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 & MANESAR, HARYANA VENUE OF INTRVIEW: Office of State Medical Commissioner, ESI Corporation, Regional Office, Panchdeep Bhawan, Behind Lakshmi Narayan Mandir, Sector 16, Faridabad, Haryana 121002 SL. NAME OF CANDIDATE FATHERS NAME CATEGO SUB DATE OF DATE OF REPORTING ROLL NO. NO. (DR.) (SH./DR.) RY CATEGORY BIRTH INTERVIEW TIME 1 19100003 ADITI SAXENA K.C.SAXENA 30 Jun 83 2 19100022 ASHISH KUMAR VIJAY KUMAR SINHA GOVT EMP 13 Aug 79 PRAKASH 3 19100030 BHANU PRATAP HARI KISHAN SINGH PWD 12 May 83 SINGH 4 19100070 ITANKAR VIPIN VITHOBA ITANKAR 1 Oct 84 VITHOBA 5 19100075 JATINDER KUMAR GOBIND RAM GOVT EMP 2 Sep 82 6 19100099 MANISHA RAJIAN SURINDER RAJIAN 24 Apr 86 MANOJ KUMAR RAM PRAKASH 7 19100105 5 Mar 84 SHARMA SHARMA 8 19100125 PANKAJ KUMAR RATAN LAL GOVT EMP 21 Jul 84 SHARVAN KUMAR 9 19100131 PRACHI GARG 18 Apr 88 GARG PRADEEP KUMAR 10 19100132 BABU LAL GUPTA 9 Nov 85 AGRAWAL 11 19100139 PRIYANJAL JAKHAR M.S. JAKHAR 20 May 87 KASHMIRI LAL 12 19100143 RAJESH ARORA 3 Sep 84 ARORA 13 19100180 SHALINI ASHRI RISHI RAJ ASHRI GOVT EMP 10 Aug 83 KASHMIR SINGH 14 19100183 SHALU 3 Mar 87 SUHAG 15 19100185 SHIVI B. S. GUPTA 5 Jul 88 16 19100190 SNEHA SHARMA VINAY SHARMA 18 Nov 85 17 19100193 SRISHTI GOEL TEJPAL GOEL 18 Jun 85 18 19100202 SUNIL KUMAR GOPAL DAS 21 Mar 82 KHANDELWAL KHANDELWAL 19 19100207 SUPRIYA DANKHER BIJENDER SINGH 1 Dec 88 DHANKHER 20 19100213 SWETA GOYAL UMESH KUMAR 15 Sep 82 GARG 21 19100226 YATIN TALWAR P K TALWAR 10 Jul 84 BASANT BADRICHAND 22 19200028 ESIC EMP 31 May 77 CHARAWANDE CHARAWANDE 23 19200047 DR.AJITSINGH SH.MANGE RAM 7 Jul 83 24 19200049 DR MAHESH CHAND BAIRWA RADHA KISHAN BAIRWA GOVT EMP 2 Jul 79
25 19200056 DR. SUMAN DR. MAHTAB SINGH 22 Apr 78 26 19200090 LALIT CHOPRA RAM NIWAS CHOPRA 29 Oct 85 27 19200095 MAHENDRA KUMAR JAGANNATH PRASAD 11 Aug 84 VERMA VERMA 28 19200129 POOJA CHANDOLIA SURAJ MAL 5 Jul 84 CHANDOLIA 29 19200164 ROHITASH MEHRA RAMSWAROOP 20 Apr 83 MEHRA 30 19200191 SONIA BHARTI DR ANIL KUMAR 1 Jul 77 SUDHIR KUMAR DAYANAND 31 19200197 21 Jan 88 BISHERWAL BISHERWAL 32 19200208 SURENDRA ARYA RODU LAL RAIGER 1 Oct 82 RATAN SINGH 33 19200217 VIJAY PUNIYA 23 Apr 84 PUNIYA 34 19300118 NARENDRA MAIDA MANJI MAIDA ST 15 Mar 82 35 19400005 AJAY SIHAG PYARE LAL SIHAG OBC 31 Mar 83 36 19400006 AJAY SINGH LAL SINGH OBC 25 Sep 85 37 19400012 AMIT RAMNIWAS OBC 10 Aug 83 38 19400023 ASHISH SURESH OBC 31 Dec 86 39 19400026 BANSHIDHAR SONI JAGDISH PRASAD OBC 15 Aug 84 SONI 40 19400038 DEEPAK JHA DWARIKA PRASAD OBC GOVT EMP 19 Mar 82 JHA 41 19400045 DINESH BANSHI DHAR OBC GOVT EMP 30 Dec 77 42 19400065 GAURAV RAM NIWAS OBC 25 Nov 87 43 19400069 HEMANT KUMAR SH. RANBIR SINGH OBC 10 Mar 86 44 19400086 KRISHAN KUMAR RAM CHARAN YADAY OBC 22 Nov 87 45 19400088 KULDEEP SINGH SHEO KARAN DUSAD OBC 14 Jan 81 46 19400100 MANJEET RAM DHARI OBC 8 Sep 87 7 TH August, 12 12:00 NOON 47 19400117 NARENDER SONI SADHU RAM OBC 23 Aug 86 7 TH August, 12 12:00 NOON NARESH KUMAR 7 TH August, 12 12:00 NOON 48 19400119 DILIP SINGH SUTHAR OBC 29 Jan 87 SUTHAR 49 19400120 NAVEEN SHER SINGH OBC GOVT EMP 15 Jul 85 7 TH August, 12 12:00 NOON 50 19400176 SATVENDER SINGH KEHAR SINGH OBC 27 Feb 79 7 TH August, 12 12:00 NOON VIRENDER SINGH 7 TH August, 12 12:00 NOON 51 19400178 SAVINDER OBC 28 Jul 86 52 19400189 SIRAJUDEEN LATE JAMALUDEEN OBC 1 Jan 80 7 TH August, 12 12:00 NOON 53 19400192 SONIA R. S. OBC 16 Sep 80 7 TH August, 12 12:00 NOON 54 19400195 SUDESH KUMAR SURENDER KUMAR OBC GOVT EMP 20 Nov 83 7 TH August, 12 12:00 NOON KANWAR SINGH 7 TH August, 12 12:00 NOON 55 19400212 SWATI OBC 27 Jun 86 56 19400218 VIJAY SINGH PHOOLA RAM OBC 10 Jul 83 7 TH August, 12 12:00 NOON 57 19400223 VIKRAM SINGH BANWARI LAL OBC GOVT EMP 27 Jun 81 7 TH August, 12 12:00 NOON 58 19400225 VIVEK KUMAR SH DEVI SINGH OBC GOVT EMP 7 Mar 88 7 TH August, 12 12:00 NOON
