ESI-PGIMSR,, ESIC MEDICAL COLLEGE AND ESIC HOSPITAL & ODC (E.Z.) DIAMOND HARBOUR ROAD, JOKA, KOLKATA, 700 104 (A statutory body under the Ministry of Labour & Employment, Government of India) AN ISO 9001:2008 CERTIFIED ORGANIZATION Fax: 2467 2795, Phone: 2467 1764 / 6280 / 1322 (Website : http://esi http://esi-pgimsrkolkata.org/www.esic.nic.in www.esic.nic.in) SPECIAL RECRUITMENT DRIVE FOR PWDs OF PARAMEDICAL AND NURSING STAFF FOR ESIC MEDICAL INSTITUTIONS/HOSPITALS IN WEST BENGAL REGION Advertisement 16/2015 (Closing date for receipt of Application is 15.10.2015 Closing Time: 16:00 hrs. hrs.) Applications on prescribed format are invited from the citizens of India for filling up the following posts of Paramedical and Nursing Staff S under special recruitment drive for PWD category as specified below in West Bengal Region on regular basis by Direct Recruitment. The detail of vacancies are as under:A. DETAILS OF VACANCIES: Sl. No. 1. 2. Post Code Name of the Post Pay Band (PB) (*) Grade Pay (Rs.) 01 18 Staff Nurse Nursing Orderly/ Lab. Attendant PB-2 PB-1 4600/1800/- VH 01 HH OH 01 02 01 Total Vacancy 02 03 (*) Pay Band(i) (ii) PB--1 (Rs. 5200- 20200) PB--2 (Rs. 9300- 34800) Note:(i) Above vacancies may increase or decrease depending upon the actual requirement. (ii) In addition to Pay, the appointees will also be eligible for DA, HRA, Transport Allowance & HPCA/Nursing Allowance,, if any, as per rule in force from time to time to the Para medical Staff of ESI Corporation. All candidates will be regulated by New Pension Scheme Scheme/as per Govt. of India norms. (iii) The above vacancies are in various ESIC Medical Institution (Hospitals, Dispensaries, Medical Colleges/SSMC Office etc.) of ESI Corporation in the West Bengal Region/State tate only. Those candidates who are willing to accept the position anywhere in West Bengal Region/ Region/State and are willing to be transferred in any part of India on promotional posts, as per policy of ESIC, need apply. (iv) The candidates so appointed for the above mentioned posts shall be appointed in the State for which application is submitted and are liable to t be transferred to any Medical Institution/Establishment/SSMC Office on the same post in that State. (v) The number & nature of posts shown above may change & vary at the time of selection/requirement. The Corporation reserved the right not to fill any or all the posts advertised and to reject any or all the application without assigning any reason. The above e posts are reserved for PWD (Persons with Disabilities) category candidates who suffer not less than 40% of relevant disability with under mentioned physical requirements / suitability: Post Suitability for the post Staff Nurse OL Nursing Orderly / Lab Attendant OL, HH, LV Physical Requirements S, ST, W, MF, SE, RW, H, C S, ST, W, F, PP, L, KC, B, SE, H, RW. Abbreviation Used d OL – One Leg LV – Low Vision ST - Standing SE - Seeing H - Hearing W - Walking L – Lifting HH – Hearing Handicap S - Sitting MF – Manipulation by Fingers RW – Reading & Writing C – Communication PP – Pulling & Pushing KC – Kneeling & Croutching B. CITIZENSHIP A candidate must be either:(a) (b) (c) (d) A citizen of India, or A subject of Nepal, or A subject of Bhutan, or A Tibetan refugee who came over to India, before the 1st January, 1962, with the intention of permanently settling in India, or (e) A person of Indian origin who has migrated from Pakistan, Burma, Sri Lanka, East African countries of Kenya, Uganda, the United Republic of Tanzania(Formerly Tanganyika and Zanzibar), Zambia, Malawi, Zaire, Ethiopia and Vietnam with the intention of permanently settling in India. (f) Provided that a candidate belonging to categories (b), (c), (d) and (e) above shall be a person in whose favour a certificate of eligibility has been issued by the Government of India. Note: The application of a candidate in whose case a certificate of eligibility is necessary, may be admitted to the Examination but the offer of appointment will be given only after the necessary eligibility certificate has been issued to him/her by the Government of India. C. ELIGIBILITY (a) Educational &Other Qualification and Age limit for the advertised posts:The Educational Qualification, Other Essential Qualification (Experience etc.) and Age Limit as per existing Recruitment Regulations for the posts is as under: Sl. No. Post Code Name of the post 1. 01 Staff Nurse 2. 18 Nursing Orderly/ Lab. Attendant Educational & Other qualification (As per existing Recruitment Regulations) Age(As per existing Recruitment Regulations) as on 1.Diploma in General Nursing and Midwife or Not exceeding 37 equivalent for male nurse. years. 