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BEL India 2012(SRD): Online Application For PE
BEL : PROBATIONARY ENGINEERS(PE) - 2012 SPECIAL RECRUITMENT RECRUITMENT DR IVE FOR SC / ST A p p li c a t io n Fo r m A pp lica li ca t io n No . : 204991 *
* A pp lic a t io n f or t he Po s t o f : PR O BA TI O NA R Y E NGIN NG IN EE R S( PE ) - C omp ut e r Sc ie nc e
Personal Particulars *
Name Name (as it appea rs in your Ms. ANANDHI SSLC/SSC certificate)
* A dd re s s f or C o mmuni ca t io n 3, SA ST R I NA GA R KAKKAN BRIDGE A DA MBA KKA M
* C i t y / Di s t r ic t
C HE N N A I
* St a t e
TA MI L N A DU
* P in C o d e
* C o n t a ct ct N o . w i t h ST ST D C o d e 4 4 - 2 24 24 4 4 69 69 7 * N e a re re st st Ra Ra ilil w a y S t at a t io io n
MS
* Ge n d e r
F E MA LE
* Da t e o f B ir t h
6 - De c - 1 9 8 9
* R e lig io n
HI N DU
* E - ma i l I D
a n a n k a r u @ g ma i l . c o m
Mo b ile No * N a t io n a lit y
600088
9962704661 I NDI A N
A l t e r n a t e E - ma i l I D , i f a n y
Qualifications Details * E n g i n e e r i n g De g r e e
B. E .
* I n s t it u t io n
A N N A U N I V E R S I TY
* E n gi gi ne ne e r iin n g D e gr gr e e S t a t u s P a s s e d * Branch
Computer Science & Engineering
* M o nt nt h & Y e ar a r of of Pa P a ss s s in in g *
Percentage / Class in Engineering Degree
Ma y y-- 2 20 0 11 11 75.40 /First
Employment Employment Deta ils ils * A r e y ou Emp lo y e d?
NO
If Yes, Type of Organisation
Name Name of the Or ganisation
Designation
Pay Scale (CTC for others)
specialtest.in/bel2012srd/user/Fill_Applicat specialtest.in/bel2012srd/user/Fill_ApplicationNext.asp?EmailI ionNext.asp?EmailID=anankaru@gmail.
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BEL India 2012(SRD): Online Application For PE
General Information * C at egory
SC
A re y ou a Do micile of J &K * During 1.1.1980 t o 31.12.1998?
NO
*
A re y ou a Pe rs on wi t h Disabilities (PWD)?
NO
* A re y ou an Ex -Se rv ic eman ? NO
If Yes,Indicate type of disability and Percentage of disability
%
Se rv ic e in De f enc e
0 Ye a rs 0 Mo nt hs
Language in which you want to take the test
English
If Yes, Indicate branch of A rmed f or ces and da t e of discharge(DD/MM/YYYY)
Writt en Test Detail * Writ t en t es t cent e r
Ba nga lore
Declaration I hereby declare that I have verif ied the details indicated above a nd also confirm that all the information submitted is correct to the best of my knowledge. At any stage, if it is found that any of the above information is incorrect and/or is suppressed, the management of BEL shall have the right to take action, as deemed fit. A pp lic a t io n No . 20 49 91 Place Dat e
Signa t ure of A pplicant (To be signed prior to despat ch)
Kindly save this page by using out.
'SAVE AS' option given in the browser before taking the print Print
(Please Print the f orm for Further R eference) A n a ck no wle dge m e nt m e s s a ge ha s no w b e e n s e nt t o y our giv e n Em a il - ID . Pl e a s e check.
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4/26/12
BEL India 2012(SRD): Online Application For PE
Important Instruction for Candidates: 1. 2. 3. 4.
Attach y our passport size photograph (without attestation) in the space provided below. Endorse your signatures in the space provided below. Application Form receive d without two photographs, signatures at two places will be rejecte d. Send the duly completed Application form at the following address on or before 16 May 2012: Post Box No 4334, Kalkaji Head Post Office (HPO), New Delhi - 110019. 5. Do NOT send any c opy of the cert ificate a longwith the duly completed application form. Original certificates of the short listed candidates will be scrutinized / verified at the time of interview.
A ppli c a t io n No.: 204 99 1
Name: ANANDHI A dd ress : 3, SA ST RI NA GA R KAKKAN BRIDGE A DA MBA KKA M CHENNAI -600088 TAMIL NADU
Test Date: 24 June 2012 (Sunday) Signature of Applicant (in the space provided)
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BEL India 2012(SRD): Online Application For PE
Please Cut & Af fix t he Addres s Label given below on the env elop for sending print version of Online Application Form at the following address on or before 16 May 2012:
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BEL- 2012(SRD): Applicat ion for the Post of PROBA TIONARY ENGINEERS(PE) SPECIAL RECRUITMENT DRIVE FOR SC / ST
Discipline: Computer Science To POST BOX NO. 4334, KALKAJI HEAD POST OFFICE(HPO), NEW DELHI-110019.
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