BHARAT DYNAMICS LIMITED

Annexure-I
BIO-DATA FORM FOR EXECUTIVE CADRE (SELECTED ON ALL INDIA BASIS)

Advt. No.: BDL/C-P&A/PLG.&ED/2016-1

Name of the Post applied for: ___________________________________

Online Registration No.: ___________________________________

In case of working in Govt. Organisations / PSU, whether applied through proper channel:

Yes No Not applicable

In case of Yes, Please attach a copy of the forwarding letter of the employer or NOC to be
produced at the time of Interview.

1 Title & Name of the

Candidate (in capital
letters)
2 Date of Birth
(DD/MM/YYYY)
3 Father’s Name &
Occupation
4 Permanent Address

5 Present Address ( for

any correspondence)

6 Phone No. / Mobile No.

7 E-Mail ID (Mandatory)

8 Nationality
9 Gender & Religion
10 Place of Birth & State
11 Marital Status
12 Specify which category
you belongs to (tick) GEN / OBC/SC/ST
13 Are you a person with
disability Yes No Visually / Hearing / Orthopedically
(if yes, pl. specify)
14 Are you an Ex-
Servicemen (if yes, pl. Yes No No. of years:
specify no. of years of
service)
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 BHARAT DYNAMICS LIMITED
15. Educational Qualifications (Declare all the qualifications, which you posses and pursuing. Also, indicate period of gap in
academics if any with reason):
Sl. Qualification Subjects / i. Period of Study Institution Full Time / Month & Percentage Course is
No. (Xth Class Specialization (From_To) (Month name & Correspon- Year of (%) of Recognized by
onwards) & Year) Address, dence / Passing (as Marks UGC / AICTE/
ii. Total duration of University Part Time indicated on secured DEC / State Govt.
the Course the final / Central Govt.
mark sheet) (please specify)
1.

2.

3.

4.

5.

I hereby declare that I do not posses any other qualifications and also not pursuing any other course. I may be terminated
without notice if Management found that I have concealed any higher qualification, which I have possessed before joining the
Company and also pursuing higher qualification at the time of joining the Company.
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 BHARAT DYNAMICS LIMITED
16. Post/Designation wise & Company/Firm wise Experience details to be mentioned, if any (Start from Present
Employer/Company):

S. i. Name o the Central Desig- i. Scale of Pay Contract i. Provident Period of Service Total Reasons
No. Organisation / Firm. / State / nation / ii. Basic / Trainee Fund No., Period of for
ii. Address PSU / Post held iii. DA / Tenure ii.Universal From To Service leaving
iii. STD code & Private iv. Gross Salary / Account No. (dd/mm/yyyy) (dd/mm/yyyy) (Years –
Telephone No. Perman- iii. EPF Office Months)
iv. e-mail. ent address
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

2. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

3. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

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 BHARAT DYNAMICS LIMITED
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
4. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.
5. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

6. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

7. i. i. i.

ii. ii. ii.

iii. iii. iii.

iv. iv.

I hereby declare that I have written correct experience details. I may be terminated without notice if Management found that I have
concealed/ wrong experience details mentioned the above experience details column. (Note: If the post & Company wise experience details are
more than 07 rows, please furnish the experience details in additional sheet(s)).
Signature:_____________
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 BHARAT DYNAMICS LIMITED
17. Experience details, if any, starting from the Present Employer /Company &
Present Post /Designation wise (Please attach additional sheet, if required)
Sl. Name of the Post held Nature of Duties for the said Post
No. Company (Period-From (Min. 100 characters & Max. 200 characters)
Office / Firm dd/mm/yyyy
or Institution To
dd/mm/yyyy)

1.

2.

3.

5.

6.

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 BHARAT DYNAMICS LIMITED
18 Present Pay particulars Calculated
Per Month Per Annum
Scale of Pay (if applicable)

a. Basic (per annum)

b. DA (per annum), if applicable

c. HRA (per annum)

d. Variable Pay (if any)

e. Other (per annum) (Pl. Specify)

f. CTC (per annum) a+b+c+d+e

(Enclose latest pay slip copy)

19 Any of your relative working in BDL Yes No

(tick) (if yes, specify details)
NAME:
Staff No.:

20 Have you ever attended for Interview Yes No

for any post in BDL (if yes, pl.
specify) Name of the Post:

Date when attended:

DECLARATION

I hereby declare that the information stated above by me is true, complete to the
best of my knowledge and belief. In case, the information stated above by me is
found to be false or incorrect, my candidature, appointment may be considered
terminated without any notice.

Date: Signature:

Place: Name of the Candidate:

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