: (All correspondence will besent to this address only)

PIN CODE: ...

Land line no. : ___________________ Mobile no.: _____________________________

e-mail ID : _______________________________________

10. Qualification details:

Qualification Discipline /Trade AggregateMarks/percentage Year ofPassing School/Board/

SSLC or equivalent

Diploma in Engg

Apprenticeship

Training(if any)

Additional if any:

Affix recent passportsize colourphotograph

here

7/29/2019 Application Form BEL Engineer Asst. Trainee Posts

2/2

2

11. Experience: (most recent to be mentioned first)

Name of the

organization

Employment

details Designation

Last Salary

drawn

( Rs.)

Area of work

From To

12. Please give particulars of your relative /s employed in BEL, if any:

Name Relationship Designation Department Unit

13. Have you appeared for any previous selection for appointment in BEL? If so, please

furnish the details :

Name of the post for which applied /

appeared

Year of

appearing

14. Application fee payment details :

a) Journal No.: ________________________ b) Date of payment: ___________________

UNDERTAKING

I affirm that the information given above is true and correct. I further undertake that, if at any

stage, it is discovered that an attempt has been made by me to willfully conceal ormisrepresent the facts stated above, my candidature may be summarily rejected or my

employment terminated.

Date: ____________________

Place: Signature of the candidate