EMPLOYEESSTATEINSURANCECORPORATION

PANCHDEEPBHAWAN,C.I.G.MARG,NEWDELHI110002.
www.esic.nic.in

RecruitmentofSocialSecurityOfficers(SSOs)inESICorporation

OnlineApplications(throughwebsiteofESICatwww.esic.nic.in)areinvitedforfillingupthepostofSocial
SecurityOfficers(SSOs)onregularbasisbyDirectRecruitment.Thedetailofvacanciesisasunder:

A.
DETAILSOFVACANCIES:

No.ofPosts No.ofPosts
Reservedfor Reservedfor
Ex
Personwith
Category
UR
SC
ST
OBC
Total
Servicemen
Disabilities
(ExSM)
(PWDs)
No.ofVacancies
150
44
03
70
267
09*
25

Note 1: The candidates appointed under PWD and ExServicemen quota will be adjusted against
thevacancyofrespectivecategoriesofSC/ST/OBC/Unreserved(UR).

Note2:Abovevacanciesmayincreaseordecreasedependingupontheactualrequirement.

*IdentifiedPostsforPersonswithDisabilities(PWD)

Post

Suitability
forthepost

Physical
Requirements

AbbreviationUsed
OAOneArm

Social
Security
Officer

S,ST,W,BN,L,
OA,OL,OAL
PP,KC,MF,SE,
&HH
H,C

STStanding

KCKneeling&
Croutching
OLOneLeg
WWalking
MFManipulation
byFingers
OALOneArm&OneLeg BNBending
SESeeing
HHHearingHandicapped LLifting
HHearing
S Sitting
PP Pulling&Pushing CCommunication

B. CITIZENSHIP

Acandidatemustbeeither:
(a)acitizenofIndia,or
(b)asubjectofNepal,or
(c)asubjectofBhutan,or
(d)aTibetanrefugeewhocameovertoIndia,beforethe1stJanuary,1962,withtheintentionof
permanentlysettlinginIndia,or
(e)apersonofIndianoriginwhohasmigratedfromPakistan,Burma,SriLanka,EastAfrican
countriesofKenya,Uganda,theUnitedRepublicofTanzania(FormerlyTanganyikaand
Zanzibar),Zambia,Malawi,Zaire,EthiopiaandVietnamwiththeintentionofpermanentlysettling
inIndia.
Providedthatacandidatebelongingtocategories(b),(c),(d)and(e)aboveshallbeapersonin
whosefavouracertificateofeligibilityhasbeenissuedbytheGovernmentofIndia.

Note:Theapplicationofacandidateinwhosecaseacertificateofeligibilityisnecessary,maybe
admittedtotheExaminationbuttheofferofappointmentwillbegivenonlyafterthenecessary
eligibilitycertificatehasbeenissuedtohim/herbytheGovernmentofIndia.


SCALEOFPAY

PayBandRs.930034800/andGradePayRs.4600/.

C.

InadditiontoPaytheywillalsobeeligibleforDA,HRAandTransportAllowanceandother
allowancesasperrulesinforcefromtimetotime.

D.

AGELIMITASONCLOSINGDATE

Between 21 to 27 years as on 20th February, 2014. Upper age limit is relaxable for ESIC
Employees, Government Servants and persons belonging to reserved categories i.e.
SC/ST/OBC/PWD/ExServicemen & other categories of persons in accordance with the
instructionsandordersissuedfromtimetotime.

E.

ESSENTIALQUALIFICATIONS

1.
AdegreeofarecognizedUniversity(Preferencewillbegiventothegraduatesin
Commerce/Law/Management).
2.
Workingknowledgeofcomputerincludinguseofofficesuitesanddatabase.

Desirable:
ThreeyearsserviceinGovernmentOrganizationorCorporationorGovernmentUndertaking
orLocalBodyorScheduledBanketc.

