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EMPLOYEES' STATE INSURANCE CORPORATION

PANCHDEEP BHAWAN: C.I.G. MARG: NEW DELHI-2.


(ISO 9001:2000 QMS CERTIFIED)

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Employees State Insurance Corporation is a statutory body constituted under an Act of Parliament
(ESI Act, 1948) and works under the administrative control of Ministry of Labour and Employment,
Government of India. Employees State Insurance Corporation proposes to fill up the Teaching Faculty
posts Professor, Associate Professor and Assistant Professor for ESIC PGIMSR and Medical
Colleges at the locations mentioned below, on Contractual basis. Application are invited
ONLINE through www.esic.nic.in for the under mentioned posts. The details of vacancies and
reservation position are as under:-

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DETAIL OF VACANCIES POSITIONS

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ESIC PGIMSR &
MEDICAL COLLEGE,
K.K. NAGAR CHENNAI

MEDICAL
INSTITUTION/
SPECIALTY

General Medicine

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ESIC PGIMSR &


MEDICAL COLLEGE JOKA,
WEST BENGAL

ESIC MEDICAL COLLEGE,


GULBARGA, KARNATAKA

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MEDICAL COLLEGE,
RAJAJI NAGAR
BENGALURU,
KARNATAKA

Prof.

Asso.
Prof.

Astt.
Prof.

Prof.

Asso.
Prof.

Astt.
Prof.

Prof.

Asso.
Prof.

Astt.
Prof.

Prof.

Asso.
Prof.

Astt.
Prof.

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Pediatrics

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Community
Medicine

4*

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4*

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General Surgery

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Orthopedics

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Anesthesia

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Radiology

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Obst. & Gyane.

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Pathology

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Hematology

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Microbiology

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Physiology

Pharmacology

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Forensic Medicine

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Ophthalmology

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ENT

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Pul. Medicine (TB &


Chest)

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Skin & VD

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Psychiatry

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Total

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9
11
13
3
*

15

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16
6
9
16
6
6

Including one post for Epidemiologist cum Assistant Professor.

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**
One post for Maternity and Child Welfare Officer
cum Assistant Professor and One post for
Ante-natal Medical Officer cum Assistant Professor.

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RESERVATION

POST

ESIC PGIMSR & MEDICAL COLLEGE,


K.K. NAGAR CHENNAI
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UNRESERVED

SC

ST

OBC

TOTAL

PROFESSOR

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ASSOCIATE PROFESSOR

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11

ASSISTANT PROFESSOR

8
2
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13

Total

33$

$ Out of the total of 33 vacancies 1(_one) vacancy is reserved for Persons with Disabilities
(PWD) in identified Specialties

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ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGALl
POST

UNRESERVED

SC

ST

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---

OBC

TOTAL

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PROFESSOR

ASSOCIATE PROFESSOR

15

ASSISTANT PROFESSOR

16

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34$

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$ Out of the total of 34 vacancies _2 (two) vacancies are reserved for Persons with Disabilities
(PWD) in identified Specialties
ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA
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POST
UNRESERVED
SC
ST
OBC
TOTAL
PROFESSOR

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01

06

ASSOCIATE

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09

16

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PROFESSOR
ASSISTANT

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PROFESSOR
Total No. of posts
31$
$ Out of the total of 31 vacancies _1 (one) vacancy is reserved for Persons with Disabilities

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(PWD) in identified Specialties

ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR, BENGALURU, KARNATAKA

POST
PROFESSOR

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UNRESERVED
SC
ST
5

5
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ASSOCIATE

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PROFESSOR
ASSISTANT

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OBC

TOTAL

-1
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1

PROFESSOR
Total No. of posts
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16$

$ Out of the total of 16 vacancies 1 (one) vacancy is reserved for Persons with Disabilities

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(PWD) in identified specialties.
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Identified Posts for Persons with Disabilities (PWD)


Suitability
Physical
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for the

