EMPLOYEES STATE INSURANCE CORPORATION PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI

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EMPLOYEES STATE INSURANCE CORPORATION PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI 110 002. LIST OF CANDIDATES SHORTLISTED FOR INTERVIEW FOR THE POST OF INSURANCE MEDICAL OFFICER GR.

1 EMPLOYEES STATE INSURANCE CORPORATION PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI LIST OF CANDIDATES SHORTLISTED FOR INTERVIEW FOR THE POST OF INSURANCE MEDICAL OFFICER GR. II (ALLOPATHIC) FOR MADHYA PRADESH REGION ON THE BASIS OF PERFORMANCE IN WRITTEN EXAMINATION HELD ON AT INDORE CENTER. Sl. No. Roll Number Name of the Candidate (Dr.) Page 1 of 6 Date of Birth Category Sub Category ABHISHAK SHARMA 19/10/86 General ABHISHEK RATHORE 07/08/85 General ABHISHEK TIWARI 10/01/84 General ALEKH SAXENA 21/05/88 General ALOK DUBEY 20/11/84 General AMARENDRA KUMAR SHUKLA 25/06/89 General ANCHAL UPADHYAY 12/11/87 General ANJNEYA KUMAR VERMA 09/08/79 General ESIC Emp ANKUR YADAV 15/07/87 General ARPITA GUPTA 27/06/87 General ASHOK KUMAR GUPTA 16/08/79 General Govt. Emp CHANDRA MOHAN GUPTA 11/01/85 General DEVENDRA KUMAR GAVHADE 26/04/87 General DHARMENDRA KATARIYA 10/10/84 General Govt. Emp DHEERAJ JESWANI 25/09/85 General DINESH PATIDAR 17/09/85 General GAURAV SHELGAONKAR 29/05/87 General HEMLATA KAPADNIS 21/08/79 General ESIC Emp JATIN ADVANI 01/11/89 General JAYA MADHU 14/05/84 General JITENDRA RAGHUWANSHI 03/04/84 General MANISH KUMAR 01/03/85 General MARK JACOB MUNDAMPALLI 17/10/78 General ESIC Emp MOHAMMED ASIF 10/11/87 General MUKESH TIWARI 24/07/84 General MUNESH KUMAR GAUR 15/02/85 General NARENDRA PATEL 23/06/84 General NEERAJ BANSAL 01/07/87 General NEETA BANSERIA 27/12/81 General Govt. Emp PALLAVI PATHAK 12/06/86 General PRABHAT RANJAN 08/03/84 General PRABHAT SHARMA 01/01/87 General PRAMOD KUMAR RAIKWAR 16/05/85 General Govt. Emp PRASIDDHA SHARMA 09/11/85 General PREMLATA KACHHORIA 30/12/81 General ESIC Emp PUSHPENDRA GAUTAM 06/11/87 General RAHUL PAL 04/01/86 General

2 RAVI KANT 07/03/84 General RICHA JAIN 17/07/87 General ROCHIS PRASAD 07/08/88 General ROMESH JAIN 08/03/88 General RUCHIR VARSHNEY 31/03/85 General RUCHITA BANSERIA 09/08/89 General SHAHNAZ BANO 01/11/85 General SHAILENDRA SHARMA 22/08/84 General SHAMA B R 23/03/89 General ESIC Emp SHIVENDRA SHRIMAL 12/03/87 General SHYAM GUPTA 29/02/84 General SMRITI SINGH VIMAL 16/03/86 General UDAYKUMAR 22/05/86 General AJAY KUMAR GAUTAM 22/10/87 SC DHARMINDER SINGH SUMAN 15/05/81 SC DURGESH KUMAR SONARE 24/01/88 SC SUCHITA GAJBHIYE 01/07/83 SC SUNITA DADWAL 02/02/80 SC ESIC Emp UPENDRA GHURE 30/04/88 SC VIDHYA ROHIT 19/06/79 SC ESIC Emp JAYAJ KAKODIYA 01/07/85 ST KULDEEP SINGH THAKUR 01/06/84 ST NAVNIT KALAM 01/07/79 ST SANDEEP BHINDE 23/08/86 ST SATISH THAKUR 17/06/83 ST ESIC Emp SUJEET KUMAR PANDRE 19/09/86 ST YASHODHARA SINGH 22/10/79 ST ESIC Emp ANIL GOUR 11/11/83 OBC ASHISH NARVARIYA 16/08/86 OBC BHARAT SINGH GHOSH 15/08/85 OBC BHUTAL 05/10/86 OBC Govt. Emp DHIRESH CHOURASIYA 09/05/85 OBC HEMANT KUMAR KOSTI 07/03/83 OBC IMRAN ALI 01/01/84 OBC ESIC Emp KURWE MAHESH SUDHAKAR 14/04/81 OBC RAVINDRA GURJAR 22/03/85 OBC SAURABH RATHORE 10/06/87 OBC SHIVANI MUKHARYA 30/09/83 OBC Govt. Emp Important Note: 1. While every care has been taken in preparing the result, however ESI Corporation reserves the right to rectify the errors/omissions, if any comes to its notice. 2. The Schedule of Interview will be uploaded on ESIC website in due course. 3. The interview letters to all the above candidates shortlisted for interview will be issued in due course. 4. Candidates short listed for interview must ensure that they belong the respective category/sub category as mentioned in the result above. Page 2 of 6