F.
(i)

APPLICATIONFEE
AmountofApplicationFee:

S.No.
01
02

Category
SC/ST/PWD/ ESIC Employees,
Candidates&ExServicemen
Allothercategories

Female

FeeAmount(InRs.)
NIL

275/

(ii)Modeofpayment:
(a) Thecandidateswhoarenotexemptedfrompaymentofapplicationfeeshouldpaytherequisite
feebygenerationofchallanthroughonlineapplication.
(b) Feeoncepaidwillnotberefundedunderanycircumstances.
(c) To pay the fee, candidate should take print out of challan generated online after filling
applicationanduploadingscannedphotographandsignature.Deposittherequisitefeeinany
branchofStateBankofIndiaandthencontinueremainingpartofonlinefillingofapplication.
The fee is to be paid only through State Bank of India. Details instructions for filling online
applicationandgenerationofchallanareavailableonthewebsite.
(d) Women candidates, ESIC Employees and candidates belonging to Scheduled Caste, Scheduled
Tribe,PersonwithDisabilities(PWDs)andExservicemaneligibleforreservationareexempted
frompayingfee.Thecandidatesexemptedfrompaymentoffeearenotrequiredtogenerate
challanforpaymentoffees.Suchcandidatescansubmitonlineapplicationandtakeprintout
ofapplication.
(e) FeespaidbymodesotherthanthroughSBIChallanasindicatedabovewillnotbeacceptedand
the applications of such candidates will be rejected forthright and the payment made shall
standforfeited.
(f) Copyofchallanthroughwhichfeeispaidmustberetainedbythecandidateandproducedon
demand.

G.

HOWTOAPPLY

1. Candidatesmustapplyonlinethroughthewebsitewww.esic.nic.in.Noothermeans/modeof
application will be accepted. Applications received through any other mode will not be
accepted and will be summarily rejected. To apply online visit our website www.esic.nic.in,
enterESICHomePage>>>Recruitment>>AllConsolidated>ApplyonlineforRecruitmenttothe
postofSocialSecurityOfficersinESIC2014.

2. Detailed Instructions for filling online application are available on the website. Candidate
shouldreadtheinstructionscarefullybeforemakinganyentryorselectingoptions.

3. After submitting the online application, the candidates are required to take print out of the
finallysubmittedonlineapplicationandretainthesamewiththem.

4. CandidatesarenotrequiredtosubmittoESICeitherbypostorbyhandtheprintoutsoftheir
onlineapplicationsoranyotherdocument.Theywillberequiredtosubmitprintoutofonline
applicationalongwithdocumentsinsupportoftheireligibilityetc.incasetheyareshortlisted
forPartIIExaminations.

5. Thecandidatesareadvisedtosubmitonlysingleonlineapplication.However,ifsomehow,
he/shesubmitsmultipleonlineapplications,thenhe/shemustensurethatonlineapplication
with the higher Application Number is complete in all respects including fee. The
applicants, who submit multiple online applications, should note that only the online
application with higherApplicationNumbershallbeentertainedby theESIC andfeepaid
against one Application Number shall not be adjusted against any other Application
Number.

6. Applicationoncesubmittedcannotbemodified,henceutmostcareshouldbetakentofurnish
thecorrectdetailsbeforesubmittingtheonlineapplication.

7. Candidates are required to keep active the EmailID and the Mobile Number during the
currencyofthisrecruitmentprocess.ESICmayalsosendAdmissionCertificatesforComputer
Skill Test, interview and other communication only at the registered email ID of candidates.
Henceundernocircumstances,thecandidatesshouldprovideemailIDtoanyone.

8. Beforeapplyingonline,candidatewillberequiredtohaveascanned(digital)imageofhis/her
recent photograph and signature for uploading. The scanned photograph and signature
shouldbeinJPG/JPEGformatonlyandthedigitalsizeoftheeachfilei.e.scannedphotograph
andsignaturemustbelessthan50kb.

9. Candidateshouldfirstscantheirphotographandsignature,ensuringthatboththephotograph
andsignatureareaspertheprescribedspecifications.Ifthesizeofthefileismorethan50kb
thenadjustthesettingsofthescanner(orresizetheimage).

