BHARAT HEAVY ELECTRICALS LIMITED BIO-DATA FORM
Affix recently taken Passport size, self attested photograph
SELECTION OF ENGINEER TRAINEES (Please fill this form and bring along with you for the interview) For Official Use Only
1.
Roll No.
Interview Centre
Name (in CAPITAL LETTERS and as entered in the application form) ……………………………………………………………………………………………………………
2.
Mailing Address for
…………………………………………………………………………
communication
………..……………………………………………………………….. ………………………………………………………………………… Pin………….………………
STD code………….Contact Telephone no.……………………e-mail ………….……..………………. Mobile No…………………………………… 3.
Date of Birth: ………………………………..
4.
Marital Status – Unmarried / Married / Other (Please specify) ………………………………………….
5.
Nationality
7. 8.
9.
10.
Category
………………………… 6. Religion General
OBC
SC
ST
……………………………..
If you belong to OBC/SC/ST category, please give the name of your Caste / Tribe as specified in the Caste Certificate.
Father’s Name, Occupation & Organisation if applicable ………………………………………………………………………… ………………………………………………………………………… Spouse’s Name Occupation & Organisation, if applicable (in case of married candidates) ………………………………………………………………………… ………………………………………………………………………… Are you an Ex-serviceman (earlier worked with Armed forces)?
Yes
No
If yes, give details below:
Service ……………………………… Rank last held …………………………………………………… Period of Service: From …………… To …………… Reason for leaving ………..………………. 11.
Whether a Physically Challenged person? Yes/No. If yes, give details: Type of disability (pl 3) Locomotor decibels loss / % of disability………………..
Hearing impairment
12.
Whether involved in any Criminal case / Law suit at any time?
Yes
No
If yes, please give current status ……………………………………………………………………. 13.
Have you suffered from any major illness/ accident : ( Please specify) ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………
14 (a) Educational background: School Exam/ Name of Exam Degre e X or Equiv XII or Equiv College / Institute Degree & Institut discipline ion & / Duration Univer of course sity Degree:
Board
Duration From
Year
Semester *
1st Year
1st Sem 2nd Sem
Main Subjects
To
Main Subjects
Max Marks
Max. Marks
Attempt Marks Obtained (1st/ subsequent)
1st Sem 2nd Year nd 2 Sem 3rd 1st Sem Year nd 2 Sem 4th 1st Sem Year nd 2 Sem Total Marks for 4 years of Engineering Degree
To:
* For annual marking system, fill the yearly marks in 2nd Sem l PG Degree Degree: Discipline
Aggregate % of marks
1st Year
_________.%
Full/ Part/ Corre spond en ce
From: To:
Type of course
Full/ Part/ Corre spond ence
Discipline: From:
Marks Obtai n ed
2nd Year Total Marks for 2 years of Post Graduation Aggregate % of marks
%
14 (b) Prizes /Scholarships received: ………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………….. 14 (c) Vocational Training Firm
Assignment
Period
14.(d) Subjects of Special Interest of graduation / post graduation……………………………………….. ……………………………………………………………………………………………………… 14.(e) Interest and achievements in extra- curricular activities …………………………………………… ……………………………………………………………………………………………………….. ………………………………………………………………………………………………………… 14.(f) Please give your views about the following two statements i) I want to join BHEL because……………………………………………………………………….. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ii)What I would like to contribute to BHEL’s growth .………………………………………………………………………………………………………... ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… 15.
Please give complete details of your past and present employment/occupation till date i)
Sl. Organisation No. & Place
ii)
Designation
From
To
Total monthly emoluments
Reason for leaving
If you are employed in BHEL, please furnish the following details Unit:
Deptt.
Staff No.
……………. ………………. …………………
Current Designation
………………..
and effective date
…………………
iii) If employed, was your application forwarded through proper channel?
Yes
No
Note: If you have got employment in a “Government Department / Undertaking / Autonomous Body etc., subsequent to sending your application to us, you are required to obtain and bring a “NO OBJECTION CERTIFICATE” from your present employer 16.
Have you applied for any other examination to be conducted by Govt. (Centre/ State) or Public Sector Undertaking? YES / NO.If yes, Please give name & date for examination & current status of selection process ………………………………………………………………………………………………………
17.
Have you been interviewed for any post in BHEL earlier?
Yes
No
If yes, furnish details of Post………………………………….. ………………………………. Unit ………………………………Date of Interview ……………... Result ................……….
18.
Has your parent / spouse been in service of BHEL?
Yes
No I if yes, give details
Name of Parent/Spouse :………………………….. ………………….. Staff No………………….. Designation: ……………………………… Division : ……………………………………… Present Status (employed presently/Resigned/Retired/Voluntarily Retired / Deceased) ……………….
DECLARATION I hereby declare that statements made by me in this form are true and complete. If I am appointed and the Company finds at any time that any part of the information given by me is incorrect or false or that I have concealed any relevant information, I agree that my appointment shall be liable to summary termination without any notice or compensation and I am liable to refund the expenses incurred by the Company on my training etc.
Date ………………………
Signature ………………………………………………...
Place ……………………..
Name
.………….………………………………………