EMPLOYEES' STATE INSURANCE CORPORATION PANCHDEEP BHAWAN: C.I.G. MARG: NEW DELHI-2. (ISO 9001:2000 QMS CERTIFIED)

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1 EMPLOYEES' STATE INSURANCE CORPORATION PANCHDEEP BHAWAN: C.I.G. MARG: NEW DELHI-2. (ISO 9001:2000 QMS CERTIFIED) Employees State Insurance Corporation is a statutory body constituted under an Act of Parliament (ESI Act, 1948) and works under the administrative control of Ministry of Labour and Employment, Government of India. Employees State Insurance Corporation proposes to fill up the Teaching Faculty posts Professor, Associate Professor and Assistant Professor for ESIC PGIMSR and Medical Colleges at the locations mentioned below, on Contractual basis. Application are invited ONLINE through for the under mentioned posts. The details of vacancies and reservation position are as under:- DETAIL OF VACANCIES POSITIONS MEDICAL INSTITUTION/ SPECIALTY ESIC PGIMSR & MEDICAL COLLEGE, K.K. NAGAR CHENNAI Asso. Astt. ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGAL Asso. Astt. ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA Asso. Astt. ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR BENGALURU, KARNATAKA General Medicine Pediatrics Community Medicine Asso * * General Surgery Orthopedics Anesthesia Radiology Obst. & Gyane ** ** Pathology Hematology Microbiology Physiology Pharmacology Forensic Medicine Ophthalmology ENT Pul. Medicine (TB & Chest) Skin & VD Psychiatry Total Astt. * Including one post for Epidemiologist cum Assistant Professor. ** One post for Maternity and Child Welfare Officer cum Assistant Professor and One post for Ante-natal Medical Officer cum Assistant Professor.

2 RESERVATION ESIC PGIMSR & MEDICAL COLLEGE, K.K. NAGAR CHENNAI POST UNRESERVED SC ST OBC TOTAL PROFESSOR ASSOCIATE PROFESSOR ASSISTANT PROFESSOR Total 33$ $ Out of the total of 33 vacancies 1(_one) vacancy is reserved for Persons with Disabilities (PWD) in identified Specialties ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGALl POST UNRESERVED SC ST OBC TOTAL PROFESSOR ASSOCIATE PROFESSOR ASSISTANT PROFESSOR Total 34$ $ Out of the total of 34 vacancies _2 (two) vacancies are reserved for Persons with Disabilities (PWD) in identified Specialties ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA POST UNRESERVED SC ST OBC TOTAL PROFESSOR ASSOCIATE PROFESSOR ASSISTANT PROFESSOR Total No. of posts 31$ $ Out of the total of 31 vacancies _1 (one) vacancy is reserved for Persons with Disabilities (PWD) in identified Specialties ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR, BENGALURU, KARNATAKA POST UNRESERVED SC ST OBC TOTAL PROFESSOR ASSOCIATE PROFESSOR ASSISTANT PROFESSOR Total No. of posts 16$ $ Out of the total of 16 vacancies 1 (one) vacancy is reserved for Persons with Disabilities (PWD) in identified specialties.

3 Identified Posts for Persons with Disabilities (PWD) Specialty Radiology ENT Res. Medicine Microbiology Suitability for the post OL OL OL BLA, OL, OA, HH Physical Requirements S, SE, ST, MF, KC, C S, SE, ST, MF, KC, C S, SE, ST, MF, KC, C RW, ST, H, C, W KC Kneeling & Croutching MF Manipulation by Fingers RW Reading & Writing Abbreviation Used ST Standing W Walking BLA Both Legs & Arms OA One Arm OH Orthopedically Handicapped OL One Leg S Sitting H - Hearing BN- Bending Note: 1. Number of vacancies is provisional and may increase or decrease depending on actual requirement. 2. Candidates fulfilling the eligibility criteria for higher post, i.e. Professor/Associate Professor, will be allowed to be interview against lower post, i.e. Associate /Assistant Professor.In event of selection of such candidates, the candidate can be considered for placement at the higher post as per eligibility criteria for the post on the specific recommendation of the selection board. A. EDUCATIONAL & OTHER QUALIFICATIONS S. Name of Educational & Other Qualifications No. the Post 01 Professor For GENERAL DISCIPLINES: EDUCATIONAL QUALIFICATIONS Essential for Medical Candidates: (i) A recognized medical qualification included in the First or Second Schedule or Part- II of the Third Schedule to the Indian Medical Council Act of Holders of educational qualifications included in Part-II of the Third Schedule should also fulfill the conditions stipulated in Section 13 (3) of the Act. (ii) A Post Graduate qualification e.g. MD/MS (Doctor of Medicine and Master of Surgery) or a recognised qualification equivalent thereto in the respective subject/ allied discipline. Essential for Non-Medical Candidates: (i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied discipline. (ii) A Doctorate degree from a recognised University in the respective subject/allied discipline. Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI- Minimum Qualifications for Teachers in Medical Institutions Regulations, Experience: (i) Four years teaching experience as Reader/Associate Professor in a recognized medical college in the concerned speciality. *** OR (ii) Three years teaching experience as Associate Professor in the concerned speciality in a recognized medical college with minimum of four research publications in indexed/national journals provided that these research publications are published/accepted for publications in the Journals by the National Associations/Societies of the respective specialities as the First Author.

