BHEL Ranipet Apprentice Form

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Bharat Heavy Electricals Limited

[A Government of India Undertaking]


Boiler Auxiliaries Plant
Ranipet - 632 406

Application for Trade Apprenticeship Training


1. NAME : Affix recent

passport size

2. FATHER’S NAME : photograph duly

signed by the
3. DATE OF BIRTH (DD/MM/YYYY) :
candidate
4. AGE (in years & Months as on 31.07.2024) :

5. MARITAL STATUS :

6. CATEGORY (GEN/SC/ST/OBC/EWS) :

7. NATIONALITY :

8. PHYSICALLY CHALLENGED : YES / NO %:


If YES (VH/OH/HH) % Percentage

9. ADDRESS FOR CORRESPONDANCE :

----------------------------------------------------------------

----------------------------------------------------------------

City: District:

State: Pincode:

10. Phone / Mobile No. :

11. E-mail ID :

12. Have /has your parent(s)/Spouse been in : YES / NO


service of BHEL

If yes, please furnish details : Serving/retired/death during service/death after


service
a. Status of employment

b. Staff Number & Unit:

13. Educational Qualification Discipline: ______________________


Marks
Class / College / University/ Period Year of
Specialization Obtained/Max. % of Marks
Year Institution (From-To) passing
Marks

10th

ITI

1st year

ITI

2nd year

DECLARATION

I hereby declare that statements made by me in this bio data form are true and complete. If I am engaged and
the company finds at any time that any part of the information given by me is incorrect and false or that I have
concealed any relevant information, I agree that my engagement shall be liable to be terminated summarily
without any notice or compensation.

DATE…………………………. SIGNATURE………………………………

PLACE…………………….... NAME…………………………………….

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