held on 11.09.2014 for the post of IMO Gr. II (Allopathic).

EMPLOYEES’ STATE INSURANCE CORPORATION
PANCHDEEP BHAWAN, HQRS. OFFICE, CIG MARG, NEW DELHI – 110 002.
REVISED RESULT OF CANDIDATES SHORTLISTED FOR INTERVIEW FOR THE POST OF INSURANCE
MEDICAL OFFICER GR. II (ALLOPATHIC) FOR MADHYA PRADESH REGION ON THE BASIS OF
PERFORMANCE IN WRITTEN EXAMINATION HELD ON 19.01.2014 AT INDORE CENTER.
In super-session of Result Notice dated: 11th September, 2014 of candidates short listed for interview for the
post of Insurance Medical Officer Gr. II (Allopathic) for Madhya Pradesh Region on the basis of their
performance in Written Exam. held on 19.01.2014 at Indore Center it is informed that the Vacancy Position for
the above post for Madhya Pradesh Region stands modified as under:
Category
Madhya Pradesh Region
Revised No. of Vacancies
UR
SC
ST
OBC
Total
16
01
02
Nil
19
No. of Posts reserved for
Persons with Disabilities
(PWDs)
02
Accordingly following candidates have now been short listed for interview as per the modified vacancy position for
the post of Insurance Medical Officer Gr. II (Allopathic) for Madhya Pradesh Region in super-session of Result Notice
dated: 11th September, 2014:
Sl. No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Roll Number
22010003
22010006
22010007
22010013
22010014
22010017
22010027
22010030
22010051
22010056
22010069
22010078
22010080
22010086
22010101
22010105
22010113
22010128
22010130
22010134
22010136
22010137
22010145
22010146
22010158
22010167
22010168
22010174
Name of the Candidate (Dr.)
ABHISHAK SHARMA
ABHISHEK RATHORE
ABHISHEK TIWARI
ALEKH SAXENA
ALOK DUBEY
AMARENDRA KUMAR SHUKLA
ANCHAL UPADHYAY
ANJNEYA KUMAR VERMA
ARPITA GUPTA
ASHOK KUMAR GUPTA
CHANDRA MOHAN GUPTA
DHARMENDRA KATARIYA
DHEERAJ JESWANI
DINESH PATIDAR
HEMLATA KAPADNIS
JATIN ADVANI
JITENDRA RAGHUWANSHI
MANISH KUMAR
MARK JACOB MUNDAMPALLI
MOHAMMED ASIF
MUKESH TIWARI
MUNESH KUMAR GAUR
NEERAJ BANSAL
NEETA BANSERIA
PALLAVI PATHAK
PRABHAT RANJAN
PRABHAT SHARMA
PRAMOD KUMAR RAIKWAR
Page 1 of 5
Date of Birth
19-10-1986
07-08-1985
10-01-1984
21-05-1988
20-11-1984
25-06-1989
12-11-1987
09-08-1979
27-06-1987
16-08-1979
11-01-1985
10-10-1984
25-09-1985
17-09-1985
21-08-1979
01-11-1989
03-04-1984
01-03-1985
17-10-1978
10-11-1987
24-07-1984
15-02-1985
01-07-1987
27-12-1981
12-06-1986
08-03-1984
01-01-1987
16-05-1985
Category
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
Sub Category
ESIC-Emp
Govt.-Emp
Govt.-Emp
ESIC-Emp
ESIC-Emp
Govt.-Emp
Govt.-Emp
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
22010179
22010183
22010188
22010205
22010208
22010211
22010212
22010214
22010215
22010235
22010237
22010242
22010253
22010258
22010260
22010277
22020012
22020090
22020263
22020267
22020288
22030107
22030119
22030142
22030219
22030227
22030264
22030300
22040028
22040055
22040103
22040207
22040232
PRASIDDHA SHARMA
PREMLATA KACHHORIA
PUSHPENDRA GAUTAM
RAVI KANT
RICHA JAIN
ROCHIS PRASAD
ROMESH JAIN
RUCHIR VARSHNEY
RUCHITA BANSERIA
SHAHNAZ BANO
SHAILENDRA SHARMA
SHAMA B R
SHIVENDRA SHRIMAL
SHYAM GUPTA
SMRITI SINGH VIMAL
UDAYKUMAR
AJAY KUMAR GAUTAM
DURGESH KUMAR SONARE
SUCHITA GAJBHIYE
SUNITA DADWAL
VIDHYA ROHIT
JAYAJ KAKODIYA
KULDEEP SINGH THAKUR
NAVNIT KALAM
SANDEEP BHINDE
SATISH THAKUR
SUJEET KUMAR PANDRE
YASHODHARA SINGH
ANIL GOUR
ASHISH NARVARIYA
IMRAN ALI
RAVINDRA GURJAR
SAURABH RATHORE
09-11-1985
30-12-1981
06-11-1987
07-03-1984
17-07-1987
07-08-1988
08-03-1988
31-03-1985
09-08-1989
01-11-1985
22-08-1984
23-03-1989
12-03-1987
29-02-1984
16-03-1986
22-05-1986
22-10-1987
24-01-1988
01-07-1983
02-02-1980
19-06-1979
01-07-1985
01-06-1984
01-07-1979
23-08-1986
17-06-1983
19-09-1986
22-10-1979
11-11-1983
16-08-1986
01-01-1984
22-03-1985
10-06-1987
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
GEN
SC
SC
SC
SC
SC
ST
ST
ST
ST
ST
ST
ST
OBC
OBC
OBC
OBC
OBC
ESIC-Emp
ESIC-Emp
ESIC-Emp
ESIC-Emp
ESIC-Emp
ESIC-Emp
ESIC-Emp
Important Note:
1. While every care has been taken in preparing the result, however ESI Corporation reserves the right to rectify
2.