4 (iii) (iv) Further provided that the requirement of 4 research publications for promotion to the post of Professor should be taken on cumulative basis with minimum of 2 research publications must be published during the tenure of the Associate Professor. Qualification with regard to experience are relaxable at the discretion of Selection Board in case of candidates otherwise well qualified. The qualification regarding experience are relax able at the discretion of the Selection Board in case of candidates belonging to Scheduled Castes or Scheduled Tribes and if at any stage of selection Board is of the opinion that sufficient number of candidates from these communities possessing the requisite experience are not likely to be available to fill of the vacancies reserved for them. NOTE (1) The experience should be recognized by the MCI or the statutory body concerned with the system of medicine as valid teaching experience for teaching posts and certificate thereof or any other valid proof in support thereof should be submitted and a certificate to this effect is to be submitted. NOTE (2) Teaching experience in any other post like the post of General Duty Medical Officer shall not be considered for eligibility purpose for recruitment to teaching posts. 02 Associate Professor For GENERAL DISCIPLINES: EDUCATIONAL QUALIFICATIONS Essential for Medical Candidates: (i) (ii) A recognized medical qualification included in the First or Second Schedule or Part-II of the Third Schedule to the Indian Medical Council Act of Holders of educational qualifications included in Part-II of the Third Schedule should also fulfill the conditions stipulated in Section 13 (3) of the Act. A Post Graduate qualification e.g. MD/MS (Doctor of Medicine and Master of Surgery) or a recognised qualification equivalent thereto in the respective subject/ allied discipline. Essential for Non-Medical Candidates: (i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied discipline. (ii) A Doctorate degree of a recognised University in the respective subject/allied discipline. Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI- Minimum Qualifications for Teachers in Medical Institutions Regulations, Experience: (i) Five years teaching experience as Lecturer/Assistant Professor in a recognized medical college in the concerned speciality. OR (ii) Four years teaching experience as Assistant Professor in the concerned speciality in a recognized medical college with minimum of two research publications in indexed/national journals provided that these research publications are published/accepted for publications in the Journals by the National Associations/Societies of the respective specialities as the First Author. Further provided that the requirement of 2 research publications for promotion to the post of Associate Professor should be fulfilled with 2 research publications must be published during the tenure of the Assistant Professor.

5 (iii) (iv) Qualification with regard to experience are relaxable at the discretion of Selection Board in case of candidates otherwise well qualified. The qualification regarding experience are relax able at the discretion of the Selection Board in case of candidates belonging to Scheduled Castes or Scheduled Tribes and if at any stage of selection Board is of the opinion that sufficient number of candidates from these communities possessing the requisite experience are not likely to be available to fill of the vacancies reserved for them. NOTE (1) If a DNB qualified candidate is working as Assistant Professor in a MCI recognized Medical College/Central Institute, he/she would require one more year of teaching/research experience to be promoted as Associate Professor over & above the minimum time frame for MD/MS candidate. The experience should be recognized by the MCI or the statutory body concerned with the system of medicine as valid teaching experience for teaching posts and certificate thereof or any other valid proof in support thereof should be submitted and a certificate to this effect is to be submitted. NOTE (2) Teaching experience in any other post like the post of General Duty Medical Officer shall not be considered for eligibility purpose for recruitment to teaching posts. 03 Assistant Professor For GENERAL DISCIPLINES: EDUCATIONAL QUALIFICATIONS Essential for Medical Candidates: (i) A recognized medical qualification included in the First or Second Schedule or Part-II of the Third Schedule to the Indian Medical Council Act of Holders of educational qualifications included in Part-II of the Third Schedule should also fulfill the conditions stipulated in Section 13 (3) of the Act. (ii) A Post Graduate qualification e.g. MD/MS or a recognised qualification equivalent thereto in the respective subject/ allied discipline. Essential for Non-Medical Candidates: (i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied discipline. (ii) A Doctorate degree of a recognised University in the respective subject/allied discipline. Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI- Minimum Qualifications for Teachers in Medical Institutions Regulations, Experience: (i) For the candidates possessing MD/MS (Doctor of Medicine and Master of Surgery) Degree from MCI recognized medical colleges: Three years teaching experience in the subject as Resident/Registrar/Demonstrator/Tutor in a recognized medical college either during the post-graduate course or after obtaining postgraduate degree in the subject. (ii) For the candidates possessing DNB qualification from MCI recognized medical colleges/central institutes where the no MD/MS course running: Three years teaching experience in the subject in a recognized medical college either during the DNB course or after possessing DNB qualification. The concerned candidate would also require one year of additional teaching/research experience in the concerned subject in a recognized medical college after obtaining DNB qualification. (iii) For candidates possessing DNB qualification from MCI recognized medical colleges/central institutes where there are MD/MS course running: Three years