Specialty

post
Radiology

OL

S, SE, ST, MF,


KC, C

ENT

OL

S, SE, ST, MF,


KC, C

OL

S, SE, ST, MF,


KC, C

BLA, OL,

RW, ST, H, C,

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OA, HH
W

Microbiology

KC Kneeling &
Croutching
MF
Manipulation by
Fingers

ST
Standing

OA One Arm

W
Walking

OH
Orthopedically
Handicapped

BLA Both
Legs &
Arms

OL One Leg

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Res.
Medicine

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Abbreviation Used

Requirements

Note:

RW Reading &
Writing

H - Hearing
BN- Bending
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S Sitting

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1. Number of vacancies is provisional and may increase or decrease depending on actual
requirement.
2. Candidates fulfilling the eligibility criteria for higher post, i.e. Professor/Associate
Professor, will be allowed to be interview against lower post, i.e. Associate /Assistant
Professor.In event of selection of such candidates, the candidate can be considered for
placement at the higher post as per eligibility criteria for the post on the specific
recommendation of the selection board.

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A. EDUCATIONAL & OTHER QUALIFICATIONS


S.
No.
01

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Qualifications

Name of
the Post
Professor

For GENERAL DISCIPLINES:


EDUCATIONAL QUALIFICATIONS
Essential for Medical Candidates:
(i) A recognized medical qualification included in the First or Second Schedule or PartII of the Third Schedule to the Indian Medical Council Act of 1956. Holders of
educational qualifications included in Part-II of the Third Schedule should also fulfill
the conditions stipulated in Section 13 (3) of the Act.

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(ii) A Post Graduate qualification e.g. MD/MS (Doctor of Medicine and Master of
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Surgery) or a recognised qualification equivalent thereto in the respective subject/
allied discipline.

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Essential for Non-Medical Candidates:


(i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied
discipline.
(ii) A Doctorate degree from a recognised University in the respective subject/allied
discipline.

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Note: The respective subject/allied discipline should be as in the Table-I of


Schedule I of the MCI-Minimum Qualifications for Teachers in Medical
Institutions Regulations, 1998.

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Experience:

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(ii)

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(i)

Four years teaching experience as Reader/Associate Professor in a recognized


medical college in the concerned speciality. ***
OR
Three years teaching experience as Associate Professor in the concerned
speciality in a recognized medical college with minimum of four research
publications in indexed/national journals provided that these research
publications are published/accepted for publications in the Journals by the
National Associations/Societies of the respective specialities as the First Author.

Further provided that the requirement of 4 research publications for promotion


to the post of Professor should be taken on cumulative basis with minimum of 2
research publications must be published during the tenure of the Associate
Professor.
Qualification with regard to experience are relaxable at the discretion of
Selection Board in case of candidates otherwise well qualified.
The qualification regarding experience are relax able at the discretion of the
Selection Board in case of candidates belonging to Scheduled Castes or
Scheduled Tribes and if at any stage of selection Board is of the opinion that
sufficient number of candidates from these communities possessing the
requisite experience are not likely to be available to fill of the vacancies
reserved for them.

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(iii)
(iv)

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NOTE (1) The experience

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should be recognized by the MCI or the statutory


body concerned with the system of medicine as valid teaching
experience for teaching posts and certificate thereof or any other valid
proof in support thereof should be submitted and a certificate to this
effect is to be submitted.

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NOTE (2) Teaching experience in any other post like the post of General Duty Medical
Officer shall not be considered for eligibility purpose for recruitment to teaching
posts.

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02

Associate
Professor

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For GENERAL DISCIPLINES:


EDUCATIONAL QUALIFICATIONS
Essential for Medical Candidates:

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(i)
A recognized medical qualificationhttp://www.jlatest.com/
included in the First or Second Schedule or

Part-II of the Third Schedule to the Indian Medical Council Act of 1956. Holders
of educational qualifications included in Part-II of the Third Schedule should
also fulfill the conditions stipulated in Section 13 (3) of the Act.

