WEST BENGAL STATE ELEC CITY DISTRIBUTION COMPANY LIMITED Telefax : (033) 2359 8382 Medical Fitness Test for the candidates provisionally selected for the post of SAE 40 Nos. of candidates as per enclosed list have been provisionally shortlisted for Medical Fitness Test to be held on 05.03.2018 at B.P. Podder Hospital &Medical Research Limited, 71/1, Humayun Kabir Sarani, New Alipore,Block-G,Kolkata-700053 at 8 A.M. as mentioned against each.Guideline for medical examination is enclosed below. The candidates are to submit an affidavit in non-judicial stamp paper of denomination Rs.10/- or above, sworn in before the 1" Class Judicial Magistrate, regarding employment at the time of Medical Fitness Test. On non submission of such affidavit, the candidate will not be allowed to appear in the Medical Fitness Test. The candidates are also requested to submit an affidavit in non-judicial stamp paper of denomination Rs.10/- or above, sworn in before the 1* Class Judicial Magistrate, as per the format, regarding PVR and Caste Certificate , at the Corporate office, ES&ER-II Cell, Block-C, 8° Floor, Vidyut Bhawan, Kolkata-700091only on 06.03.2018. ( e Qe \jala PEs esi erFollowing 6 Nos. of Provisionally Selected Candidates called for Medi Examination for the Post of SAE (C) es NAME BoB FATHER'S NAME 1 17200567 SUBHAM CHOWDHURY 79-01-1994 | TUSHAR KANTI CHOWDHURY 2 17200370 'ARINDAM TARAFDAR 25.02.1994 ASITTARAFDAR 3 17203600 RAJDEEP BHATTACHARYA 05-04-1998 UTTAM BHATTACHARYA 4 37203921 [ARPAN KUMAR ADHIKARI 16-09-1995 [ARUN KUMAR ADHIKARL a7ai0578 KYANEDY GAIN 07-03-1993 KALIPADA GAIN ‘ 7207663] SUDIP ROY 05-13-1993 SUSHANTA ROY ‘GUIDELINE FOR MEDICAL EXAMINATION 1. He / she is advised to report at Health Check-up department, B.P. Poddar Hospital & Medical research Ltd, 71/2, Humayun Kabir Saran, New Alipore, Block-'G', Kolkata- 700 053, at 8,00 a.m. on the schedule [date as mentioned in the letter for Medical Examination . (Land Mark- opposite to New Alipore College) 12. He/she should report for Medical Check-up there in EMPTY STOMACH for necessary tests / lexaminations. 3. The cost of the Medical check-up shall be borne by the Company. The candidate is not required to incur Jany cost for the Medical Examinations. ° |4. He/she will be offered a complimentary breakfast by the ,B.P. Poddar Hospital & Medical research Ltd. Jat the time of Medical Examinations. 5. The report of Medical Examination shall be forwarded to WBSEDCL, by the B.P. Poddar Hospital & Medical research Ltd. directly 6. In case of any difficulty, the candidates may contact at: Shri Sanju Nath, Sr. Manager-Growth & Development), Mob. No.- 8585035856/7044607235. La‘Non-judicial Stamp Paper of 8.10/- In the Court of 1" Class Judicial Magistrate. AFFIDAVIT rn_in before the 1" employment under WBSEDCL BSA Smt, sons Son / daughter Of enum sone Of (address) Aged... Religion do hereby solemnly affirm as follows 1. That | applied for the post of sonnitnnantnsnninnnnes UNder WBSEDCL. 2. That | have been called for Pre-employment Medical Examination for consideration of my candidature for above post. 3. That !am employed in Govt.Deptt/PSUs/Autonomous Bodies and | have already submitted requisite NOC at the time of my interview or ‘That |am not employed in regular establishment of any Govt.Deptt/PSUs/Autonomous Bodies. In the event of detection of the fact declared at Para 3 above, being false my appointment shall able to be terminated from the services of WBSEDCI forthwith and in that case | shall have no objection and/or any claim for the job / service under WBSEDCL, The above particulars are true and correct to the best of my knowledge and belie. Signature of the Deponent Solemnly affirmed before me ‘The Deponent is identified by me Advocate Regn/Enrollment No: N.B.- Mention only the option which is applicable for the incumbent ir.0. Para 3,[0 ee | Non-judicial Stamp Paper of B.10/- In the Court of 1* Class Judicial Magistrate. AFFIDAVIT ber "Class Judicial Magist nin nt subject to subsequent satisfactory Police Verification and Caste Certificate verification. USA / Smt. orn Son / daughter Of sn ronmnnnnewnnns of (address) Aged. Religion do hereby solemnly affirm as follows : 1. That | applied for the post of Under WBSEDCL. 2. That | have been called for Pre-employment Medical Examination for the said post. 3. That Ihave never been / have been arrested ( give details, if "have been” applicable). 4. That I have never been / have been convicted by any court of law for any offence or charge sheeted by Police in connection with any criminal proceedings. (give details, if “have been” applicable ). The above particulars are true and correct to the best of my knowledge and belie. 5. That | understand that on the basis of this Affidavit, | shall be appointed under WBSEDCL for one year Provisionally subject to subsequent satisfactory Police Verification Report and verification of Caste Certificate. | also understand that in the event of any adverse report regarding Caste certificate and / or PVR against me, | shall be liable to be terminated from the services of WBSEDCL forthwith and in that event | shall not have any claim for the job / service under WBSEDCL. Signature of the Deponent Solemnly affirmed before me ‘The Deponent is identified By me Advocate Regn/Enrollment No: NN.B.= Mention only the option which is applicable for the incumbent i.o. Para 3 & 4,