6 teaching experience in the subject in a recognized medical college either during the DNB course or after obtaining DNB qualification. (iv) (v) (vi) (vii) For the candidates possessing DNB qualification from centers other than of MCI recognized medical colleges/central institutes: Three years teaching experience in the subject either during the DNB course or after possessing DNB qualification. The concerned candidate would require two years additional teaching experience as Sr. Resident/Research Associate (CSIR) in a MCI recognized medical college/central institute. Research Experience : For the candidates obtaining DNB qualification from centers other than MCI recognized medical colleges/central institutes, the concerned candidate should have minimum two publications (accepted/published) in the index journal (National/International as first/second author). In case the concerned candidate does not have the required publication, he /she must have a total of three years teaching experience in a recognized college/central institute after possessing DNB qualification. Qualification with regard to experience is relaxable at the discretion of Selection Board in case of candidates otherwise well qualified. The qualification regarding experience are relaxable at the discretion of the Selection Board in case of candidates belonging to Scheduled Castes or Scheduled Tribes and if at any stage of selection Board is of the opinion that sujfficient number of candidates from these communities possessing the requisite experience are not likely to be avail able to fill of the vacancies reserved for them. B. AGE LIMIT: Not exceeding 67 years as on last date for receipt of online application for all posts and categories. C. PAY & ALLOWANCES: 1. ESIC has adopted recommendation of 6 th Central Pay Commission. Pay (Pay in pay Band plus grade pay) and other allowances shall be paid as admissible. 2 The retired Government Officers shall be paid emoluments in accordance with the rules in force as on date. 3. Other candidates appointed on contractual basis will be paid Pay at the initial stage i.e. initial Pay of the relevant Pay Band plus Grade pay and other allowances as per rules of the Corporation. 4. Pay as on date (Pay in Pay Band+Grade 25% (as admissible) in different categories is as under: Pay Professor (PB-4 +GP 8700/- +NPA) Associate Professor (PB-3+GP 7600/-+NPA) Assistant Professor (PB-3+GP 6600/+NPA) 5. In addition to above, other allowances like D.A., HRA etc. would be payable as admissible. 6. No Private practice is allowed during the tenure of service in ESIC. 7. Retirees from Central/State Govt./PSU from the equivalent posts are eligible to apply. Persons working in recognized/approved Private Medical Institutions fulfilling eligibility criteria for the post may also apply. 8. The candidates have to attach the self attested copies of all the relevant certificates/testimonials on support of date of birth, category, sub-category i.e. educational qualification, teaching experience, Pension Payment Order (PPO), etc. with the print out of online application and have to produce originals thereof at the time of interview.

7 D. Term of Contract:- Selected candidates shall be appointed on purely contractual basis for an initial period of one year extendable for another one year subject to requirement and satisfactory performance. Extension beyond Two years or on attainment of 70 years of age whichever is earlier shall not be given. E. (i) Amount of Application Fee:- S. No. Category Fee Amount 01 SC/ST/PWD/ Departmental Candidates/ Female Candidates NIL & Ex Servicemen 02 All other categories 225/- (ii) Mode of payment: - A Demand Draft of Rs.225/- in favour of ESI Fund Account No. I, drawn on any scheduled bank payable (in below mentioned cities) has to be submitted along with the Application Form. Name of the Institution inwhich candidate wants to apply ESIC PGIMSR & MEDICAL COLLEGE, K.K. NAGAR CHENNAI ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGAL ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA ESIC PGIMSR & MEDICAL COLLEGE, BENGALURU, KARNATAKA Name of the city where demand draft is payable Chennai Kolkatta Bengaluru Bengaluru Note: -i. ii. iii. Fee once paid will not be refunded under any circumstances. Only Demand Draft drawn on any Scheduled Bank will be accepted. Application Fee paid by any other mode will not be accepted. The Demand Draft must be issued after the date of issue of this advertisement. F. Selection Procedure: (i) All eligible candidates should apply in the application format ONLINE only on or before the last date for submission of online application. Hard copy of online applications received after the last date of submission of Hard Copies of online application will not be considered. (iii) Selection will be made on the basis of interview which will be conducted by the ESIC Selection Board. The list of candidates called for interview and venue of interview shall be uploaded on ESIC website.. The result of the interview shall be published and uploaded on the web site of ESI Corporation and no inquiry or correspondence in this regard will be entertained. Information regarding the candidates called for interview shall be available on the website of the ESIC Call letters for appearing before the Interview Board shall be given through Speed Post/ at the id provided by the candidate in the application. (iv) The selection of the candidates shall be on the basis of their performance in the interview only. G. How to Apply: - Hard copy of system generated online Application (through website of ESIC) duly signed by the candidate along with the requisite document in an envelope super scribed Application for the post of for ESIC Medical College, (Name of the

