कर्मचारी राज्य बीर्ा निगर् EMPLOYEES’ STATE INSURANCE CORPORATION

पञ्च्दीप भवि, र्ुख्यालय, सी. आई. जी. र्ागम, िई ददल्ली – 110002 PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI – 110 002.

SCHEDULE OF INTERVIEW FOR RECRUITMENT TO THE POST OF IMO GR. II FOR

MADHYA PRADESH REGION

The interviews of candidates shortlisted for recruitment to the post of Insurance Medical Officer (IMO) Grade – II

(Allopathic) for Madhya Pradesh Region are scheduled to be held on 9th July, 2019 to 12th July, 2019 at Indore (MP).

The interview call letters are being dispatched to the candidates through speed post and email as per the list given

below. In case candidates whose name appear in the list given below do not receive the interview call letter, he/she

may report for the interview on the scheduled date, time and venue along with the documents as mentioned in the

specimen interview letter.

Date of Interview 9th to 12th July, 2019 (Date wise List Appended Below)

Venue of Interview

Regional Office, ESI Corporation, Panchdeep Bhawan, Nanda Nagar, Indore - 452011 (Madhya Pradesh)

Reporting Time 09:30 AM

LIST OF CANDIDATES FOR INTERVIEW TO THE POST OF INSURANCE MEDICAL OFFICER GR. II (ALLOPATHIC) FOR

MADHYA PRADESH REGION

क्रर् संख्या

आवेदि संदभम संख्या

रोल िंबर अभ्यर्थी का िार् (डा.) शे्रणी साक्षात्कार की

निथर्थ Sl. No.

Application Reference No.