10. Candidatesareadvisedintheirowninteresttoapplyonlinemuchbeforetheclosingdateand
notwaittillthelastdatetoavoidthepossibilityofdisconnection/inability/failuretologonetc.


H.

SCHEMEOFEXAMINATION

TheExaminationwillbeconductedinthreeparts/stagesasindicatedbelow:

01. PARTIWRITTENEXAMINATION200MARKS(TOTAL200QUESTIONS,2HOURSDURATION)
ThePartIWrittenExaminationwillconsistoffollowingfourparts:

(i)
(ii)
(iii)
(iv)

GeneralEnglish50Questions50Marks,
GeneralIntelligence50Questions50Marks,
GeneralAwareness50Questions50Marksand
ArithmeticAbility50Questions50Marks.

Note1:QuestionswillbeofObjectiveTypeMultipleChoices.Thequestionsofpart(ii)General
Intelligence, (iii) General Awareness and (iv) Arithmetic Ability will be set both in Hindi and
EnglishLanguageinPartIWrittenExamination.

Note2:Questionswillbeofalevelcommensuratewiththeessentialqualificationviz.graduation
andquestionsinPart(iv)ArithmeticAbilitywillbeof10thstandardlevel.

Note3:NegativeMarkingTherewillbenegativemarkingof0.25foreachwronganswerinPartI
WrittenExamination.

Note 4: ESIC shall have the discretion to fix minimum qualifying marks in Part I Written
ExaminationandineachpartofPartIWrittenExamination.

02. PARTII(a)COMPUTERSKILLTEST50MARKS(30MINUTESDURATION)&
(b)SHORTDESCRIPTIVETESTOFQUALIFYINGNATURE50MARKS(01HOURDURATION)

(a) TheComputerSkillTest(CST)willconsistoffollowingthreeparts:
(i)
Preparationof02PowerPointsSlides10Marks,
(ii)
TypingmatteronMSWordwithformatting20Marksand
(iii)
PreparationofTableonMSExcelwithuseofformulae20Marks.

Note1:MinimumqualifyingmarksinthePartII(a)ComputerSkillTestwillbedecidedbythe
ESIC.

(b) Short Descriptive Test of Qualifying Nature (50 Marks) The short descriptive test will be
qualifyinginnaturewithquestionsdrawnonthefollowingsubjects:
(i)
EnglishLanguage&Comprehension.
(ii)
QuantitativeAbilitiesand
(iii)
GeneralAwareness.

Note 1: The short descriptive test will be of one hour duration and marks obtained by the
candidateinshortdescriptivetestwillnotbetakenintoaccountfordeterminingthepositionof
thecandidates in meritorder.Onlythosecandidateswhoqualifyin theShort DescriptiveTest
willbeconsideredforshortlistingforPartIIIInterview.

Note2:MinimumqualifyingmarksinthePartII(b)ShortDescriptiveTestwillbedecidedbythe
ESIC.

03. PARTIIIINTERVIEW50MARKS.

I. CRITERIA FOR SHORTLISTING FOR PART II COMPUTER SKILL TEST & SHORT DESCRIPTIVE TEST,
PARTIIIINERVIEWANDFINALSELECTION

TheCriteriaforshortlistingofcandidatesforPartII(a)ComputerSkillTest&(b)ShortDescriptive
Test,PartIIIInterviewandFinalSelectionafterinterviewisasunder:

01. CRITERIAFORSHORTLISTINGFORPARTII(a)COMPUTERSKILLTEST&(b)SHORTDESCRIPTIVE
TEST

ThecandidateswillbeshortlistedforPartII(a)ComputerSkillTest&(b)ShortDescriptiveTestinthe
ratioof1:5onthebasisoftheirperformanceinPartIWrittenExamination.

