Esic Chd Dec12

7/30/2019 Esic Chd Dec12

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Page1

CLICKHEREFORONLINEAPPLICATION{Thelinkforsubmissionofonlineapplicationareavailable

from 00.00(Hrs.) of 5/12/12(Date)to23.59 (Hrs.)26/12/12(Date)}E.S.I.CORPORATIONMODELHOSPITAL,

INDUSTRIALAREAPHASEII,RAMDARBAR,CHANDIGARH160002

(AnISO9001:2008CERTIFIEDORGANISATION)

PHONE:0172-2639641,0172-2639642,0172-2639644, FAX:0172-2639643

WEBSITE:www.esicmhchd.orgE-MAIL:[email protected]

Recruitment of Nursing / Paramedical Staff for U.T.Chandigarh .On Line Applications are invited from eligible candidates for filling up the posts of Nursing /Paramedical Staff for ESIC Model Hospital,Chandigarh (Union Territory).The Details of post &number of vacancies are as under:-

S.No.

PostCode

Name ofPost

Pay-Band &Grade Pay

UR SC OBC Minority QuotaOf OBC

Total Horizontal Reservation

P.W.D.* Ex.SM*

1. 01 Staff Nurse 9300-34800,G.P.4600

16 2 3 - 21 2*(OH) -

2. 15 Lab Assistant 5200-20200,G.P.2000

- - 1 - 1 1*(OH) -

3. 18 NursingOrderly

5200-20200,G.P.1800

11 - 4 - 15 - 2*

4. 34 Dietician 9300-34800,G.P.4600

1 - - - 1 - -

5. 19 Dresser 5200-20200,G.P.1800

2 - - - 2 1*(OH) 1*

6. 56 O.T.Technician 5200-20200, 1 - - - 1 - -


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G.P.2400

7. 06 Pharmacist(Allopathy)

5200-20200,G.P.2800

1 - - - 1 - -

8. 16 Jr.Radiographer 5200-20200,G.P.2000

1 - - - 1 - -

9. 14 O.T.Assistant 5200-20200,

G.P.2000

3 - 1 - 4 1(OH) -

10. 40 E.C.G.Technician 5200-20200,G.P.2400

1 - - - 1 - -

11. 41 Social Worker 5200-20200,G.P.2400

1 - - - 1 - -

12. 02 OccupationalTherapist

9300-34800,G.P.4200

1 - - - 1 - -

Note:-# Number of Vacancies may be increased or decreased depending upon the actual requirement.

Abbreviation stand for UR-Unreserved,SC-Scheduled Caste,OBC-Other Backward Class,EX-SM-EX-Serviceman,PWD-Person with Disability.

Reservation to Person with Disabilities (PWD) (with not less than 40 % impairment) andEx.Servicemen (EX.SM) is as per Govt.of India instructions.The candidates appointed underPWD/Ex.SM. quota will be adjusted against the vacancy of respective categories ofSC/OBC/Minority quota of OBC/U.R.

Tentative Date for written exam : 20.01.2013

Inaddition to Pay,the appointees will also be eligible for DA,HRA,Transport Allowance & HPCA /Nursing Allowance,if any, as per rules in force from time to time to the Nursing / ParamedicalStaff of E.S.I.Corporation.

The Vacancies are in ESIC Model Hospital of Union Territory,Chandigarh.ThoseCandidates who are willing to accept the posting as specified above and are willing to betransferred in any part of India on Promotional Posts,as per policy of

ESIC,needapply.The candidates so appointed for the above mentioned posts shall beappointed in Union Territory,Chandigarh the State for which application is submitted andare liable to be transferred in any Medical Institution / Establishment / SSMC Office onthe same post in that state/ U.T. and liable to be transferred in any part of India onPromotional posts as per policy of ESI Corporation,Request for inter regional transfer on

the same post will not be considered for a period of 3 years from the date ofappointment.

THERE SHALL BE NEGATIVE MARKING FOR WRONG ANSWER.FOR EACH WRONGANSWER 0.33 MARK WILL BE DEDUCTED.

Candidates are advised to submit only one application because written examination for allthe categories of posts will be held on the same day and same time.

CORPORATION RESERVES THE RIGHT TO CONDUCT THE WRITTEN OR ONLINEEXAMINATION.


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BAgeLimit,EducationalQualification,otherEssentialQualification,experience&ModeofSelection(ASPerR.Rs)forthespecifiedpostsason i.e.Closingdateforonlineapplicationareasunder:

S.No. NameofthePost Educational&otherqualification

(asper

R.Rs.)

Age(asperR.Rs.) ModeofSelectionas

PerR.Rs

/Instructions

OfHqrs.)

1. StaffNurse 1.DiplomaonGeneralNursingand

Midwifeorequivalentqualificationfor

Malenurse.

2.RegisterednursewithNursingCouncil.

Note1:Qualificationarerelaxable

Atthediscretionofthecompetent

Authorityincaseofcandidatesotherwise

Wellqualified.

Note2:Thequalification(s)regarding

Experienceis/are

relaxable

at

the

discretion

Ofthecompetentauthorityinthecaseof

CandidatesbelongingtoSCifatanystageof

Selectionthecompetentauthorityisofthe

Opinionthatsufficientnumberofcandidates

Fromthiscommunitypossessingtherequisite

Experiencearenotlikelytobeavailableto

beavailabletofillupthevacanciesreserved

forthem.

Notexceeding37years WrittenTest

2. LabAssistant Seniorsecondary/10+2orequivalentwith

DiplomainMLTfromanInstituterecognized

BytheAICTE.

Note1:

Qualification

are

relaxable



Wellqualified.


Experienceis/arerelaxableatthediscretion







beavailable

to

fill

up

the

vacancies

reserved

forthem.

Notexceeding32years WrittenTest


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3. NursingOrderly Essentials:1.Matriculationorequivalent

fromarecognizedBoard.

2.Elementary

Knowledge

of

1

st

Aid.One

year

Experienceinhandlinganddressingwoundsin

Govt.approved/registeredNursingHome/

Hospital.




Wellqualified.










forthem.

1827years WrittenTest

4. Dietician Essentials: MasterDegreeinDieteticsor

NutritionorinHomeSciencewithasasubject

FromarecognizedUniversityorequivalentOR

B.Sc.(HomeSciencewithNutritionasaspecial

Subject)fromarecognizedUniversityor

Equivalentwithpostgraduatediplomain

Dieteticsfromarecognizedinstitutionandone

YearpracticalExperienceinthedietetics

Departmentofahospital.

Desirable:ResearchorPracticalExperiencein

ThefieldofNutritionand/orrelatedsubjects




Wellqualified.




Candidatesbelonging

to

SC

if

at

any

stage

of



Notexceeding32years Written(80marks)+

Interview(20Marks)


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forthem.

5. Dresser Essentials:1.Matriculationorequivalentfrom

Arecognized

Board.

2.TwoYearsExperienceinapplicationof

PlastersinanOrthopedicsunitofaregistered/

RecognizedHospital.




Wellqualified.





Selectionthe

competent

authority

is

of

the





forthem


6. O.T.Technician Seniorsecondary/10+2withScienceor

equivalentQualificationfromarecognized

BoardwithFiveyearexperienceinO.T.ofa

RecognizedHospital.


At

the

discretion

of

the

competent


Wellqualified.










for

them

1827years Written(80Marks)+

Interview(20Marks)


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7. Jr.Radiographer Matriculationorequivalentfromrecognized

Board,Twoyeardiplomainradiographyfrom

a

central

govt.

/

state

govt.

/

AICTE

recognized

Institution.Desirableoneyearexperiencein

RadiographyDepartmentofarecognize/

RegisteredHospital.


8. Pharmacist

Allopathy

DegreeinPharmacy/Sr.Secondarywith

diplomainPharmacyfrommarecognized

InstitutionandqualifiedandRegisteredas

PharmacistunderPharmacyAct.




Wellqualified.










forthem

Notexceeding32Years

within(Relaxableupto

37yearsincaseofgovt.

servantandemployee

ofESICCorporation.

WrittenTest

9. O.T.Assistant Seniorsecondary/10+2withScienceor

equivalentQualificationfromarecognizedBoardwithoneyearexperienceinO.T.ofa

RecognizedHospital.




Wellqualified.






Opinionthat

sufficient

number

of

candidates



Notexceeding32Years

within(Relaxableupto37yearsincaseofgovt.

servantandemployee

ofESICCorporation.

WrittenTest


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forthem

10. ECGTechnician Sciencegraduatepreferablywithoneyear

experienceofhandlingECGMachineina

recognizedinstitutionorsenior/10+2or

equivalentqualification

from

recognized

board

with3yearsexperienceofhandlingECG

Machineinrecognizedinstitution.

Notexceeding32Years



servantand

employee

ofESICCorporation.

Written(80marks)+

Interview(20Marks)

11. SocialWorker Degree/Diplomainsocialworkfromcentral

govt./stategovt./AICTErecognizedinstitution

preferablywithoneyearexperienceinfamily

planning,socialwork/healtheducation/

training.




Wellqualified.










forthem.

Notexceeding37years Written(80marks)+

Interview(20Marks)

12.

OccupationalTherapist

Essential:1.10+2/Senior

Secondary

with

Science.

2.Threeyeardegreecourseordiplomatraining

courseinOccupationalTherapistfromacentral

govt./stategovt./AICTErecognizedinstitution.

3.SixMonthsinternshipinthefield.




Wellqualified.



Of

the

competent

authority

in

the

case

of



Notexceeding

32

Years



servantandemployee

ofESICCorporation.

WrittenTest


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forthem

*Note:1.Qualificationsarerelaxableatthediscretionofthecompetentauthorityincaseofcandidatesotherwisewellqualified.Note:2Thequalification(s)regardingexperienceis/arerelaxableatthediscretionofthecompetentauthorityInthecaseofcandidatesbelongingtoScheduleCastes,ifatanystageofselectionthecompetentauthorityisofthopinionthatsufficientnumberofcandidatesfromthesecommunitiespossessingtherequisiteexperiencearenolikelytobeavailabletofillupthevacanciesreservedforthem.CAGERELAXATION:

UpperagelimitisrelaxableforGovt.Servant&EmployeeofESICorporation,SC/OBC/MinorityquotaofOBC/PWD/

Ex.SMandothercategoriesofpersons,asperrules/instructionsofGovt.ofIndiaandisspecifiedasunder:

(a) 03Years

for

OBC

/Minority

quota

of

OBC.

(b) 05YearsforSC.

(c) 10YearsforPWD(additional05yearsincaseofSC&03YearsincaseofOBC/Minorityquota

ofOBC.

(d) Ex.S.M.LengthofServiceinArmedforces+3Years(additionalrelaxationforSC/OBCasper

item(c)above.

(e) Corporation/Govt.Employee:upto40yearprovidedhehascompleted03yearsregular

serviceinCorporation/Govt.Deptt.

Thecrucialdatefordeterminingtheagelimitshallbetheclosingdateofonlineapplicationforallcandidates.

{(The

link

for

submission

of

online

application

are

available

from

00.00

(Hrs.)

of

05/12/12

(Date)

to

23.59

(Hrs.)

of

26/12/12 (Date)}

DFEE&MODEOFPAYEMENT:

DemandDraft/BankersCheque,MoneyOrder,Postalorder,Cheques,etc.willnotbeaccepted.

NoFeeisrequiredtobepaidbyFemale/SC/EX.SM/PWD/ESICemployee/Govt.Employeecandidates.

Feeoncepaidwillneitherberefundednoradjustedunderanycircumstances.


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(1) AmountofFee:

S.No. Category FeeAmount(forGrade

Pay1800to2400

FeeAmount(forGrade

Pay2401andabove)

01. SC/PWD/DepartmentalCandidates,

FemaleCandidates

&Ex.Servicemen

NIL NIL

02. Allothercategories Rs.125/ Rs.225/

03. Bankcollectioncharges Rs.25/ Rs.25/

04. Total Rs.150/ Rs.250/

(2) ModeofpaymentofApplication/ProcessingFee:

Punjab National Bank has been authorized to collect the application fee/ processing fee,in a specially

openedaccountPNB,A/C3247002100149692,PNB,BranchIndArea,Phase 2,Chandigarh.onbehalfofESICModelHospitalRamdarbar,Chandigarh.CandidatehastoapproachthenearbyPNBbranchwithaprintout

of

the

System

Generated

Bank

Challan

which

is

available

on

the

Application

Registration

Portal.The

System

Generated Bank Challan printed from the Portal only should be used for depositing the fee for proper

crediting of amount in the allocated account.On receiptof the moneytheconcerned branch ofPNB will

issueauniqueTransactionID,BranchCode&DateofFeeDeposit.ThisTransactionID,BranchCode&Date

of Fee Deposit are to be filled up by the candidate during online registration.ESIC Model Hospital

Ramdarbar,Chandigarh will not be responsible In case the candidate deposits the fee in a wrong

account.Therewill not be any other mode of collection of registration fee.Candidate are required to pay

Rs.225/orRs.125/asthecasemaybe+Rs25/ asbanksservicecharges.ThePNBbrancheswillacceptthe

fee from 10.00 AM of the starting date to 4.00 PM of the closing date of submission of online

application.Fee once paid will not be refunded under any circumstances.Candidates are therefore

requestedtoverifytheireligibilitybeforepayingtheapplication/processingfee.

HOWTOAPPLY:

1. Eligible andinterestedcandidatesarerequiredtoapplyonlythroughESICModelHospital

Ramdarbar,ChandigarhWebsite(www.esicmhchd.org)

2. Beforeregisteringtheapplicationonthewebsite,thecandidateshouldpossess:

o ValidemailId

o Scannedpassportsizecolourphotograph&signature Sizeofthefileshouldbebetween

20kb500kb

o ScannedRightThumbImpressionforFemalecandidates&ScannedLeftthumbimpression

forMale

cadidates

Size

of

the

file

should

be

between

20kb

500kb.

3. Candidatescanapplyonlineonlyfrom05.12.2012to26.12.2012


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4. Allinformationregardingsuccessfulregistration,admitcarddownloadetc..willbesentthrough

sms/emailonly.

5. FlowChartforonlineregistration:

o Gotowww.esichchd.org

o ClickonRecruitmentatESIC

o Clickonthejobyouwanttoapply

o Readalltheinformationregardingthejobthenclickapplyonline.

o Fillinalltheinformationcarefullyasrequirdinapplicationform

o Clickpreviewapplication

o Checkalltheinformationyoufilled,ifyoufindanyissues,youcanedit.Ifyoudont,click

submit.

o ClickonPrintChallanandtaketheprintoutofBankChallan.BankChalllanwillcontain

detailssuchasApplicationID,ApplicantName,DateofBirth,FathersNameetc

o ThengototherespectivebankandsubmittherequisitefeementionedintheBank

Challanandbankwillprovideyou(i)TransactionID (ii)Branchcode&(iii)DateofDeposit.

o Comebacktowww.esichchd.org,clickRecruitmentandclickonRegisteredApplicant

availableon

the

right

side

of

the

page

o EnterApplicationIDandpassword

1. ApplicationID:ThiswillbewrittenonBankchallan

2. Password:DOB(DOBwillbeyourpassword) forexample:DateofBirthis:1

March2000,thenpasswordwillbeselecttherespectivedateofbirthfrom

thecalendardropdown

o ClickonConfirmpayment.

o Enterallthedetailsintheformtoconfirmthepaymentandapplyandtaketwocopiesof

print out for future reference and another copy of Online Application along with other

necessary documents as mentioned in the advertisement, should be sent toESIC Model

Hospital, Industrial Area PhaseII, Ramdarbar, Chandigarh 160002 through Registered

Post/SpeedPostlatestbytheprescribeddatementionedintheadvertisement.

