File No.: A-12016/44/2022-ADMN (43731) Date: 01.08.

2025

ADVERTISEMENT NO: 03/2025

Walk in interviews are scheduled to be held at ESIC Hospital, Bibvewadi, Pune- 37, on 08.08.2025 and
11.08.2025 for selection of Super Specialist, Specialist, Senior Residents (SR)-(3 Years), Medical Officers and Part
Time Ayurvedic Physician for contractual engagement at ESIC Hospital Bibvewadi, Pune and Dispensary Cum Branch
Office (DCBO) (for Medical Officers). Interested candidates may appear in the interview along with application in
prescribed format, application fee and other relevant documents as per the schedule given below:

Walk-in Interview Schedule and other details

Sr. Category wise breakup Venue for

Department/Speciality Date & Time Of Interview
No. UR OBC SC ST EWS Total Interview
A Full Time/Part-time Super Specialist (FTSS/PTSS) on Contract basis at ESIC Hospital Bibvewadi, Pune
1 Medical Oncology 1 0 0 0 0 1 08.08.2025 09.00 AM
B Full Time Medical Officer on contract basis for ESIC DCBO in Maharashtra
1 DCBO Khamgaon 0 0 1 0 0 1 08/08/2025 10.00 AM
C Part Time Ayurvedic Physician on 1 year contract basis at ESIC Hospital Bibvewadi, Pune
1 Ayurveda 1 0 0 0 0 1 08/08/2025 11.00 AM Office of the
D Full Time / Part Time Specialist (FTS/PTS), on Contract basis at ESIC Hospital Bibvewadi, Pune Medical
1 Chest 1 0 0 0 0 1 11/08/2025 09.00 AM Superintendent,
2 Medicine 1 0 0 0 0 1 11/08/2025 9.30 AM Employees’ State
3 Obs. & Gynaecology 0 0 1 0 0 1 11/08/2025 10.00 AM Insurance
Corporation
4 Accident & Emergency 0 1 0 0 0 1 11/08/2025 10.30 AM
(ESIC) Hospital,
5 ICU 1 0 0 0 0 1 11/08/2025 11.00 AM
Sr. No. 690,
E Full Time Senior Resident- 3 Years (Residency Scheme) on contract basis at ESIC Hospital Bibvewadi Bibvewadi, Pune-
1 Biochemistry 0 0 0 1 0 1 11/08/2025 11.30 AM 411037,
2 Chest 0 1 0 0 0 1 11/08/2025 12.00 Noon Maharashtra
3 Medicine 1 1 1 0 0 3 11/08/2025 12.30 PM
4 Obs. & Gynaecology 0 0 0 1 0 1 11/08/2025 01.00 PM
5 Orthopaedics 0 1 0 0 0 1 11/08/2025 02.00 PM
6 Paediatrics 1 0 0 0 0 1 11/08/2025 02.30 PM
7 Surgery 0 0 1 0 0 1 11/08/2025 03.00 PM
8 ICU 1 0 0 0 0 1 11/08/2025 03.30 PM

Note:
1. The aspiring applicants satisfying the eligibility criteria in all respects can appear for the walk-in interview as per the
days and time mentioned above.
2. The applicants applying in response to this advertisement should satisfy themselves regarding their eligibility for the
post applied for. They must fulfill all eligibility criteria as on the date of interview and age criteria as on the date of
advertisement.
3. Only those candidates whose documents are verified will be allowed to attend walk-in interview.
4. Change in date of interview, etc. if any, will be intimated on ESIC’s website only. Candidates are advised to check the
website (https://bibvewadihospital.esic.gov.in) regularly for any updated information relating to the
recruitment.
5. ESIC Hospital may increase or decrease or cancel filling up of any or all the post without assigning any reasons at the
discretion of the Appointing Authority.

ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 1 of 8
 Eligibility Criteria and other information

A Full Time/Part-time Super Specialist (FTSS/PTSS) on Contract basis.