02. CRITERIAFORSHORTLISTINGFORPARTIIIINTERVIEW

ThecandidateswhoqualifyinPartII(a)ComputerSkillTestandPartII(b)ShortDescriptiveTestwill
beconsideredforshortlistingforInterview.ThecandidateswillbeshortlistedforPartIIIInterviewin
the ratio of 1:3 on the basis of their performance in Part I Written Examination and Part II (b)
ComputerSkillTest.Theweightageofmarksforpreparingthemeritlistforshortlistingthecandidates
forPartIIIInterviewintheratioof1:3isasunder:

WrittenExamination(200Marks)
70%Weightage
ComputerSkillTest(50Marks)

30%Weightage

Note:PartII(b)ShortDescriptiveTestwillbequalifyinginnatureandwillnotbewillnotbetaken
intoaccountfordeterminingthepositionofthecandidatesinmeritorder.

03. CRITERIAFORFINALSELECTION

TheFinalSelectionforthepostofSocialSecurityOfficerwillbemadeonthebasisofperformanceof
candidatesinPartIWrittenExamination,PartII(a)ComputerSkillTest&andPartIIIInterview.
TheweightageofmarksforpreparingfinalSelectListisasunder:

I. TheweightageofmarksofWrittenExaminationandComputerSkillTestcombinedis80%.
II. Theweightageofmarksofinterviewis20%.

Note:Thefinalselectlistwillbemadebyaddingtogetherthemarksasunder:

(i)
80% of the marks obtained in Written Examination (70% weightage) and Computer Skill
Test(30%Weightage).
For example if the candidate has secured 120 marks out of 200 in Written Examination
and40marksoutof50inComputerSkillTestthenweightageofWrittenExaminationand
ComputerSkillTestwillbe80%of96(70%of120plus30%of40i.e.84+12=96).

(ii)
20%ofmarksobtainedinInterview.

J. CENTREOFEXAMINATION

ThePartIWrittenexaminationshallbeconductedatthefollowingcenters:

SerialNo.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

ExaminationCenter SerialNo.
Ahemdabad
12.
Bangalore
13.
Bhubaneswar
14.
Chandigarh
15.
Chennai
16.
Delhi
17.
Dehradun
18.
Faridabad
19.
Goa
20.
Guwahati
21.
Hyderabad
22.

ExaminationCenter
Indore
Jaipur
Jammu
Kanpur
Kolkata
Mumbai
Nagpur
Patna
Ranchi
Raipur
Thrissur

Note 1: The candidates are advised to select the center carefully in the online application. No
changeofCentreofExaminationwillbeallowedunderanycircumstances.

Note 2: ESIC reserves the right to cancel any Centre and ask the candidates of that centre to
appear from another centre. ESIC also reserves the right to divert candidates of any centre to
someothercentretotaketheexamination.

Note3:TheCentresforPartII(a)&(b)ComputerSkillTest&ShortDescriptiveTestandPartIII
InterviewshallbefixedandinformedbyESICsubsequently.

NoTA/DAwillbepaidtoanycandidateincludingSC/STcandidatesforappearinginthewrittentest.

K. IMPORTANTINSTRUCTIONSTOCANDIDATES

1. CandidatesarenotrequiredtosubmittoESICeitherbypostorbyhandtheprintoutsoftheir
onlineapplicationsoranyotherdocument.
2. Copyofchallanthroughwhichfeeispaidandprintoutofonlineapplicationmustberetainedand
producedondemand.
3. ESICorporationwillnotundertakedetailedscrutinyofonlineapplicationsforeligibilityandother
aspects at the time of written examination and, therefore, the candidature is accepted only
provisionally. Before applying, candidates are advised to go through the requirements of
educational qualification, age etc. and satisfy themselves that they are eligible for the post.
Whenscrutinyisundertaken,ifanyclaimmadeintheapplicationisnotfoundsubstantiated,the
candidaturewillbecancelledand thedecisionofESICshallbefinal.
4. Before applying, candidates in their own interest are advised to go through the detailed
instructions contained in this notice and also available on the website of ESI Corporation(
http://esic.nic.in)
5. Candidates seeking reservation benefits available for SC/ST/OBC /PWD/EXServicemen must
ensurethattheyareentitledtosuchreservationaspereligibilityprescribedintheNoticeand
as per the instructions issued by Govt. of India. They should also be in possession of the
certificates in the prescribed format of Govt. of India in support of their claim. Candidates
claimingreservation/agerelaxationunderOBCCategoryshouldsubmittheOBCCertificategiven
at Annexure A prescribed vide Govt. of India, Department of Personal and Training OM No.
36012/22/93Estt.(SCT)dated15.11.93alongwithSelfDeclarationgivenatAnnexureBfailing
whichthebenefitofreservationoragerelaxationwillnotbegiven.