Important Note: 1. The interview letters have already been dispatched to all the above candidates via Speed Post. If any of the above mentioned candidate does not receive his/her interview letter, he/she may contact on the day of interview at the venue of interview with his/her identity proof and one photograph for issuing duplicate interview letter along with all the Original Certificates/Mark Sheets in support of educational qualification, experience, caste, age etc. at the venue of Interview. 2. Candidates short listed for interview must ensure that they belong to the respective category/sub category as mentioned in the result above. 3. Those candidates who are in Govt. Service (including ESIC Employees) are required to produce No Objection Certificate at the time of interview. 4. 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. 5. Candidates seeking age relaxation as an Government Employee/ESIC Employee shall have to produce Service Certificate at the time of interview. Dated: 27.06.2012 JT. DIRECTOR (RECTT.)
ANNEXURE A PRERIBED 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 under: @ Government of India, Ministry of Welfare Resolution No. 12011/68/93-BCC (C) dated 10th September, 1993 published in the Gazette of India Extraordinary Part-I, Section-1, No. 186 dated 13th September, 1993. @ Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC dated 19-10-94, published in the Gazette of India Extraordinary Part-I, Section-1, No. 163 dated 20-10-1994. @ Government of India, Ministry of Welfare Resolution No. 12011/7/95-BCC dated 24-5-95, published in the Gazette of India Extraordinary Part-I, Section-1, No. 88 dated 25-5-1995. @ Government of India, Ministry of Welfare Resolution No. 12011/96/94-BCC dated 9th March, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 60 dated 11th March, 1996. @ Government of India, Ministry of Welfare Resolution No. 12011/44/96-BCC dated 6th December, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 11th December, 1996. @ Government of India, Ministry of Welfare Resolution No. 12011/99/94-BCC dated 11th December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 236 dated 12th December, 1997. @ Government of India, Ministry of Welfare Resolution No. 12011/13/97-BCC dated 3rd December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 239 dated 17th December, 1997. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/68/98-BCC dated the 27th October, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 241 dated the 27th October, 1999. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/88/98-BCC dated 6th December, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 270 dated 6th December, 1999. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/36/99-BCC dated 4th April, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 4th April, 2000. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/44/99-BCC dated the 21 st September, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated the 21st September, 2000. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12015/9/2000-BCC dated 6th September, 2001 published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 dated 6th September, 2001. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/1/2001-BCC dated 19th June, 2003 published in the Gazette of India Extraordinary Part-I, Section, 1 No. 151 dated 20th June, 2003. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/4/2002-BCC dated 13th January, 2004 published in the Gazette of India Extraordinary, Part-I Section-1, No. 9 dated 13th January, 2004. @ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/14/2004-BCC dated 12th March, 2007 published in the Gazette of India Extraordinary, Part-I, Section-1, No. 67 dated 12th March, 2007. 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. 36012/22/93-Estt. (T) dated 8-9-1993 O.M. No. 36033/3/2004-Estt. (Res.) dated 9th March, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008. Signature... **Designation... (With seal of Office) State/Union Territory Place... Date... *Please delete the words which are not applicable. @ 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, 1950.
**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.
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. (T) dated 8-9-1993. 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 8-9-1993, O.M. No. 36033/3/2004-Estt. (Res.) dated 9th March, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008. Signature:.. Full Name: Address: