ed erga Dore se1r cela Affix recent passport photograph signed by the candidate. POST APPLIED FOR: 1, Name of the candidate in full (As per SSLC/SSC Certificate) 2. Father’s Name 3. Age & Date of birth 4. Gender: | MALE FEMALE 5. Nationality 6. Religion (Please specify) 7.Category: GENERAL[_] oBc[_] sc st 8. Whether Physically Challenged: YES NO 9. yes, mention the eategory of disability: VH [_] OH HH 10. Marital Status: MARRIED UMMARRIED 11, Address: | PERMANENT CORRESPONDENCE | | PH.NO, 12. E-mail -..... 13. Mobile :.....14. QUALIFICATION (From SSLC/SSC Onwards): Institute/ University | Percentage | secured Class Year of Subject/ passing Discipline SSLC/Matri culation PUC/I2" Graduation! BE/B.Tech ‘ME/M. Tech Ms Others (Please Specify) Method of CGPA conversion to Percentage should be enclosed 15, EXPERIENCE (Start with the Existing) (If required please attach separate sheet): Name of the Employment Relevant experience a ; Cost to organization details sia specific to the peer Designation | the 4 (indicate if Pr * Connsany | Tedirement for the post PSU/Govt) ea Laas applied for16. Please give particulars of your relative employed in BEL. if any: Name Relationship | Designation | Department Unit 17. Have you appeared for any previous selection for Appointment in BEL? If so, please furish details in brief: 18. Details of Application Fee (Exempted for SC/ST/PWD): ‘SBI Collect Reference No./Journal No. Amount Date Rs... UNDERTAKING | affirm that the information given above is true and correct. I further undertake that, if at any stage, it is discovered that an attempt has been made by me to willfully conceal or misrepresent the facts stated above, my candidature may be summarily rejected or my employment terminated. SIGNATURE OF THE CANDIDATE Date: