BHARAT HEAVY ELECTRICALS LIMITED
BIO-DATA FORM
Affix
recently taken
SELECTION OF ____________________ Passport size
UNIT : ______________________________ photograph
For Official Use only Roll No. Interview Centre
1. Name (in CAPITAL LETTERS and as entered in the application form)
……………………………………………………………………………………………………………
2. Mailing Address for communication:
…………………………………………………………………………
………..………………………………………………………………..
…………………………………………………………………………
Pin…………………………
STD code……………….. Contact Telephone no.……………….………
Mobile No. ………………………… e-mail ………………….………….……….
3. Date of Birth: ………………………………..
4. Gender: Male Female
5. Marital Status – Unmarried Married Divorced Widowed
6. Nationality ……………………………..
7. Religion ……………………………..
If you belong to SC/ST/OBC, please give the name of your
8. Category General SC ST OBC
Caste/Tribe as specified in the Caste Certificate
9. Father’s Name, Occupation & Organisation if applicable
…………………………………………………………………………
…………………………………………………………………………
10. Mother’s Name, Occupation & Organisation if applicable
…………………………………………………………………………
…………………………………………………………………………
11. Spouse’s Name Occupation & Organisation, if applicable (in case of married candidates)
…………………………………………………………………………
…………………………………………………………………………
12. Are you an Ex-serviceman (earlier worked with Armed forces)? Yes / No
If yes, give details below:
Service ……………………………… Rank last held ……………………………………………………
Period of Service: From …………… To …………… Reason for leaving ………..…………………….
13. Whether a Physically Challenged person? Yes/No If yes, give details ……………………………..
Type of disability (pl ) Locomotor Hearing Impairment Visual Impairment
Decibels loss / % of disability ………………………….
14. Educational background:
(a) School
Exam/ Name of Board Duration Main Subjects Max. Marks
Degree Exam From To Marks Obtained
X or
Equiv
XII or
Equiv
(b) Degree
Degree &
discipline Institution Attempt
Semest Max. Marks Type of
/ Duration & Year Main Subjects (1st /
University er* marks Obtained course
of course subsequent)
I 1st
Degree: year
2nd
II 1st
Discipline/ year
Function: 2nd
III 1st
year Full/ Part/
2nd Corre-
From: spondence
IV 1st
year
# 2nd
To:
V 1st
Year
# 2nd
Total Marks (as applicable)
* For annual marking system, fill the year wise marks in 2nd Sem.
Aggregate % of marks …………….%
# To be used, if required.
2
(c) PG Degree
Degree & Attemp
discipline t (1st /
Institution & Main Max. Marks subseque
Type of
/ Duration University
Year Semester*
Subjects marks Obtained nt) course
of course
Degree:
1st year
Discipline/
Speciali-
sation:
Full/ Part/
2nd year Corre-
spondence
From:
To: 3rd year #
Total Marks
Aggregate % of marks
# To be used, if required. …………….%
15.(a) Prizes/Scholarships received: ………………………………………………………………………………
………………………………………………………………………………………………………………..
(b) Vocational Training
Firm Assignment Period
(c) Subjects of Special Interest of graduation …………………………………………………………………...
………………………………………………………………………………………………………………..
(d) Interest and achievements in extra- curricular activities……………………………………………………..
………………………………………………………………………………………………………………..
.……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
………………………………………………………………………………………………………………..
(e) Please give your views about the following two statements
i) I want to join BHEL because……………………………………………………………………..
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
ii) What I would like to contribute to BHEL’s growth
.………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
3
16. Please give complete details of your past and present employment/occupation till date
i) Sl. Organisation & Designation From To Total monthly Reason for
No. Place emoluments leaving
ii) If you are employed in BHEL, please furnish the following details
Unit: Dept. Staff No. Current Designation ……………………
……………. ……………….. ………………… and effective date …………………….
iii) If employed, was your application forwarded through proper channel? Yes No
Note: If you have got employment in a “Government Department / Undertaking / Autonomous Body
etc., subsequent to sending your application to us, you are required to obtain and bring a “NO
OBJECTION CERTIFICATE” from your present employer.
17. Have you applied/ appeared for any other examination conducted / to be conducted by Govt. (Centre/
State) or Public Sector Undertaking? YES / NO. If yes, Please give name & date of examination &
current status of selection process
……………………………………………………………………………………………………….……
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
…………………………………………………………………………………………………………….
18. Have you been interviewed for any post in BHEL earlier? Yes No
If yes, furnish details of Post………………………………….. ……………………………….
Unit ………………………………Date of Interview …………… .. Result ..………..
19. Has your Parent/ Spouse been in service of BHEL? Yes No If yes, give details
Details Parent Spouse
Name
Staff No
Designation
Division
Present Status (employed
presently/ Resigned/ Retired/
Voluntarily Retired/ Deceased)
4
DECLARATION
I hereby declare that statements made by me in this form are true, complete and correct to the
best of my knowledge and belief. If I am appointed and the Company finds at any time that any part
of the information given by me is incorrect or false or that I have concealed any information as
required in this Form, I agree that my appointment shall be liable to summary termination without
any notice or compensation and I am liable to refund the expenses incurred by the Company on my
training etc.
Date ……………………… Signature ………………………………………………...
Place …………………….. Name .………….………………………………………