6.

7.

ESIC Employees/Government Servants claiming age relaxation should be in possession of a

certificate in the prescribed format annexed at C from their office in respect of the length of
continuousservicewhichshouldbenotlessthanthreeyearsintheimmediateperiodpreceding
the closing date for receipt of application. They should continue to have the status of ESIC
Employee/GovernmentServantstillthetimeofappointment,intheeventoftheirselection.
ExServicemenwhohavealreadysecuredemploymentincivilsideunderGovernmentinGroup
C & D posts on regular basis after availing of the benefits of reservation given to ex
servicemen for their reemployment are NOT eligible for fee concession and for claiming
benefits of reservation under ExServicemen category. However, they are eligible for age
relaxationonly.
Theperiodof"CallupService"ofanExServicemanintheArmedForcesshallalsobetreated
asservicerenderedintheArmedForcesforpurposeofagerelaxation.
ForanyservicemanofthethreeArmedForcesoftheUniontobetreatedasExServicemanfor
the purpose of securing the benefits of reservation, he must have already acquired, at the
relevanttimeofsubmittinghisapplicationforthePost/Service,thestatusofexservicemanand
/or is in a position to establish his acquired entitlement by documentary evidence from the
competent authority that he would complete specified term of engagement with the Armed
ForceswithinthestipulatedperiodofoneyearfromtheClosingDate,orotherwisethanbyway
of dismissal or discharge on account of misconduct or inefficiency. Serving Defence Personnel
shall have to produce certificate issued by the competent authority in the proforma given
annexedatD.

8.

CLOSING DATE: The Closing Date for submission of Online Application through
ESICwebsitewww.esic.nic.inis20thFebruary,2014(upto5:00P.M.).

9.

The last date for printing of completely submitted Online Application is 26th February, 2014
(upto5:00P.M.).
The candidates who have generated SBI Challan for payment of fee by 20th February, 2014
(upto5:00P.M.)candeposittheapplicationfeeincashinanybranchofSBIupto24thFebruary,
2014andcancompletetheremainingpartofonlineapplicationby26thFebruary,2014(upto
5:00P.M.).

10. The crucial date for determining the age limit, essential qualification and other

criteriaregardingeligibilityforthepostshallbetheclosingdateofsubmissionof
onlineapplicationi.e.20thFebruary,2014.
11. ThepostcarriesAllIndiaServiceLiabilityandthecandidatesselectedforthepostareliabletobe
postedanywhereinIndia.
12. Mobiles,otherelectronicgadgetsandwirelessequipmentsarebannedwithinthepremisesof
theexaminationcenters.Theirpossessioninswitchedonorswitchedoffmodeisconsidered
by the ESI Corporation as a manipulative practice and will invite summarily cancellation of
candidature,debarmentfromtheESICsexaminationsand/orcriminalprosecution.
13. The Corporation may send emails to candidates regarding successful submission of online
application.
14. DiscrepanciesinQuestionPaper,ifanyshouldbebroughttotheNoticeoftheCorporationin
writing within the time limit indicated while placing answer keys on the website.
Representationssubmittedthereafterwillnotbeconsideredandwillbesummarilyrejected.

