Scribd
Upload
215 views3 pages

English Application Form 23 11 09

1. The document is an application format for the post of Artisan IV at Bharat Heavy Electricals Limited (BHEL) in Jhansi, India. 2. It requests information such as the applicant's name, date of birth, gender, caste, religion, qualifications, experience, and contact details. 3. For OBC candidates, it includes an undertaking that the applicant does not belong to the socially advanced sections excluded from OBC reservations.

Uploaded by

Lauren Mckenzie
Copyright
© Attribution Non-Commercial (BY-NC)
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
215 views3 pages

English Application Form 23 11 09

1. The document is an application format for the post of Artisan IV at Bharat Heavy Electricals Limited (BHEL) in Jhansi, India. 2. It requests information such as the applicant's name, date of birth, gender, caste, religion, qualifications, experience, and contact details. 3. For OBC candidates, it includes an undertaking that the applicant does not belong to the socially advanced sections excluded from OBC reservations.

Uploaded by

Lauren Mckenzie
Copyright
© Attribution Non-Commercial (BY-NC)
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 FORMAT FOR THE POST OF ARTISAN IV

INITIALLY AS TEMPORARY EMPLOYEE (ARTISAN)

1. Trade : ____________________________ Affix passport


size photograph
2. Name of the applicant : ____________________________ duly signed by
(in capital letters) the candidate

3. Date of Birth :
Day Month Year
st
Age as on 1 Nov 2009 : Years Months

4. Gender- Please (√ ) : Male Female

5. i) Father’s name : _______________________________


ii) Father’s occupation : _______________________________

iii) In case of BHEL Employee : Staff number _________ BHEL Unit:_______


wards state staff no. and current
status of employment of parent Status:Serving Retired Resigned
such as Serving/Retired/Resigned/
Deceased/Removed/Dismissed Deceased Removed Dismissed

6. i) Caste/Category –Please tick (√ ) : General OBC (Non Creamy Layer)


Caste/Community Certificate should SC ST
be attached

ii) Religion : ________________

iii) Whether Physically Challenged Yes No


Please tick (√ )
If yes, type & percentage of Disability : _________________
Locomotor Locomotor disability in Percentage ----------%
Hearing impaired Hearing impaired disability in Decibels: ________
Visually Impared Disability in Percentage ----------%

iv) Whether Ex Serviceman Yes No

if yes, No. of years of Service _________ years

7. Whether seeking age relaxation as Yes No


J&K candidate (Please enclose Certificate)
8. Postal address
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
_________________________Pin__________________

Contd…
::2::
9. Academic & Technical Qualification:
Examination Dura- Year of Subject/ Name of Board/ Marks Max. % of
Passed tion of passing Trade University/ITI obtained marks marks
course
X Std (10th )

Plus Two/ Int


ermediate(12)

ITI- NTC

10. Whether undergone Apprenticeship Training under Apprentices Act 1961: Yes
Please tick (√ ) No
It Yes, furnish details of apprenticeship training
Name of Period of training Trade Stipend National Apprenticeship Certificate % of
organization per Marks marks
From To month Marks obtained Maximum marks

11. Experience:
Experience, if any

Name of Experience Nature of Job Emoluments


organization & Post Held (Rs per month)
Address From To

12. Whether BHEL departmental candidate Yes No


13. Bank Demand Draft : No. Dated Amount Rs.
14. Telephone No.s/E-mail address, if any __________________
15. Mother Tongue: __________________
16. Languages Known 1. Write_________ Read_________ Speak ________
2. Write_________ Read_________ Speak ________
3. Write_________ Read_________ Speak ________
17. Computer Knowledge : ______________________________________

Declaration
I herby declare that all statements as mentioned in this application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any particulars
or information given above being found false or incorrect, or if at any stage it is found I do not
possess the prescribed qualification for the post, my candidature will be rejected ab initio and
I will not have any right/claim to the post.
Encl: 1 2 3
4 5 6
Date: (Signature of Candidate)
To,
Dy General Manager (HR)
Human Resource Deptt., ADM Bldg.
Bharat Heavy Electricals Limited, JHANSI (UP)-284129
UNDERTAKING (for OBC Candidates)

“ I ________________________ son/daughter of Sri___________________ resident of


village/town/city ____________District ____________, State _________ hereby declare
that I belong to the ___________ caste / 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. 36033/3/2004-
Estt. (Res) dated 14.10.2008. It is also declared that I do not belong to persons/ sections
(Creamy Layer) mentioned in the schedule to the above referred office memorandum dated
14.10.2008.

Name: ------------------------------------ (Signature of candidate) ----------------------

Roll No: ------------------------------------- Date: -----------------------

You might also like