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BEL India 2012(SRD): Online Application For PE

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BEL : P R O BAT I O N AR Y EN GI N EER S( P E) - 2 0 1 2 SP ECI AL R ECR U I T M EN T D R I V E FO R SC / ST Ap p l i ca t i o n Fo r m Ap p l i cat i o n No . : 2 1 4 6 3 2 *

* Ap p l i cat i o n f o r t h e Po st o f : PROBAT I ONARY ENGI NEERS( PE) - Mech an i cal

Pe r son a l Pa r t i cu l a r s
Nam e ( as i t ap p e ar s i n * y o u r SSLC/ SSC ce r t i f i ca t e ) * Ad d r e ss f o r Co m m u n i ca t i o n Mr . ALOK KUMAR SI NGH

A- 6 / 9 9 KRI SHI NI KET AN PASCHI M VI HAR NEW DELHI

* Ci t y / Di st r i ct * St a t e * Co n t act No . w i t h ST D Co d e

NEW DELHI DELHI 11 - 25270065 NEW DELHI MALE 1 5 - Ju n - 1 9 8 7 HI NDU al o k . a m o u r @g m ai l . co m

* Pi n Cod e

1 10 0 63

Mob i l e No * Nat i o n al i t y

9 71 6 80 8 8 97 I NDI AN

* Nea r est Rai l w ay St at i o n * Gen d er * Dat e o f Bi r t h * Rel i g i o n * E- m ai l I D

Al t er n at e E- m ai l I D, i f an y

Q u a l i f i ca t i on s D e t a i l s
* En g i n eer i n g Deg r e e * I n st i t u t i o n * En g i n eer i n g Deg r e e St a t u s B. Te ch . NI ET GREAT ER NOI DA Passe d Mech an i cal * Mon t h & Year o f Passi n g * Per cen t ag e / Cl ass i n En g i n eer i n g Deg r ee Ju n - 2 0 1 1 6 0. 4 / Fi r st

* Br an ch

Em p l oy m e n t D e t a i l s
* Ar e y o u Em p l o y ed ? I f Yes, Ty p e o f Or g a n i sat i o n NO Nam e o f t h e Or g an i sat i on

http://specialtest.in/bel2012srd/user/Fill_ApplicationNext.asp?EmailID=alok.amour@gmail... 5/2/2012

I n d i ca t e b r a n ch o f Ar m e d f o r ce s an d d at e o f d i sch ar g e ( DD/ MM/ YYYY) SC NO I f Yes. i f i t i s f o u n d t h at a n y o f t h e ab o v e i n f o r m at i on i s i n co r r ect an d / o r i s su p p r essed .BEL India 2012(SRD): Online Application For PE Page 2 of 4 Desi g n a t i o n Pay Scal e ( CTC f o r o t h er s) Ge n e r a l I n f o r m a t i o n * Cat e g o r y Ar e y o u a Do m i ci l e o f * J& K Du r i n g 1 .. as d eem ed f i t .asp?EmailID=alok. 5/2/2012 . t h e m an ag e m en t o f BEL sh a l l h av e t h e r i g h t t o t ak e act i o n . 214632 http://specialtest.I D . Si g n at u r e o f Ap p l i can t ( To b e si g n ed p r i o r t o d esp at ch ) ' SAV E AS' o p t i o n g i v e n i n t h e b r o w se r b e f o r e t a k i n g t h e Print ( Pl ea se Pr i n t t h e f or m f o r Fu r t h er Ref er en ce) An a ck n o w l e d g e m e n t m e ssa g e h a s n o w b e e n se n t t o y o u r g i v e n Em a i l .amour@gmail. 1998? * Ar e y o u a Per so n w i t h Di sa b i l i t i es ( PWD) ? Ar e y o u an Ex Ser v i cem a n ? I f Yes. 1 .in/bel2012srd/user/Fill_ApplicationNext.. Ap p l i cat i o n No . 1 9 8 0 t o 31. Pl a ce Da t e Ki n d l y sa v e t h i s p a g e b y u si n g pr int out . I n d i cat e t y p e o f d i sab i l i t y an d Per cen t ag e o f d i sab i l i t y Ser v i ce i n Def en ce NO % 0 Year s 0 Mo n t h s * NO W r i t t e n Te st D e t a i l * Wr i t t en t e st cen t e r De l h i Lan g u ag e i n w h i ch y o u w an t t o t ak e t h e t est En g l i sh De cl a r at i o n I h e r eb y d ecl ar e t h at I h av e v er i f i ed t h e d et ai l s i n d i cat ed ab o v e an d al so co n f i r m t h at al l t h e i n f o r m a t i o n su b m i t t ed i s cor r ect t o t h e b est o f m y k n o w l ed g e. P l e a se ch e c k . At an y st ag e. 12.