L. ADMISSIONTOTHEEXAMINATION

1. AllcandidateswhoapplyinresponsetothisadvertisementbytheClosingDatewillbeassignedRoll
NumberswhichwillbeplacedonthewebsiteoftheESICabouttwoweeksbeforethedateofthe
examination. A candidate must write his/her Roll number along with his/her name, date of birth
and name of the examination while addressing any communication to the ESIC. Communication
fromthecandidatenotfurnishingtheseparticularsshallnotbeentertained.

2. Admission Certificates (ACs) for the Written Examination indicating the time and venues of
examinationcanbedownloadedfromthewebsiteofESIC(http://esic.nic.in).Candidateswhoare
unable to download their Admission Certificates should contact ESIC with details such as
Application Number, print out of online application, copy of challan, etc. for obtaining the
AdmissionCertificates.Failuretodosowilldeprivehim/herofanyclaimforconsideration.
3. Detailsofdeficiencyinapplication,ifany,willalsobeplacedontheESICswebsiteabouttwoweeks
beforetheexamination.
4. CandidatesareadvisedthatitiscompulsorytocarryaPhotoIDsuchasVotersID,DrivingLicense,
IDCardsissuedbyGovernmentorotherOfficeswherethecandidatesmaybeworking.Candidates
withoutsuchIDcardswillnotbeallowedentryintotheexaminationhalls/SkillTestvenues.
5. Candidatesshouldbringhis/herrecentpassportsizephotographsforaffixingitintheESICscopyof
AdmissionCertificateinthepresenceofInvigilator.Candidatesnotcarryingphotographswillnotbe
allowedtoappearintheexamination.

M. ACTIONAGAINSTCANDIDATESFOUNDGUILTYOFMISCONDUCT

Candidatesarewarnedthattheyshouldnotfurnishanyparticularsthatarefalseorsuppressanymaterial
informationwhilefillingintheapplicationform.Ifthereisanyinaccuracyoranydiscrepancy,infillingOMR
Sheet,theywillbeawardedZERO

Without prejudice to criminal action/debarment from ESICs examination wherever necessary,

candidaturewillbesummarilycancelledatanystageoftherecruitmentinrespectofcandidatesfound
tohaveindulgedinanyofthefollowing:

1. InpossessionofMOBILEPHONE&ACCESSORIESANDOTHERELECTRONICGADGETSWITHINTHE
PREMISESOFTHEEXAMINATIONCENTRES,WHETHERINUSEORINSWITCHOFFMODEANDON
PERSONOROTHERWISE.
2. Involvedinmalpractices.
3. Usingunfairmeansintheexaminationhall.
4. Obtainingsupportforhis/hercandidaturebyanymeans.
5. Impersonate/Procuringimpersonationbyanyperson.
6. Submittingfabricateddocumentsordocumentswhichhavebeentamperedwith.
7. Makingstatementswhichareincorrectorfalseorsuppressingmaterialinformation.
8. Resortingtoanyotherirregularorimpropermeansinconnectionwithhis/hercandidatureforthe
examination.
9. MisbehavinginanyothermannerintheexaminationhallwiththeSupervisor,InvigilatororESICs
representatives.
10. Taking away the Answer Sheet with him/her from the examination hall, or passing it on to
unauthorizedpersonsduringtheconductoftheexamination.
11. Intimidating or causing bodily harm to the staff employed by the ESIC for the conduct of
examination.
12. To be ineligible for the Examination by not fulfilling the eligibility conditions mentioned in the
Notice.
13. Candidaturecanalsobecancelledatanystageoftherecruitmentforanyothergroundwhichthe
ESICconsiderstobesufficientcauseforcancellationofcandidature.

N. ESICSDECISIONFINAL

The decision of the ESIC in all matters relating to eligibility, acceptance or rejection of the applications,
penalty for false information, mode of selection, conduct of examination(s) and interviews, allotment of
examination centres, selection and posting of selected candidates will be final and binding on the
candidatesandnoenquiry/correspondencewillbeentertainedinthisregard.