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(ii)
A Post Graduate qualification e.g.
MD/MS (Doctor of Medicine and

Master of
Surgery) or a recognised qualification equivalent thereto in the respective
subject/ allied discipline.

Essential for Non-Medical Candidates:


(i)
A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied
discipline.
(ii)
A Doctorate degree of a recognised University in the respective subject/allied
discipline.
Note: The respective subject/allied discipline should be as in the Table-I of
Schedule I of the MCI-Minimum Qualifications for Teachers in Medical
Institutions Regulations, 1998.

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Experience:
(i)
Five years teaching experience as Lecturer/Assistant Professor in a recognized
medical college in the concerned speciality.
OR
(ii)
Four years teaching experience as Assistant Professor in the concerned
speciality in a recognized medical college with minimum of two research
publications in indexed/national journals provided that these research
publications are published/accepted for publications in the Journals by the
National Associations/Societies of the respective specialities as the First Author.
Further provided that the requirement of 2 research publications for promotion
to the post of Associate Professor should be fulfilled with 2 research publications
must be published during the tenure of the Assistant Professor.

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(iii)

Qualification with regard to experience are relaxable at the discretion of


Selection Board in case of candidates otherwise well qualified.
The qualification regarding experience are relax able at the discretion of the
Selection Board in case of candidates belonging to Scheduled Castes or
Scheduled Tribes and if at any stage of selection Board is of the opinion that
sufficient number of candidates from these communities possessing the
requisite experience are not likely to be available to fill of the vacancies
reserved for them.

(iv)
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NOTE (1) If a DNB qualified candidate is working as Assistant Professor in a MCI


recognized Medical College/Central Institute, he/she would require one more
year of teaching/research experience to be promoted as Associate Professor
over & above the minimum time frame for MD/MS candidate.

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The experience should be recognized by the MCI or the statutory body


concerned with the system of medicine as valid teaching experience for
teaching posts and certificate thereof or any other valid proof in
support thereof should be submitted and a certificate to this effect is to
be submitted.

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NOTE (2) Teaching experience in any other post like the post of General Duty Medical
Officer shall not be considered for eligibility purpose for recruitment to teaching
posts.

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03

Assistant
Professor

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For GENERAL DISCIPLINES:


EDUCATIONAL QUALIFICATIONS
Essential for Medical Candidates:
(i)
A recognized medical qualification included in the First or Second Schedule or
Part-II of the Third Schedule to the Indian Medical Council Act of 1956. Holders
of educational qualifications included in Part-II of the Third Schedule should also
fulfill the conditions stipulated in Section 13 (3) of the Act.

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(ii)
A Post Graduate qualification e.g. MD/MS or a recognised qualification
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equivalent thereto in the respective
subject/ allied discipline.
Essential for Non-Medical Candidates:
(i)
A Postgraduate qualification i.e. Masters Degree in the concerned
subject/allied discipline.
(ii)
A Doctorate degree of a recognised University in the respective subject/allied
discipline.

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Note: The respective subject/allied discipline should be as in the Table-I of


Schedule I of the MCI-Minimum Qualifications for Teachers in Medical
Institutions Regulations, 1998.

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Experience:
(i)
For the candidates possessing MD/MS (Doctor of Medicine and Master of
Surgery) Degree from MCI recognized medical colleges: Three years teaching
experience in the subject as Resident/Registrar/Demonstrator/Tutor in a
recognized medical college either during the post-graduate course or after
obtaining postgraduate degree in the subject.
(ii)
For the candidates possessing DNB qualification from MCI recognized medical
colleges/central institutes where the no MD/MS course running: Three years
teaching experience in the subject in a recognized medical college either during
the DNB course or after possessing DNB qualification. The concerned candidate
would also require one year of additional teaching/research experience in the
concerned subject in a recognized medical college after obtaining DNB
qualification.
(iii) For candidates possessing DNB qualification from MCI recognized medical
colleges/central institutes where there are MD/MS course running: Three years

teaching experience in the subject in a recognized medical college either during


the DNB course or after obtaining DNB qualification.