Roll Number

Name of the Candidate (Dr.) Category Date of

Interview 1 ESIC112851 2605010153 ABHISHEK GUPTA General 9th July, 2019

2 ESIC108918 2605010083 ABHISHEK NIGAM General 9th July, 2019

3 ESIC113972 1504010171 ADITI SINGH BAGHEL General 9th July, 2019

4 ESIC109084 1108010051 AKANKSHA BHALE General 9th July, 2019

5 ESIC111279 2605010122 ANIL KUMAR VYAS General 9th July, 2019

6 ESIC110280 1504010120 ANKUR JOSHI General 9th July, 2019

7 ESIC110829 1504010128 ANMOL VERMA General 9th July, 2019

8 ESIC106029 2605010054 ANSHUL JULANIA General 9th July, 2019

9 ESIC109095 2605010085 ANURAG SHARMA General 9th July, 2019

10 ESIC111367 1504010135 ARVIND RATHORE General 9th July, 2019

11 ESIC100863 2605010005 ASHLESHA SINH CHAUHAN General 9th July, 2019

12 ESIC108384 1504010101 AVINASH RAGHUWANSHI General 9th July, 2019

13 ESIC113326 1504010158 AYUSH DIXIT General 9th July, 2019

14 ESIC110622 2529010306 C SURENDRA REDDY General 9th July, 2019

15 ESIC110949 2605010120 DHARMESH SINGH BAGHEL General 9th July, 2019

16 ESIC107910 1504010093 DIVYA SINGH CHAUHAN General 9th July, 2019

17 ESIC112864 3424010417 DR SOPHIE SUSAN SIMON General 9th July, 2019

18 ESIC112956 1504010003 GAURAV KAPOOR General 9th July, 2019

19 ESIC108763 2118010454 GOVIND KUMAR SHARMA General 9th July, 2019

20 ESIC106049 2605010055 KARISHMA DHALWANI General 9th July, 2019

21 ESIC100108 1504010005 KAUSHAL BIJLANI General 9th July, 2019

22 ESIC106912 1504010082 KM SHIKHA PALIWAL General 9th July, 2019

23 ESIC110163 1504010116 KRISHNADEEP SAHU General 9th July, 2019

24 ESIC103627 1504010029 NEHA MISHRA General 9th July, 2019

25 ESIC104359 1504010040 NIDA KHAN General 9th July, 2019

26 ESIC111468 2119010725 NISHANT LAGARKHA General 9th July, 2019

27 ESIC105408 1504010058 PAWAN KUMAR GUPTA General 9th July, 2019

28 ESIC106003 1504010067 POOJA CHATURVEDI General 9th July, 2019

29 ESIC112076 1504010144 POOJA GUPTA General 9th July, 2019

30 ESIC106984 1504010084 PRACHI SHUKLA General 9th July, 2019

31 ESIC111491 2605010129 PRAKALP JAIN General 9th July, 2019

32 ESIC109658 1504010112 PRAMOD PANDEY General 9th July, 2019

33 ESIC104676 1504010047 PRANSHUTA VERMA General 9th July, 2019

34 ESIC103138 2605010029 PRASHANT KUMAR DIXIT General 9th July, 2019

35 ESIC108609 2118010443 PRERNA DHAMNANI General 9th July, 2019

36 ESIC101373 1504010009 RACHIT RAJ SAXENA General 10th July, 2019

37 ESIC113659 2605010163 RAKESH SINGH RAGHUVANSHI General 10th July, 2019

38 ESIC103012 1223010051 RINKU ALLEN MATHEWS General 10th July, 2019

39 ESIC104769 2605010043 RITU GUPTA General 10th July, 2019

40 ESIC102615 2322010016 SARDAR VIKRAM SINGH BAIS General 10th July, 2019

41 ESIC106861 1309010043 SHRIKANT SHUKLA General 10th July, 2019

42 ESIC101531 2120010012 SUMIT KUMAR PAHARIYA General 10th July, 2019

43 ESIC106609 1504010077 SUSHIL KUMAR SONGARA General 10th July, 2019

44 ESIC108378 2322010057 SWATI SARSWAT General 10th July, 2019

45 ESIC111419 1504010138 TWINKLE KEWALRAMANI General 10th July, 2019

46 ESIC104708 1504010049 UMANG SHRIVASTAVA General 10th July, 2019

47 ESIC107765 1108010047 VAIBHAV GUPTA General 10th July, 2019

48 ESIC112660 2605010148 VAIBHAV GUPTA General 10th July, 2019

49 ESIC110158 2605010103 VARUN MISHRA General 10th July, 2019

50 ESIC102680 2322010017 VIJAYOTKARSH GUPTA General 10th July, 2019

51 ESIC111298 2119010718 VIKAS GUPTA General 10th July, 2019

52 ESIC104470 1504010041 AFSANA AZIZ OBC 10th July, 2019

53 ESIC100149 2605010001 ANAND NEMA OBC 10th July, 2019

54 ESIC101726 2605010011 ANIL DHANGAR OBC 10th July, 2019

55 ESIC106384 2605010060 ATUL KUMAR PATIDAR OBC 10th July, 2019

56 ESIC109681 2605010096 BAHORAN SINGH OBC 10th July, 2019

57 ESIC108614 2605010081 BHUTAL RATHOR OBC 10th July, 2019

58 ESIC104202 2605010038 CHHAYA DHANGAR OBC 10th July, 2019

59 ESIC110234 1504010118 DEEPAK KUMAR PATEL OBC 10th July, 2019

60 ESIC110186 2605010104 DHARMENDRA CHOUDHARY OBC 10th July, 2019

61 ESIC105819 2118010287 DHIRESH JAISWAL OBC 10th July, 2019

62 ESIC108302 1504010100 DR RAHUL PATEL OBC 10th July, 2019

63 ESIC104792 2605010044 GAURAV PATIDAR OBC 10th July, 2019

64 ESIC109813 2605010097 HARSWAROOP MEENA OBC 10th July, 2019

65 ESIC112421 2605010145 HARVEER SINGH KUSHWAH OBC 10th July, 2019

66 ESIC101158 2119010066 HEMANT SINGH KIRAR OBC 10th July, 2019

67 ESIC105998 1504010066 IRFAN MEVATI OBC 10th July, 2019

68 ESIC105614 3424010139 KULDEEP JOHAR OBC 10th July, 2019

69 ESIC101408 2605010009 MOHAMMAD RIZWAN KHAN OBC 10th July, 2019

70 ESIC113643 1504010165 MOHAMMED ASIF OBC 10th July, 2019

71 ESIC109104 2605010086 NANDKISHORE OBC 10th July, 2019

72 ESIC105410 1504010059 NASIR KHAN OBC 11th July, 2019

73 ESIC110344 2605010108 NAVED SHAIKH OBC 11th July, 2019

74 ESIC107196 3706010076 NEEHARIKA SAH OBC 11th July, 2019

75 ESIC107990 1504010096 NEELAM SONI OBC 11th July, 2019

76 ESIC112188 2605010141 NEERAJ PATIDAR OBC 11th July, 2019

77 ESIC109073 1504010104 PORUS BATHAM OBC 11th July, 2019

78 ESIC109593 2605010093 PRATIK PATEL OBC 11th July, 2019

79 ESIC106604 1504010076 PRAVEEN CHANDRAVANSHI OBC 11th July, 2019

80 ESIC110242 1504010119 RAJ KUMAR VISHWAKARMA OBC 11th July, 2019

81 ESIC102105 2119010113 RAJENDER SINGH OBC 11th July, 2019

82 ESIC106461 1504010072 RAJKIRAN TAKHARYA OBC 11th July, 2019

83 ESIC103761 1504010031 RAJNEESH SINGH OBC 11th July, 2019

84 ESIC113533 1504010161 RAKESH SAHU OBC 11th July, 2019

85 ESIC105472 1504010060 RAKESH SINGH OBC 11th July, 2019

86 ESIC112087 2605010139 RITESH KAG OBC 11th July, 2019

87 ESIC101180 1504010008 RITURAJ SINGH PATEL OBC 11th July, 2019

88 ESIC107952 1108010048 RUHEE QURESHI OBC 11th July, 2019

89 ESIC110628 1504010127 SATEESH RAJPOOT OBC 11th July, 2019

90 ESIC104494 1504010042 SATYA PRAKASH PATEL OBC 11th July, 2019

91 ESIC105190 2605010047 SHIRIN ANSARI OBC 11th July, 2019

92 ESIC111194 3706010047 SHRIMAAN PATEL OBC 11th July, 2019

93 ESIC111386 2605010126 SWATI SHARMA OBC 11th July, 2019

94 ESIC103849 1504010032 SWETANK SONI OBC 11th July, 2019

95 ESIC110397 2605010111 TEHZEEB FARUQUI OBC 11th July, 2019

96 ESIC109151 1504010106 VIJAY VERMA OBC 11th July, 2019

97 ESIC111044 2605010121 ANIL KUMAR SOLANKI ST 11th July, 2019

98 ESIC110814 2605010118 ANITA UIKEY ST 11th July, 2019

99 ESIC113233 2605010155 JATALE VINAYAK VISHWANATH ST 11th July, 2019

100 ESIC102268 2605010015 MANJOOSHA SINGH ST 11th July, 2019

101 ESIC106602 1504010075 PRITESH SINGH THAKUR ST 11th July, 2019

102 ESIC107654 1504010090 RANJEET CHOUHAN ST 11th July, 2019

103 ESIC103199 2605010031 REKHA MANDLOI ST 11th July, 2019

104 ESIC113645 2605010162 SWATI JHANIA ST 11th July, 2019

105 ESIC104593 1504010046 VIKRAM VASUNIYA ST 11th July, 2019

106 ESIC111614 1504010141 AAKANSHA BIKROL SC 12th July, 2019

107 ESIC111758 2605010133 ANAND NAGDEVE SC 12th July, 2019

108 ESIC100747 2605010004 ANIL MALVIYA SC 12th July, 2019

109 ESIC103513 2322010021 ANKIT RAIPURIA SC 12th July, 2019

110 ESIC108034 2605010075 ANKIT VISHNAR SC 12th July, 2019

111 ESIC102588 2605010017 ANKITA MANIK SC 12th July, 2019

112 ESIC101584 2119010083 BABEENA SINGH BAJHAIYA SC 12th July, 2019

113 ESIC104644 3207010103 BHUPENDRA PRASAD PRAJAPATI SC 12th July, 2019

114 ESIC102078 2118010107 BRAJENDRA KARN SC 12th July, 2019

115 ESIC112029 2605010138 CHANDA KICHOLIA SC 12th July, 2019

116 ESIC107929 1504010094 DIPALI RAMESH AKARE SC 12th July, 2019

117 ESIC102222 2605010014 GOVINDA LODWAL SC 12th July, 2019

118 ESIC103389 2605010033 HEMANT GARG SC 12th July, 2019

119 ESIC100310 2118010036 HEMANT KUMAR MAHOR SC 12th July, 2019

120 ESIC110557 1504010124 JAYENDRA ARYA SC 12th July, 2019

121 ESIC106939 1504010083 KOMMU PRAVEEN KUMAR SC 12th July, 2019

122 ESIC101610 1504010012 LUV KUMAR YADAV SC 12th July, 2019

123 ESIC110583 2605010114 MAHESH JARWAL SC 12th July, 2019

124 ESIC107617 1504010089 MANOJ KUMAR RAKESH SC 12th July, 2019

125 ESIC110417 2605010112 MEHER SHIKHA SC 12th July, 2019

126 ESIC112837 2120010206 MITESH KAROTHIYA SC 12th July, 2019

127 ESIC113282 2605010158 MUKUL VERMA SC 12th July, 2019

128 ESIC111858 2605010135 NEHA KIRTI SC 12th July, 2019

129 ESIC111417 2605010127 PRABHA CHOUDHARY SC 12th July, 2019

130 ESIC110581 1504010125 PRADEEP KUMAR SOMESH SC 12th July, 2019

131 ESIC102932 1504010022 SHWETA GAUTAM SC 12th July, 2019

132 ESIC113266 2119010841 SONU SC 12th July, 2019

133 ESIC103671 2120010045 SUMAN MAHOR SC 12th July, 2019

134 ESIC102989 2118010151 SWETA SINGH SC 12th July, 2019

135 ESIC105366 2605010049 UPENDRA GHURE SC 12th July, 2019

136 ESIC113938 2605010167 VINOD VERMA SC 12th July, 2019

महत्वपूर्ण नोट/ Important Note:

1. साक्षात्कार के लिए चुने गए अभ्यलथणयो ों को साक्षात्कार के समय उपरोक्त पद के लिए अपनी पात्रता के समथणन में सभी दस्तावेज प्रसु्तत करने हो ोंगे।

The candidates shortlisted for interview must bring all documents in support of their eligibility for the above post at the time of

interview.

2. साक्षात्कार के लिए चुने गये अभ्यलथणयो ों को यह सुलनलित करना चालहए लक वे सोंबोंलित शे्रर्ी/उप शे्रर्ी जैसा लक उपरोक्त पररर्ाम में वलर्णत है से सोंबोंलित है।

Candidates short listed for interview must ensure that they belong the respective category/sub category as mentioned in the result

above.

3. उन अभ्यलथणयो ों को जो सरकारी सेवा में हैं (ईएसआईसी कमणचाररयो ों सलहत) साक्षात्कार के समय अनापत्ती प्रमार् पत्र (No Objection Cettificate) प्रसु्तत

करना आवश्यक हैं ।

Those candidates who are in Govt. Service (including ESIC Employees) are required to produce No Object Certificate (NOC) at the time

of interview.

4. ओबीसी शे्रर्ी से सोंबोंलित अभ्यलथणयो ों को साक्षात्कार के समय भारत सरकार के लनिाणररत प्रोफामाण में नवीनतम ओबीसी प्रमार् पत्र (जो नीचे अनुिग्नक – A पर

सोंिग्न है) तथा घोषर्ा प्रपत्र (जो नीचे अनुिग्नक – B पर सोंिग्न है) के साथ प्रसु्तत करना आवश्यक है ।

Candidates belonging to OBC Category are required to submit latest OBC certificate in the prescribed proforma of Govt. of India appended

below at Annexure – A and along with Form of Declaration appended at Annexure – B below at the time of interview.

5. सरकारी कमणचारी/ईएसआईसी कमणचारी के रूप में आयु छूट की माोंग करने वािे अभ्यलथणयो ों को साक्षात्कार के समय सेवा प्रमार् पत्र प्रसु्तत करना होगा । सोंलवदा

(Contract) आिार पर कायणरत अभ्यथी/तदथण आिार (Adhoc)/जूलनयर रेलसडेंट (JR) /सीलनयर रेलसडेंट (SR) आलद कमणचारी लनयलमत नही ों होने के कारर्

लनयमो ों के अनुसार आयु में छूट के लिए पात्र नही ों हैं ।

Candidates seeking age relaxation as Government Employee/ESIC Employee shall have to produce Service Certificate at the time of

interview. The candidates working on Contractual basis/Adhoc basis/Junior Resident/Senior Resident etc., being not the Regular

Employee are not eligible for relaxation in age as per rules.

6. चूोंलक उपरोक्त पद के लिए आवेदन केवि ऑनिाइन मँगवाए गए थे और पद के लिए उनकी पात्रता के समथणन में दस्तावेजो ों के साथ-साथ आवेदन की हाडण कॉपी

भी अभ्यलथणयो ों से नही ों मँगवाई गयी थी, अत: साक्षात्कार के लिए चुने गए सभी अभ्यलथणयो ों की पात्रता आयु, आवश्यक अहणता और आरक्षर् आलद के सोंबोंि में पूर्ण

रूप से अनोंलतम है । 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 interview is purely

provisional subject of fulfilment of eligibility criteria with regard to age, essential qualification and reservation etc.

दिन ांक: 10 जून, 2019. Dated: 10th June, 2019. उप – निदेशक (भिी)

DEPUTY DIRECTOR (RECTT.)

SPECIMEN INTERVIEW LETTER FOR INFORMATION OF CANDIDATES

EMPLOYEES’ STATE INSURANCE CORPORATION

PANCHDEEP BHAWAN: C.I.G. MARG, NEW DELHI- 110 002.

F. No.:-A-12/16/1/2018-Exam.Col. III Dated:- _______________

To

Dr. ________________________

____________________________

____________________________

Subject: - Recruitment to the post of Insurance Medical Officer Grade – II (Allopathic) for Madhya Pradesh

Region.

Sir/Madam,

With reference to your application for the post mentioned above and result notice dated: 7th Feb., 2019 you

are requested to appear for the interview on the scheduled date and time as under: -

a Date & Day of Interview

b Reporting Time 09:30 AM

c Venue Address Regional Office, ESI Corporation, Panchdeep Bhawan, Nanda Nagar, Indore - 452011 (Madhya Pradesh)

1. At the time of interview you are requested to must bring Print Copy of Online Application for the

above post and produce the originals of the following documents along with the attested

photocopies: -

a) Matriculation/School Leaving Certificate indicating date of birth. The candidate, who has not

submitted earlier the age proof mentioning date of birth, must produce it in original at the time of the

interview.

b) Degree/Post Graduate Diploma/Degree certificates, mark sheets of the examinations passed

along with the attempt certificate.

c) Certificate of completion of Compulsory Rotating Internship.

d) Certificate of Registration with the Medical Council of India/State Medical Council.

e) Certificates/documents in support of experience claimed, duly signed by Head of Institution (s)/ HOD

with rubber stamp, clearly indicating the period with date, month & year of employment and the nature

of work performed.

f) Employed candidates who have not already submitted “No Objection Certificate” from their

employer(s) or whose applications are not forwarded by the employer(s), are required to bring the

same at the time of the interview, failing which they may not be interviewed.

g) Candidates applying for the reserved vacancies are required to bring, in addition to the above,

SC/ST/OBC certificate (as the case may be) in the prescribed form.

h) Copies of publications/articles/research, if any.

i) The Medical qualifications possessed by the candidates should have the recognition of the Medical

Council of India/State Medical Council. The proof thereof may be attached.

2. No TA will be paid for attending the interview, nevertheless, out-station SC/ST candidates who are

unemployed and are not in receipt of any kind of stipend/emoluments etc., will be reimbursed actual

traveling expenses limited to 2nd Class Mail/Express Rail fare both ways by the shortest route subject

to production of the original tickets. SC/ST candidates who are not permitted to appear in the interview

on account of non-production of original certificates will not be entitled to such reimbursement.

3. Candidates are requested to bring this letter with them at the time of interview.

4. Please note that no request for change in the date, time and venue of interview will be entertained.

5. Your candidature is provisional subject to fulfilling of the eligibility criteria up to the satisfaction of the

appointing authority. The mere fact that you have been called for interview by the Corporation does

not in any way guarantee that you will be selected.

Yours faithfully,

DY. DIRECTOR (RECTT.)

Roll No.

Category

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 / 1st Class Stipendiary Magistrate / Sub-Divisional Magistrate / Extra-Assistant Commissioner/ Taluka Magistrate / Executive Magistrate.

ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate.

iii. Revenue Officers not below the rank of Tehsildar.

iv. 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:-

a. 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).

b. Chief Presidency Magistrate /Additional Chief Presidency Magistrate/ Presidency Magistrate.

c. Revenue Officer not below the rank of Tehsildar

d. Sub-Divisional Officer of the area where the candidate and/or his family resides. Note-II 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. Note-III 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.

Annexure ‘B’

Form of declaration to be submitted by the OBC candidate (in addition to the

community

certificate)

I ………………. Son/daughter of Shri…………………….resident of village/town/city…………………. district………………….

state………………hereby declare that I belong to the………………..community which is

recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained

in Department of Personnel and Training Office Memorandum No 36102/22/93-Estt. (SCT) dated 8-91993. 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: 27th May, 2013.

Signature:………………………..

Full Name:………………………

Address