2.Registered nurse with Nursing Council. Matriculation or equivalent from recognized 18 to 27 years. Board. Elementary knowledge of First Aid. One year experience in handling and dressing wounds in Govt. approved/registered Nursing Home / Hospital. Note(i) (ii) Candidates who have not acquired/will not acquire the educational qualification as on the closing date of application will not be eligible and need not apply. Experience gained after completion of requisite educational qualification will only be considered. (b) Age Relaxation Upper age limit is relaxable for candidates belonging to reserved categories i.e. SC/ST/OBC/ExServicemen in accordance with the instructions of Govt. of India as under:(i) 10 years for UR with PWD. (ii) 10 + 03 years for OBC with PWD. (iii) 10 + 05 years for SC/ST with PWD. (iv) Ex. SM-Length of Service in Armed forces+ 3years (additional relaxation for SC/ST/OBC) (v) Relaxation in age for other categories shall be as per instructions of Govt. of India and Recruitment Regulations of concerned post. D. APPLICATION FEE : NIL E. SCHEME OF EXAMINATION :- Details of examination schedule, selection methodology, issue of admit card etc. will be notified shortly through website http://esipgimsrkolkata.org/www.esic.nic.in. Candidates are requested to keep watch of the above two websites regularly. HOW TO APPLY:(i) The crucial date for reckoning the age shall be 15.10.2015. (ii) The application on plain A-4 size paper in the prescribed Proforma given below duly filled in English or Hindi language, duly supported with clear and legible attested copies of the relevant certificates and marks-statements (In English or Hindi) should be sent by Registered post/Speed post so as to reach to “The Medical Superintendent, ESIC Hospital & ODC(EZ), Joka, D. H. Road, Kolkata – 700104, (West Bengal)” on or before closing date i.e. 15.10.2015 during working hours. (iii) In respect of applications received from the candidates residing in Assam, Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim, Jammu & Kashmir, Lahaul and Spiti district and Pangi sub-division of Chamba District of Himachal Pradesh, A&N Islands or Lakshadweep or abroad, the last date for receipt of applications is 22.10.2015 . The benefit of extended time will be available only in respect of applications received from the above mentioned areas/regions. (iv) Candidates have to fill in the application form in their own handwriting with blue or black ball point pen. (v) Original documents/certificate should not be sent with application. (vi) The candidates should submit on application only for one post in an envelope. The candidature of those candidates who submit more than one application is liable to be rejected. (vii) Envelope containing the application should be superscribed as “Application for the post of Special Recruitment Drive 2015 for PWD” : Application for the post of ______________________ (Post Code _________). (viii) Application not in the prescribed proforma as appended OR incomplete (without photograph) application OR unsigned applications OR applications received after the last date of the receipt of applications OR without required enclosures are liable to be rejected and no reason of rejection will be communicated. (ix) The candidates already in Govt. Service must specifically mention the details of employment and should submit their application Through Proper Channel. However, they may send an advance copy of their application along with other certificate and testimonials so as to reach this office on or before the closing date and time with mentioning on envelop and application form “Advance Copy”. All such candidates may be required to produce No objection certificate (NOC) at a later stage of selection. (x) No interim correspondence/enquiry will be entertained. (xi) The decision of the competent authority will be final in the matter of selection. (xii) ESI Corporation will not be responsible for postal delays or loss. (xiii) Documents require to be attached with the application:1. Attested photocopies of certificates in support of a) Date of Birth b) Educational and Technical Qualification certificates (along with marks statements) c) Disability certificate d) Caste Certificate in case of SC/ST/OBC e) Discharge Certificate in case of Ex-Servicemen. 2. Two Recent Passport size photograph duly attested by Gazetted Officer. One photo should be firmly pasted (Not stapled or pinned) in space provided in the application form. 3. Two self addressed envelope (23 cm x 10 cm). CAUTION: - CANVASSING IN ANY FORM WILL BE A DISQUALIFICATION. Dated: 11/09/2015 SD/Medical Superintendent ANNEXURE – I NAME & ADDRESS OF THE INSTITUTE / HOSPITAL : Certificate No. Date : DISABILITY CERTIIFCATE Recent photograph of the candidate showing the disability duly attested by the Chairperson of the Medical Board This is certified that Shri/Smt/Kum……………………………………………………Son/wife/daughter of Shri ……………………………… age………. sex ………..identification mark(s) ………………………………….is suffering from permanent disability of following category : 1. A. Locomotor or cerebral palsy : (i) (ii) BL-Both legs affected but not arms BA-Both arms affected (iii) (iv) BLA-Both legs and both arms affected OL – One leg affected (right or left) (v) OA – One arm affected (a) Impaired reach (b) Weakness of grip (a) Impaired reach (b) Weakness of grip (c) Ataxic (a) Impaired reach (b) Weakness of grip (c) Ataxic (vi) BH – Stiff back and hips (can not sit or stoop) (vii) MW-Muscular weakness and limited physical endurance. B. Blindness or Low Vision (i) B-Blind (ii) PB – Partially Blind C. Hearing impairment : (i) D-Deaf (ii) PD-Partially Deaf (Delete the category whichever is not applicable) 2. This condition is progressive/non progressive/likely to improve/not likely to improve. Re-assessment of this case is not recommended / is recommended after a period of …………………years……………….months*. 3. Percentage of disability is his/her case is …. percent. 