Scribd
Upload
6 views

Application Form (1)

This document is an application form for the position of Contract Engineer at BEL Optronic Devices Ltd. It requires personal information, educational qualifications, previous employment details, and references, along with a checklist of documents to be attached. The applicant must affirm the accuracy of the information provided and understand that their application is provisional until eligibility is verified.

Uploaded by

Hritik Aryan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
6 views

Application Form (1)

This document is an application form for the position of Contract Engineer at BEL Optronic Devices Ltd. It requires personal information, educational qualifications, previous employment details, and references, along with a checklist of documents to be attached. The applicant must affirm the accuracy of the information provided and understand that their application is provisional until eligibility is verified.

Uploaded by

Hritik Aryan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

BEL OPTRONIC DEVICES LTD.

EL-30, 'J' Block, Bhosari Industrial Area, Pune - 411 026 .


Affix
Passport
Size
APPLICATION FORM Photo

Post Applied: Contract Engineer ___________________

Name: _______________________________________________________________
First Middle Last
Father's Name: __________________________ Mother’s Name: _________________

Contact No: (i) _______________________ (ii) ____________________

Mail ID ( write one alphabet/sign in each box):

Date of Birth: _____________ Place of Birth: ___________ Nationality: ____________

Height: ________ Weight: ________ Blood Group: ________ Gender: ____________

Marital Status: Single / Married No. of Children: __________________

Mother Tongue: ___________________ Religion: ___________ Caste: ____________

Category: SC / ST / OBC / GENERAL / EWS / PWD


(Specify in box)

Languages Known: _____________________________________________________

Local Address: _______________________________________________________


_________________________________________________________

Permanent Home Address: _______________________________________________


_________________________________________________
Educational Qualification:
S/N Name of School/College Exam Passed Percentage Year of Passing

Page 1/3
Details of previous employment, if any:
(Attached separate sheet if required)
Reason
S/N Dates Name of Employer Position Held Salary Drawn for
Leaving
From To Starting Ending

Are you covered under?


a) E.S.I. Scheme: Yes / No; If Yes E.S.I. No._______________________________

b) P.F. Scheme: Yes / No; If Yes F.P.F/P.F/UAN No._________________________

Do you have?
a) PAN Card: Yes / No If Yes PAN No. ________________________
b) Pass Port: Yes / No If Yes Pass Port No. ____________________
c) Driving License: Yes / No If Yes Driving License No. ____________________
d) Election Card: Yes / No If Yes Election Card No. ___________________
e) Aadhar Card: Yes / No If Yes Aadhar No. ___________________
f) Extra Curricular Activities / Hobbies: ___________________________________
g) If any prizes received in competitions, state the details:

Reference: (State the name of two well known persons not relatives, to whom reference
may be made about you)

Name Address Contact No Relationship

Page 2/3
Have you got any relatives working in this Company? If so give their particulars:
_____________________________________________________________________

Give in short, particulars of work done by you


In your previous employment : _________________________________
(Attached separate sheet if required)

Any other special information about you, not


Covered above : _________________________________

I solemnly affirm that information stated above is correct to the best of my knowledge. If
any information stated above is found to be incorrect, my application/candidature will be
liable to be rejected or my services will be liable to be terminated without Notice or
payment in lieu of Notice or any compensation from BELOP. I also certify that I am
fulfilling the specified eligibility criteria of the post advertised, for which I am submitting
this application. Further I am aware that my candidature is provisional though I would be
called for written test. Because after written test, necessary scrutiny of my
application/candidature w.r.t eligibility criteria specified in the advertisement will be done
at later stage as indicated in the website Advertisement.

Date: Signature of the applicant

Check list: Attach ‘Self attested’ copy of the following documents in sequence -

a) SSLC / SSC certificate as proof of date of birth.


b) Proof of first class obtained in degree course, issued by respective
University or College.
c) Candidates belonging to reserved category need to submit their authentic
caste certificate issued by appropriate government authority.
OBC Candidate – ‘Non Creamy Layer’ certificate issued by the Competent
Authority on or after 01.10.2023
d) No Objection Certificate from your present employer (if you are employed
in Govt/Quasi Govt /PSU).

e) Candidates belonging to PWD (OH only) need to submit their authentic


disability certificate issued by the Medical Board in the prescribed format.

f) Proof of Identity card: - Pan Card/Passport/Driving license/Election card.

g) Experience Certificate/s from previous employer/s (if applicable).

Page 3/3

You might also like