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1 c..., '-~. ---, ----:- ---:-- ---,~ _ ~ ~lregional office ~ ~ ifp:rr 1ita'mlEmployees' State insurance corporation ~ 3lCIif, 5/1,.-.ric ~ ~-12 'Panchadeep Bhawan', 5/1, Grant Lane Kolkata JJrn" ~ ~ ~, :tfrcf ~lministry of Labour & Employment, Govt. of lndia q;)a; o:ior1phone , ~I -rd-westbengal@esic.in Fax PROVISIONAL SELECT LIST OF CANDIDATES FOR THE POST OF MULTI TASKING STAFF (MTS) AND SHORT LISTED FOR DOCUMENT VERIFICATION IN RESPECT OF WEST BENGAL REGION ON THE BASIS OF PERFORMANCE IN WRITTEN ONLINE EXAMINATION HELD IN MARCH, 2016 Category category finding DD MM YYYV Select List ABHISHEK SINGH UR UR PURBA PRADHAN UR UR PRAKASH MONDAL UR UR ABHISHEK KUMAR KESHARI OBC UR SARWAR All OBC UR RAVI KUMAR UR UR PRAKASH KUMAR OBC OBC MANJEET KUMAR OBC UR BASUNDHARA SAHA UR UR KUMARJEET SUR UR UR RAHUL KUMAR RAY OBC UR MOHAMMAD ATIF ATIQUE OBC UR SHUBHAM VERMA UR UR MANJEET RAJ OBC UR DEVANAND OBC UR NARENDRA KUMAR OBC UR NIRBHAY KUMAR OBC UR PRASANNJEET KUMAR SINGH UR UR ANIMESH CHATIERJEE UR UR ARNAB PAL UR UR NISHA BHARTI OBC UR VISHNU GYAN SAGAR OBC UR KUMAR KASHYAP UR UR SURAVIGUPTA UR UR SOUMADIP SAHA SC SC PANKAJ KUMAR AZAD UR UR AMITKUMAR UR UR ARIJIT CHANDRA UR UR ASHUTOSH RANJAN OBC OBC NISHANT NILESH SC UR... Page lof7

2 Category category finding place In DO MM yyyy Select List GAURAV KUMAR OBC UR CHANDAN KUMAR PANDEY UR UR BANTI KUMAR SINGH OBC OBC PRADIP GOSWAMI UR UR NABARUN KANTI CHAKRABORTY UR UR BARUN KUMAR DIVAKAR OBC UR MUNNA KUMAR OBC UR RAJNISH KUMAR UR UR MONU KUMAR SHARMA OBC UR BIHARI KUMAR SRIWASTAVA OBC UR VINEET UR UR PRIYOTOSH ROY UR UR KUMARESH DAS SC SC RAHUL SIL UR UR SHANTANU SINGHA THAKUR UR UR PANKAJ KUMAR SC UR MONALISA KOLE UR UR LlZA ROY OBC OBC SUDESHNA KUNDU OBC UR KRISHNENDU ROY UR UR NEHA SRIVASTVA UR UR NIRAJ KUMAR GUPTA OBC OBC PRIYADARSHI MALLICK UR UR SOUMICK KAYAL UR UR RAHUL KUMAR OBC UR SHIV PRAKASH LAL OBC UR RUBY KUMARI OBC UR ARKA PRAVA SINHA UR UR CHINTU KUMAR OBC UR PANKAJ KUMAR GUPTA OBC OBC NITESH KUMAR PRASAD OBC OBC SANDEEP KUMAR OBC OBC MADHURIMA BOSE UR UR SUNNY KUMAR OBC UR CHANDAN KUMAR SC UR MUKESH KUMAR SC UR VICTOR BAG UR UR SUMAN KUMAR OBC UR PRABHAKAR AGARWAL UR UR SHASHI MAlA CHANDRA BHAN OBC UR Page 2 of7

3 Category category finding DO MM YYVY Select List DANISH AHMAD OBC UR MAYANK KUMAR OBC UR UPASANA SEN UR UR ABHISEK DAS OBC UR PRATEEK KUMAR SHARMA OBC OBC ABHAY KUMAR SHANU OBC OBC NIRAJ SHAW OBC OBC KUNAL KUMAR OBC OBC CHHOTU KUMAR OBC OBC PIYUSH KUMAR GUPTA OBC OBC UDAY KUMAR OBC OBC VIVEK KUMAR OBC OBC SHUBHAM KUMAR DAS OBC OBC MOHAMMAD PARWEZ OBC OBC POOJA KUMARI OBC OBC ABHINAV KUMAR OBC OBC KANCHAN KUMAR OBC OBC RAJAN KUMAR BHAGAT OBC OBC ANAMIKA JYOTI OBC OBC " NAVIN KUMAR OBC OBC ROHITKUMAR OBC OBC NIRMALA PRASAD OBC OBC SUVANKAR DAS SC SC MANIK KARMAKAR SC SC SUJAN MANDAL SC SC BIJUSONA SANPUI SC SC SAMIR DAS SC SC KOUSHIK MONDAL SC SC SUNIL KUMAR SC SC ARINDAM DAS SC SC SURAJIT BARMAN SC SC MANAN KANTI BISWAS SC SC OLIVIA SIKDAR SC SC INDRANIL MALO SC SC PUSPENDU MAJI SC SC MANOJIT SARKAR SC SC VIKRAM KUAMR GUPTA SC SC BALKISHORE TANTI SC SC APRATIM PAIK SC SC DEBASREE SHIT SC SC Page 3 of7

4 Category category finding DO MM yyyy Select List JITENDRA SC SC PINTU RAJAK DAS SC SC OM PRAKASH TANTI SC SC MANTU MAL SC SC CHINMOY PRAMANIK SC SC KUMARI JYOTI SC SC JEETENDRA KUMAR SC SC PRADIP KUMAR BALA SC SC AJAY KUMAR MANJHI SC SC UJJWAL MONDAL SC SC AARTI KUMARI SC SC ARINDAM BISWAS SC SC MRINMOY ROY CHOWDHURY SC SC, SONU KUMAR OBC/PWD(OH) OBC DEEPAK KUMAR ST ST SUBHRA CHOWDHURY SC SC SRIKANT KUMAR SC SC MUKESH KUMAR OBC/PWD(VH) OBC MUKESH KUMAR PASWAN SC SC ARITRA BALA SC SC VIBHUTI KUMAR VIBHAV OBC/PWD(OH) OBC BANANI SARKAR SC SC BISHESHWAR MAHATO SC SC DEBASISH DAS SC SC RAHUL KUMAR OBC/PWD(VH) OBC ASHIS SARDAR SC SC KUNDAN KUMAR BAITHA SC SC SHANTANU RAHA UR/Ex-SM UR ARVIND KUMAR SHAW ST ST DEBABRATA MISRA UR/Ex-SM UR RAJESH ST ST DINESH KUMAR MEENA ST ST VINOD KUMAR PRASAD ST ST SAURAV BISWAS UR/Ex-SM UR MDALAMGIR OBC/Ex-SM OBC DINESH KUMAR YADAV UR/Ex-SM UR KALIPADA CHATIERJEE UR/PWD(HH) UR PRASENJIT MAJI UR/PWD(HH) UR BAIDYA NATH DUTIA UR/Ex-SM UR NARENDRA KUMAR TANTI OBC/PWD(HH) OBC.... Page 4of7

5 I I. I ~\ Category category finding DD MM YVYV Select List BARUN KUMAR SAHA UR/Ex-SM UR SWAPAN SARDAR UR/Ex-SM UR INDRAJIT BID UR/Ex-SM UR PIJUSH KANTI PAL UR/Ex-SM UR D202i 2i3950:35iOO622 MADHU SUDAN GHOSH UR/Ex-SM UR PRITESH KUMAR OBC/Ex-SM OBC RAMABRATA CHATTERJEE UR/Ex-SM UR SHANTANU KAR UR/Ex-SM UR PANKAJ KUMAR MISHRA UR/Ex-SM UR MANTOSH KUMAR UR/Ex-SM UR Important Note: 1. While every care has been taken in preparing the result, however ESICorporation reserves the right to rectify the errors/omissions, if any comes to its notice. 2. Since the applications for the above post were called online only and hard copy of application along with documents in support of their eligibility for the post was not called from the candidates, the candidature of all the candidates short listed for verification is purely provisional subject to strict fulfilment of eligibility criteria with regard to age, essential qualification, experience and reservation etc. 3. The above candidates shortlisted for verification must bring all ORIGINALdocuments in support of their eligibility for the above post at the time of verification. The date and time for verifkation along with necessary instructions will be uploaded on website shortly and letters will be issued to all the above candidates shortlisted for verification in due course. 4. Candidates short listed for verification must ensure that they belong the respective category/sub category as mentioned in the above result. 5. Those candidates who are in Govt. / Semi-Govt. Organisation (including ESICEmployees) are required to produce No Object Certificate (NOC) at the time of verification. 6. 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 below at Annexure - B at the time of verification. All such candidates will be required to fulfil/comply with all the latest instructions of the Govt. on the subject. 7. Candidates seeking age relaxation as Government Employee/ESIC Employee shall have to produce Service Certificate at the time of verification. 8. The notified vacancy position has been modified keeping in view the revised sanctioned strength received from Hqrs. Office, ESICduring the intervening period. 9. The terms and conditions notified in Advertisement dated hold good for all purposes. ~~ Dated: (c. BOSE) ADDL. COMMISSIONER & REGIONAL DIRECTOR Page 5 of 7

6 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 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 36012/22/93-Estt. (SCT,) dated **. Date District Magistrate/ Deputy Commissioner etc. Seal of Office *- 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. 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 Caste/Tribe CertifiCate CertifiCates: i. District Magistrate / Additional District Magistrate/ Collector/ Deputy Commissioner / Additional Deputy Commission/ Dy. Collector / 1 st 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. The term 'Ordinarily' used here will have the same meaning as in Section 20 of the Representation of the People Act, b. The authorities competent to issue Caste Certificate are indicated below:- Note-II Note-III i. District Magistrate / Additional Magistrate / Collector / Dy. Commissioner / Additional Deputy Commissioner / Deputy Collector / 1st Class Stipendary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of 1st Class Stipendiary Magistrate). ii. Chief Presidency Magistrate /Additional Chief Presidency Magistrate/ Presidency Magistrate. iii. Revenue Officer not below the rank of Tehsildar iv. 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.... Page 6of7

7 Annexure '8' Form of declaration to be submitted by the OBC candidate (in addition to the community certificate) 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 /3/2004-Estt. (Res.) dated 9th March, 200, O.M /3/2004-Estt. (Res.) dated 14th October, 2008 and OM 36033/1/2013-Estt. (Res.), dated: zr: May, Signature:. Full Name:. Address.. Page 7 of 7