3.
4.
5.
6.
7.
the errors/omissions, if any comes to its notice.
The interviews will be held tentatively on 14th and 15th February, 2015 at Delhi. The Schedule of Interview
will be uploaded on ESIC website www.esic.nic.in shortly.
The interview letters to all the above candidates shortlisted for interview will also be issued shortly.
Candidates short listed for interview must ensure that they belong the respective category/sub category as
mentioned in the result above.
Those candidates who are in Govt. Service (including ESIC Employees) are required to produce No Object
Certificate (NOC) at the time of interview.
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.
Candidates seeking age relaxation as an Government Employee/ESIC Employee shall have to produce Service
Certificate at the time of interview.
Dated: 22nd January, 2015
DEPUTY DIRECTOR (RECTT.)
Page 2 of 5
ANNEXURE ‘A’
PRESCRIBED PROFORMAE
The form of certificate to be produced by Other Backward Classes candidates applying for
appointment to posts under the Government of India
This
is
to
certify
that
Shri/Shrimati/Kumari*...........................................son/daughter*
of
Shri...............................
of
village/town*…………....................................in District/Division*.......................................... of the State/Union Territory*.......
...................... belongs to the …….....................Community which is recognised as a backward class under:
@ Government of India, Ministry of Welfare Resolution No. 12011/68/93-BCC (C) dated 10th September, 1993 published in the Gazette of
India Extraordinary Part-I, Section-1, No. 186 dated 13th September, 1993.
@ Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC dated 19-10-94, published in the Gazette of India
Extraordinary Part-I, Section-1, No. 163 dated 20-10-1994.
@ Government of India, Ministry of Welfare Resolution No. 12011/7/95-BCC dated 24-5-95, published in the Gazette of India Extraordinary
Part-I, Section-1, No. 88 dated 25-5-1995.
@ Government of India, Ministry of Welfare Resolution No. 12011/96/94-BCC dated 9th March, 1996 published in the Gazette of India
Extraordinary Part-I, Section-1, No. 60 dated 11th March, 1996.
@ Government of India, Ministry of Welfare Resolution No. 12011/44/96-BCC dated 6th December, 1996 published in the Gazette of India
Extraordinary Part-I, Section-1, No. 210 dated 11th December, 1996.
@ Government of India, Ministry of Welfare Resolution No. 12011/99/94-BCC dated 11th December, 1997 published in the Gazette of India
Extraordinary Part-I, Section-1, No. 236 dated 12th December, 1997.
@ Government of India, Ministry of Welfare Resolution No. 12011/13/97-BCC dated 3rd December, 1997 published in the Gazette of India
Extraordinary Part-I, Section-1, No. 239 dated 17th December, 1997.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/68/98-BCC dated the 27th October, 1999
published in the Gazette of India Extraordinary Part-I, Section-1, No. 241 dated the 27th October, 1999.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/88/98-BCC dated 6th December, 1999
published in the Gazette of India Extraordinary Part-I, Section-1, No. 270 dated 6th December, 1999.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/36/99-BCC dated 4th April, 2000 published in
the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 4th April, 2000.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/44/99-BCC dated the 21st September, 2000
published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated the 21st September, 2000.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12015/9/2000-BCC dated 6th September, 2001
published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 dated 6th September, 2001.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/1/2001-BCC dated 19th June, 2003 published
in the Gazette of India Extraordinary Part-I, Section, 1 No. 151 dated 20th June, 2003.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/4/2002-BCC dated 13th January, 2004
published in the Gazette of India Extraordinary, Part-I Section-1, No. 9 dated 13th January, 2004.
@ Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/14/2004-BCC dated 12th March, 2007
published in the Gazette of India Extraordinary, Part-I, Section-1, No. 67 dated 12th March, 2007.
Shri/Shrimati/Kumari*......................................................and/or*
his/her* family ordinarily
resides in
village/town*
.................................. of............................... District/Division* of the State/ Union Territory* of............................. 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 8-9-1993 O.M. No. 36033/3/2004-Estt. (Res.)
dated 9th March, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October, 2008.
Signature................................
**Designation...........................
. (With seal of Office)
State/Union Territory
Place....................................................
Date.....................................................
*Please delete the words which are not applicable.
@ Strike out whichever is not applicable.
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.
Page 3 of 5
**List of authorities empowered to issue OBC Certificate:
(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Deputy
Collector/1st Class Stipendiary Magistrate/† Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant
Commissioner. †(not below of the rank of 1st Class Stipendiary Magistrate).
(ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.
(iii) Revenue Officers not below the rank of Tehsildar.
(iv) Sub Divisional Officer of the area where the candidate and/or his/her family normally resides.
(v) Administrator/Secretary to Administrator/Development Officer (Lakshadweep).
Note 1: Candidates claiming to belong to OBCs should note that the name of their caste (including its spellings) as indicated in their
certificates, should be exactly the same as published in the lists notified by the Central Government from time to time. A certificate
containing any variation in the caste name will not be accepted.
Note 2: The OBC claim of a candidate will be determined in relation to the State (or part of the State) to which his/her father
originally belongs. A candidate who has migrated from one State (or part of the State) to another should, therefore, produce an OBC
certificate which should have been issued to him/her based on his/her father’s OBC certificate from the State to which he (father)
originally belongs.
Note 3: No change in the community status already indicated by a candidate in his/her simplified application form for this
examination will ordinarily be allowed by the Commission.
Page 4 of 5
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 8-9-1993. 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, 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October,
2008.
Signature:………………………..
Full Name:………………………
Address:…………………………
Page 5 of 5