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(iv) For the candidates possessing DNB
qualification from centers other than of MCI

(v)

recognized medical colleges/central institutes: Three years teaching experience


in the subject either during the DNB course or after possessing DNB
qualification. The concerned candidate would require two years additional
teaching experience as Sr. Resident/Research Associate (CSIR) in a MCI
recognized medical college/central institute.
Research Experience: For the candidates obtaining DNB qualification from
centers other than MCI recognized medical colleges/central institutes, the
concerned
candidate
should
have
minimum
two
publications
(accepted/published) in the index journal (National/International as first/second
author). In case the concerned candidate does not have the required
publication, he /she must have a total of three years teaching experience in a
recognized college/central institute after possessing DNB qualification.

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(vi)
(vii)

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Qualification with regard to experience is relaxable at the discretion of Selection


Board in case of candidates otherwise well qualified.
The qualification regarding experience are relaxable at the discretion of the
Selection Board in case of candidates belonging to Scheduled Castes or
Scheduled Tribes and if at any stage of selection Board is of the opinion that
sujfficient number of candidates from these communities possessing the
requisite experience are not likely to be avail able to fill of the vacancies
reserved for them.

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B. AGE LIMIT: Not exceeding 67 years as on last date for receipt of online application
for all posts and categories.

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C. PAY & ALLOWANCES:

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1.

ESIC has adopted recommendation of 6th Central Pay Commission. Pay (Pay in pay Band plus
grade pay) and other allowances shall be paid as admissible.

The retired Government Officers shall be paid emoluments in accordance with the rules in force as
on date.

3.

Other candidates appointed on contractual basis will be paid Pay at the initial stage i.e. initial
Pay of the relevant Pay Band plus Grade pay and other allowances as per rules of
the
Corporation.

4.

Pay as on date (Pay in Pay Band+Grade Pay+NPA @ 25% (as admissible) in different categories
is as under:

Pay

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Professor
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Associate Professor
Assistant Professor
(PB-4 +GP 8700/+NPA)

(PB-3+GP 7600/-+NPA)

(PB-3+GP 6600/+NPA)

5.

In addition to above, other allowances like D.A., HRA etc. would be payable as admissible.

6.

No Private practice is allowed during the tenure of service in ESIC.

7.

Retirees from Central/State Govt./PSU from the equivalent posts are eligible to apply. Persons
working in recognized/approved Private Medical Institutions fulfilling eligibility criteria for the post
may also apply.

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8.

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The candidates have to attach the self attested copies of all the relevant certificates/testimonials
on support of date of birth, category, sub-category i.e. educational qualification, teaching
experience, Pension Payment Order (PPO), etc. with the print out of online application and have
to produce originals thereof at the time of interview.

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D.

Term of Contract:-

Selected candidates shall be appointed on purely contractual basis for an initial


period of one year extendable for another one year subject to requirement and
satisfactory
performance. Extension beyond
Two years or on attainment of 70
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years of age whichever is earlier shall not be given.
E.

(i)

S. No.
01

Amount of Application Fee:Category

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SC/ST/PWD/ Departmental Candidates/ Female Candidates

Fee Amount
NIL

& Ex Servicemen
02

All other categories

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(ii)

Mode of payment: -

225/-

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A Demand Draft of Rs.225/- in favour of ESI Fund Account No. I, drawn on any scheduled bank
payable (in below mentioned cities) has to be submitted along with the Application Form.
Name of the Institution inwhich candidate wants to
apply

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Name of the city where demand draft is


payable

ESIC PGIMSR & MEDICAL COLLEGE, K.K. NAGAR CHENNAI


ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGAL
ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA

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ESIC PGIMSR & MEDICAL COLLEGE, BENGALURU,


KARNATAKA

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Chennai
Kolkatta
Bengaluru

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Bengaluru

Fee once paid will not be refunded under any circumstances.


