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Broadcast Engineering Consultants India LTD

This document is a registration form for Broadcast Engineering Consultants India Ltd. It requests information such as name, address, contact details, educational qualifications, work experience, languages known, and references. The applicant is also asked to attach self-attested photocopies of documents like birth certificate, caste certificate, educational certificates, work experience certificates, PAN card, Aadhar card, and EPF/ESIC card. Completing and submitting this form applies for jobs posted by Broadcast Engineering Consultants India Ltd.

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Sandhya Agrawal
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138 views2 pages

Broadcast Engineering Consultants India LTD

This document is a registration form for Broadcast Engineering Consultants India Ltd. It requests information such as name, address, contact details, educational qualifications, work experience, languages known, and references. The applicant is also asked to attach self-attested photocopies of documents like birth certificate, caste certificate, educational certificates, work experience certificates, PAN card, Aadhar card, and EPF/ESIC card. Completing and submitting this form applies for jobs posted by Broadcast Engineering Consultants India Ltd.

Uploaded by

Sandhya Agrawal
Copyright
© © All Rights Reserved
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
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For office Use: Reg. No.

_____________ Dated: _______________ 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 passport size
Corporate Office: BECIL Bhawan, C-56, A/17, Sector-62, Noida – 201307 Uttar Pradesh
Tel: 0120-4177850 Fax : 0120-4177879 photograph
E-Mail: contactus@becil.com Website: www.becil.com

(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
-2-

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:
S.No. 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:
th
1. Birth Certificate or 10 class certificate
2. Caste Certificate, if any.
3. Educational / Professional Certificates
4. Work Experience Certificates
5. PAN Card
6. Aadhar Card
7. Copy of EPF/ESIC Card (if already have)
Signature __________________

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