EMPLOYEES STATE INSURANCE CORPORATION MODEL HOSPITAL

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EMPLOYEES STATE INSURANCE CORPORATION MODEL HOSPITAL RAJAJINAGAR, BANGALORE-560010, KARNATAKA Ministry of Labour & Employment, Govt. of India (ISO 9001-2008 Certified) Phone: 080-23528611/ 23320271, Fax: 080-23325130 E-mail: mh-bangalore@esic.in No: 532/A/12/13/2013-14/SR/Admn. Date: 03-04-2014 WALK-IN-INTERVIEW FOR ENGAGEMENT OF SENIOR RESIDENT (NON-TEACHING) UNDER 3 YEARS SENIOR RESIDENCY SCHEME A walk-in interview will be held for engaging 17 Senior Residents (Non-Teaching) under three years residency scheme in the ESIC Model Hospital, Rajajinagar, Bangalore as per the schedule below: Date Department No. of Posts Category 29 th April, 2014 30 th April, 2014 OBG 2 Plastic Surgery 3 Chest disease 2 Anesthesia/ICU 2 Radiology 4 Pediatrics 1 Ophthalmology 2 Psychiatry 1 TOTAL 17 UR-10, OBC-6 & ST - 1 (One vacancy is reserved for PWD (OA & OL) Reservations would be on floating basis Qualification: PG Degree/Diploma in concerned speciality, Post-doctoral (MD/MCH) from a recognized university and registered with Medical Council of India/State Medical Council. Age: The age shall not exceed 33 year in case of Post graduates and 35 years in case of Post Doctoral degree holders as on date of walk-in-interview. (Age relaxation applicable as per Govt. Of India Rules) Emoluments: The Senior Residents will be paid in the pay band PB-3 of Rs. 15,600-39,100 with Grade Pay of Rs. 6,600/- plus other allowances applicable under Govt. Of India. (Gross Rs. 60,207/- plus allowances as admissible) Cont Page No: 2

INSTRUCTIONS TO THE CANDIDATES: 1. It is a tenure post and initial appointment is for one year which is extendable for another period of one year subject to maximum three years on the basis of satisfactory work and conduct during the previous tenure. 2. Rule of Reservation will be implemented as per Govt. Of India instructions. 3. Candidates seeking reservation benefits for SC/ST/OBC/PH must ensure that they are entitled to such reservation as per eligibility prescribed in the Notice.They should also be in possession of the required certificates in the prescribed format in support of their claim as stipulated in this Notice. OBC candidates should ensure that they are in possession of valid OBC Certificate issued within the due date issued by the authority mentioned in the format. 4. The candidates claiming reservation/age relaxation on grounds of belonging to OBC should submit the Community Certificate in Annexure A prescribed vide Govt. of India, Department of Personnel and Training OM No. 36012/22/93Estt (SCT) dated 08.09.1993 which is modified vide G.O.I., DOPT s OM No. 36033/3/2004 EST(Res.) dated 09.03.2004 falling which the benefit of reservation / relaxation will not be given or their application shall be rejected and no request / correspondence will be entertained. Certificates issued in other formats will not be accepted and the candidates will be treated as General category for all purposes. The format in Annexure A is uploaded along with advertisement. 5. The candidates appointed under PWD quota will be adjusted against the vacancy of respective categories of SC/ST/OBC and UR. 6. The Medical Superintendent has the discretion to increase/decrease the number of vacancies depending upon actual requirement. 7. The candidates are advised to bring their application/bio-data and original certificates. 8. The candidates should attend the interview with photocopies of Matriculation Certificate (for proof of Age), MBBS, Diploma/Degree certificate, SC/ST/OBC certificate, Registration certificate and two passport size photographs. 9. Candidates who have worked as SR in Senior Residency Scheme are not eligible. 10. All candidates are directed to report at by 9:00 A.M on date of interview at 6 th FLOOR, TOWER BLOCK, ESIC MODEL HOSPITAL, RAJAJINAGAR, 2 nd BLOCK, BANGALORE 560 010. 11. Applications received by 11:00 A.M would be considered. 12. On selection candidates have to deposit an amount of Rs. 30,000/- as refundable Security deposit. However, this amount will be appropriated towards administrative cost in case, the candidate resigns/terminates his/her contract within one year of the commencement of the contract with or without prior notice and without one month s notice thereafter. 13. The Medical Superintendent is the Controlling Authority for Senior Residents. Medical Superintendent