8 ESIC PGIMSR and Medical Education Institute for which the candidate wants to apply) should be sent preferably by Speed Post so as to reach the following address on or before 4 th February, 2015 Medical Institution for which applied Address where system generated application form is to be submitted ESIC PGIMSR & MEDICAL COLLEGE, K.K. NAGAR CHENNAI Dean, ESIC PGIMSR & MEDICAL COLLEGE, ROAD,K.K. NAGAR CHENNAI ASHOK PILLAR ESIC PGIMSR & MEDICAL COLLEGE JOKA, WEST BENGAL ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR BENGALURU, KARNATAKA Dean, ESIC PGIMSR & MEDICAL COLLEGE JOKA,DIAMOND HARBOUR ROAD,JOKA, WEST BENGAL Dean, ESIC MEDICAL COLLEGE, GULBARGA, KARNATAKA Dean, ESIC PGIMSR & MEDICAL COLLEGE, RAJAJI NAGAR BENGALURU, KARNATAKA The following testimonials should be attached with application form. (a) One copy of recent passport size photograph duly self attested and firmly pasted at the appropriate place on the system generated hard copy of online application form. (b) Self attested copies of certificates and testimonials in support of proof of age, Educational qualification, Experience, Publications, sub-category etc. (c) Self attested copy of Community Status Certificate in the prescribed form in case of candidates belonging to SC/ST/OBC certificate/declaration shall have to be as per Annexure A & B. (d) Certificate issued by competent medical board in respect of Persons with Disabilities. Those candidates who are employed in Govt./Semi Govt. /Autonomous bodies etc. should sent their system generated hard copy of online application Through Proper Channel. However, they may send an advance copy of their system generated hard copy of online application along with demand draft and other certificates and testimonials before the last date. Note 1:- The system generated hard copy of application and the other documents should be arranged in the following order one below the other and tightly tagged or stapled on the left hand side top corner. 1. Application Form. 2. Self Attested copies of certificates. Note 2:-The Demand Draft should not be tagged or stapled, but should be pinned or clipped at the top of the application form. The name, address and post applied for should be written on the reverse side of the Demand Draft. H. General Conditions:- (i) (ii) (iii) (iv) (v) The crucial date for determining the age limit and other eligibility criteria shall be the closing date for receipt of online applications from candidates in India i.e 28 th January Mere submission of application does not confer any right to the candidate for being called for interview. A candidate should submit only one application for one post. In case candidate wants to apply for more than one post then he should apply separately for each post. Similarly if a candidate wants to apply for more than one ESIC Medical Education Institution, he should apply for each Institution separately. In case of application received Incomplete or Unsigned application or the application received without copies of mark sheets /certificates of educational qualification,experience, application fee, caste certificate and photographs and those received after the last date of receipt of application ESIC reserves the right to decide about such applications. Wrong declarations/submission of false information or any other action contrary to law shall lead to cancellation of the candidature at any stage.