Disqualification:Noperson,
(a)

Whohasenteredintoorcontractedamarriagewithapersonhavingspouselivingor

(b)

Who,havingaspouseliving,hasenteredintoorcontractedamarriagewithanyperson

Shallbeeligibleforappointmenttothesaidpost.
ProvidedthattheDirectorGeneraloftheEmployeesStateInsuranceCorporationmayifsatisfiedthatsuch
marriage is permissible under the personal law applicable to such person and to the other party to the
marriageandthatthereareothergroundsforsodoing,exemptanypersonfromtheoperationofthese
regulations.

Caution: Canvassinginanyformwillbeadisqualification.

CLOSING DATE: The Closing Date for submission of Online Application through ESIC
websitewww.esic.nic.inis20thFebruary,2014(upto5:00P.M.).

Dated:16thJanuary,2014.

JointDirector(Rectt.)

ANNEXUREA

TheformofcertificatetobeproducedbyOtherBackwardClassescandidatesapplyingfor
appointmenttopostsundertheGovernmentofIndia.
(PleaseseeParaK(5)ImportantInstructiontoCandidatesoftheNotice)

ThisistocertifythatShri/Shrimati/Kumari*...........................................son/daughter*ofShri...............................
of
village/town*
...........................in
District/Division*...............
of
the
State/Union
Territory*..................................belongstothe....................Communitywhichisrecognisedasabackwardclass
under:

@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/68/93BCC(C)dated10thSeptember,
1993publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.186dated13thSeptember,1993.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/9/94BCCdated191094,publishedinthe
GazetteofIndiaExtraordinaryPartI,Section1,No.163dated20101994.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/7/95BCCdated24595,publishedinthe
GazetteofIndiaExtraordinaryPartI,Section1,No.88dated2551995.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/96/94BCCdated9thMarch,1996
publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.60dated11thMarch,1996.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/44/96BCCdated6thDecember,1996
publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.210dated11thDecember,1996.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/99/94BCCdated11thDecember,1997
publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.236dated12thDecember,1997.
@GovernmentofIndia,MinistryofWelfareResolutionNo.12011/13/97BCCdated3rdDecember,1997
publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.239dated17thDecember,1997.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/68/98BCCdated
the27thOctober,1999publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.241datedthe
27thOctober,1999.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/88/98BCCdated
6thDecember,1999publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.270dated6th
December,1999.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/36/99BCCdated
4thApril,2000publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.71dated4thApril,2000.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/44/99BCCdated
the21stSeptember,2000publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.210datedthe
21stSeptember,2000.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12015/9/2000BCC
dated6thSeptember,2001publishedintheGazetteofIndiaExtraordinaryPartI,Section1,No.246dated
6thSeptember,2001.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/1/2001BCC
dated19thJune,2003publishedintheGazetteofIndiaExtraordinaryPartI,Section,1No.151dated20th
June,2003.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/4/2002BCC
dated13thJanuary,2004publishedintheGazetteofIndiaExtraordinary,PartISection1,No.9dated13th
January,2004.
@GovernmentofIndia,MinistryofSocialJusticeandEmpowermentResolutionNo.12011/14/2004BCC
dated12thMarch,2007publishedintheGazetteofIndiaExtraordinary,PartI,Section1,No.67dated12th
March,2007.

Shri/Shrimati/Kumari*................................and/or* his/her* family ordinarily resides in village/town*................................

of......................District/Division*oftheState/UnionTerritory*of.............................Thisisalsotocertifythathe/she*doesnotbelong
tothepersons/sections*(CreamyLayer)mentionedincolumn3oftheScheduletotheGovernmentofIndia,DepartmentofPersonnel
& Training O.M. No. 36012/22/93Estt. (SCT) dated 891993, O.M. No. 36033/3/2004Estt. (Res.) dated 9th March, 2004, O.M. No.
36033/3/2004Estt.(Res.)dated14thOctober,2008andOMNo.36033/1/2013Estt.(Res.),dated:27thMay,2013.

