Professional Documents
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Recruitment of Civil BEG & Centre Kirkee
Recruitment of Civil BEG & Centre Kirkee
3. Name of Candidate (As per matriculation certificate) : …………………………………... Place : …………… Signature of the candidate
……………………………………………………………………………………………………...
4. Father’s/Husband’s Name: ………………………………………………………………….. (FOR OFFICE USE ONLY)
5. Correspondence address: …………………………………………………………………... 1. Application accepted/rejected ………………………………………………………............
……………………………………………………………………………………………………..
……………………………………………………………..……Pin..……………………………. 2. If rejected, reason for rejection :
6. Permanent address: ………………………………………………..................................... (a) Underage.
……………………………………………………………………………………………………... (b) Overage.
……………………………………………………………….… Pin………………..................... (c) Documents/Certificates not enclosed/incomplete.
(d) Application Form & Admit Card incomplete.
7. Mobile No: …………………… 8. E-Mail ID: ………………………………………………..
(e) Application Form & Admit Card not as per format.
9. Date of Birth (dd/mm/yyyy) ......../……../............ 10. Marital Status: …………....……… (f) Photos or documents not attested/self-attested.
11. Gender (Male/Female/Other): …..……………. 12. Nationality: ……………..………… (g) Two self-address envelope affix with postal stamp Rs 22/- not enclosed.
13. Aadhaar Number: .……..………....................... 14. PAN: ……………………………… (h) Any other reasons to be specified: - ………………………………………………..
15. Whether Ex-S’Man (YES/NO) ….………………(if Yes fill in the details given below): _____________________________________________________________________
Service Date of Date of PPO No (ANNEXURE-B)
Total Service
(Army/Navy/Air Force) Enrollment Discharge and Date
ADMIT CARD
(To be filled by candidate in CAPITAL LETTERS only) Affix recent
self-attested
Note: An indl in his last spell of service can apply with NOC from HoD of present unit For the post of: ………………………………… passport size
and in other cases copy of discharge certificate to be attached. Category: ……………………………. photograph
16. Whether PWD (YES/NO) …………………..…... (if Yes fill in the details given below):
Type of Disability (OA/OL/OAL/BL/B/LV/HH etc) Percentage % of Disability
1. Name of the candidate (As per matriculation certificate): ………………………………..
Note: Disability Certificate issued by CMO or equivalent should be attached in support). …………………………………………………………………………………………………….
2. Father’s/Husband’s Name: …………………………………………………………………..
17. Educational Qualifications: 3. Date of Birth (dd/mm/yy) ......./…../.......... 4. Gender (Male/Female/Other) ………….…
Sr Passing Name of Board/ Percentage 5. Identification Mark: …………………………………………………………………………...
Exam/Qualification
No Year University obtained 6. Aadhaar Number: …………………………………………………………………………….
th
1. 10 /Matric/SSC 7. Correspondence address: ……………...……………………………………………………
th
2. 12 /10+2/HSC ……………………………………………………………………………………………………..
3. ITI/NCTVT …………………………….…………………………..………………Pin…..……………………
4.
5. (FOR OFFICE USE ONLY)
Note: Copy of Educational Certificates to be attached. 1. Roll No: ………………………………………………………………………………………..
18. Experience (YES/NO): ………………………… (if Yes fill in the details given below): 2. Date and Time of Written Examination: …………………………..………………………..
3. Place of Written Examination: ……………………………………………………………….
Name of Date of Date of ……………………………………………………………………………………………………...
Post Held Remarks
Organisation/Office Appointment Discharge
___________________________________
Note: Experience Certificate from Head of Office should be attached with application. (Signature of issuing Officer with Stamp)
.
APPLICATION FORM
Affix recent
self-attested
To,
passport size
The Commandant photograph
Bombay Engineer Group and Centre
Kirkee, Pune – 411003
15. Whether Ex-S’Man (YES/NO) ….………………… (if Yes fill in the details given below):
Service Date of Date of Total
PPO No. and Date
(Army/Navy/Air Force) Enrollment Discharge Service
Note: An indl in his last spell of service can apply with NOC from HoD of present unit and
in other cases copy of discharge certificate to be att).
16. Whether PWD (YES/NO) …………………..………(if Yes fill in the details given below):
Type of Disability (OA/OL/OAL/BL/B/LV/HH/MW etc) Percentage % of Disability
2. 12th/10+2/HSC
3. ITI/NCTVT
4.
5.
18. Experience (YES/NO): …………………………….. (if Yes fill in the details given below):
Date of Date of
Name of Organisation/Office Post Held Remarks
Appointment Discharge
Note: Experience Certificate from Head of the Organisation/Office should be att with
application.
I hereby declare that all the particulars given by me are true, complete and correct
to the best of my knowledge and belief. I understand that in case, any of my statements is
found false during any stage of recruitment or thereafter, shall disqualify me for the post
applied for and other action under the extant rules. I have also read and understood the
terms and conditions as stipulated in the advertisement.
Date : ……………………..
_______________________
Place : ……………………. (Signature of the candidate)
(a) Underage.
(b) Overage.
(c) Documents/Certificates incomplete.
(d) Application Form & Admit Card incomplete.
(e) Application Form & Admit Card not as per format.
(f) Photos or documents not attested/self-attested.
(g) Two Self address envelope affix with postal stamp Rs 22/- not enclosed.
(h) Any other reasons to be specified: ………………………………………………
ADMIT CARD
Affix recent
self-attested
(To be filled by candidate in CAPITAL LETTERS only) passport
size
For the post of : ……………………………………………… photograph
Category: …………………
…………………………………………………………………………………………………….
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
…………………………….…………………………..………………Pin…..……………………
……………………………………………………………………………………………………...
___________________________________
(Signature of issuing Officer with Stamp)