BEML Limited

(A Category-I Miniratna Company under Ministry of defence, Govt. of India) BEML Soudha, 23/1, 4th Main, Sampangirama Nagar, Bangalore-560027, Karnataka, India

APPLICATION FORM
(Advt No. KP/S/03/2011)

Paste self attested recent passport size Photograph

Post Applied For

In case of working in Govt/Quasi-Govt Organizations/ PSU, whether applied through proper channel: Yes No Not applicable

If Yes, Please attach a copy of the forwarding letter of the employer or NOC to be produced at the time of Interview

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Name of the Candidate (in Block Letters) Gender (please tick) Fathers Name

__________________ (First Name) Male Shri.

__________________ __________________ (Middle Name) (Last Name) Female Permanent Address

Communication Address

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Telephone: E-Mail ID:

Mobile:

Date of Birth: - ./../.. ; Age as on 16.02.2011: .Yrs..Months....Days DD MM YYYY Nationality (by birth/ domicile) : Mother Tongue : Category (please tick)
SC/ST/OBC category need to enclose the caste certificate issued by the Competent Authority as per Govt. of India notification/guidelines.

7. Religion : 10. Marital Status: GEN OBC SC ST

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Mention Sub Caste (mandatory).. Date : No

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Payment Details (If applicable, Branch Name & Code. enclose the challan copy) Journal No. Are you a Person With Disabilities (PWD)? Yes
If yes, mention (VH/OH/HH) and enclose a copy of the supporting document from the competent authority.

If Yes, mention (VH/OH/HH); Percentage of disability

14. Family particulars: Family Details a) Father b) Mother c) Spouse d) Children 1 e) Children 2 f) ________ .2/Name Age & DOB Place of Birth Employment Details
Solely Dependent (Y/N)

-215. EDUCATIONAL DETAILS (Starting from Latest qualification acquired) Degree/ Diploma Name of the Institution / University Mode
(Regular/Correspon dence/Part-time)

Years Studied

Year of passing

% of Marks & Class / Division or Equivalent grading

Specialization / Branch of Engg

EMPLOYMENT RECORD (Need to be supported by relieving letter at the time of joining) Total Experience (yrs) : Total post qualification Exp (yrs): 16. A. Current Employment (a) Name & Address of Current Employer Designation From Period To Duration (in yrs)

(b). Complete Break-Up of Salary and Perks:(please enclose latest month Salary Slip)

(c) Other Annual Benefits (please specify / enclose proof )

Scale of Pay : Basic DA HRA : : :

Spec. Allow. : Any Other (please specify) Annual CTC (All Inclusive): B. Previous Employment (Starting from the latest) Period Name of the Employer Designation From
(dd/mm/yyyy)

To
(dd/mm/yyyy)

Duration (in Years)

* Break during employment (if any). Period & Reasons DECLARATION I hereby declare that the above statements are true, complete to the best of my knowledge and belief. In the event, the information is found to be false or incorrect, my candidature / appointment may be considered terminated without any notice. Place: Date: (Signature of the Candidate)

Percentage Calculator should be duly filled and to be submitted during verification, which is mandatory
Percentage calculator for BE / B. Tech Exam Year Semester Maximum Marks 1st Year I II 2
nd

Marks Scored

Year

III IV

3 Year VI 4 Year VIII Total Marks Scored Aggregate Percentage of all semesters = ------------------------ x 100 = Maximum Marks
th

rd

VII

Signature : Name : Instruction to the candidate In case of lateral entry for Diploma in Engineering etc. 1st year (I & II semester) details need not to be filled. In case the 1st & 2nd semester course is a common, you may fill up the form from 2nd semester onwards. For those who are having CGPA / CPI score, should convert the same in to equivalent percentage, supported with proof (Letters from the respective institution / Universities is mandatory), without which such candidates will not be allowed for interview. Eligibility percentage on the qualifying examination [BE/B.Tech /B.Sc (Engg.)] Position Engineer Trainee Asst. Engineer Trainee Percentage prescribed for each Category OBC SC 70 Below 70% & not less than 60% 65 -

General 70 -

ST 60

Below 60% & not less than 55%

The candidates not meeting the above percentage criteria will not be allowed to appear for interview.

Upper age limit as on 16.02.2011 Position Engineer Trainee Asst. Engineer Trainee General 26 26 Upper age limit as on 16.02.2011 OBC(Non-creamy layer) SC ST 29 31 31 29 31 31 PWD 36 36