1 1 0 0 1 9 . Ap p l i c a t i o n N o . Do NOT sen d an y co p y o f t h e cer t i f i cat e al on g w i t h t h e d u l y co m p l et ed ap p l i cat i on f o r m . : 2 1 4 6 3 2 Na m e: ALOK KUMAR SI NGH Ad d r e ss: A. 3.BEL India 2012(SRD): Online Application For PE Page 3 of 4 I m p o r t a n t I n st r u ct i o n f o r Ca n d i d a t e s: 1. 5.asp?EmailID=alok.in/bel2012srd/user/Fill_ApplicationNext..1 1 0 0 6 3 DELHI T e st D a t e : 2 4 Ju n e 2 0 1 2 ( Su n d a y ) Si g n at u r e of Ap p l i can t ( i n t h e sp ace p r o v i d ed ) http://specialtest. Ap p l i cat i o n Fo r m r ece i v ed w i t h o u t t w o p h o t o g r ap h s. En d o r se y o u r si g n at u r es i n t h e sp ace p r ov i d ed b el o w . Or i g i n a l ce r t i f i ca t e s o f t h e sh o r t l i st ed can d i d at es w i l l b e scr u t i n i zed / v er i f i ed at t h e t i m e of int er view.amour@gmail.6 / 9 9 KRI SHI NI KET AN PASCHI M VI HAR NEW DELHI NEW DELHI . Ka l k a j i H e a d P o st O f f i ce ( H P O ) .. New Delhi . si g n at u r es at t w o p l aces w i l l b e r e j ect ed . Se n d t h e d u l y co m p l et ed Ap p l i cat i o n f o r m at t h e f ol l o w i n g ad d r ess o n o r b ef or e 1 6 M a y 2012: P o st Bo x N o 4 3 3 4 . 4. 5/2/2012 . 2. At t a ch y o u r p a ssp o r t si ze p h o t o g r ap h ( w i t h ou t at t est at i on ) i n t h e sp ace p r ov i d ed b el o w .

asp?EmailID=alok. NEW DELHI ... -------------------------------------------------------------- http://specialtest. 5/2/2012 . KALKAJI HEAD POST OFFI CE( HPO) .in/bel2012srd/user/Fill_ApplicationNext.amour@gmail.BEL India 2012(SRD): Online Application For PE Page 4 of 4 Pl e ase Cu t & Af f i x t h e Ad d r e ss Lab el g i v e n b el o w on t h e en v el op f o r sen d i n g p r i n t v er si on of On l i n e Ap p l i cat i o n Fo r m at t h e f o l l o w i n g ad d r ess on or b ef or e 1 6 M a y 2 0 1 2 : ------------------------------------- -------------------------- BE L-2 01 2 (S RD ): A pp l i ca ti on fo r t he Po st of P RO B A T I O N A R Y EN G I N EER S( PE) SP E C IA L RE C RU I T M EN T DRI V E F O R S C / ST D isci pli ne : M e cha n ica l To POST BOX NO.110019. 4334.

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