3 5. Those candidates who are in Govt. Service (including ESIC Employees) are required to produce No Object Certificate (NOC) at the time of interview. 6. Candidates belonging to OBC Category are required to submit latest OBC certificate in the prescribed proforma of Govt. of India appended below at Annexure A and along with Form of Declaration appended at Annexure B below at the time of interview. 7. Candidates seeking age relaxation as an Government Employee/ESIC Employee shall have to produce Service Certificate at the time of interview. Dated: 11 th September, 2014 (RAKESH KUMAR) DEPUTY DIRECTOR (RECTT.) Page 3 of 6

4 ANNEXURE A PRESCRIBED PROFORMAE The form of certificate to be produced by Other Backward Classes candidates applying for appointment to posts under the Government of India This is to certify that Shri/Shrimati/Kumari*...son/daughter* of Shri... of village/town*...in District/Division*... of the State/Union Territory* belongs to the...community which is recognised as a backward class Government of India, Ministry of Welfare Resolution No /68/93-BCC (C) dated 10th September, 1993 published in the Gazette of India Extraordinary Part-I, Section-1, No. 186 dated 13th September, Government of India, Ministry of Welfare Resolution No /9/94-BCC dated , published in the Gazette of India Extraordinary Part-I, Section-1, No. 163 dated Government of India, Ministry of Welfare Resolution No /7/95-BCC dated , published in the Gazette of India Extraordinary Part-I, Section-1, No. 88 dated Government of India, Ministry of Welfare Resolution No /96/94-BCC dated 9th March, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 60 dated 11th March, Government of India, Ministry of Welfare Resolution No /44/96-BCC dated 6th December, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 11th December, Government of India, Ministry of Welfare Resolution No /99/94-BCC dated 11th December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 236 dated 12th December, Government of India, Ministry of Welfare Resolution No /13/97-BCC dated 3rd December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 239 dated 17th December, Government of India, Ministry of Social Justice and Empowerment Resolution No /68/98-BCC dated the 27th October, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 241 dated the 27th October, Government of India, Ministry of Social Justice and Empowerment Resolution No /88/98-BCC dated 6th December, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 270 dated 6th December, Government of India, Ministry of Social Justice and Empowerment Resolution No /36/99-BCC dated 4th April, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 4th April, Government of India, Ministry of Social Justice and Empowerment Resolution No /44/99-BCC dated the 21 st September, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated the 21st September, Government of India, Ministry of Social Justice and Empowerment Resolution No /9/2000-BCC dated 6th September, 2001 published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 dated 6th September, Government of India, Ministry of Social Justice and Empowerment Resolution No /1/2001-BCC dated 19th June, 2003 published in the Gazette of India Extraordinary Part-I, Section, 1 No. 151 dated 20th June, Government of India, Ministry of Social Justice and Empowerment Resolution No /4/2002-BCC dated 13th January, 2004 published in the Gazette of India Extraordinary, Part-I Section-1, No. 9 dated 13th January, Government of India, Ministry of Social Justice and Empowerment Resolution No /14/2004-BCC dated 12th March, 2007 published in the Gazette of India Extraordinary, Part-I, Section-1, No. 67 dated 12th March, Shri/Shrimati/Kumari*...and/or* his/her* family ordinarily resides in village/town*... of... District/Division* of the State/ Union Territory* of... This is also to certify that he/she* does not belong to the persons/sections* (Creamy Layer) mentioned in column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No /22/93-Estt. (SCT) dated O.M. No /3/2004-Estt. (Res.) dated 9th March, 2004 and O.M. No /3/2004-Estt. (Res.) dated 14th October, Signature... **Designation.... (With seal of Office) State/Union Territory Place... Date... *Please delete the words which are not Strike out whichever is not applicable. NOTE: The term ordinarily reside (s) used here will have the same meaning as in Section 20 of the Representation of the People Act, Page 4 of 6

5 **List of authorities empowered to issue OBC Certificate: (i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Deputy Collector/1st Class Stipendiary Magistrate/ Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner. (not below of the rank of 1st Class Stipendiary Magistrate). (ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. (iii) Revenue Officers not below the rank of Tehsildar. (iv) Sub Divisional Officer of the area where the candidate and/or his/her family normally resides. (v) Administrator/Secretary to Administrator/Development Officer (Lakshadweep). Note 1: Candidates claiming to belong to OBCs should note that the name of their caste (including its spellings) as indicated in their certificates, should be exactly the same as published in the lists notified by the Central Government from time to time. A certificate containing any variation in the caste name will not be accepted. Note 2: The OBC claim of a candidate will be determined in relation to the State (or part of the State) to which his/her father originally belongs. A candidate who has migrated from one State (or part of the State) to another should, therefore, produce an OBC certificate which should have been issued to him/her based on his/her father s OBC certificate from the State to which he (father) originally belongs. Note 3: No change in the community status already indicated by a candidate in his/her simplified application form for this examination will ordinarily be allowed by the Commission. Page 5 of 6

6 ANNEXURE B Form of declaration to be submitted by the OBC candidate (in addition to the community certificate) I.. Son/daughter of Shri.resident of village/town/city. district.state hereby declare that I belong to the..community which is recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No 36102/22/93-Estt. (SCT) dated It is also declared that I do not belong to persons/sections/sections (Creamy Layer) mentioned in column 3 of the Schedule to the above referred Office Memorandum dated , O.M. No /3/2004-Estt. (Res.) dated 9th March, 2004 and O.M. No /3/2004-Estt. (Res.) dated 14th October, Signature:.. Full Name: Address: Page 6 of 6

EMPLOYEES STATE INSURANCE CORPORATION PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI

EMPLOYEES STATE INSURANCE CORPORATION PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI HEDULE OF INTERVIEW FOR THE POST OF INSURANCE MEDICAL OFFICER GR. II (ALLOPATHIC) FOR ESI HOSPITALS, GURGAON &