BHARAT HEAVY ELECTRICALS LTD.

Paste self
Power Sector: Project Engineering Management attested
NOIDA-201301 (UP) recent
passport size
photograph
APPLICATION FOR THE POST OF DRAUGHTSMAN (CIVIL)

1. Name (IN BLOCK LETTERS)

2. Father`s / Husband`s Name

3. Date of Birth
Day Month Year

4. Age as on 1st October 2009

Years Months Days

5. Gender :
Please Tick (√) Male Female

6. Religion:

7. Permanent Address Contact /Mailing Address

City
Phone No. (with STD Code) State:
Mobile No.: Phone No (with STD Code):
Email ID:
8. Caste/Category Please tick (√)
Gen OBC (Non-Creamy Layer) SC ST

9. Are you a Person Physically

Challenged? Please tick (√) if yes, Yes No
nature of handicap & percentage of Locomotor Disability: ______ %age
disability.
Hearing impaired Hearing Loss: ____ decibels

10. Are you an Ex-serviceman:

Please Tick (√) Yes No
If yes, Service Period in Defence : From_________________ To______________
11. In case of BHEL Employee wards/spouse of Serving/Superannuated /Deceased Employee. Put a
tick (√) mark in the appropriate box.

Serving Retired

Deceased Death during Service Death after Service

If yes, give the staff number of BHEL Employee

12. Language Preference for Written

Test:
Put a tick (√) mark.
Hindi English

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13. Details of Educational Qualification:

Sl. Examination Passed Year of Name of Board/ Subject Max Marks % of

No Passing University Marks Obtained Marks
1. High School

2. ITI

3. Apprenticeship/NAC

14. Any other Additional Qualification

Qualification Duration Full Time/ Specialization Percentage Month & Year of

Part Time/ of Marks Passing
Correspondence
From To

15. Computer Knowledge:

_________________________________________________________________________

__________________________________________________________________________

16. Experience details (Starting with present employment) :

Sl. Name of the Position Held From To Nature of duties and

No Organization responsibilities

17. Details of Demand Draft:

Name of Bank DD No. DD Date Amount (Rs)

DECLARATION
I hereby declare that all statements/enclosed documents submitted by me are true and correct to
the best of my knowledge and belief. I understand that in the event of any information being found
incorrect at any stage during / after the selection process, my candidature/selection can be
cancelled, without assigning any reason therefor.

Place: ________________ Signature of the Candidate

Date:_________________

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 SELF UNDERTAKING FOR OBC (NON CREAMY LAYER) CANDIDATES

[To be submitted by OBC (Non-Creamy Layer]

I, _______________________ son/daughter of Shri _________________________________ resident of

village/town/city _______________________ District ______________________. State ________________,

hereby declare that I belong to the ______________ community which is recognized as a backward

class by the Government of India for the purpose of reservation in services as per orders contained in

Department of Personnel and Training Office Memorandum No. 36012/22/93-Est(SCT) dated

08.09.1993. It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in

Column 3 of the schedule to the above referred office memorandum dated 08.09.1993. and its

subsequent revision through OM No.36033/3/2004-Estt (Res) dated 09.03.2004]

Signature of Candidate: __________________________________________________________________

Name of the Candidate: __________________________________________________________________

Father’s Name: __________________________________________________________________

Address: _________________________________________________________________

__________________________________________________________________

Place:

Date:

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