Affix recent

passport size
colour
photograph
1. Name of the Post applied for : DEPUTY

ENGINEER FOR MWC / C-D&E

2. Name of the candidate in BLOCK LETTERS : .

3. Fathers Name :
4. Date of birth

: 5. Age as on 01.11.2014 . yrs mths

6. Gender

: 7. Nationality :

8. Religion (Please specify) : .

9. Marital Status :

10. Category (GENERAL/OBC/SC/ST/PWD) : .

Enclose certificate in the prescribed format available on the website
If PWD, indicate whether VH/ HH / OH and extent of disability in percentage .
11. Address :
PERMANENT

CORRESPONDENCE*

PH. NO. .

PH. NO. ...

Email address
* Correspondence will be sent to this address

12. QUALIFICATION :
Qualification
Name of
Degree
(B.E/ B.Tech
etc)
Engineering
Degree

Institute /
University

Percentage /
CGPA *

Class
Secured

Year of
passing

Branch of study
as mentioned in
the Degree
certificate

Post
Graduate
Degree

Others

* Method of CGPA conversion to Class should be enclosed. Candidates who are in final semester should
rd
mention the aggregate percentage / CGPA and equivalent class, upto 3 Semester.

13. POST QUALIFICATION WORK EXPERIENCE (if any), beginning with the current job :
Name of the
Tenure of service
CTC (in
Area of work
organization
From
To
Designation
lakhs)
(briefly)
(indicate if
(dd/mm/yy)
(dd/mm/yy)
PSU/Govt)

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

Name
Relationship
Designation
Department

Unit

15. If you have appeared for any previous selection for appointment in BEL, please furnish details
of the same: .
16. Journal No & Amount ..
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 be summarily rejected or my employment terminate.

SIGNATURE OF THE CANDIDATE

Date :
Place :
Enclosures : 1) SSLC/Matriculation Certificate
2) Final Degree Certificate of BE/B.Tech
3) Semester wise marks cards of ME / M.Tech
4) Final ME / M. Tech Degree certificate
5) Experience Certificates from previous employers (if any)
6) Caste / Disability certificate in case of SC/ST/OBC/PWD, in the approved format applicable to
claim reservation. The candidature of those who do not produce the required format will be
considered under the General category, provided they are otherwise meeting the criteria for
General category.