Signature................................
**Designation............................
(WithsealofOffice)
State/UnionTerritory
Place....................................................
Date.....................................................

*Pleasedeletethewordswhicharenotapplicable.
@Strikeoutwhicheverisnotapplicable.

NOTE:Thetermordinarilyreside(s)usedherewillhavethesamemeaningasinSection20oftheRepresentationofthePeopleAct,
1950.

**ListofauthoritiesempoweredtoissueOBCCertificate:

(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Deputy

Collector/1st Class Stipendiary Magistrate/ SubDivisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant
Commissioner.
(notbelowoftherankof1stClassStipendiaryMagistrate).

(ii)ChiefPresidencyMagistrate/AdditionalChiefPresidencyMagistrate/PresidencyMagistrate.

(iii)RevenueOfficersnotbelowtherankofTehsildar.

(iv)SubDivisionalOfficeroftheareawherethecandidateand/orhis/herfamilynormallyresides.

(v)Administrator/SecretarytoAdministrator/DevelopmentOfficer(Lakshadweep)

Note1:CandidatesclaimingtobelongtoOBCsshouldnotethatthenameoftheircaste(includingitsspellings)asindicatedin
theircertificates,shouldbeexactlythesameaspublishedinthelistsnotifiedbytheCentralGovernmentfromtimetotime.A
certificatecontaininganyvariationinthecastenamewillnotbeaccepted.
Note2:TheOBCclaimofacandidatewillbedeterminedinrelationtotheState(orpartoftheState)towhichhis/herfather
originallybelongs.AcandidatewhohasmigratedfromoneState(orpartoftheState)toanothershould,therefore,producean
OBCcertificatewhichshouldhavebeenissuedtohim/herbasedonhis/herfathersOBCcertificatefromtheStatetowhichhe
(father)originallybelongs.
Note 3: No change in the community status already indicated by a candidate in his/her simplified application form for this
examinationwillordinarilybeallowedbytheCommission.

ANNEXUREB

FormofdeclarationtobesubmittedbytheOBCcandidate(inadditiontothe
communitycertificate)
(PleaseseeParaK(5)ImportantInstructiontoCandidatesoftheNotice)

I . Son/daughter of Shri.resident of village/town/city. district.

statehereby 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 36102/22/93Estt. (SCT) dated 891993. It is
alsodeclaredthatIdonotbelongtopersons/sections/sections(CreamyLayer)mentionedincolumn3ofthe
ScheduletotheabovereferredOfficeMemorandumdated891993,O.M.No.36033/3/2004Estt.(Res.)dated
9thMarch,200,O.M.No.36033/3/2004Estt.(Res.)dated14thOctober,2008andOMNo.36033/1/2013Estt.
(Res.),dated:27thMay,2013.

Signature:..
FullName:
Address:

ANNEXUREC


FORM OF CERTIFICATE TO BE SUBMITTED BY ESIC EMPLOYEES/GOVERNMENT SERVANTS
SEEKING AGE-RELAXATION
(TobefilledbytheHeadoftheOfficeorDepartmentinwhichthecandidateisworking).
(PleaseseeParaK(6)ImportantInstructiontoCandidatesoftheNotice)

Itiscertifiedthat*Shri/Smt./Km.______________________isholdingthepostofinthe
payscaleofs ___________________with3yearsregularserviceinthegradeasonclosingdate.

Signature___________________
Name___________________
Officeseal
Place:
Date:
(*Pleasedeletethewordswhicharenotapplicable.)

ANNEXURED

Form of Certificate for serving Defence Personnel

(PleaseseeParaK(7)ImportantInstructiontoCandidatesoftheNotice)

Iherebycertifythat,accordingtotheinformationavailablewithme(No.)__________________________________
(Rank)___________________(Name)___________________________isduetocompletethespecifiedtermofhis
engagementwiththeArmedForcesonthe(Date)____________________.

Place:
(SignatureofCommandingOfficer)
Date:
OfficeSeal: