Bharat Heavy Electricals Limited Date of application:- 11/07/2018

Electronics Division
P.B.No. 2606,Mysore Road,Bengaluru-560 026
Application form for the post of Project ACK No: 2018FTA300322
Engineers on Fixed Tenure Basis
Position code FTA3 Post
Project Engineer (Mechanical)
Personal Information
Name POLEBOINA SAI SHRAVAN KUMAR
Father's/Husband's Name P PULLAIAH
Date of Birth 03/01/1996 Nationality INDIAN
Gender Male Marital Status Single Paste your signed
Email Address shravan.cmr@gmail.com passport size
Mobile No. 9963147692 Alt. Mobile No. 8985845878 photograph here
Land line No. NA
Religion HINDU Caste/Category ST
Ex-servicemen NO No. of Years of Service NA
Wheteher Physically NO % of disability for Ortho. NA
challenged Handicapped/Loss of decibels for
hearing impaired
Domiciled in Jammu & Kashmir between 01/01/1980 and 31/12/1989: NO
Address for Communication
C/O ,Building No. / Name FLAT NO 208, GAYATRI APARTMENTS, TSIIC COLONY,
Street , Area SHAPUR NAGAR,JEEDIMETLA
City HYDERABAD District / Taluk MEDCHAL
State Telangana Pin Code 500055

Education Qualification(Semester/Year wise marks cards are to be enclosed)

Under Graduation Post Graduation
Engineering Degree B TECH 4YRS PG Engg
Branch/Discipline Mechanical Engineering CAD/CAM
Name of Inst./College CMR INSTITUTE OF TECHNOLOGY INSTITUTE OF AERONAUTICAL
ENGINEERING
Name of University JNTU HYDERBAD UNIVERSITY JNTU HYDERABAD
Mon/Yr of passing 5/2017 5/2018
Duration of course (in Yrs) 4 years 2 years
Percentage 62.13 81
Type of Course FULL TIME FULL TIME

Marks/CGPA Scored in Under Graduation(Includes all Semesters/Subjects for a year)

Year Scored Mark/CGPA Max Mark/CGPA Year Scored Mark/CGPA Max Mark/CGPA
First 620 1000 Second 858 1400
Third 875 1500 Fourth 909 1350
Fifth NA NA
% 62.13 Total Scored 3262 Total Maximum 5250

Post Qualification/Work Experience

Present Employement Status NOT EMPLOYED Current monthly gross Salary(in Rs) 0
Notice period required, if selected (No. of Days) 0 Days
Total Work Experience(in Mon,Days) 13 Months, 2 Days Relevant Work Experience(in Months) 13 Months

Signature Page 1 of 3
 Relationship with BHEL Employees
Is your parent/spouse a serving/retired/deceased/resigned BHEL employee NO
Relationship with the NA Name of the NA
Employee Employee
Staff number of the NA BHEL unit of NA
Employee the Employee
For Deceased BHEL employee wards, Death of the Employee During Service NA

Processing Fee Payment Details/ Bank Challan Details

Name and place of the SBI branch where fee remitted NA
Amount Paid NA Fee paid/Journal date NA Bank Journal No. NA

Comments NA

Reference Details(Other than Relatives)

Name (First) MANORAMA Contact Phone 8465966268
No.
Address FLAT NO 205, GAYATRI APARTMENTS, TSIIC COLONY, SHAPUR
Name (Second) SANDYA Contact Phone 8465966268
No.
Address FLAT NO 204

I certify that the information furnished above is true,complete and correct to the best of my knowledge and belief.In the
event of any information being found false or incorrect, my candidature may be cancelled and I understand that my
apointment if made, shall stand terminated without any notice and compensation

Place:
Date: Signature of the Candidate/Applicant

Signature Page 2 of 3
 Details for Post Qualification/Work Experience
Acknowledgement Number 2018FTA300322
Name of the Candidate POLEBOINA SAI SHRAVAN KUMAR
Sl. No. 1 Total Period (in 13 Months 2 Days Gross monthly 12000
Months,Days) Salary (in Rs)
From 15/05/2017 To 15/06/2018
Position QUALITY CONTROLLER /CAD DESIGNER
Org. Name SRI SAI INDUSTRIES , JEEDIMETLA
Nature of Duties QUALITY INSPECTION CAD MODELLING DESIGN DRAFTING COMPUTER OPERATING

I certify that the information furnished above is true,complete and correct to the best of my knowledge and belief.In the
event of any information being found false or incorrect, my candidature may be cancelled and I understand that my
apointment if made, shall stand terminated without any notice and compensation

Place:
Date: Signature of the Candidate/Applicant

Signature Page 3 of 3