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RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS2.pdf

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Sahil Ponia
Sahil Ponia

1. The document is an online registration form for the recruitment of Group C paramedical posts in the Employees' State Insurance Corporation filled out by Durgesh Kumar Son. 2. Durgesh Kumar Son is applying for the post of OT Assistant in the Delhi NCR region. He is 35 years old and has over 13 years of experience working as an OT Technician at Shri Krishna Hospital in Agra. 3. In the registration form, Durgesh provides personal details like contact information, education qualifications including a diploma in OT Technology, and work experience details among other information required for the application.

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10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 1/4 Registration Number : 258123040 Full Name : DURGESH KUMAR SON Post : OT Assistant Region : Delhi NCR Category : SC Are you a person with benchmark disability of 40% and above ? : NO Disability category : - Type of Disability : - Do you need compensatory time at the time of examination? : - Are you suffering from cerebral palsy and your writing speed is affected? : - If Yes, Do you need compensatory time at the time of examination? : - Whether your dominant (Writing) hand is affected? : - If Yes, Do you need compensatory time at the time of examination? : - Do you intend to use the services of a scribe ? : - Are you a person with specified disability covered under the definition of sec 2(s) of the RPwD Act, 2016 and not covered under sec 2(r) of the said act and having difficulty in writing? : NO If Yes, Do you need compensatory time at the time of examination? : - Are you a person with specified disability covered under the definition of sec 2(s) of the RPwD Act, 2016 and not covered under sec 2(r) of the said act and wish to avail the services of Scribe? : - I certify that, I will produce the certificate from competent medical authority of a Government healthcare institution as per Ministry of Social Justice and Empowerment, Department of Empowerment of Persons with Disabilities (Divyangjan) circular no F. No. 29-6/2019-DD-III dated 10.08.2022. : - Whether scribe will be brought by candidate ? : - Do you need scribe from Employees’ State Insurance Corporation ? : - Do you belong to Religious Minority ? : NO Are you ESIC Employee/ Government Servant who have rendered not less than 3 years regular and continuous service as on closing date for receipt of application : ? : NO EMPLOYEES’ STATE INSURANCE CORPORATION RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS 360125
10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 2/4 Kindly Specify : - Are you a regular ESIC employee seeking relaxation in fee ? : - Are you an Ex-Serviceman : ? : NO Period of Service ( in months) : - Ex-Servicemen who have already secured employment in civil side under Government in Group ‘C’ & ‘D’ posts on regular basis after availing of the benefits of reservation given to ex- servicemen : - Any other category for relaxation in age : NO Mention category for age relaxation : - Nationality : Indian State/UT to which centre of Online examination belongs : Uttar Pradesh Centre of Online Examination : Agra Application Fee / Intimation charges Payment In : ONLINE Amount : 250.00 Payment Status : PAID Reference ID : YHMP2127976817 Transaction Date : 30-10-2023 Do you want to receive refund of fees in the same channel by which you are paying fees ? : YES Account Number : - Account Type : - Bank Name : - Branch Name : - IFSC Code : - Name of the Account Holder : - Personal Details Date of Birth : 12-07-1988 Age completed as on 30.10.2023 : 35 Gender : MALE Do you have twin brother / sister ? : NO Name of the twin : - Gender of the twin : - Marital Status : Married Father's Name : SURESH SON Mother's Name : SHYAM WATI SON Spouse's Name : MADHU Address for Correspondence Address 1 : 35 Address 2 : NH 2 KUBERPUR Address 3 : AGRA District : AGRA State : UTTAR PRADESH Pincode : 282006 Permanent address
10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 3/4 Languages Known Read Write Speak HINDI YES YES YES ENGLISH YES YES YES 1. Left Thumb Impression 2. Hand Written Declaration Address 1 : 35 Address 2 : NH 2 KUBERPUR Address 3 : AGRA District : AGRA State : UTTAR PRADESH Pincode : 282006 Contact Details Mobile No : +91 7906567993 Alternative Number (Mobile No/Landline No) : - Email ID : durgeshkumarson0562@gmail.com Educational Qualification (as on 30.10.2023) Exam Passed Degree/ Subject / Stream Duration of Course (in years) Date of Passing % of Marks Class / Grade Matriculation/10th SCIENCE - 31-05-2004 48.00 Pass Class HSC/12th or Equivalent Science - 31-05-2006 57.80 Second Class Diploma Others - OT TECHNICIAN 2 14-11-2008 56.33 Second Class Do you have one-year experience in O.T. of a recognized Hospital? : YES Post Qualification Work Experience details as on 30.10.2023 (Start from present Employer) Name of the Employer Designation Total Period of Service From To Nature of Duties Reason of leaving Years of Experience (YY/MM/DD) Presently working? : YES SHRI KRISHNA HOSPI TAL OT TECHNICIAN 15/05/2010 30/10/2023 OT TECHNICIAN - 13/5/16 Total Experience in months : 161 Other Details : Uploaded Document Details :
10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 4/4 Declaration: I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements, my candidature/appointment is liable to be cancelled/terminated. Date: 30-10-2023 Left Thumb Impression Hand Written Declaration

