gthhgf

1. 10/30/23, 7:18 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS
https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=ZjA4NzVmYmNiOTNlMDBmZTZiMGQwYWIyYzM1Y2RiZTl8MjU4MTIyMjgw# 1/4
Registration Number : 258122280
Full Name : JAHAR SINGH
Post : OT Assistant
Region : Delhi NCR
Category : OBC
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 ?
: -
EMPLOYEES’ STATE INSURANCE CORPORATION
RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS
300130

2. 10/30/23, 7:18 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS
https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=ZjA4NzVmYmNiOTNlMDBmZTZiMGQwYWIyYzM1Y2RiZTl8MjU4MTIyMjgw# 2/4
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
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 : 500.00
Payment Status : PAID
Reference ID : YHMP2127939980
Transaction Date : 30-10-2023
Do you want to receive refund of fees in the same
channel by which you are paying fees ?
: -
Account Number : -
Account Type : -
Bank Name : -
Branch Name : -
IFSC Code : -
Name of the Account Holder : -
Personal Details
Date of Birth : 10-05-1995
Age completed as on 30.10.2023 : 28
Gender : MALE
Do you have twin brother / sister ? : NO
Name of the twin : -
Gender of the twin : -
Marital Status : Married
Father's Name : BADSHAH
Mother's Name : SHANTI DEVI
Spouse's Name : CHANDRAVATI

3. 10/30/23, 7:18 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS
https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=ZjA4NzVmYmNiOTNlMDBmZTZiMGQwYWIyYzM1Y2RiZTl8MjU4MTIyMjgw# 3/4
Address for Correspondence
Address 1 : MOHAN PUR
KUTUKPUR
Address 2 : QUTUKPUR
Address 3 : ROHAI
District : AGRA
State : UTTAR PRADESH
Pincode : 283125
Permanent address
Address 1 : MOHAN PUR
KUTUKPUR
Address 2 : QUTUKPUR
Address 3 : ROHAI
District : AGRA
State : UTTAR PRADESH
Pincode : 283125
Contact Details
Mobile No : +91 9756397535
Alternative Number
(Mobile No/Landline No)
: -
Email ID : jaharskh2@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 - 10-06-2011 53.33 Second Class
HSC/12th or Equivalent Science - 05-06-2013 60.20 First 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
SHREE
KRISHNA HOSP
ITAL
OT TECHNICIAN 01/01/2016 30/10/2023 OT TECHNICIAN - 7/9/30
Total Experience in months : 94

4. 10/30/23, 7:18 PM RECRUITMENT OF GROUP ‘C’ PARAMEDICAL POSTS
https://ibpsonline.ibps.in/esicjan23/registration_print.php?q=ZjA4NzVmYmNiOTNlMDBmZTZiMGQwYWIyYzM1Y2RiZTl8MjU4MTIyMjgw# 4/4
Languages Known Read Write Speak
HINDI YES YES YES
ENGLISH YES YES YES
1. Left Thumb Impression
2. Hand Written Declaration
Other Details :
Uploaded Document Details :
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