BHARAT HEAVY ELECTRICALS LIMITED

BIO-DATA FORM
SELECTION OF ENGINEER TRAINEES (Please fill this form and bring along with you for the interview) For Official Use Only Roll No. Interview Centre
Affix recently taken Passport size, self attested photograph

1.

Name (in CAPITAL LETTERS and as entered in the application form) ……………………………………………………………………………………………………………

2.

Mailing Address for communication

………………………………………………………………………… ………..……………………………………………………………….. ………………………………………………………………………… Pin………….………………

STD code………….Contact Telephone no.……………………e-mail ………….……..………………. Mobile No…………………………………… 3. 4. 5. Date of Birth: ……………………………….. Marital Status – Unmarried / Married / Other (Please specify) …………………………………………. Nationality ………………………… 6. Religion General OBC SC ST ……………………………..

7. 8.

Category

If you belong to OBC/SC/ST category, please give the name of your Caste / Tribe as specified in the Caste Certificate.

9.

Father’s Name, Occupation & Organisation if applicable ………………………………………………………………………… ………………………………………………………………………… Spouse’s Name Occupation & Organisation, if applicable (in case of married candidates) ………………………………………………………………………… ………………………………………………………………………… Are you an Ex-serviceman (earlier worked with Armed forces)? Yes No If yes, give details below:

10.

Service ……………………………… Rank last held …………………………………………………… Period of Service: From …………… To …………… Reason for leaving ………..………………. 11. Whether a Physically Challenged person? Yes/No. If yes, give details: Type of disability (pl ) Locomotor Hearing impairment

decibels loss / % of disability………………..

12.

Whether involved in any Criminal case / Law suit at any time?

Yes

No

If yes, please give current status ……………………………………………………………………. 13. Have you suffered from any major illness/ accident : ( Please specify) ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………

14 (a) Educational background: School Exam/ Name of Exam Degre e X or Equiv XII or Equiv College / Institute Degree & Institut discipline ion & / Duration Univer of course sity Degree: Board Duration From To Main Subjects Max. Marks Marks Obtai n ed

Year

Semester *

Main Subjects

Max Marks

Attempt Marks Obtained (1st/ subsequent)

Type of course

1st Year

1st Sem 2nd Sem Full/ Part/ Corre spond ence

Discipline: From: To:

1st Sem 2nd Year nd 2 Sem 3rd 1st Sem Year nd 2 Sem 4th 1st Sem Year nd 2 Sem Total Marks for 4 years of Engineering Degree Aggregate % of marks

* For annual marking system, fill the yearly marks in 2nd Sem l PG Degree Degree: Discipline From: To: 2nd Year Total Marks for 2 years of Post Graduation 1st Year

_________.%

Full/ Part/ Corre spond en ce Aggregate % of marks %

14 (b) Prizes /Scholarships received: ………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………….. 14 (c) Vocational Training Firm Assignment Period

14.(d) Subjects of Special Interest of graduation / post graduation……………………………………….. ……………………………………………………………………………………………………… 14.(e) Interest and achievements in extra- curricular activities …………………………………………… ……………………………………………………………………………………………………….. ………………………………………………………………………………………………………… 14.(f) Please give your views about the following two statements i) I want to join BHEL because……………………………………………………………………….. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ii)What I would like to contribute to BHEL’s growth .………………………………………………………………………………………………………... ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… 15. i) Please give complete details of your past and present employment/occupation till date Sl. Organisation No. & Place Designation From To Total monthly emoluments Reason for leaving

ii)

If you are employed in BHEL, please furnish the following details Unit: Deptt. Staff No. Current Designation and effective date ……………….. ………………… Yes No

……………. ………………. …………………

iii) If employed, was your application forwarded through proper channel?

Note: If you have got employment in a “Government Department / Undertaking / Autonomous Body etc., subsequent to sending your application to us, you are required to obtain and bring a “NO OBJECTION CERTIFICATE” from your present employer 16. Have you applied for any other examination to be conducted by Govt. (Centre/ State) or Public Sector Undertaking? YES / NO.If yes, Please give name & date for examination & current status of selection process ………………………………………………………………………………………………………

17.

Have you been interviewed for any post in BHEL earlier?

Yes

No

If yes, furnish details of Post………………………………….. ………………………………. Unit ………………………………Date of Interview ……………... Result ................……….

18.

Has your parent / spouse been in service of BHEL?

Yes

No I if yes, give details

Name of Parent/Spouse :………………………….. ………………….. Staff No………………….. Designation: ……………………………… Division : ……………………………………… Present Status (employed presently/Resigned/Retired/Voluntarily Retired / Deceased) ……………….

DECLARATION I hereby declare that statements made by me in this form are true and complete. If I am appointed and the Company finds at any time that any part of the information given by me is incorrect or false or that I have concealed any relevant information, I agree that my appointment shall be liable to summary termination without any notice or compensation and I am liable to refund the expenses incurred by the Company on my training etc.

Date ……………………… Place ……………………..

Signature ………………………………………………... Name .………….………………………………………