BE L : P R O BAT I O N AR Y E N G I N E E R S ( P E ) 2 0 1 5

Ap p l i c ati o n F o r m
Ap p lic a t io n N o . : 7 0 3 4 8 7
*

* Ap p lic a t io n fo r t h e P o s t o f: P R O BAT I O N AR Y E N G I N E E R S ( P E ) C o m p u ter S c i en c e

P e r s o na l P a r ti c ul a r s
N a m e ( a s it a p p e a r s in
* yo u r S S LC/ S S C
c e r t ific a t e )
*

Ad d r e s s fo r
Co m m u n ic a t io n

M r . H AP P Y

A 3 5 M AH AR AN I E N CLAVE

N E AR AN AN D VAT I K A

H AS T S ALVI LLAG E U T T AM
N AG AR

N E W D E LH I

* Cit y/ D is t r ic t

W E S T D E LH I

* P in Co d e

110059

* State

D E LH I

1 1 2 5 3 5 8 7 3 3

* M o b ile N o

8130787261

* N e a r e s t R a ilw a yS t a t io n

N E W D E LH I

* N a t io n a lit y

I N D I AN

* Ge nde r

M ALE

* D a t e o fBir t h

1 6 Ju n 1 9 9 1

* R e lig io n

HINDU

* E m a ilI D

h a p p y1 6 0 6 9 1 @ g m a il. c o m

Co n t a c t N o . w it h S T D
Co d e

Alt e r n a t e E m a ilI D , if
any

h p yr j p t @ g m a il. c o m

Q ua l i f i c a ti o ns D e ta i l s
* E n g in e e r in g D e g r e e

B. T e c h .

* I n s t it u t io n

G U R U G O BI N D S I N G H
I N D R AP R AS T H A
U N I VE R S I T Y / BH AG W AN
P AR S H U R AM I N S T I T U T E
O F T E CH N O LO G Y

Passed

* M o n t h & Y e a r o fP a s s in g Ju l 2 0 1 4

Co m p u t e r S c ie n c e &
E n g in e e r in g

E n g in e e r in g D e g r e e
Status

* Br a n c h

P e r c e n t a g e / Cla s s in
E n g in e e r in g D e g r e e

8 2 . 1 5 / F ir s t

........................
SignatureofApplicant

ApplicationNo.:703487

E mpl o yme nt D e ta i l s
* Ar e yo u E m p lo ye d ?

NO

SC

G e ne r a l Inf o r ma ti o n
* Ca t e g o r y

Ar e yo u a D o m ic ile o fJ& K
* D u r in g 1 . 1 . 1 9 8 0 t o
NO
3 1 .1 2 .1 9 9 8 ?
Ar e yo u a P e r s o n w it h
*
NO
D is a b ilit ie s ( P W D ) ?
*

Ar e yo u a n E x
S e r vic e m a n ?

NO

Ch o ic e 1 : D e lh i
Ch o ic e 2 : Ch a n d ig a r h

Wr i tte n T e s t D e ta i l
* W r it t e n t e s t c e n t e r

La n g u a g e in w h ic h yo u
w a n t t o t a ke t h e t e s t

E n g lis h

C ha l l a n D e ta i l s ( i f no t e x e mpte d)
* Jo u r n a lN o .

* Ch a lla n D a t e

* Ch a lla n Am o u n t

* S BI Ba n kBr a n c h N a m e

D e c la r a t io n
I h e r e b y d e c l a r e th a t I h a v e v e r i f i e d th e d e ta i l s i n d i c a te d a b ov e a n d a l so c on f i r m th a t a l l th e
i n f or ma ti on su b mi tte d i s c or r e c t to th e b e st of my k n owl e d g e . A t a n y sta g e , i f i t i s f ou n d th a t
a n y of th e a b ov e i n f or ma ti on i s i n c or r e c t a n d / or i s su p p r e sse d , th e ma n a g e me n t of B E L sh a l l
h a v e th e r i g h t to ta k e a c ti on , a s d e e me d f i t.

Ap p lic a t io n N o . 7 0 3 4 8 7

P la c e
Da t e

S ig n a t u r e o fAp p lic a n t
( T o b e s ig n e d p r io r t o d e s p a t c h )

Ki n d l y sav e th i s p ag e b y u si n g ' S AV E AS ' o p ti o n g i v en i n th e b r o wser b ef o r e taki n g th e p r i n t

o u t.
Print
( P le a s e P r in t t h e fo r m fo r F u r t h e r R e fe r e n c e )


I m p o r tan t I n str u c ti o n f o r C an d i d ates:
1 . E n d o r s e yo u r s ig n a t u r e in t h e Ap p lic a t io n F o r m .
2 . Ap p lic a t io n F o r m r e c e ive d w it h o u t s ig n a t u r e w illb e r e j e c t e d .
3 . S e n d t h e d u lyc o m p le t e d Ap p lic a t io n fo r m a t t h e fo llo w in g a d d r e s s o n o r b e fo r e 2 0 M ay 2 0 1 5
:

PostBoxNo.3076,LodiRoad,NewDelhi110003.

4 . D o N O T s e n d a n yc o p yo ft h e c e r t ific a t e a lo n g w it h t h e d u lyc o m p le t e d a p p lic a t io n fo r m .

O r ig in a lc e r t ific a t e s o ft h e s h o r t lis t e d c a n d id a t e s w illb e s c r u t in iz e d / ve r ifie d a t t h e t im e o f
in t e r vie w .

Ap p l i c ati o n N o .: 7 0 3 4 8 7

N a m e : H AP P Y
Ad d r e s s : A 3 5 M AH AR AN I E N CLAVE
N E AR AN AN D VAT I K A
H AS T S ALVI LLAG E U T T AM N AG AR
N E W D E LH I
W E S T D E LH I 1 1 0 0 5 9
D E LH I

T est D ate: 2 1 Ju n e 2 0 1 5 ( S u n d ay )

S ig n a t u r e o fAp p lic a n t
( in t h e s p a c e p r o vid e d )

P le a s e Cu t & Affixt h e Ad d r e s s La b e lg ive n b e lo w o n t h e e n ve lo p fo r s e n d in g p r in t ve r s io n o fO n lin e Ap p lic a t io n

F o r m a t t h e fo llo w in g a d d r e s s o n o r b e fo r e 2 0 M ay 2 0 1 5 :

B E L2015:Applic a t io nfo rt he P o s t o f
P ROB AT ION ARY E N G IN E E RS(P E )

Discipline:ComputerScience
To
POSTBOXNO.3076,
LODIROAD,
NEWDELHI110003.