कोल इण्डिया ण्लण्िटिे - coal india...48 48113 saptarshi das...
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कोल इण्डिया ण्लण्िटिे
COAL INDIA LIMITED
भर्ती ण्िभाग RECRUITMENT DIVISION
सूचना NOTICE
The following 64 candidates selected (2nd
Phase) to the post of Sr. Medical Specialist (E4 grade) /
Medical Specialist (E3 grade) in the Specialization as mentioned against their names, against Open
Recruitment Advt. No. 01/2018, are hereby advised to report at the subsidiary company as indicated
against each for documents verification & Initial Medical Examination(IME).
On being declared medically fit in IME, the candidates will be issued with offer of appointment.
Accordingly, the candidates are advised to report positively at Head quarter of the concerned subsidiary
company as indicated against at 9.30 AM on Thursday, 31st January 2019.
Sl.
No.
Appl.
Id
Name
(Mr./Ms.)
Date of
birth
Category
Post/Grade Speciality Place of
reporting
1 43413 DEBASMITA JASH 05-Dec-87 GEN MED.
SPL.(E3)
Anaesthesia BCCL
2 48960 CHINTAKUNTA
SUREKHA
06-Apr-80 GEN SR. MED.
SPL.(E4)
Anaesthesia SECL
3 46021 SOURABH KUMAR 07-May-83 GEN - EX -
SERVICEMEN
SR. MED.
SPL.(E4)
Anaesthesia CCL
4 46616 MANISH SHARMA 06-Sep-85 GEN MED.SPL.
(E3)
Anaesthesia WCL
5 43809 RAHUL RAJAN 05-Sep-88 GEN MED.SPL.
(E3)
Anaesthesia BCCL
6 48366 SANGEETA
CHOWDHURY
14-Aug-86 SC MED.SPL.
(E3)
Anaesthesia BCCL
7 47151 BONIFACE
HEMBROM
05-Nov-82 ST SR.MED.
SPL.(E4)
Anaesthesia CCL
8 44223 PODOOTI ANAND
KUMAR
12-Nov-82 SC SR.MED.
SPL.(E4)
Anaesthesia MCL
9 44188 ARISH GOUD B 13-Jul-90 OBC(NCL) MED.SPL.
(E3)
Anaesthesia SECL
10 48678 KONDURI PREETHAM 20-Feb-82 SC MED.SPL.
(E3)
Anaesthesia NCL
11 47147 SANDEEP LAL 15-Mar-84 GEN SR.MED.
SPL.(E4)
Dermatology NCL
12 43976 KUMARI RAJNI 31-Dec-79 GEN SR.MED.
SPL.(E4)
Dermatology CCL
13 45562 VEENA WAMAN
BANSODE
04-Jul-79 SC SR.MED.
SPL.(E4)
Dermatology MCL
14 45640 DARAVATH
SATHYAVATHI
15-Jun-85 ST SR.MED.
SPL.(E4)
Dermatology MCL
15 46111 SWATI SUNEHA 06-Oct-88 GEN MED.SPL.
(E3)
ENT WCL
-2-
Sl.
No.
Appl.
Id
Name
(Mr./Ms.)
Date of
birth
Category
Post/Grade Speciality Place of
reporting
16 46665 AKHIL SAREEN 06-Sep-83 GEN SR.MED.
SPL.(E4)
ENT BCCL
17 44297 PRADIP KUMAR
TIWARI
21-Nov-84 GEN MED.SPL.
(E3)
ENT BCCL
18 43149 SHIB SHANKAR ROY 18-Apr-80 GEN SR.MED.
SPL.(E4)
ENT ECL
19 48500 ANKUR GUPTA 08-Nov-84 GEN SR.MED.
SPL.(E4)
ENT SECL
20 46240 TAPAS MALAKAR 12-Mar-84 SC MED.SPL.
(E3)
ENT ECL
21 47765 RAGINI RAINA 29-Aug-82 SC MED.SPL.
(E3)
ENT MCL
22 45993 PANKAJ KUMAR 10-Jul-80 GEN SR.MED.
SPL.(E4)
General
Surgery CCL
23 45174 PANKAJ SINGH 01-Aug-89 GEN MED.SPL.
(E3)
General
Surgery BCCL
24 47799 VIJAY JOHN TOPNO 22-Feb-72 ST SR.MED.
SPL.(E4)
General
Surgery BCCL
25 44121 MD AFSAR ALAM 15-Dec-84 GEN MED.SPL.
(E3)
General
Surgery WCL
26 47902 PIYUSH RANJAN 08-Nov-83 GEN MED.SPL.
(E3)
General
Surgery MCL
27 43997 NEETI NEHA 18-May-86 GEN MED.SPL.
(E3)
General
Surgery WCL
28 47812 NAFISA HASSAN 26-Feb-81 GEN SR.MED.
SPL.(E4)
Obs & Gyn BCCL
29 46219 KRITI PRASAD 12-Aug-83 GEN MED.SPL.
(E3)
Obs & Gyn BCCL
30 44522 RITAM DE 01-Jun-85 GEN MED.SPL.
(E3)
Obs & Gyn WCL
31 44420 VIMMI KAUR 28-Apr-87 GEN MED.SPL.
(E3)
Obs & Gyn NCL
32 47699 JAGRATI PANTHI 02-Jun-85 SC MED.SPL.
(E3)
Obs & Gyn SECL
33 43291 GAZALA SHAHNAZ 07-May-86 OBC(NCL) MED.SPL.
(E3)
Obs & Gyn MCL
34 43182 SURAJIT ROY 02-Aug-86 OBC(NCL) MED.SPL.
(E3)
Obs & Gyn SECL
35 45585 SREELAKSHMI
PEREDDY
04-Jun-87 GEN MED.SPL.
(E3)
Opthalmology WCL
36 44399 ATMA PRAKASH
VATSAYAN
15-Feb-79 GEN SR.MED.
SPL.(E4)
Opthalmology BCCL
37 46810 TANISHA OJHA 05-Jun-85 GEN SR. MED.
SPL.(E4)
Opthalmology ECL
38 45330 SUSANTA KUMAR
PUJAHARI
10-Jul-82 GEN SR. MED.
SPL.(E4)
Opthalmology SECL
39 43893 ARGHYA DAS 01-Mar-90 GEN MED.SPL.
(E3)
Opthalmology SECL
40 44702 RAJU LAL 16-Sep-82 SC MED.SPL.
(E3)
Opthalmology WCL
41 43098 ANAND KUMAR
SINGH
05-May-88 GEN MED.SPL.
(E3)
Orthopaedics CCL
-3-
Sl.
No.
Appl.
Id
Name
(Mr./Ms.)
Date of
birth
Category
Post/Grade Speciality Place of
reporting
42 45064 KUMAR SAURABH 15-Mar-78 GEN SR. MED.
SPL.(E4)
Orthopaedics CCL
43 46088 BHUMAIAHGARI
RAMESH BABU
07-Dec-83 GEN MED.SPL.
(E3)
Orthopaedics WCL
44 45024 ASIF AHMAD 06-Dec-85 GEN SR.MED.
SPL.(E4)
Orthopaedics CCL
45 43281 WRITTIK POREL 18-Aug-88 GEN MED.SPL.
(E3)
Orthopaedics BCCL
46 43566 ANIL MALVIYA 06-Dec-88 SC MED.SPL.
(E3)
Paediatrics WCL
47 46824 SHASHANK SHEKHAR 09-Jan-86 GEN MED.SPL.
(E3)
Paediatrics CCL
48 48113 SAPTARSHI DAS 28-Oct-85 GEN SR.MED.
SPL.(E4)
Paediatrics ECL
49 48982 SUSHAMA
MADHUKAR DHOPATE
14-Sep-86 SC MED.SPL.
(E3)
Paediatrics SECL
50 43849 PUSHPENDRA KUMAR
VAISHY
23-Sep-87 SC MED.SPL.
(E3)
Paediatrics SECL
51 48399 AZHAR UL HAQUE
SHAHI
10-Apr-86 OBC(NCL) MED.SPL.
(E3)
Paediatrics CCL
52 48976 SURAJ SAHU 03-Dec-87 OBC(NCL) MED.SPL.
(E3)
Paediatrics MCL
53 47477 VIJAY BHASKAR 07-Apr-84 OBC(NCL) MED.SPL.
(E3)
Paediatrics CCL
54 46460 NIMMI VARSHNEY 20-May-83 GEN SR.MED.
SPL.(E4)
Pathology SECL
55 43594 C S P V SUNIL 14-Jul-85 GEN MED.SPL.
(E3)
Pathology SECL
56 44602 MOULIMA BANERJEE 16-Jan-89 GEN MED.SPL.
(E3)
Pathology CCL
57 46811 ALOK KUMAR 06-Jan-81 OBC(NCL) SR.MED.
SPL.(E4)
Pathology CCL
58 48101 PRIMA SHUCHITA
LAKRA
21-Aug-86 ST MED.SPL.
(E3)
Pathology WCL
59 43465 REEMA DEY 04-Nov-88 GEN MED.SPL.
(E3)
Psychiatry SECL
60 44179 SOUMYAJIT SANYAL 18-May-90 GEN MED.SPL.
(E3)
Psychiatry CCL
61 48064 SHIVENDRA KUMAR 11-Jan-79 OBC(NCL) SR.MED.
SPL.(E4)
Psychiatry WCL
62 45206 PRABHA PRAKASH 21-Sep-79 SC SR.MED.
SPL.(E4)
Psychiatry MCL
63 46955 SACHIN SHARMA 21-Sep-82 GEN SR.MED.
SPL.(E4)
Pulmonary
Medicine NCL
64 45634 SUSHANT DILIP
MULEY
11-Oct-85 GEN SR.MED.
SPL.(E4)
Pulmonary
Medicine MCL
-4-
Note: Head quarter address of the above subsidiary companies are as under:-
BCCL Bharat Coking Coal Limited
Koyla Bhawan, Dhanbad, Jharkhand
CCL Central Coalfields Limited
Darbhanga House, Kutchery Road, Ranchi-834029, Jharkhand
ECL Eastern Coalfields Limited
Sanctoria, Dishergarh, West Bengal -713333
MCL Mahanadi Coalfields Limited
Jagritibihar, Sambalpur, Orissa -768020
NCL Northern Coalfields Limited
Singrauli, Madhya Pradesh
SECL South Eastern Coalfields Limited
Seepat Road, Bilaspur, Chhattisgarh
WCL Coal Estate, Civil Lines, Nagpur, Maharashtra,
PIN-440001
Following documents are to be carried by the candidates selected to the post of Sr. Medical Specialist (E4
grade) / Medical Specialist (E3 grade) at the subsidiary company for documents verification & Initial
Medical Examination (IME) at 9.30 AM on Thursday, 31st January 2019.
Sl.
No. Document
1 One copy of duly signed Bio-data form (enclosed below)
2 One copy of self-attested Identity proof (any one of Aadhaar / PAN card / Voter Id
card / Passport / Driving License)
3 Copy of No Objection Certificate in case of candidates working in
Govt./Semi-Govt./Public Sector Undertaking/Autonomous body
4 For candidates who have claimed reservation under SC/ST/OBC-NCL/Ex-Servicemen
category: One copy of self-attested SC/ST/OBC-NCL certificate in the prescribed
format. In case of Ex-Servicemen to produce Discharge certificate.
5 One set of attested copy of all Mark-sheets/Certificates from High School onwards.
6 One copy of MCI/SMC registration certificate of PG Degree/PG Diploma/DNB in
respective specialization
7 10 copies of recent passport size colour photograph
NOTE: Original documents in respect of Sl. No. 2, 3, 4, 5 & 6 above are to be carried and shown
during documents verification at the place of reporting.
General Manager (Personnel / Recruitment)
BIODATA/ DECLARATION FORM
PERSONAL DATA OF AN EXECUTIVE AT THE TIME OF ENTRY INTO THE SERVICE
1. Name of the Executive(in BLOCK LETTERS): _____________________________________
EIS No.:_______________
2. Father’s name/ Husband’s Name: _____________________
3. Mother’s Name: ____________________________________
4. Name of the Company posted: ________________________
5. Date of Birth(in figures)
Date of Birth (in words): _____________________________
6. Date of Initial Appointment : _______________________________________
7. Designation:___________________________________________________
8. Present Grade: _________________________________________________
9. Discipline: _____________________________________________________
10. Sex: ______________________________ Blood Group: ______________
11. Aadhar Card No.:__________________________________________
12. Marital Status (Married/Unmarried, Widow/Widower). If married, Name of Spouse:
_______________________________________________________
13. Religion: ______________________________________________________
14. Whether belongs to General/SC/ST/OBC (Non-creamy layer) (based on caste certificate): ______
15. Whether belongs to Minority Community (Yes /No): _______If yes, name of the Community_________
16. Whether PWD (Yes/No):________ If yes, Kind of Disability and % of Disability__________
17. Qualification (supported by documents): ______________________________
18. Permanent Address:
____________________________________________________________________
___________________________________________________________________
PO - ______________ PS - ______________Dist - ___________PIN - ___________
Telephone No.: ____________________________MobileNo. : ______________________
Email Address: _________________________________________________
Address of Office of Supdt. of Police under whose jurisdiction, above PS comes
_________________________________________________________________
D D M M Y Y Y Y
Affix Self Attested
Photograph
19. Present Address:
____________________________________________________________________
PO - ______________ PS - ______________Dist - ___________PIN - ___________
Telephone No.: ____________________________MobileNo. :______________________
Email Address: _________________________________________________
Address of Office of Supdt. of Police under whose jurisdiction, above PS comes
_________________________________________________________________
20. Mark(s) of identification: ____________________________________________
21. CMPF Account no. ( to be filled up after allotment): _____________________
22. Details of Dependents:
S.No. Name Relation Date of Birth
/Age
Occupation/ Name
of Employer in
case of service
Annual Earning
1.
2.
3.
23. Name of the nominee for receiving gratuity (Form L to be attached after being posted):
______________________________________________________________
24. Particulars of next kin for communication in case of emergency.
(a) Name:
(b) Relationship:
(c) Address:
(d) Telephone No.: ____________________________MobileNo. :______________________
Declaration:
I, _______________________ solemnly affirm that the above declaration is correct and I understand that
in the event of the declaration being found to be incorrect after my appointment, I shall be liable to be
dismissed from service and other actions as per the law of land.
Signature of theIncharge Signature of the Executive
of the Executive Establishment
Date Date