Employment Form
Affix Passport Size
1. Post applied for:______________________________________ Photograph taken
2. Vacancy Reference No._________________________________ within last six
3. Name (In block Letters): _________________________________ months
_____________________________________________________
4. Sex (tick option): Male: ___________ Female: _______________
5. Date of Birth: Day_______Month_______Year_______________________________
6. Citizenship Identity Card No.: _____________________________________________
7. Present Address: -
_____________________________________________________________________
8. Permanent dress:
Village: ______________________________________________________________
Gewog: ______________________________________________________________
Dungkhag: ____________________________________________________________
Dzongkhag: ___________________________________________________________
Thram No.: __________________________ ouse No.:__________________________
9. Contact details:
Email Address: _________________________________________________________
Mobile No:_____________________________________________________________
10. Qualifications (please start with the School/College/Institute last attended):
Name of Place Degree Month & Year % Marks
School/College/Institute obtained/subje of Completion obtained
ct studied
Post box No. 1557; Thimphu, Phone: 2-327317; Tele Fax: 2-329952 Email: era@era.gov.bt
(Use additional sheet if necessary)
11. Training attended if any (copies of Training Certificates required):
Name of Institute City & Duration Dates Diploma/
Country Certificate
(Use additional sheets if necessary)
12. Work Experiences, if any (Certificate from the Employers(s) required):
Name of Place Designation Year The last
Company/ From To salary paid
Office in Nu
Post box No. 1557; Thimphu, Phone: 2-327317; Tele Fax: 2-329952 Email: era@era.gov.bt
(Use additional sheet if necessary)
13. I have not been:
(a) Convicted of a criminal offense.
(b) Terminated or compulsorily retired on the disciplinary ground by my previous
employer(s).
(c) Adjudged as mentally unfit.
14. Declaration:
I hereby certify that the information given herein is true and complete to the best of my
knowledge. In the event of detection of false or misleading information, I understand that
the Electricity Regulatory Authority (ERA) shall cancel/reject my application or cancel
my appointment (if already appointed) without any benefits. I also undertake to abide by
all the Rules and Regulations of the BEA if selected.
Affix Legal
Stamp
Signature of Applicant
Date of application: ______________________________
Note:
Post box No. 1557; Thimphu, Phone: 2-327317; Tele Fax: 2-329952 Email: era@era.gov.bt
1. This form should be accompanied by attested copies of the academic certificate and
other valid documents as per the vacancy announcement. Non-submission of
incomplete submission of the copies of Extra-Curricular Activities Certificates, if any
(optional).
2. This Employment Form and the copies of the document once submitted shall not be
returned to the Applicant.
For use by BEA official only
Application scrutinized by:
Signature: _______________________________
Name: _________________________________
Post box No. 1557; Thimphu, Phone: 2-327317; Tele Fax: 2-329952 Email: era@era.gov.bt