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RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS2.pdf

  • 1. 10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 1/4 Registration Number : 258123040 Full Name : DURGESH KUMAR SON Post : OT Assistant Region : Delhi NCR Category : SC Are you a person with benchmark disability of 40% and above ? : NO Disability category : - Type of Disability : - Do you need compensatory time at the time of examination? : - Are you suffering from cerebral palsy and your writing speed is affected? : - If Yes, Do you need compensatory time at the time of examination? : - Whether your dominant (Writing) hand is affected? : - If Yes, Do you need compensatory time at the time of examination? : - Do you intend to use the services of a scribe ? : - Are you a person with specified disability covered under the definition of sec 2(s) of the RPwD Act, 2016 and not covered under sec 2(r) of the said act and having difficulty in writing? : NO If Yes, Do you need compensatory time at the time of examination? : - Are you a person with specified disability covered under the definition of sec 2(s) of the RPwD Act, 2016 and not covered under sec 2(r) of the said act and wish to avail the services of Scribe? : - I certify that, I will produce the certificate from competent medical authority of a Government healthcare institution as per Ministry of Social Justice and Empowerment, Department of Empowerment of Persons with Disabilities (Divyangjan) circular no F. No. 29-6/2019-DD-III dated 10.08.2022. : - Whether scribe will be brought by candidate ? : - Do you need scribe from Employees’ State Insurance Corporation ? : - Do you belong to Religious Minority ? : NO Are you ESIC Employee/ Government Servant who have rendered not less than 3 years regular and continuous service as on closing date for receipt of application : ? : NO EMPLOYEES’ STATE INSURANCE CORPORATION RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS 360125
  • 2. 10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 2/4 Kindly Specify : - Are you a regular ESIC employee seeking relaxation in fee ? : - Are you an Ex-Serviceman : ? : NO Period of Service ( in months) : - Ex-Servicemen who have already secured employment in civil side under Government in Group ‘C’ & ‘D’ posts on regular basis after availing of the benefits of reservation given to ex- servicemen : - Any other category for relaxation in age : NO Mention category for age relaxation : - Nationality : Indian State/UT to which centre of Online examination belongs : Uttar Pradesh Centre of Online Examination : Agra Application Fee / Intimation charges Payment In : ONLINE Amount : 250.00 Payment Status : PAID Reference ID : YHMP2127976817 Transaction Date : 30-10-2023 Do you want to receive refund of fees in the same channel by which you are paying fees ? : YES Account Number : - Account Type : - Bank Name : - Branch Name : - IFSC Code : - Name of the Account Holder : - Personal Details Date of Birth : 12-07-1988 Age completed as on 30.10.2023 : 35 Gender : MALE Do you have twin brother / sister ? : NO Name of the twin : - Gender of the twin : - Marital Status : Married Father's Name : SURESH SON Mother's Name : SHYAM WATI SON Spouse's Name : MADHU Address for Correspondence Address 1 : 35 Address 2 : NH 2 KUBERPUR Address 3 : AGRA District : AGRA State : UTTAR PRADESH Pincode : 282006 Permanent address
  • 3. 10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 3/4 Languages Known Read Write Speak HINDI YES YES YES ENGLISH YES YES YES 1. Left Thumb Impression 2. Hand Written Declaration Address 1 : 35 Address 2 : NH 2 KUBERPUR Address 3 : AGRA District : AGRA State : UTTAR PRADESH Pincode : 282006 Contact Details Mobile No : +91 7906567993 Alternative Number (Mobile No/Landline No) : - Email ID : durgeshkumarson0562@gmail.com Educational Qualification (as on 30.10.2023) Exam Passed Degree/ Subject / Stream Duration of Course (in years) Date of Passing % of Marks Class / Grade Matriculation/10th SCIENCE - 31-05-2004 48.00 Pass Class HSC/12th or Equivalent Science - 31-05-2006 57.80 Second Class Diploma Others - OT TECHNICIAN 2 14-11-2008 56.33 Second Class Do you have one-year experience in O.T. of a recognized Hospital? : YES Post Qualification Work Experience details as on 30.10.2023 (Start from present Employer) Name of the Employer Designation Total Period of Service From To Nature of Duties Reason of leaving Years of Experience (YY/MM/DD) Presently working? : YES SHRI KRISHNA HOSPI TAL OT TECHNICIAN 15/05/2010 30/10/2023 OT TECHNICIAN - 13/5/16 Total Experience in months : 161 Other Details : Uploaded Document Details :
  • 4. 10/30/23, 7:49 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=MDQxNzkzOGQzNzE4OTVhZDQyZDc2Njk3MzVhMjNhMTZ8MjU4MTIzMDQw# 4/4 Declaration: I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements, my candidature/appointment is liable to be cancelled/terminated. Date: 30-10-2023 Left Thumb Impression Hand Written Declaration