Affix your

Recent
Application for the post of Deputy Engineer Passport-size
(Fixed Term/Permanent) Photograph

Advertisement No.: 383/HR/ES/2019-20

1. Name of the candidate: ……………………………………………………………………………...

2. Father’s Name: …………………………………………………………………………………………

3. Date of Birth: ……..………. 4. Age as on 01.11.2019: …….Years…….Months……..Days

5. Gender: ……………………………………. 6. Nationality: ………………………………………….

7. Marital status: ………………………….. 8. Religion: ………………………………………………

9. Category (General / ST / PHP): ………………………………………………………………………

 Enclose certificate in prescribed format
 If PWD, indicate VH, HH, OH and extent of disability percentage)

10. Address:

PERMANENT CORRESPONDENCE

City: City:

State: State:

Pin code: Pin code:

Mobile No.: Mobile No.:

e-mail id (mandatory)
 11. Qualification:
Branch of
study as
Institute/ Percentage/Class
Qualification Month & Year of passing mentioned
University Secured in degree
certificate

_ _._ _ % M M

__________Class Y Y Y Y

M
_ _._ _ % M

__________Class Y Y Y Y

_ _._ _ % M M

__________Class Y Y Y Y

_ _._ _ % M M

__________Class Y Y Y Y

12. Post Qualification Work Experience – beginning with the current job:
Attach a write up on description of job experience)
(Cutoff date for deciding post qualification will be 01.11.2019)

Name of the Tenure of Service

Organisation CTC
(indicate if Designation (in
Public Sector From To No. of years Lakhs)
Unit) (DD/MM/YY) (DD/MM/YY) & Months
13. If you have appeared for any previous selection for appointment in BEL, please
furnish the details of the same:

…………………………………………………………………………………………………………

………………………………………………………………………………………………………….

………………………………………………………………………………………………………....

15. Enclosures: Tick the below mentioned photocopies of the documents that has
been enclosed along with the application:

Tick the
Sl.
Documents box, if
No.
enclosed
1 Document of proof of birth
Semester wise marks card of BE / B Tech (Candidates who
have completed Bachelor’s Degree after Diploma have to
2
enclose all the semester copies of Diploma and Diploma
certificate along with all semester marks cards of degree )
3 Final Degree Certificate / Grade Card of BE / B Tech
4 Proof of Experience
A separate write up mentioning the details of the post
5
qualification experience.
6 OBC/EWS/SC/ST / PWD Certificate (if applicable)

7 Online Payment Receipt

8 No Objection Certificate (if applicable)

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
summarily be rejected or my employment terminated.

Date:

Place: Signature of the Candidate