Rec/BEPL/01/2017
Applicant Name [Name as recorded in the Matriculation Examination Certificate]
Applicant Father's Name [Name as recorded in the Matriculation Examination Certificate]
Applicant Mother's Name [Name as recorded in the Matriculation Examination Certificate]

Personal Information

Applicant Mobile No
Email Id

Address

Work Exprience(Last One)



Name Of the Post Held: Company Name:
Period of Time: From To

Qualification

Photo & Signature

Photo
[Image should be in .jpg format and size should be less than 50 kb]
Signature
[Signature should be in .jpg format and size should be less than 30 kb]

NOTE: You can upload a jpg,pdf file(Do not upload pictures containing celebrities,nudity,artwork or copyrighted images). The photo you specify her will be used across Online form.