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

BIHAR REGION
The interviews of candidates shortlisted for recruitment to the post of Insurance Medical Officer (IMO) Grade – II
(Allopathic) for Bihar Region are scheduled to be held on 17th November, 2019 to 21st November, 2019 at Patna
(Bihar).
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
Venue of Interview
Reporting Time
17th to 21st November, 2019 (Date wise List Appended Below)
Regional Office,
ESI Corporation,
Panchdeep Bhawan,
J. L. Nehru Marg, Near Income Tax Circle,
Patna - 800001 (Bihar)
09:30 AM

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

क्रर् आवेदि संदभम साक्षात्कार की

रोल िंबर अभ्यर्थी का िार् (डा.) श्रेणी
संख्या संख्या निथर्थ
Sl. App Ref Roll Date of
Name of Candidate (Dr.) Category
No. No. Number Interview
1 ESIC108954 3602010160 AAISHA TABASSUM General 17.11.2019
2 ESIC102976 3602010047 ABHISHEK KUMAR General 17.11.2019
3 ESIC103939 2322010022 ABHISHEK KUMAR General 17.11.2019
4 ESIC103549 2119010203 ADARSH CHANDRA General 17.11.2019
5 ESIC112740 3602010272 AKHILESH KUMAR SINGH General 17.11.2019
6 ESIC100517 1426010008 AMIT KUMAR SINGH General 17.11.2019
7 ESIC106839 2814010049 ANKITA General 17.11.2019
8 ESIC104640 3602010071 ANUBHAV PRAKASH General 17.11.2019
9 ESIC104713 1426010048 APRAJITA VARDHAN General 17.11.2019
10 ESIC110056 3602010191 AVINASH RANJAN General 17.11.2019
11 ESIC112650 3602010266 BRAJMOHAN SINGH General 17.11.2019
12 ESIC112395 3602010253 DANISH AHMAD KHAN General 17.11.2019
13 ESIC106975 2118010349 DHANANJAY KUMAR General 17.11.2019
14 ESIC112519 3602010260 GARIB NAWAZ General 17.11.2019
15 ESIC108492 2119010512 GOPAL KUMAR General 17.11.2019
16 ESIC112325 3602010250 KARTHIK SURABHI General 17.11.2019
17 ESIC110543 1426010113 KASHIF JANAM General 17.11.2019
18 ESIC108607 3602010153 MADHU KUMARI General 17.11.2019
19 ESIC106685 3602010115 MADHURIMA General 17.11.2019
20 ESIC104625 3602010070 MADHUSUDAN KUMAR General 17.11.2019
21 ESIC108568 3602010151 MAHIMA General 17.11.2019
22 ESIC106617 3602010113 MD ANAMUL HAQUE General 17.11.2019
23 ESIC104850 3602010076 MD BARKAT ALI General 17.11.2019
24 ESIC102051 3602010034 MD HAMMAD MOHSIN General 17.11.2019
25 ESIC112502 3602010256 MD IMRAN KHAN General 17.11.2019
26 ESIC106878 1108010040 MD SALIM General 17.11.2019
27 ESIC101472 2118010073 MD ZEYAULLAH NASEEM General 17.11.2019
28 ESIC106684 2119010407 MD.MAZHAR General 17.11.2019
29 ESIC104804 2119010277 MOHAMMAD FURQUAN ALAM General 17.11.2019
30 ESIC101508 2119010078 MOHAMMAD MANZAR BAIG General 17.11.2019
31 ESIC111568 1426010138 MRIDUL SINGH General 17.11.2019
32 ESIC101875 3602010031 MUKESH RANJAN General 17.11.2019
33 ESIC108776 3602010157 NADA YUNUS General 17.11.2019
34 ESIC105506 3602010091 NAZIA HASSAN General 17.11.2019
35 ESIC111560 3602010222 NEHA ANAND General 17.11.2019
36 ESIC110514 3525010128 NIDHI General 17.11.2019
37 ESIC113090 3602010279 NISHANT KUMAR General 17.11.2019
38 ESIC110230 3602010194 NITISH KUMAR General 18.11.2019
39 ESIC108120 2119010489 NOORUL AASHIQEEN General 18.11.2019
40 ESIC111548 2119010732 OMKAR NATH General 18.11.2019
41 ESIC101628 3801010013 PUNIT GAURAV General 18.11.2019
42 ESIC106574 3602010112 RAJEEB RANJAN General 18.11.2019
43 ESIC101355 3111010016 RAUSHAN KUMAR General 18.11.2019
44 ESIC112310 2119010784 RAVI SHANKAR General 18.11.2019
45 ESIC101669 3602010025 RAVISH RANJAN General 18.11.2019
46 ESIC105261 3602010085 ROHIT ANURAG JHA General 18.11.2019
47 ESIC108147 3801010061 SATISH KUMAR General 18.11.2019
48 ESIC109733 1223010179 SHARMA CHANCHAL ARVIND General 18.11.2019
49 ESIC109320 3602010170 SHATISH CHANDRA General 18.11.2019
50 ESIC109774 3602010178 SONAL SINGH General 18.11.2019
51 ESIC107263 3602010130 SUDHANSHU KUMAR General 18.11.2019
52 ESIC110046 3602010189 SUMIT KUMAR General 18.11.2019
53 ESIC106944 3602010121 SUMIT SURYANT General 18.11.2019
54 ESIC106507 1426010071 SWATI PARAMHANS General 18.11.2019
55 ESIC103899 3602010060 VAIBHAV KUMAR SRIVASTAVA General 18.11.2019
56 ESIC111980 3602010242 VIJNA General 18.11.2019
57 ESIC108695 3602010155 VIKAS BHARDWAJ General 18.11.2019
58 ESIC108556 3602010149 ABHA KUMARI SC 18.11.2019
59 ESIC104014 3602010063 ABHAY NARAYAN SC 18.11.2019
60 ESIC109196 3602010003 AJEET KUMAR SC 18.11.2019
61 ESIC109555 3602010171 ANSHUMAN SC 18.11.2019
62 ESIC109293 3602010169 ANUJ KUMAR SC 18.11.2019
63 ESIC109841 3602010182 ARCHANA KUMARI SC 18.11.2019
64 ESIC103815 3602010057 ASHOK KUMAR SC 18.11.2019
65 ESIC110724 3602010207 AVNEET KUMAR SC 18.11.2019
66 ESIC107366 3602010133 BALRAM KUMAR SC 18.11.2019
67 ESIC105576 3602010094 BHAWESH RAJAK SC 18.11.2019
68 ESIC109035 3602010163 CHAUDHARY RAVI RAY SC 18.11.2019
69 ESIC108518 2119010515 DEEPAK KUMAR SC 18.11.2019
70 ESIC109590 3602010173 DEEPAK KUMAR SC 18.11.2019
71 ESIC105177 3602010082 DEV PRAKASH SC 18.11.2019
72 ESIC106883 3801010042 GAURAV SHRESTH SC 18.11.2019
73 ESIC112176 3602010245 GAURI SHANKAR PRASAD SC 18.11.2019
74 ESIC109782 3602010179 HARENDRA KUMAR SC 18.11.2019
75 ESIC100899 2119010055 HARENDRA PRASAD SC 19.11.2019
76 ESIC100258 3602010010 KAMLESH PRASAD SC 19.11.2019
77 ESIC111868 3602010239 KSHAMTA KUMARI SC 19.11.2019
78 ESIC105450 3602010090 KUMARI RAJANI SC 19.11.2019
79 ESIC109836 3602010181 KUMARI VANDANA SC 19.11.2019
80 ESIC101832 3602010030 MANISH KUMAR BHASKAR SC 19.11.2019
81 ESIC101500 3602010023 NEERAJ KUMAR RAJAK SC 19.11.2019
82 ESIC109072 2119010557 NISHANT KUMAR SC 19.11.2019
83 ESIC102751 3602010043 NITIKA RAO SC 19.11.2019
84 ESIC106995 2120010106 PANKAJ KUMAR SC 19.11.2019
85 ESIC107042 3602010123 PAPU KUMAR SAFI SC 19.11.2019
86 ESIC103854 3602010058 POONAM SC 19.11.2019
87 ESIC112270 2119010781 PRAMOD KUMAR BHARTI SC 19.11.2019
 88 ESIC104647 3602010073 PRATIMA KUMARI SC 19.11.2019
89 ESIC102099 3602010035 RAJ KUMAR SC 19.11.2019
90 ESIC103947 3602010061 RAJESH RAMAN SC 19.11.2019
91 ESIC112544 3602010261 RAJU RANJAN SC 19.11.2019
92 ESIC104984 2119010298 RAVI SHEKHAR SC 19.11.2019
93 ESIC110070 2529010273 REMALLA SHYAM PRASAD SC 19.11.2019
94 ESIC111562 3602010223 SHASHI KANT SC 19.11.2019
95 ESIC111422 3602010221 SUBODH KUMAR SC 19.11.2019
96 ESIC104534 1812010069 SUMAN KUMARI SC 19.11.2019
97 ESIC107161 2118010362 SUMIT KUMAR RANJAN SC 19.11.2019
98 ESIC109302 2119010583 SURESH KUMAR SC 19.11.2019
99 ESIC106129 3602010106 VIJAY KUMAR SC 19.11.2019
100 ESIC100754 2119010046 ABHIJIT ANAND OBC 19.11.2019
101 ESIC111533 2119010729 AMRENDRA KUMAR OBC 19.11.2019
102 ESIC108242 3801010065 ANJANA KUMARI OBC 19.11.2019
103 ESIC106016 3602010099 ANURAG KUMAR DAS OBC 19.11.2019
104 ESIC109888 3602010183 ARCHANA SINHA OBC 19.11.2019
105 ESIC110500 3602010204 ARUN KUMAR OBC 19.11.2019
106 ESIC101809 3602010029 ASHISH RAJ OBC 19.11.2019
107 ESIC112600 3207010351 AYUSHI KUMARI ARYA OBC 19.11.2019
108 ESIC102298 3602010038 BHAGWAN SHAH OBC 19.11.2019
109 ESIC101822 2119010097 BHANU PRATAP OBC 19.11.2019
110 ESIC107954 2119010482 BIRENDRA KUMAR OBC 19.11.2019
111 ESIC102479 2119010136 DHEERAJ KUMAR OBC 19.11.2019
112 ESIC108696 3602010156 FARIDA IQBAL OBC 20.11.2019
113 ESIC104294 3602010066 FAUZIA ALAM OBC 20.11.2019
114 ESIC105536 3602010093 GAUTAM KUMAR OBC 20.11.2019
115 ESIC100088 2119010003 KALYANI KUMARI OBC 20.11.2019
116 ESIC105214 3602010084 KIRAN KUMARI OBC 20.11.2019
117 ESIC100087 3602010008 KUMAR ANKIT ABHISHEK OBC 20.11.2019
118 ESIC103122 3602010052 LAXMI KANT ROY OBC 20.11.2019
119 ESIC111748 3602010229 MAYANK PRIYADARSHI OBC 20.11.2019
120 ESIC111830 3602010237 MD KAMRAN ALAM OBC 20.11.2019
121 ESIC112823 3602010277 MD MAHMOOD ALAM OBC 20.11.2019
122 ESIC103561 2119010206 MD SAJID ANWAR ANSARI OBC 20.11.2019
123 ESIC107937 2118010404 MICKEY PATEL OBC 20.11.2019
124 ESIC112847 2410010091 MONIKA SINHA OBC 20.11.2019
125 ESIC106063 3602010102 MUKESH KUMAR OBC 20.11.2019
126 ESIC106093 3602010103 MURTZA ANSARI OBC 20.11.2019
127 ESIC105001 3602010080 NAINA KUMARI OBC 20.11.2019
128 ESIC112736 3602010271 NASEEM AKHTAR OBC 20.11.2019
129 ESIC103798 3207010071 NEERAJ KUMAR OBC 20.11.2019
130 ESIC107530 3602010136 NIKHAT GULNAR OBC 20.11.2019
131 ESIC100017 2118010020 NIRAJ KUMAR OBC 20.11.2019
132 ESIC107453 3602010002 NISHI KANT KUMAR OBC 20.11.2019
133 ESIC105792 1504010065 PANKAJ KUMAR OBC 20.11.2019
134 ESIC107165 3602010127 PAPPU KUMAR OBC 20.11.2019
135 ESIC109135 3602010165 PARBHAT RANJAN OBC 20.11.2019
136 ESIC103712 2118010188 PRABHAT RANJAN OBC 20.11.2019
137 ESIC107767 3207010203 PRIYA OBC 20.11.2019
138 ESIC111606 3602010224 PUNAM KUMARI OBC 20.11.2019
139 ESIC111943 2118010634 RAGINI KUMARI OBC 20.11.2019
140 ESIC113253 3602010286 RAJ ABHAY OBC 20.11.2019
141 ESIC103973 3602010062 RAJAN RANJAN OBC 20.11.2019
142 ESIC107384 3801010045 RAVI KUMAR OBC 20.11.2019
143 ESIC104641 3602010072 RICHA OBC 20.11.2019
144 ESIC102953 3602010046 RIMJHIM KUMARI OBC 20.11.2019
145 ESIC112515 3602010258 ROOPAM KUMARI OBC 20.11.2019
146 ESIC112346 3602010252 RUBINA PERWEEN OBC 20.11.2019
147 ESIC105749 3706010075 RUPAM KUMARI OBC 20.11.2019
148 ESIC103271 3602010053 SANJEEV KUMAR OBC 20.11.2019
 149 ESIC102739 2120010030 SANTOSH KUMAR OBC 21.11.2019
150 ESIC109711 2120010161 SATISH KUMAR OBC 21.11.2019
151 ESIC106282 3602010108 SHAH DAWAR JEHAD OBC 21.11.2019
152 ESIC107304 3602010131 SHAH MEHNDI MASIH OBC 21.11.2019
153 ESIC103855 3602010059 SHANKAR KUMAR OBC 21.11.2019
154 ESIC100568 2119010038 SHANKAR KUMAR OBC 21.11.2019
155 ESIC112258 3602010247 SHANKAR PRASAD OBC 21.11.2019
156 ESIC104212 3602010065 SUJEETA KUMARI OBC 21.11.2019
157 ESIC112809 3602010275 UTKARSH SHARMA OBC 21.11.2019
158 ESIC113242 3602010285 VIKASH KUMAR OBC 21.11.2019
159 ESIC106357 2120010086 VINEET KUMAR OBC 21.11.2019
160 ESIC108195 3801010063 AMIT KUMAR SAXENA ST 21.11.2019
161 ESIC109862 3801010082 AMIT MINZ ST 21.11.2019
162 ESIC110294 3801010089 CHANO RAM SOREN ST 21.11.2019
163 ESIC109261 3602010168 MUKESH KUMAR SAH ST 21.11.2019
164 ESIC104892 3801010022 PREETI NAYAN ST 21.11.2019
165 ESIC110648 3801010098 SUJIT KUMAR MURMU ST 21.11.2019

