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Application Form E III NWCS

Application form for BEL senior engineer

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vinodchandu
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0% found this document useful (0 votes)
28 views

Application Form E III NWCS

Application form for BEL senior engineer

Uploaded by

vinodchandu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

APPLICATION FOR THE POST OF SENIOR ENGINEER (E-III GRADE)

(NWCS - SBU)
Affix recent
Advt.No. 383/HR/MIL.COM & NWCS date: __________
passport size
BE B.Tech ME/M.Tech color
Discipline photograph
1. Cyber Security
:
2. Information Security
(Please Tick) 3. Information Technology
4. Computer Science
5. Electronics & Communication

1. Name of the candidate: _______________________________________________

2. Father’s Name : __________

3. Date of birth:_____________ 4. Age as on 01.10.2024: Y_____M______D______

5 Gender: ________________ 6. Marital Status: ___________________________

7 Nationality: _______________ 8. Religion : ______________________________

9 Category: (UR/OBC(NCL)/SC/ST) : _______________________________


(Enclose certificate in the prescribed format available on the website)

10. If PwBD, please indicate VH, HH, OH :__________ and Extent of disability percentage :_________

11. Address:
PERMANENT CORRESPONDENCE

City: City:

State: State:

Pin code: Pin code:

Mobile No.: Alternative Mobile No.:

E-mail id (mandatory) :

12. Qualification details:

Educational Main subject


Aggregate
status from /Discipline/Branch Month & Year
Institute/University Percentage &
10TH STD (As given in the of Passing
Class Secured
onwards Degree certificate)
10th Std.

Page 1 of 3
12th Std. /
Diploma
B.E. / B. Tech
M.E. / M. Tech
Others if any

13. Post Qualification Work Experience- (i.e. after completion of B.E./B.Tech or M.E/M.Tech)
: beginning with the current job:
Attach a write up on description of job experience) (Cutoff date for deciding post qualification
experience will be 01.10.2024)

Name of the Tenure of Service


Organization CTC
Designation
(indicate if Public From To No. of years & (in Lakhs)
Sector Unit) Months
(DD/MM/YY) (DD/MM/YY)

Years ______
Total years of Experience
Months ______

14. If you have appeared /applied for any previous selection for appointment in BEL, please
furnish the details of the same:

Applied Year & Status of


Sl.No Applied Post Name of Unit
Month Selection

15. If you are working in BEL, please furnish below mentioned details:

Name Staff. No Designation Department Date of Joining Unit

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16. Particulars of your relative/s presently/previously employed in BEL, if any:

Name Designation Department Unit Relationship

17. SBI Collect Reference No.__________________, Date ___________ Amount________

18. Enclosures: Tick the below mentioned photocopies of the documents that has been enclosed
along with the application:

Sl. Tick if
Documents
No. enclosed

1 Self-attested copy of SSLC/Matriculation Certificate (proof of age).


2 Self-attested copy of PUC/12th Class/Diploma Marks Card.

3 Self-attested copies of BE/B.Tech/ ME/M Tech Marks cards for having passed all
semesters/years. Valid document for conversion of CGPA to percentage & class.

4
Self-attested copies of Provisional/Final Degree Certificate

Post qualification work experience certificate/s from previous to till current


5 employer. Where current employment certificate is not produced, the Offer of
current appointment, latest salary slip and Employee ID proof should be
compulsorily enclosed to determine the No of years of experience.
6 A separate write up mentioning the details of Duties and Responsibilities in
the current and previous jobs.
Caste / Disability certificate (if applicable). (OBC(NCL)/SC/ST/PWD) certificate
7 should be latest and strictly in the prescribed formats. (OBC should be issued on
after 01.01.2024)
No Objection Certificate (if applicable) for Candidates working in PSUs
8
/Government / Quasi Government organizations.

9 Online Payment Receipt – if applicable

10 Any other Certificates / Testimonials (if any, may be attached)

19. UNDERTAKING

I 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.

Date:
Signature of the candidate
Place:
Page 3 of 3

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