4. Shri/Smt./Kum…………………………meets the following physical requirements for discharge of his/her duties. (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) F-can performa work by manipulating with fingers PP-can perform work by pulling and pushing L-can perform work by lifting KC-can perform work by kneeling and crouching B-can perform work by bending S-can perform work by sitting ST-can perform work by standing W-can perform work by walking SE-can perform work by seeing H-can perform work by hearing/speaking RW-can perform work by reading and writing (Dr…………………..) Member Medical Board (Dr………………………) Member Medical Board Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No (Dr…………………..) Chairperson Medical Board Countersigne d by the Medical Superintendent/CMO/Head of Hospital (with seal) *strike out whichever is not applicable. 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 ***Note: 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. 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. st Collector / 1 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. b. The term ‘Ordinarily’ used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950. The authorities competent to issue Caste Certificate are indicated below:i. ii. iii. iv. Note-II Note-III 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). Chief Presidency Magistrate /Additional Chief Presidency Magistrate/ Presidency Magistrate. Revenue Officer not below the rank of Tehsildar Sub-Divisional Officer of the area where the candidate and/or his family resides. 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 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 8-9-1993. 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, 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:……………………… Address ANNEXURE ‘C’ Form of Certificate for serving Defence Personnel {Please see Para I(6) – Important Instruction to Candidates of the Notice} I hereby certify that, according to the information available with me (No.) ___________________________ (Rank) ___________________ (Name) ___________________________ is due to complete the specified term of his engagement with the Armed Forces on the (Date) ____________________. Place: (Signature of Commanding Officer) Date: Office Seal: (APPLICATION FORM) (Please write in BLOCK letters only) Advertisement No. ______________________ Post Applied For: Post Code 1. Full Name ___________________________________________________________ 2. Father’s/Husband Name________________________________________________ 3. (a) Date of Birth D D M M Y Y Y Y Please affix a recent colour passport size photograp (b) Age as on 15.10.2015_______________________________________________ (C) Nationality________________________________________________________ 4. a. Whether belong to PWD: Yes/No b. PWD category OH/VH/HH (enclosed copy of the certificate) c. Percentage of Disability OH % VH % HH % 5. If Ex- serviceman Yes/ No 6. Are you seeking any age relaxation Yes /No If yes, indicate category__________________ 7. Caste (Please SC Mark): ST OBC UR 8. Religion: _____________________________ 9. Application Fee: 10. Gender NIL Male Female Trans gender 11. Address for Communication: __________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________PIN 12. Mobile No (Mandatory) ______________________________________________________________ 13. Email. I.D (Mandatory) _______________________________________________________________ 14. Permanent Address: _________________________________________________________________ __________________________________________________________________________________ ___________________________________________________PIN 15. Academic and Technical Qualifications ( Attach photocopies):Sl. No Exam Passed Name of Board/ Subjects/ Month & Univ./Institution Specialization Year of Passing Percentage of Marks/ Grade Class/ Division 16. Experience /Particular of previous and present employment: (Attach photocopies & state in chronological order starting with most recent employment.) Sl. No. Name & address of Organization/ employer Post held From Duration To Scale of Pay/ Pay band+ GP Nature of duties Performed Reason for Leaving 17. Details of other academic and professional qualification ____________________________________ (Please attach additional sheets, if required) 18. Language known:Name of language Read Write 19. Achievements and extracurricular activities if any ________________________________________ 20. List of enclosure:1. 3. 5. 2. 4. 6. Speak DECLARATION I do hereby declare that all the statements made in this application are true, complete an correct to the best of my knowledge and belief. I also declare that I have submitted one application only. I am fully aware that in the event of any particulars of information furnished by me is found to be false/incorrect/incomplete or for indulging in some unlawful act, my candidature for the post is liable to be summarily rejected/cancelled and in the event of any statement/information submitted found false/incorrect even after my appointment, my service are liable to be terminated without any notice. There are attached No. of sheets along with this application form. Place: ___________________ Signature of candidate: _________ Date: ___________________ Name: _______________________