BHARAT DYNAMICS LIMITED

Annexure-I
BIO-DATA FORM
Advt. No.: BDL/C – HR (TA & CP)/ADVT.
/ADVT. No.2023-4
No.2023
Affix Recent
Online Registration No. : ______________________________
Passport Size
Name of the Post applied for: ______________________________ Photo

Working in Govt. Organizations / PSU: Yes No

In case of ‘Yes’, whether applied through proper channel: Yes No

Please
lease attach a copy of the forwarding letter of the employer or NOC at the time of Interview.

1 Name of the Candidate ((as

per Xth Class certificate in
capital letters)
2 Date of Birth AGE as on
(DD/MM/YYYY) 05.06.2023
.2023
3 Father’s Name (as per your
Xth Class certificate)) &
Occupation
4 Present Address
(for correspondence)

5 Permanent Address

6 Phone No. / Mobile No.

Alternate Contact No.

7 e-Mail ID (Mandatory)

8 Nationality
9 Religion
10 Place of Birth & State
11 Marital Status
12 Specify
ecify the category you
belong to (tick) UR / EWS / OBC/SC/ST
13 Are you a Person erson with
Benchmark Disability
isability Yes No , If yes _____ % of disability &
(PwBD).. If yes, please
specify the disability % PwBD Category_______________________________
14 Are you an Ex-Servicemen
Servicemen
(if yes, pl. specify no. of Yes No No. of years:
years of service) Date of retirement (DD/MM/YYYY):
Please tick on your branch
in Defence Service ARMY / AIRFORCE / NAVY

Signature:______________________ Page 01 of 07
 BHARAT DYNAMICS LIMITED
15. Educational Qualifications (Declare all the qualifications, which you posses and pursuing). Also, indicate period of gap in
academics, if any, and reason for the break.
break
Sl. Qualifica Subjects /i. Period of Study University/ Full Time / Month & Percentage (%)
( of Course is
No. tion (Xth Specialization (From (MM/YY)_To
(MM/YY) Institution & Corresponde Year of Marks secured Recognized by
Class (MM/YY) Address nce / Passing (as (average
verage of total
tota UGC / AICTE/
onwards) ii. Total duration Evening per marks obtained DEC / State
of the Course classes/ certificate) in all Govt. / Central
Part Time semesters
esters/years) Govt. (please
specify)
1.

2.

3.

4.

5.

(Rows may be added if necessary)

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 (Please attach additional sheet, if required).

Signature:_____________ Page 02 of 07
 BHARAT DYNAMICS LIMITED
16. Post/Designation wise & Company/Firm wise Experience details to be mentioned,, if any (Start from Present
Employer/Company). Management Trainee/ ee/ Probationary Trainee/ Apprenticeship/
Apprenticeship/ Training period,
period if any, during the course
of employment, should be indicated separately.
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 & PSB/ iv. Gross Salary Permanent Account No. (dd/mm/yyyy) (dd/mm/yyyy) (Years –
Telephone No. Private per month (6) iii. EPF Office Months)
iv. e-mail. (in case of Private address
(1) (2) (3) (4)
sector employees)
(7) (8) (9) (10) (11)
(5)
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.
(Rows may be added if necessary)
Signature:_____________ Page 03 of 07
 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.
(Rows may be added if necessary)

I hereby declare that I have written correct experience

ex details.. I may be terminated without notice if Management
Managem 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)).
sheet(s)

Signature: _____________ Page 04 of 07

 BHARAT DYNAMICS LIMITED
17. Experience details, if any, starting from the Present Employer /Company & Present Post
/Designation wise.
Sl. Name of the Post held Nature of Duties for the said Post
No. Company (Period
(Period-From (Min. 100 characters & Max. 200 characters)
Office / Firm dd/mm/yyyy
or Institution To
dd/mm/yyyy)

1.

2.

3.

4.

5.

6.

7.

(Rows may be added if necessary)

Signature:________________________ Page 05 of 07
 BHARAT DYNAMICS LIMITED

18. Organisation Chart depicting Candidate Present Position / Designation, Roles &
Responsibilities in the Present Organisation / Company only.

Name &
Address of the
Present
Organisation /
Office / Firm /
Institution
Organisation
Chart
depicting
candidate
Present
Position /
Designation
in the
Presenting
Organisation
/ Company

Role &
Responsib-
ilities of the
Candidate in
the Present
Organisation.

Signature:________________________ Page 06 of 07
 BHARAT DYNAMICS LIMITED

19 Present Pay particulars (Rs.

Rs.) Per Month Per Annum

Scale of Pay (if applicable)

a. Basic

b. Dearness Allowance (if applicable)

c. HRA

d. Variable Pay (if any)

e. Other (Pl. Specify)

f. CTC (a+b+c+d+e)
(Enclose copy of latest pay slip)

20 Any of your relative working in BDL Yes No

(tick) (if yes, specify details)
NAME:

Staff No.:

21 Have you ever attended for Interview for Yes No

any post in BDL (if yes, please
ease specify)
Name of the Post:

Date when attended:

DECLARATION

1. 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
as revoked / terminated
minated at any stage of recruitment process or after recruitment
/ joining.

Date: Signature:

Place: Name of the Candidate: ______________________________

Enclosed: Copy of Educational / Technical Qualifications along with Marks Sheets,

Sheets
Category certificate, Experience Certificate
Certificate,, NOC (if any), etc.

Page 07 of 07