5/6/2015 BELIndia2015:OnlineApplicationForPE

https://jobapply.in/bel2015/user/Fill_ApplicationNext.asp?EmailID=kumarmahendraer.5@gmail.com&RegNo=739543 1/4

BEL: PROBATIONARYENGINEERS(PE ) 2015App lic ation Fo rm

*

App lica t ion No .: 739543

* App lica t ion fo r t he Po s t o f: PROBATIONARYENGINEERS(PE ) Mechan ical

PersonalParticulars

*Name (a s it a ppe a r sin your SSLC/SSCce r t if ica t e )

Mr . MAHENDRAKUMARMEENA

* Addre s s fo rCommun ica t ion P .NO . 01 ,MOTI NAGAR

CO LONY,KHERDA

DHMOONROAD

SAWAI MADHOPUR

* Cit y/Dis t r ic t SAWAI MADHOPUR * P in Code 322001

* St a t e RAJASTHAN

Con t a c t No .w it hSTDCode 0 0 * Mob ile No 9462904469

* Nea re s t R a ilwa yS t a t ion SAWAI MADHOPUR * Na t iona lit y INDIAN

* Gende r MALE

* Da t e o fBir t h 15 O c t 1995

* R e lig ion HINDU

* Ema ilID kuma rmahendra e r .5@gma il.com Alt e rna t e E ma ilID, ifa ny mahendrameena95@gma il.com

Qualif ications Details

* Eng ine e r ing Degre e B.Te ch .

* Ins t it u t ion RTU/R IET

* Eng ine e r ing Degre eS t a t us Appe a r ing in Q ua lify ing Exam *Mont h &Ye a r o fPa s s ing Jun2015

* Bra nch Me chan ica l *Pe r ce n t a ge / Cla s sin Eng ine e r ingDegre e

/

........................SignatureofApplicant

5/6/2015 BELIndia2015:OnlineApplicationForPE

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ApplicationNo.:739543

EmploymentDetails* Are you Emp loye d? NO

GeneralInformation* Ca t e go ry ST

*Are you a Domic ile o fJ&KDur ing 1 .1 .1980 t o31 .12 .1998?

NO

* Are you a Pe r s on w it hDis a b il it ie s (PWD)? NO

* Are you a n ExSe r viceman? NO

WrittenTestDetail*Wr it t e n t e s t ce n t e r Cho ice 1 : Ja ipu rCho ice 2 : De lh i

La nguage in wh ich youwant t o t a ke t he t e s t Eng lis h

ChallanDetails ( if notexempted)* Journa lNo . * Cha lla n Da t e

* Cha lla n Amount * SBI Ba nkBra nch Name

De c la r a t ion

I h er eb y d ec lar e th at I h ave ver i f ied th e d eta i ls in d ic ated ab ove an d a lso c on f i rm th at a l l th ein formation su bmitted is c or r ec t to th e b est of my kn owled g e. A t an y stag e, i f i t is fou n d th atan y of th e ab ove in formation is in c or r ec t an d / or is su p p r essed , th e man ag emen t of BE L sh al lh ave th e r ig h t to take ac t ion , asd eemed f i t .

App lica t ion No .739543

P la ceDa t e

S igna t u re o fApp lica n t

(To be s igne d p r io r t o de spa t ch)

Kind lysaveth ispagebyusing 'SAVE AS ' op tion g iven in theb rowser befo retaking thep r in tout.

Print

(P le a se P r in t t he fo rmfo r F u r t he r R e fe re nce )

5/6/2015 BELIndia2015:OnlineApplicationForPE

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Impo r tantInstruc tion fo r Cand idates:

1. Endo r s e your s igna t u re in t he App lica t ion F o rm.2. App lica t ion F o rmre ce ive d w it hou t s igna t u re w il lbe r e je c t e d .3. Se nd t he du lycomp le t e d App lica t ion fo rma t t he fo llow ing a dd re s s on o r be fo re 20 May2015

:

PostBoxNo.3076,LodiRoad,NewDelhi110003.4. Do NOTs e nd a nycopyo ft he ce r t if ica t e a longw it h t he du lycomp le t e d a pp lica t ion fo rm.

O r ig ina lce r t if ica t e s o ft he s ho r t l is t e d ca nd ida t e s w il lbe s c ru t in iz e d / ve r if ie d a t t he t ime o fin t e r view.

App lic ation No .: 739543

Name : MAHENDRAKUMAR MEENAAddre s s : P .NO . 01 ,MOTI NAGARCOLONY,KHERDADHMOONROADSAWAI MADHOPURSAWAI MADHOPUR 322001RAJASTHAN

TestDate: 21 June2015 (Sunday)

S igna t u re o fApp lica n t( in t he s pa ce p rovide d)

5/6/2015 BELIndia2015:OnlineApplicationForPE

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P le a se Cu t &Affixt he Add re s s La be lg ive n be lowon t he e nve lop fo r s e nd ing p r in t ve r s ion o fO n line App lica t ionF o rma t t he fo llow ing a dd re s s on o r be fo re 20 May2015 :

BEL2015:ApplicationforthePostof

PROBATIONARYENGINEERS(PE)

Discipline:Mechanical

To

POSTBOXNO.3076,LODIROAD,NEWDELHI110003.