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Only Demand Draft drawn on any Scheduled Bank will be accepted. Application Fee

Note: -i.
ii.

iii.
F.

paid by any other mode will not be accepted.


The Demand Draft must be issued after the date of issue of this advertisement.

Selection Procedure:
(i)

(iii)

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All eligible candidates should apply in the application format ONLINE only on or before the
last date for submission of online application. Hard copy of online applications received
after the last date of submission of Hard Copies of online application will not be
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considered.
Selection will be made on the basis of interview which will be conducted by the ESIC Selection

Board. The list of candidates called for interview


and venue of interview shall be uploaded on
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ESIC website.

. The result of the interview shall be published and uploaded on the web site of ESI Corporation and
no inquiry or correspondence in this regard will be entertained.

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Information regarding the candidates called for interview shall be available on the website of the ESIC
www.esic.nic.in . Call letters for appearing before the Interview Board shall be given through Speed
Post/ email at the email id provided by the candidate in the application.
(iv) The selection of the candidates shall be on the basis of their performance in the interview only.
G.

How to Apply: -

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Hard copy of system generated online Application (through website of ESIC) duly signed by
the candidate along with the requisite document in an envelope super scribed Application for the
post of _____________ for ESIC Medical College, ______________________ (Name of the

ESIC PGIMSR and Medical Education Institute for which the candidate wants to apply) should
be sent preferably by Speed Post so as to reach the following address on or before 4th February, 2015
Medical Institution
which applied

for

Address where system generated application form is to be


submitted

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ESIC PGIMSR & MEDICAL


COLLEGE, K.K. NAGAR
CHENNAI

Dean, ESIC PGIMSR & MEDICAL COLLEGE,


ROAD,K.K. NAGAR CHENNAI

ASHOK PILLAR

ESIC PGIMSR & MEDICAL


COLLEGE
JOKA,
WEST
BENGAL

Dean, ESIC PGIMSR & MEDICAL COLLEGE


http://www.jlatest.com/
HARBOUR ROAD,JOKA, WEST BENGAL -700104

JOKA,DIAMOND

ESIC MEDICAL COLLEGE,


GULBARGA, KARNATAKA

Dean, ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA

ESIC PGIMSR & MEDICAL


COLLEGE, RAJAJI NAGAR
BENGALURU, KARNATAKA

Dean, ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR


BENGALURU, 560010 KARNATAKA

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The following testimonials should be attached with application form.


(a) One copy of recent passport size photograph duly self attested and firmly pasted at the appropriate
place on the system generated hard copy of online application form.
(b)

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Self attested copies of certificates and testimonials in support of proof of age, Educational
qualification, Experience, Publications, sub-category etc.

(c)

Self attested copy of Community Status Certificate in the prescribed form in case of candidates
belonging to SC/ST/OBC certificate/declaration shall have to be as per Annexure A & B.
(d) Certificate issued by competent medical board in respect of Persons with Disabilities.

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Those candidates who are employed in Govt./Semi Govt. /Autonomous bodies etc. should sent
their system generated hard copy of online application Through Proper Channel. However, they
may send an advance copy of their system generated hard copy of online application along with
demand draft and other certificates and testimonials before the last date.

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Note 1:- The system generated hard copy of application and the other documents should be
arranged in the following order one below the other and tightly tagged or stapled on the left hand side top
corner.
1. Application Form.
2. Self Attested copies of certificates.

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Note 2:-The Demand Draft should not be tagged or stapled, but should be pinned or clipped at the top of
the application form. The name, address and post applied for should be written on the reverse side of the
Demand Draft.

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H.

General Conditions:-

(i)

The crucial date for determining the age limit and other eligibility criteria shall be the
closing date for receipt of online applications from candidates in India i.e 28th January
2015.
Mere submission of application does not confer any right to the candidate for being called for
interview.
A candidate should submit only one application for one post. In case candidate wants to
apply for more than one post then he should apply separately for each post. Similarly if a
candidate wants to apply for more than one ESIC Medical Education Institution, he
should apply for each Institution separately.
In case of application received Incomplete or Unsigned application or the application received
without copies of mark sheets /certificates of educational qualification,Experience, application fee,
caste certificate and photographs and those received after the last date of receipt of application
ESIC reserves the right to decide about such applications.
Wrong declarations/submission of false information or any other action contrary to law shall lead to
cancellation of the candidature at any stage.

