Post: DY. ENGINEER HUMAN RESOURCES DEPARTMENT ELECTRONICS WARFARE & AVIONICS (SBU) BHARAT ELECTRONICS LIMITED (BG.

CX.) 1. Name in full : (Mr./Ms.) (As per SSLC certificate) 2. Age & Date of Birth (01.04.2012) 3. Sex: Male/Female 4. Fathers Name 5. Nationality 6. Category-General/SC/ST/OBC (Enclose Certificate in the prescribed format) 7. a) Indicate if you are a Person With Disability If yes, indicate nature of Disability. OH VH : HH : : : : : :

Affix your Recent Passport-size Photograph

(Disability certificate in the prescribed format to be enclosed) b) Degree of disability as indicated in the Certificate 8. Religion: Hindu / Muslim/ Christian/Sikh/Neo-Buddhist/ Zorastrian, other (please specify) 9. a) Hobbies/ Special Interests b) Whether participated in NCC/Scouts/Cultural activities/ Debate/ Competition/ Sports etc. (Please specify) : : : :

10. Qualification: (Academic / Professional) - (indicate division & year of passing) Educational status from SSLC onwards Institution/University Main subject Class secured/ Percentage of marks Year of passing

-211. Details of Experience (*) : Sl. Name of the Organization From To Designation Emoluments Nature of responsibility in brief

(Enclose separate sheet if required) - Please indicate the date (DD/MM/YYYY) of joining & exit for each employer. 12. Address with Pin Code a) Permanent Address --------------------------------------------------------------------------------------------------------------------------------------------------------------------Phone No: (c) e- mail id : 13. Please indicate if any of your relative are employed in BEL? If yes, indicate their name, staff no., designation, Unit/Division. 14. Undertaking I affirm that the information given above us true and correct. I further declare that if at any stage it is discovered that an attempt has been made by me to willfully conceal or misrepresent facts, my candidature may be summarily rejected or my employment terminated. SIGNATURE OF THE CANDIDATE Date: Place: b) Correspondence Address --------------------------------------------------------------------------------------------------------------------------------------------------------------------Phone No: