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Je,oa jkstxkj ea=ky;]hkkjr ljdkj Ministry of Labour & Employment, Government of India dezpkjh jkt; chek fuxe /Employees' State Insurance Corporation vkn'kz fpfdrlky;,oa O;kolkf;d jksx dsunz/model Hospital & ODC Ukankuxj] bunksj /Nanda Nagar, Indore-452011 nwjhkk"k /Tele-0731-2557656,2559080, QsDl /Fax-0731-2559080 osclkbzv /Website: www.esic.nic.in, www.esichospitals.gov.in, www.esic.in bzesy /E-Mail: ms-indore@esic.in 18A/12/12/Recruitment C&D/2015/MH Date:-02/07/2018 INFORMATION TO CANDIDATES FINDING PLACE IN SELECT LIST AND SHORT LISTED FOR DOCUMENT VERIFICATION FOR DIFFERENT PARAMEDICAL POSTS FOR ESIC MODEL HOSPITAL NANDA NAGAR INDORE M.P. REGION ON THE BASIS OF PERFORMANCE IN WRITTEN ONLINE EXAMINATION HELD ON 21 ST & 22 ND MAY, 2016. The below mentioned candidates are called for the document verification on or before 09 th July 2018 latest by 4:00P.M, candidate whose name appears below are advised to go through this notification thoroughly, the document verification letter has been sent on the registered email id (email id given at the time of filling form) as well as phone calls on registered mobile number to intimate about document verification has been made by this office. The document verification letter of the individual are also uploaded on the websites www.esichospitals.gov.in & www.esic.nic.in (attached with this letter ). Further it is to state that this is the last and final opportunity for the document verification for candidates whose name appears in this list. Those candidates who do not turn up for document verification on or before 09 th July 2018 latest by 4:00 P.M their candidature shall stand cancelled and neither any correspondence in this regard shall be entertained nor any other opportunity will be given. As Recruitment 2015 of ESIC MH, Indore from 10 th July 2018 onwards shall be treated as completed. (This is the last list of the candidates called for document verification, further no additional list will be declared) S. No POST NAME Name of Candidate The list of the candidates. Catego ry Applicatio n Reference No. Roll Number DOB Category against which finding place in Select List 1 Nursing Orderly PREETI SC 1830054172 16200180041 3/4/1986 SC 2 Nursing Orderly ANKITA CHAWLA UR 1830068471 31015180009 10/4/1991 UR 3 Nursing Orderly BRAHMADEO SINGH UR 1830084560 16200180009 2/1/1968 UR(ExSm) 5 Nursing Orderly DEVENDRA KUMAR UR(OBC) 1830072833 16200180047 12/7/1994 UR 6 Nursing Orderly ATMARAM CHAURASIYA UR(OBC) 1830030194 30035180090 1/1/1965 UR (ExSM) 7 Nursing Orderly SUJIT KUMAR SC 1830209840 28033180005 10/5/1989 UR 8 Nursing Orderly SHIV KUMAR UR 1830159842 30142180093 15/5/1990 UR SHARMA 9 Nursing Orderly SANGEETA RAHANGDALE UR 1830095976 31015180033 26/11/1988 UR Page 1 of 6

10 Nursing Orderly KAVITA UR 1830040246 16200180088 8/11/1989 UR KUSHAWAHA 11 Nursing Orderly ANJU SHANKHE ST 1830107875 30060180030 13/2/1979 ST 12 Nursing Orderly BHUR SINGH ST 1830197441 30142180038 1/4/1982 ST PARIHAR 13 Nursing Orderly DEENDAYAL MEENA ST 1830022450 30034180023 20/8/1993 ST 14 Nursing Orderly DIPESH RAIKWAR ST 1830079837 30119180043 29/7/1994 ST 15 Nursing Orderly PRAVESH MEENA ST 1830218016 30060180040 8/8/1994 ST 16 Nursing Orderly ABHISHEK JUSTIN ST 1830191564 30035180075 22/4/1984 ST 17 Nursing Orderly BRIJBHAN SINGH ST 1830196004 16200180057 20/8/1988 ST GOUND 18 Nursing Orderly RAMESHWAR ST 1830104380 16200180012 12/8/1986 ST PRASAD MEENA 19 Nursing Orderly RADHA MEENA ST 1830011888 16200180108 1/9/1993 ST 20 Nursing Orderly BHOOR SINGH ST 1830129583 28033180032 1/7/1988 ST MEENA 21 Nursing Orderly ANJALI KAMLE ST 1830046298 30130180013 11/7/1995 ST 22 Nursing Orderly GAJENDRA SINGH ST 1830084154 28033180039 18/12/1995 ST MEENA 23 O T Assistant PRAMOD SAHU OBC 1430140812 16200140012 10/12/1988 UR 24 O T Assistant DOLLY BANAFAR UR 1430014603 30034140022 8/9/1988 UR 25 PHARMACIST DEEPAK SC 0630153708 30119060136 13/8/1994 SC ALLOPATHIC CHAUDHARY 26 PHARMACIST DHARAVATH ST 0630184930 16200060028 11/7/1988 ST ALLOPATHIC RAVISHANKAR 27 Staff Nurse RAKESH MEENA ST 130229315 30035010028 10/10/1991 UR 28 Staff Nurse SUNIL KUMAR OBC 130208608 31015010415 1/6/1990 UR 29 Staff Nurse GAUTAM KUMAR UR 130015348 30119010384 23/4/1987 GUPTA UR 30 Staff Nurse BHIMAPPA BANDI UR 130063704 16200011581 1/6/1988 UR 31 Staff Nurse HEMRAJ LODHA OBC 130073893 16200011545 30/5/1993 UR 32 Staff Nurse MANISH GUPTA UR 130208392 30139010097 1/5/1990 UR 33 Staff Nurse SHAMA BHUSHAN UR 130184127 31015010231 9/11/1989 UR 34 Staff Nurse PRADEEP KUMAR UR 130057182 30139010005 1/7/1992 UR 35 Staff Nurse MAHENDRA KUMAR UR 130112757 30117010897 7/7/1989 PATEL UR 36 Staff Nurse KAILASH CHAND OBC 130129601 30002010935 30/6/1990 YADAV UR 37 Staff Nurse FIROZ MOHEMMED OBC 130093793 30036010013 26/2/1992 OBC 38 Staff Nurse ASHOK KUMAR ST 130141456 30117010031 25/6/1993 MEENA ST 39 Staff Nurse NARENDRA MEENA ST 130124014 30036010135 6/7/1992 ST 40 Staff Nurse PRAMOD MEENA ST 130208284 30034010161 17/7/1992 ST 41 Staff Nurse MANGAL DEORA ST 130071242 30061010273 21/1/1994 ST 42 Staff Nurse BURREWAR VEENA SC 130015944 31014011011 20/9/1989 MADHAORAO SC 43 Staff Nurse GANJI REVATHI SC 130012374 16200011827 28/1/1990 SC 44 Staff Nurse JUGAL KISHOR ST 130001610 30002010142 21/3/1990 ST 45 Staff Nurse OZA ARATIBAHEN ASHOKKUMAR OBC 130039984 30034010223 20/6/1987 OBC(EXSM) Page 2 of 6

The venue for the document verification shall be:- ESIC Model Hospital, Nanda Nagar, MR-9 Road, Indore-452011 Room no.7, Administration Hall/Administrative Block situated at Ground Floor, Reporting Time -9:15 A.M to 4:00 P.M Monday to Friday & 9:15 A.M to 1:00 P.M on Saturday, Date of Document Verification- on or before 9 th July 2018 latest by 4:00 P.M Contact Person :- Office Superintendent 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. Since the applications for the above post were called online only and hard copy of application along with documents in support of their eligibility for the post was not called from the candidates, the candidature of all the candidates short listed for verification is purely provisional subject of fulfillment of eligibility criteria with regard to age, essential qualification, experience and reservation etc. 3. Following certificates / certificates will be verified in original:- i). Above candidate shortlisted for verification must bring all ORIGINAL documents in support of his/her eligibility for the above post at the time of verification. Self attested two sets of documents with regard to eligibility criterion along with the printout of online application submitted by the candidate along with the admit card. ii.)experience certificate wherever required and as asked in the advertisement 04/12/2015. If experience certificate is not accordance to the recruitment notification, the candidature shall be cancelled neither any correspondence in this regard shall be entertained nor any other opportunity will be given. Iii).Disability certificate in case of person with disability (PWD). iv). Discharge certificate in case of Ex- Servicemen. v)matriculation Certificate for educational qualification and verification of date of birth. The certificate must be issued by recognized/approved Government institute. vi) SC/ST/OBC Certificate, as per applicable in prescribed format and issued by appropriate authority. vii)in case of OBC, Candidate belonging to OBC Category is required to submit his/her latest OBC certificate in the proforma prescribed by Govt. of India appended below at Annexure A and alongwith Form of Declaration appended below at Annexure B at the time of verification. The candidate should furnish the relevant OBC Certificate in the format prescribed for Central Government jobs as per Annexure A issued by the competent authority on or before the Closing Date as stipulated in this Notice i.e (06/01/2016). viii)candidate seeking age relaxation as Government Employee/ESIC Employee shall have to produce his/her Service Certificate at the time of verification. ix)the crucial date for determining the age limit, essential qualification and other criteria regarding eligibility for the post shall be the closing date of submission of online application i.e. 06.01.2016. x)the candidate already working in Govt. Service (including ESIC Employees) is required to produce his/her No Object Certificate (NOC) at the time of verification. xi) Candidate must carry two passport size photograph and original identity card issued by Govt authority (Voter ID/Pan Card etc) with two set of Xerox copy of the same. 4. Calling of candidates for documents verification does not automatically confer any right upon candidate for his/her medical examination or appointment or any post of ESIC Model Hospital, Nandanagar, Indore. The select list displayed on the website is purely provisional. 5. The document verification letters mentioning all the details and required documents are already dispatched on the correspondence address mentioned by the candidate in his/her application form. 6. Category wise minimum Qualifying Marks/Benchmark UR-45%, OBC-40%, SC/ST & Ex servicemen- 35%, PWD- Person with Disability -30% Page 3 of 6

7. If, it is subsequently found that any candidate has appeared through proxy, strict action as per law will be initiated 8. Candidate shall make his/her own arrangement of stay and no TA/DA is admissible for the same. 9. All necessary care has been taken while preparing the list for eligible candidates for documents verification, but, inadvertent human errors cannot be overruled, ESIC Model Hospital, Indore reserves the right to correct such mistakes whenever it is noticed. 10. All the correspondence done by this office will be only through email id ms-indore@esic.in, if any candidate has any query he/she may write to ms-indore@esic.in under no circumstances should information from any individual or unauthorised website be trusted. There is no question of any fees/bribes for recruitment. No candidate should fall prey to any misinformation /unscrupulous elements. 11. Further it is to state that this is the last and final opportunity for the document verification for candidates whose name appears in the above list. Those candidates who do not turn up for document verification on or before 09 th July 2018 latest by 4:00 P.M their candidature shall stand cancelled and neither any correspondence in this regard shall be entertained nor any other opportunity will be given. As Recruitment 2015 of ESIC MH, Indore from 10 th July 2018 onwards shall be treated as completed. (This is the last list of the candidates called for document verification, further no additional list will be declared) Dated: 02 nd July 2018 Deputy Director for Regional Director. Page 4 of 6

Annexure A (FORMAT OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA) This is to certify that Shri/Smt./Kumari son/daughter of of village/town in District/Division in the State/Union Territory belongs to the Community which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment s Resolution No. dated *. Shri/Smt./Kumari and/or his/her family ordinarily reside(s) in the District/Division of the State/Union Territory. 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 OM No. 36012/22/93-Estt. (SCT,) dated 08.09.1993**. Date District Magistrate/ Deputy Commissioner etc. Seal of Office *- The Authority issuing the Certificate may have to mention the details of Resolution of Government of India, in which the Caste of candidate is mentioned as OBC. **- As amended from time to time. 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 Caste/Tribe Certificate Certificates: i. District Magistrate / Additional District Magistrate/ Collector/ Deputy Commissioner / Additional Deputy Commission/ Dy. Collector / 1 st Class Stipendiary Magistrate / Sub-Divisional Magistrate / Extra-Assistant Commissioner/ Taluka Magistrate / Executive Magistrate. ii. iii. iv. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. Revenue Officers not below the rank of Tehsildar. Sub-Divisional Officers of the area where the applicant and or his family normally resides. Note-I a. The term Ordinarily used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950. b. The authorities competent to issue Caste Certificate are indicated below:- Note-II Note-III i. District Magistrate / Additional Magistrate / Collector / Dy. Commissioner / Additional Deputy Commissioner / Deputy Collector / Ist Class Stipendary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of 1st Class Stipendiary Magistrate). ii. Chief Presidency Magistrate /Additional Chief Presidency Magistrate/ Presidency Magistrate. iii. Revenue Officer not below the rank of Tehsildar iv. Sub-Divisional Officer of the area where the candidate and/or his family resides. The closing date for receipt of application will be treated as the date of reckoning for OBC status of the candidate and also, for assuming that the candidate does not fall in the creamy layer. The candidate should furnish the relevant OBC Certificate in the format prescribed for Central Government jobs as per Annexure A above issued by the competent authority on or before the Closing Date as stipulated in this Notice i.e (06/01/2016). Annexure B Page 5 of 6

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 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, 200, O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008 and OM No. 36033/1/2013-Estt. (Res.), dated: 27 th May, 2013. Signature:.. Full Name: Address Page 6 of 6