(ii)
(iii)

(iv)

(v)

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(vi)

Only system generated hard copy of online application with unique serial number
(through website of ESIC at www.esic.nic.in) should be submitted along with other supporting
documents. Candidates can generate / submit their online application up to 28th January,
2015 (up to 5.00 PM). The link of making online application will not be available after
05.00 PM on 28th January, 2015.
Application should be sent in a cover super-scribed Application for the post of
_____________ for ESIC PGIMSR and ESIC Medical College, ______________________
(Name of the ESIC Medical Education Institute for which the candidate wants to apply)
preferably by Speed Post so as to reach at the address mentioned above on or before the
stipulated date.

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(vii)

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(viii)

Hard copies of online applications received after the last date of receipt of Hard Copies of
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online application will not be considered.

(ix)

The Corporation takes no responsibility for any delay in receipt or losses in postal transit of any
application or communication.
Before applying for the post the candidate should ensure that he / she fulfils the eligibility criteria
mentioned above. The Corporation would be free to reject any application at any stage of selection
process if the candidate is found ineligible for the post for which he/she has applied.
The selection for the above posts will be on the basis of interview which will be conducted by the
Selection Board. The result of the interview shall be published uploaded on the website of the
Corporation and no inquiry or correspondence in this regard will be entertained.
Fee once paid is not refundable.
Canvassing in any form will be disqualification.
Disqualification No person:(a) who has entered into or contracted a marriage with a person having a spouse living; or
(b) Who, having a spouse living, has entered into or contracted a marriage with any person; shall
be eligible for appointment to the said posts. Provided that the Director General may, if satisfied
that such marriage is permissible under the personal law applicable to such person and the other
party to the marriage and that there are other grounds for so doing, exempt any person from the
operation of this Regulation.

(x)

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(xi)
(xii)
(xiii)
(xiv)

I.

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(i)

Last date of receipt of ONLINE applications is 28th January, 2015.

(ii)

Last date of receipt of hard copies of system generated online application


(Generated up to 28th January, 2015. up to 05.00 PM) is 4th February, 2015. For

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candidates from Assam.

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Meghalaya, Arunachal Pradesh, Mizoram, Manipur,

Nagaland, Tripura, Sikkim, Ladakh Division of Jammu and Kashmir State, lahaul
and Spiti District and Pangi Sub-Division of Chamba District of Himachal Pradesh,
Andaman and Nicobar Islands or Lakshadweep, the last date of receipt of hard

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copy of system generated online application is 11
(iii)

th

February, 2015

The Link for submission of online application will be available shortly on the
website of ESIC.

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Dated:- 07th January, 2015.

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Deputy Director (Rectt.)

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ANNEXURE A

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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
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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 21st 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.

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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. (SCT) dated 8-9-1993, O.M. No. 36033/3/2004-Estt. (Res.) dated 9th March, 2004, O.M. No. 36033/3/2004-Estt.
(Res.) dated 14th October, 2008 and OM No. 36033/1/2013-Estt. (Res.), dated: 27th May, 2013.

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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:

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(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).

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(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.


(iii) Revenue Officers not below the rank of Tehsildar.
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Divisional Officer of the area where the candidate and/or
his/her family normally resides.
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(v) Administrator/Secretary to Administrator/Development Officer (Lakshadweep)

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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
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father originally belongs. A candidate who has migrated
from one State (or part of the State) to another
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should, therefore, produce an OBC certificate which should have been issued to him/her based on his/her fathers
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.

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ANNEXURE B

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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.
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statehereby 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
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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: 27th May, 2013.

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Signature:..

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Full Name:
Address:

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