9 (vi) Only system generated hard copy of online application with unique serial number (through website of ESIC at should be submitted along with other supporting documents. Candidates can generate / submit their online application up to 28 th January, 2015 (up to 5.00 PM). The link of making online application will not be available after PM on 28 th January, (vii) Application should be sent in a cover super-scribed Application for the post of for ESIC PGIMSR and ESIC Medical College, (Name of the ESIC Medical Education Institute for which the candidate wants to apply) preferably by Speed Post so as to reach at the address mentioned above on or before the stipulated date. (viii) (ix) (x) (xi) (xii) (xiii) (xiv) I. Hard copies of online applications received after the last date of receipt of Hard Copies of online application will not be considered. The Corporation takes no responsibility for any delay in receipt or losses in postal transit of any application or communication. Before applying for the post the candidate should ensure that he / she fulfils the eligibility criteria mentioned above. The Corporation would be free to reject any application at any stage of selection process if the candidate is found ineligible for the post for which he/she has applied. The selection for the above posts will be on the basis of interview which will be conducted by the Selection Board. The result of the interview shall be published uploaded on the website of the Corporation and no inquiry or correspondence in this regard will be entertained. Fee once paid is not refundable. Canvassing in any form will be disqualification. Disqualification No person:- (a) who has entered into or contracted a marriage with a person having a spouse living; or (b) Who, having a spouse living, has entered into or contracted a marriage with any person; shall be eligible for appointment to the said posts. Provided that the Director General may, if satisfied that such marriage is permissible under the personal law applicable to such person and the other party to the marriage and that there are other grounds for so doing, exempt any person from the operation of this Regulation. (i) Last date of receipt of ONLINE applications is 28 th January, (ii) (iii) Last date of receipt of hard copies of system generated online application (Generated up to 28 th January, up to PM) is 4 th February, For candidates from Assam. Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim, Ladakh Division of Jammu and Kashmir State, lahaul and Spiti District and Pangi Sub-Division of Chamba District of Himachal Pradesh, Andaman and Nicobar Islands or Lakshadweep, the last date of receipt of hard copy of system generated online application is 11 th February, 2015 The Link for submission of online application will be available shortly on the website of ESIC. Dated:- 07th January, Deputy Director (Rectt.)

10 The form of certificate to be produced by Other Backward Classes candidates applying for appointment to posts under the Government of India. ANNEXURE A 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 Government of India, Ministry of Welfare Resolution No /68/93-BCC (C) dated 10th September, 1993 published in the Gazette of India Extraordinary Part-I, Section-1, No. 186 dated 13th September, Government of India, Ministry of Welfare Resolution No /9/94-BCC dated , published in the Gazette of India Extraordinary Part-I, Section-1, No. 163 dated Government of India, Ministry of Welfare Resolution No /7/95-BCC dated , published in the Gazette of India Extraordinary Part-I, Section-1, No. 88 dated Government of India, Ministry of Welfare Resolution No /96/94-BCC dated 9th March, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 60 dated 11th March, Government of India, Ministry of Welfare Resolution No /44/96-BCC dated 6th December, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 11th December, Government of India, Ministry of Welfare Resolution No /99/94-BCC dated 11th December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 236 dated 12th December, Government of India, Ministry of Welfare Resolution No /13/97-BCC dated 3rd December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 239 dated 17th December, Government of India, Ministry of Social Justice and Empowerment Resolution No /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, Government of India, Ministry of Social Justice and Empowerment Resolution No /88/98-BCC dated 6th December, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 270 dated 6th December, Government of India, Ministry of Social Justice and Empowerment Resolution No /36/99-BCC dated 4th April, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 4th April, Government of India, Ministry of Social Justice and Empowerment Resolution No /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, Government of India, Ministry of Social Justice and Empowerment Resolution No /9/2000-BCC dated 6th September, 2001 published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 dated 6th September, Government of India, Ministry of Social Justice and Empowerment Resolution No /1/2001-BCC dated 19th June, 2003 published in the Gazette of India Extraordinary Part-I, Section, 1 No. 151 dated 20th June, Government of India, Ministry of Social Justice and Empowerment Resolution No /4/2002-BCC dated 13th January, 2004 published in the Gazette of India Extraordinary, Part-I Section-1, No. 9 dated 13th January, Government of India, Ministry of Social Justice and Empowerment Resolution No /14/2004-BCC dated 12th March, 2007 published in the Gazette of India Extraordinary, Part-I, Section-1, No. 67 dated 12th March, 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 /22/93-Estt. (SCT) dated , O.M. No /3/2004-Estt. (Res.) dated 9th March, 2004, O.M. No /3/2004-Estt. (Res.) dated 14th October, 2008 and OM No /1/2013-Estt. (Res.), dated: 27 th May, Signature... **Designation... (With seal of Office) State/Union Territory Place... Date... *Please delete the words which are not Strike out whichever is not applicable.

11 NOTE: The term ordinarily reside (s) used here will have the same meaning as in Section 20 of the Representation of the People Act, **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.

12 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 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 , O.M. No /3/2004-Estt. (Res.) dated 9th March, 200, O.M. No /3/2004-Estt. (Res.) dated 14th October, 2008 and OM No /1/2013-Estt. (Res.), dated: 27 th May, Signature:.. Full Name: Address:

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