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Page 1: ,, Appl BELGAD No....10th Certificate 12th Certificate lTl-NCVT Certifcate O BC/SC/ST / PH Ce rtificate Date: Signature of the Applicant 7 8 9 Bharat Electronics Limited G haziabad-201010

Annexure-L

,.- ,,

Application Form for Trade Apprentices selection at BELGAD

Registration No. [Alloted by

http: / / app re ntices h i p.gov. i n

Aadhar Card No.

Applicant Name

Category

Date of Birth

Email lD*

Mobile No.*

Father's Name

10 Declaration

I hereby declare that the above details are true and correct to the best of my knowledge and I also assure that I

will submit the photocopy of the following documents at the time of attending the examination.

10th Certificate

12th Certificate

lTl-NCVT Certifcate

O BC/SC/ST / PH Ce rtificate

Date: Signature of the Applicant

7

8

9

Bharat Electronics LimitedG haziabad-201010

Site-lV Sahibabad lndustrial Area,

Bharat Nagar IPost]

*-Same as given during MIS Registration

[email protected]

Affix Appl ica nt's Passport

Size Photograph

Educational Qualification

Year ofPassing

lnstitute Name

10th Standard

12th Standard

t

2

4

5

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