EMPLOYEES STATE INSURANCE CORPORATION MODEL HOSPITAL RAJAJINAGAR, BANGALORE-560010, KARNATAKA APPLICATION FOR THE POST OF SENIOR RESIDENT 1. Name of the Candidate : 2. Father/Husband Name : 3. Mother Name : 4. Date of Birth : 5. Category (SC/ST/OBC) : 6. Whether PH - Yes/No : If Yes... OH/HH/VH 7. Mobile Number : 8. E-mail ID : 9. Address (Permanent) : 10. Address for correspondence 11. Educational Qualification:* Paste your recent photograph of size 4cm x 5cm Sl. No. Name of the Exam University Percentage of Marks Year of Passing 12. Experience details:* Sl. No. Name of the Employer From Period To Post Held *Add columns wherever necessary

DECLARATION I hereby declare and affirm that all statements made in this application are true complete and correct to the best of my knowledge and belief. I declare that I have not rendered any service as Senior Resident earlier, on regular/ad hoc basis, in any institution. I understand that in the event of any information being found untrue/false/incorrect, my candidature is liable to be cancelled/terminated, besides taking any other action deemed fit in this regard. I will have no claim for absorption after termination/completion of contract period of tenure. I shall abide by the terms and conditions as prescribed. Place: Date: Signature of the Candidate Name:

ANNEXURE-A FORM 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./Kum. Son/Daughter of Shri/Smt. of Village/Town District/Division in the State belongs to the Community which is recognized as a backward class under sl. No. of Govt. of India, Ministry of welfare. i. Resolution No.12011/68/93-BCC dated 10/09/1993 published in the Gazette of India Extraordinary Part I, Section I, No. 186 dated 13/09/1993. ii. Resolution No.12011/9/94-BCC dated 19/10/1994 published in the Gazette of India Extraordinary Part I, Section I, No. 163 dated 20/10/94. iii. Resolution No.12011/7/95-BCC dated 24/05/1995 published in the Gazette of India Extraordinary Part I, Section I, No. 88 dated 25/05/1995. iv. Resolution No. 12011/96/94-BCC dated 09/03/1996. v. Resolution No.12011/44/1996-BCC dated 06/12/96 published in the Gazette of India Extraordinary Part I, Section I, No. 210 dated 11/12/1996. vi. Resolution No. 12011/13/97-BCC dated 03/12/1997. vii. Resolution No. 12011/99/94-BCC dated 11/12/1997. viii. Resolution No. 12011/68/98-BCC dated 27/10/1999. ix. Resolution No. 12011/88/98-BCC dated 06/12/1999, published in the Gazette of India, Extra Ordinary Part-I, Section-I No. 270, 06/12/1999. x. Resolution No. 12011/36/99-BCC dated 04/04/2000, published in the Gazette of India, Extra Ordinary Part-I, Section-I, No. 71 dated 04/04/2000 xi. Resolution No. 12011/44/99-BCC dated 21/09/2000, published in the Gazette of India, Extra Ordinary Part-I, Section-I, No. 210 dated 21/09/2000

Shri/Smt./Kum. and/or his/her family ordinarily reside(s) in the District/Division of the_state. 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 08/09/1993, which is modified vide Department of Personnel and Training OM No. 36033/3/2004 Estt. (Res.), dated, 9.3.2004 and 14.10.2008. Dated : District Magistrate or Deputy Commissioner, etc. NOTE: Seal 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: I. District Magistrate / Additional Magistrate/ Collector / Deputy Commissioner/ Additional Deputy Commissioner / Deputy Collector / 1 st Class Stipendiary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate /Extra Assistant Commissioner (not below the rank of 1 st Class Stipendary Magistrate). II. Chief Presidency Magistrate / Additional Chief Presidency Magistrate /Presidency Magistrate. III. IV. Revenue Officer not below the rank of Tehsildar; and Sub-Divisional Officer of the area where the candidate and / or his/her 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. The candidate should furnish the relevant OBC Certificate in the format prescribed for Central Government jobs issued by the competent authority on or before the Closing Date as stipulated in the Notice