6. ForAdmitCard/InterviewLetter

o Candidateswillvisitgotowww.esicmhchd.org,clickRecruitmentandclickonRegistered

ApplicantandbyenteringApplicationIDandPassword,candidatecandownloadeadmit

card.

o ForanyqueriesApplyingOnline,Kindlycontact01166561174

a)Documents required to be attached with the application. Onlyattestedphotocopiesofcertificatesaretobeattached:


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Page11

1.DateofBirth

2.Alleducationalqualification(alongwithmarksheet)

3.Technical/professionalqualificationalongwithmarksheets.

4.Registrationcertificatewiththeconcernedcouncilwhereverrequired.

5.Castecertificatewhereverrequired

6.Experiencecertificatewhereverrequired

7.Completion

of

Internship

certificate,

wherever

required

8.Disabilitycertificateincaseofcandidatewithdisability(PhysicallyChallenged)

9.DischargecertificateforExServicemen

10.CopyofChallaninsupportofpaymentoffeewhereverrequired.

b)Incompleteapplicationorapplicationreceivedwithouttheprescribeddocumentswould

summarilyberejected.

c)Experiencewouldberecognizedonlyaftercompletionofinternshipandortraining

period.

d)NoTAshallbepaidtoanycandidateincludingSC/STcandidatesforappearinginthe

writtenexamination.TAshallbepaidtoSC/STcandidatesforinterviewonlyasper

Govt.ofIndiaorders.

e)

All

eligibility

criteria

for

the

above

posts

i.e.

Age,

Educational/

Technical

Qualification/

Registration/Internshipandexperiencewillbereckonedon26.12.2012.

f)Becauseoflargenumberofapplications,Corporationmaynotundertakedetailed

scrutinyofapplicationstoascertaintheeligibilityandotheraspectsatthetimeofwritten

examination.Therefore,thecandidatesareadvisedtogothroughtheeligibilitycriteria

andotherrequirementsofeducationalqualification,age,experience,etc.,andsatisfy

themselvesthattheyareeligiblebeforeapplying.Whenscrutinyisundertaken,evenafter

preparationofmeritlist,theclaimofthecandidatecanberejectediftheclaimmadein

theapplicationisnotfoundsubstantiatedanddecisionshallbefinal.

g)Candidatesclaimingreservation/agerelaxationongroundsofbelongingtoOBC

shouldsubmitthecommunitycertificateinannexureAprescribedvideGovt.of

India,DepartmentofPersonnelandTrainingOMNo.36012/22/93Estt(SCT)dated

08.09.1993

which

is

modified

vide

G.O.I.,

DOPTs

OM

No.

36033/3/2004

EST(Res.)

dated09.03.2004failingwhichthebenefitofreservation/relaxationwillnotbegiven

ortheirapplicationshallberejectedandnorequest/correspondencewillbe

entertained.Adeclarationconformingthathe/shedoesnotbelongtoCreamylayer

asperDOPTOM.No36033/3/2004Estt.(Res.)dated09.03.2004shouldbefurnished

bythecandidates.

h)Originaldocuments/certificatesshouldnotbeenclosed/sentwithapplication.

i)ThecandidatesalreadyinGovernmentservicemustspecificallymentionthedetailsof

employmentandshouldsubmittheirhardcopyofapplication(generatedbythesystem)

throughproperchannel.However,theymaysendanadvancehardcopyoftheir

application(generatedbythesystem)alongwithFeeChallanandothercertificates&

testimonialsoastoreachthisofficeonorbeforethelastdateforreceiptofapplication.

j)TheapplicantshouldkeepvisitingESICwebsiteforimportantannouncements/

informationthroughouttheselectionprocessatitsvariousstages.

k)Incaseofselection,personsworkinginCentral/StateGovt./PSUwillhavetosubmitadisciplinary

clearanceandNOOBJECTIONCERTIFICATEfromtheiremployer.


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l)Last date of ONLINE application is 26.12.2012 Hard Copy of ONLINE APPLICATION with required

documentsshouldreachattheofficebySpeedpost/Registeredpost(addressgivenabove)onorbefore

4.00 p.m on 31.12.2012 (Last date for receipt of application from candidates residing in Assam,

Meghalaya,ArunachalPradesh,Mizoram,Manipur,Nagaland,Tirupura,Sikkim,LadakhDivisionofJammu

andKashmirState,LahaulandSpitiDistrictandPangiSubDivisionofChambaDistrictofHimachalPradesh,

AndamanandNicobarIslandsandLakshadweepwillbe03.01.2013upto4.00pm).

ESICorporationwillnotberesponsibleforpostaldelays.m)Corporationreservestherighttoconductwrittenoronlineexamination.TheESICorporationalsoreservestherighttocanceltherecruitmentaswellasthe

notifiedvacanciesatitsdiscretionandsuchdecisionwillbebindingonallconcerned.In

theeventofcancellationofnotifiedvacancies,theexaminationfeewillnotberefunded.

[CAUTION: CANVASSINGINANYFORMWILLBEDISQUALIFICATION]

NOTE:

GUIDELINESFORSCANNINGTHEPHOTOGRAPH,SIGNATURE&THUMBIMPRESSION:Beforeapplyingonlineacandidatewillberequiredtohaveascanned(digital)imageofhis/her

photographandsignatureaspaerthespecificationsgivenbelow.

(i) PHOTOGRAPHIMAGE:

Photographmustbearecentpassportsizecolourpicture

Thepictureshouldbeincolour,againstalightcolored,preferablywhite,background.

Lookstraightatthecamerawitharelaxedface.

Ifthepictureistakenonasunnyday,havethesunbehindyou,orplaceyourselfintheshade,so

thatyouarenotsquintingandtherearenoharshshadows.

Ifyouhavetouseflash,ensuretheresnoredeye.

Ifyouwearglassesmakesurethattherearenoreflectionsandyoureyescanbeclearlyseen.

Caps,hatsanddarkglassesarenotacceptable.Religiousheadwear isallowedbut itmustnot

coveryourface.

Dimensions

200

X

230

pixels

(preferred).

Sizeoffileshouldbebetween00Kb100Kb.

Ensurethatthesizeofthescannedimageisnotmorethan100KB.Ifthesizeofthefileismore

than100KB,thenadjustthesettingsofthescannersuchastheDPIresolutionno.Ofcolours

etc.,duringtheprocessofscanning.

(ii) SIGNATUREIMAGE:

TheapplicanthastosignonwhitepaperwithBlackInkPen.

Thesignaturemustbesignedonlybytheapplicantandnotbyanyotherperson.

ThesignaturewillbeusedtoputontheHallTicketandwherevernecessary.

IftheApplicantssignatureontheanswerscript,atthetimeoftheexamination,doesnotmatch

thesignature

on

the

Hall

Ticket,the

applicant

will

be

disqualified.

Dimensions140X60pixels(preferred).


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Page13

Sizeoffileshouldbebetween00Kb50Kb.

Ensure

(iii) THUMBIMPRESSIONIMAGE:

Theapplicanthastoputhis/herthumb impression (leftthumb impressionformaleandright

thumbimpressionforfemalecandidate)onwhitepaperwithbluestampinkingpad.

Thethumbimpressionmustbeputonlybytheapplicantandnotbyanyotherperson.

ThethumbimpressionwillbeusedtoputontheHallTicketandwherevernecessary.

IftheApplicantsthumbimpressionontheanswerscriptatthetimeoftheexamination,does

not match the thumb impression on the Hall Ticket, the applicant will be disqualified.

Dimensions140x60pixels(preferred).Sizeoffileshouldbebetween00kb 20kb.

Ensurethatthesizeofthescannedimageisnotmorethan20KB.

SCANNINGTHEPHOTOGRAPH,SIGNATURE&THUMBIMPRESSION:

Setthescannerresolutiontoaminimumof200dpi(dotsperinch).

SetColortoTrueColour.

FileSizeasspecifiedabove.

Cropthe image inthescannertotheedgeofthephotograph/signature,thenusetheupload

editortocroptheimagetothefinalsize(asspecifiedabove).

The image fileshouldbe JPGorJPEGformat.Anexamplefilename is : image01.jpgor image

01.jpegImagedimensionscanbecheckedby listingthefolderfilesormovingthemouseover

thefileimageicon.

Candidates using MS Windows/MS Office can easily obtain photo, signature and thumbimpressionin.jpegformatnotexceeding100KB,50KB&20KBrespectivelybyusingMSPaintorMSOfficePictureManager.Scannedphotograph,signatureand thumb impression inanyformatcanbesaved in.jpgformatbyusingSaveAsoptionintheFilemenuandsizecanbereducedbelow100KB(photograph),50KB (signature)& 20KB (thumb impression) by using crop and then resize option (Please seepoint(i),(ii)&(iii)aboveforthepixelsize)intheImagemenu.Similaroptionsareavailableinotherphotoeditoralso.Ifthefilesizeandformatarenotasprescribed,anerrormessagewillbedisplayed.

ProcedureforUploadingthePhotograph,Signature&Thumbimpression:(i)TherewillbethreeseparatelinksforuploadingPhotograph,Signature&thumbimpression.

(ii)ClickontherespectivelinkUploadPhotograph/Signature/Thumbimpression.

(iii)Browse&SelectthelocationwheretheScannedPhoto/Signature/Thumbimpressionfilehasbeen

saved.

(iv) Selectthefilebyclickingonit.


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Page14

(v)ClicktheUploadbutton.

Your Online Application will not be registered unless you upload your photo, signature and thumbimpressionasspecified.

a) In case the face in the photograph, signature and thumb impression is unclear the candidatesapplication

may

be

rejected.

b) Candidatesareadvisedtotakeaprintoutoftheirsystemgeneratedonlineapplicationformsbeforesubmitting.

c) In case the photograph, signature and thumb impression is unclear, the candidate may edit his

applicationandreuploadhisphotograph,signatureandthumbimpression.

d) CandidatesshouldkeepacopyoftheApplicationprintoutandFeeChallanReceiptfortheirrecord.

e) Candidates serving in Government/Quasi Government offices, Public Sector undertaking will berequiredtosubmitNoObjectionCertificatefromtheiremployeratthetimeofinterview/joining

whererequired.

f) The candidate seeking reservation as SC/ST/OBC should submit the Caste certificate in the

prescribedPerformafromthecompetentauthorityindicatingclearlythecandidatescaste,theAct/

Order under which the caste is recognized as SC/ST/OBC and the village/town the candidate is

originallyaresident

of.

g) Candidates seeking reservation as OBC has to submit a declaration in the prescribed format

confirmingthathe/shedoesnotbelongtoCreamyLayeronthecrucialdate.

h) Candidates belonging to reserve category but applying for unreserved category post shall not beentitledforanytypeofrelaxation,includingagerelaxation,etc.

NO OTHER MODE OF APPLICATION/PRINTOUT OR DRAFT ETC.WILL BE ACCEPTED

Action against candidates found guilty of conduct.Candidates are warned that they should not furnish any particulars that are false,tampered/fabricated or should not suppress any material information while filling up the application form.


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Page15

Annexure-A

FORMOFCERTIFICATETOBEPRODUCEDBYOTHERBACKWARDCLASSES

APPLYINGFORTHEAPPOINTMENTTOPOSTSUNDERTHEGOVERNMENTOFINDIAThis is to certify that Shri/Smt./Kum. _______Son/Daughter of Shri/Smt. ________of Village/Town

______District/Division____ in the______________State belongs to the_________________Community which is

recognizedasabackwardclassunder:

(i) ResolutionNo.12011/68/93BCCdated10/09/93publishedintheGazetteofIndiaExtraordinaryPartI

SectionINo.186dated13/09/93.

(ii)ResolutionNo.12011/9/94BCCdated19/10/94publishedintheGazetteofIndiaExtraordinaryPartI


(iii)ResolutionNo.12011/7/95BCCdated24/05/95publishedintheGazetteofIndiaExtraordinaryPartI


(iv)ResolutionNo.12011/96/94BCCdated9/03/96.

(v)ResolutionNo.12011/44/96BCCdated6/12/96published intheGazetteofIndiaExtraordinaryPartI


(vi)ResolutionNo.12011/13/97BCCdated03/12/97.

(vii)ResolutionNo.12011/99/94BCCdated11/12/97.

(viii)Resolution

No.

12011/68/98

BCC

dated

27/10/99.

(ix)ResolutionNo.12011/88/98BCCdated6/12/99publishedintheGazetteofIndiaExtraordinaryPartI


(x) Resolution No. 12011/36/99BCC dated 04/04/2000 published in the Gazette of India Extraordinary

PartISectionINo.71dated04/04/2000.

(xi) Resolution No. 12011/44/99BCC dated 21/09/2000 published in the Gazette of India Extraordinary


(xii)ResolutionNo.12015/9/2000BCCdated06/09/2001.

(xiii)ResolutionNo.12011/1/2001BCCdated19/06/2003.

(xiv)ResolutionNo.12011/4/2002BCCdated13/01/2004.

(xv)ResolutionNo.12011/9/2004BCCdated16/01/2006publishedintheGazetteofIndiaExtraordinary


Shri/Smt./Kum. ____________and / or his family ordinarily reside (s) in the ______________

District/Divisionof___________state.

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&TrainingO.M.No.36033/3/2004EST(Res)dated09032004.

DistrictMagistrate/

DeputyCommissioner

etc.

Dated:

SealoftheOffice:


16/18

Page16

Note: (a)ThetermOrdinarilyusedherewillhavethesamemeaningasinSection20ofthe

RepresentationofthePeopleAct,1950.

(b)TheauthoritiescompetenttoissueCasteCertificatesareindicatedbelow:

i)DistrictMagistrate/AdditionalMagistrate/Collector/DeputyCommissioner/Additional

DeputyCommissioner/DeputyCollector/IstClassStipendiaryMagistrate/SubDivisional

magistrate/TalukaMagistrate/ExecutiveMagistrate/ExtraAssistantCommissioner(notbelow

therank

of

Ist

Class

Stipendiary

Magistrate).

(ii)ChiefPresidencyMagistrate/AdditionalChiefPresidencyMagistrate/PresidencyMagistrate.

(iii)RevenueOfficernotbelowtherankofTehsildar.

(iv)SubDivisionalOfficeroftheareawherethecandidateand/orhisfamilyresides.


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Page17

FORMOFDECLARATIONTOBESUBMITTEDBYTHEOBCCANDIDATE[INADDITIONTOTHE

COMMUNITYCERTIFICATE(OBC)]

I.son/daughter of Shri..resident of

village/town/citydistrict.state..hereby declare that I belong to the

communitywhichisrecognizedasabackwardclassbytheGovernmentofIndiaforthepurpose

of

reservation

in

services

as

per

orders

contained

in

Department

of

Personnel

and

Training

Office

Memorandum No. 36102/22/93 (SCT) dated 8993. It is also declared that I do not belong to

persons/sections (Creamy Layer) mentioned in column 3 of the Schedule to the above referred Office

Memorandumdated891993.

Place:_________________ SignatureoftheCandidate:___________________

Date:___________________ NameoftheCandidate:______________________

Address:_________________________________

___________________________________

___________________________________


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FROMOFCERTIFICATETOBESUBMITTEDBYCENTRALGOVERNMENTCIVILIANEMPLOYEES/ESI

CORPORATIONEMPLOYEESSEEKINGAGERELAXTION.

(TobefilledbytheHeadoftheOfficeorDepartmentinwhichthecandidateisworking)

It is certified that Shri/Smt./Km._____________________is a Central Government Civilian Employee / ESI

CorporationEmployeeholdingthepostof..inthepayscaleofRs.__________________

with03

years

(Three

years)

regular

service

in

the

grade

as

on

________________________________(Last

dateforreceiptofapplicationform).

There isNOOBJECTIONtohis/herappearing forthepostof_______________________inESICorporation

and/orInterview.

Signature____________________

Name_______________________

Designation:_________________Place:__________________

Date:___________________

Esic Chd Dec12

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