For Office Use: Reg. No.
BECIL/ContractJob/ _______________ Date: __________ Fee: ________
BROADCAST ENGINEERING CONSULTANTS INDIA LTD
(A Govt. of India Enterprise under Ministry of Information & Broadcasting) Please attach
Head Office: 14-B, Ring Road, I.P. Estate, New Delhi-110002 recent
Tel : + 91(11) 23378823-25, Fax No. + 91(11) 23379885
Corporate Office: BECIL Bhawan, C-56, A/17, Sector-62, Noida – 201307 Uttar Pradesh passport size
Tel: 0120-4177850 Fax : 0120-4177879 photograph
E-Mail: contractjob@[Link] Website: [Link]
(CONTRACT JOB REGISTRATION FORM)
(Please fill the details in capital letters only)
(Important: Please read the advertisement carefully before filling this form)
1. Application for the post of:
2. Name : Mr. / Mrs. / Miss. (Please tick the appropriate)
First Name Middle Name Last Name
3. Father’s/Husband’s Name (Please tick the appropriate):
4. Date of Birth: Day Month Year 5. AGE:
6. PAN No. (compulsory)
7. Aadhar No. (compulsory)
8. Category: General OBC SC/ST PH
9. Marital Status: Married Unmarried
10. Nationality: 11. Religion: _
12. Present Address for Communication (Capital Letters):
City State
Pin Code
13. Permanent Address (if any):
City State
Pin Code
14. E-Mail Address (Capital Letters):
Mobile No
15. Educational/Professional Qualifications:
S. Year of Division/
Qualification University / Institute / College
No. Passing Grade
1 Post-graduation
2 Graduation
3 XII
4 X
5 Diploma / ITI
16. Work Experience (add separate sheet, if required):
S. Duration
Organisation Designation Brief Profile
No. From To
17. Total years of experience:
18. If selected, preference for location 1._ 2._ 3._
19. References:
[Link]. Name Address Contact Number
1.
2.
20. Languages known other than Hindi /English (Tick appropriate boxes)
Read Speak Write
1.
2.
3.
Note: Please attach self-attested photocopies of following documents with this form compulsorily:
1. Updated Resume.
2. Schooling certificate 8th/10th/12th/ITI/ Diploma.
3. Graduation /Post graduation.
4. Your Offer Appointment letters from all previous organization.
5. Your relieving / Experience letters from all previous organization.
6. 4 Passport size Photographs.
7. Address proof Present and Permanent & Landlord Name and Number.
8. Bank Account Details / Cancelled Cheque / Bank Passbook.
9. PAN Card
10. AADHAR Card
11. Police Verification Form
12. Copy of EPF/ESIC Card (if already have)
Signature
BROADCAST ENGINEERING CONSULTANTS INDIA LIMITED
(A Government of India Enterprise Under Ministry Of Information & Broadcasting)
(A Mini Ratna Company)
Corporate Office: BECIL Bhawan, C-56/A-17, Sector-62, Noida-201307
Phone: 0120-4177850, Fax: 0120-4177879 Website: [Link]
CIN: U32301UP1995GOI017744
For Office Use: Reg. No. BECIL/ContractJob___________ Date: __________ Fee: ________
Acknowledgement Receipt
Received with thanks from Mr./Ms. ___________________________________ the sum of Rs.
_________/- only through Demand Draft No. _______________ dated ____________ drawn on
________________________________ Bank for the post of ___________________________.
For and on behalf of
Broadcast Engineering Consultants India Limited
(Authorized Signatory)
Please send the documents,physical form,acknowledgment receipt
and Payment receipt to below address -:
To,
Mr. Awadhesh Pandit,
Dy. General Manager (F & A)
Secretory to the Board/CPIO
Broadcast Engineering Consultants India Ltd.
BECIL Bhawan
C-56/A-17,Sector-62
Noida -201307 (Uttar Pradesh)