महत्वपूर्ण नोट/ Important Note:

1. साक्षात्कार के लिए चुने गए अभ्यलथणयोों को साक्षात्कार के समय उपरोक्त पद के लिए अपनी पात्रता के समथणन में सभी दस्तावेज प्रस्तुत करने होोंगे।
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 अभ्यलथणयोों को यह सुलनलित करना चालहए लक वे सोंबोंलित श्रेर्ी/उप श्रेर्ी 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 अभ्यलथणयोों को जो सरकारी सेवा में हैं (ईएसआईसी कमणचाररयोों सलहत) साक्षात्कार के समय अनापत्ती प्रमार् पत्र (No Objection Cettificate) प्रस्तुत
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 श्रेर्ी से सोंबोंलित अभ्यलथणयोों 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 प्रस्तुत 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 अभ्यलथणयोों को साक्षात्कार के समय सेवा प्रमार् पत्र प्रस्तुत करना होगा । सोंलवदा
(Contract) आिार पर कायणरत अभ्यथी/तदथण आिार (Adhoc)/जूलनयर रे लसडें ट (JR) /सीलनयर रे लसडें ट (SR) आलद कमणचारी लनयलमत नही ों होने के कारर्
लनयमोों 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 दस्तावेजोों के साथ-साथ आवेदन की हाडण कॉपी
भी अभ्यलथणयोों से नही ों मँगवाई गयी थी, अत: साक्षात्कार के लिए चुने गए सभी अभ्यलथणयोों 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.

Dated: 4th November, 2019.

सहा॰ निदे शक (भिी)

ASSISTANT 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. ________________________ Roll No.
____________________________
Category
____________________________

Subject: - Recruitment to the post of Insurance Medical Officer Grade – II (Allopathic) for Biahr 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,
J. L. Nehru Marg, Near Income Tax Circle,
Patna - 800001 (Bihar)

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,

ASSISTANT DIRECTOR (RECTT.)

 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:………………………

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