Age as on the date of
Sr.
Department Advertisement & Minimum Qualification Experience Emoluments
No.
Tenure of Contract
ESIC has adopted
Consolidated Remuneration
structure for Contractual
Age:
Doctor as per ESIC
For FTSS/PTSS - Age
Headquarters Memorandum
not to exceed 69
No. Z-17/11/1/2007/Med.IV
years as on date of i. MBBS from an institution recognized by
(Pt.File), dated 13.04.2022
Advertisement. National Medical Council/Medical Council
and subsequent instructions
of India,
/modifications on the matter
Tenure: ii.. Post Graduation degree (MD/DNB, or 2 (two)
from time to time.
For FTSS – Three equivalent) in relevant discipline from an years'
years subject to institution recognised by National experience
Full Time: Rs. 2,00,000/-
Medical annual renewal as Medical Council/Medical Council of after
1 (Consolidated remuneration)
Oncology per performance or India/National Board of Examinations. acquiring
till regular iii. A Super-speciality Degree (DM/DNB or Super-
Part Time: Rs. 1,00,000/- per
incumbent joins or equivalent, as applicable) in concerned speciality
month for 16 hours per week
till attaining 70 years Super-specialty from an institution Degree.
(4 hours per day for 4 days in
of age, whichever is recognised by MCI/NMC/NBEMS.
a week).
earlier. iv. Should be registered with Medical
Additional Rs. 20,000/-
For PTSS- One Year Council.
Charges for Emergency visit.
or till regular
Additional Rs. 1,200/- for
incumbent joins,
every additional hour beyond
whichever is earlier.
16 hrs/week. (The additional
hour of work shall be subject
to approval by MS/Dean).
B Full Time / Part Time Specialist (FTS/PTS), on Contract basis.
Age as on the date of
Sr.
Department Advertisement & Minimum Qualification Experience Emoluments
No.
Tenure of Contract
i. MBBS from an institution recognized by
National Medical Council/Medical Council PG Degree
of India, or Full Time: Full time Specialist
1 Chest
ii.. Post Graduation Diploma / Degree equivalent will be paid in the Level-11 of
(MD/MS/DNB, or equivalent) in relevant in Rs.67,700/- plus other
discipline from an institution recognised concerned allowances (DA, HRA, NPA,
Age: by National Medical Council/Medical specialty TA, etc.) as envisaged in ESIC
2 Medicine For FTS/PTS - Age Council of India/National Board of from Headquarters Memorandum
not to exceed 69 Examinations. Recognized No. Z-17/11/1/2007/Med.IV
years as on date of iii. Should be registered with Medical University (Pt.File), dated 13.04.2022;
Obs. & Advertisement. Council. With 3 Z-11012/51/2022-MED-VI,
3
Gynaecology (three) dated 08.12.2022 and
Tenure: years' subsequent
For FTS – Three experience instructions/modifications on
years subject to i. MBBS from an institution recognized by after the matter from time to time.
annual renewal as National Medical Council/Medical Council acquiring
per performance or of India, PG Degree. Part Time: Rs. 60,000/- per
till regular ii.. Post-Graduation Diploma or Degree month for 16 hours per week
incumbent joins or (MD/MS/DNB, or equivalent) in Critical (4 hours per day for 4 days in
till attaining 70 years Care Medicine (In case no candidate OR a week).
of age, whichever is appeared in the above speciality, Additional Rs. 15,000/-
earlier. candidate having MD in Anaesthesia / minimum of Charges for Emergency
For PTS- One Year or Internal Medicine / Respiratory Medicine 5 (Five) visit.
4 ICU
till regular incumbent or equivalent, or Diploma in relevant years' Additional Rs. 800/- for every
joins, whichever is discipline having at least 1 year experience additional hour
earlier. Fellowship in Critical Care Medicine may in the beyond 16 hrs/week. (The
be considered) from an institution concerned additional hour of work
recognised by National Medical specialty shall be subject to approval
Council/Medical Council of India/National after by MS/Dean).
Board of Examinations. acquiring
iii. Should be registered with Medical PG Diploma.
Council.

ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 2 of 8
 Age as on the date of
Sr.
Department Advertisement & Minimum Qualification Experience Emoluments
No.
Tenure of Contract
5 Accident & Age: i. MBBS from an institution recognized by PG Degree Full Time: Full time Specialist
Emergency For FTS/PTS - Age National Medical Council/Medical Council or will be paid in the Level-11 of
not to exceed 69 of India, equivalent Rs.67,700/- plus other
years as on date of ii. Post-Graduation Diploma / Degree in allowances
Advertisement. (MD/MS/DNB, or equivalent) in concerned (DA,HRA,NPA,TA,etc.) as
Emergency Medicine (In case no specialty envisaged in ESIC
Tenure: candidate appeared in the above from Headquarters Memorandum
For FTS – Three speciality, candidate having MD in Recognized No. Z-
years subject to Anaesthesia / General Medicine / University 17/11/1/2007/Med.IV(Pt.File
annual renewal as Respiratory Medicine, or equivalent, MS With 3 ), dated 13.04.2022; Z-
per performance or Orthopaedics / Surgery or equivalent may (three) 11012/51/2022-MED-VI,
till regular be considered) from an institution years' dated 08.12.2022 and
incumbent joins or recognised by National Medical Council experience subsequent instructions/
till attaining 70 years /Medical Council of India /National Board after modifications on the matter
of age, whichever is of Examinations. acquiring from time to time.
earlier. iii. Should be registered with Medical PG Degree.
For PTS- One Year or Council. MD/MS/ DNB/in Emergency Part Time: Rs. 60,000/- per
till regular incumbent Medicine (Preferably) month for 16 hours per week
joins, whichever is OR (4 hours per day for 4 days in
earlier. a week).
minimum of Additional Rs. 15,000/-
5 (Five) Charges for Emergency visit.
years' Additional Rs. 800/- for every
experience additional hour beyond 16
in the hrs/week. (The additional
concerned hour of work shall be subject
specialty to approval by MS/Dean).
after
acquiring
PG Diploma.

C Senior Resident- 3 Year on contract basis (Under Senior Residency Scheme)

Age as on the date of
Sr.
Department Advertisement & Minimum Qualification Experience Emoluments
No.
Tenure of Contract
1 Biochemistry i. MBBS from an institution recognized by
National Medical Council/MCI.
2 Chest ii. Post-Graduation Diploma / Degree
3 Medicine (MD/MS/DNB, or equivalent) in relevant
Obs. & discipline from an institution recognised
4
Gynaecology by National Medical Council /Medical
Council of India / National Board of
5 Orthopaedics
Age: Examinations.
6 Paediatrics 45 years iii. Should be registered with Medical
7 Surgery as on the date of Council.
Advertisement. (Age i. MBBS from an institution recognized by
relaxation is National Medical Council/Medical Council The Senior Residents will be
applicable of India, paid in the Pay Band 3, Level-
as per Govt. of India ii.. Post-Graduation Diploma or Degree Not 11 of Rs. 67,700.00 plus
Rules) (MD/MS/DNB, or equivalent) in Critical essential other allowances (DA, HRA,
Care Medicine (In case no candidate NPA, TA, etc.) as applicable
Tenure: appeared in the above speciality, under Govt. Of India.
Maximum 03 years, candidate having MD in Anaesthesia /
subject to Internal Medicine / Respiratory Medicine
8 ICU satisfactory or equivalent, or Diploma in relevant
performance. discipline having at least 1 year
Fellowship in Critical Care Medicine may
be considered) from an institution
recognised by National Medical Council/
Medical Council of India/ National Board
of Examinations.
iii. Should be registered with Medical
Council.

ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 3 of 8
 D Medical Officer for ESIC Dispensary cum Branch Office (DCBO) in Maharashtra
Age as on the date of
SN DCBO's Name Advertisement & Minimum Qualification Experience Emoluments
Tenure of Contract
i. A recognized MBBS degree qualification
35 years included in the First Schedule or Second
as on the date of Schedule or Part II of the Third Schedule
Advertisement. (Age (other than licentiate qualifications) to the
relaxation is Indian Medical Council Act, 1956. Holders Level –10 of Pay
applicable of Educational qualifications included in Matrix 7th CPC (Rs.
as per Govt. of India Part II of the Third Schedule should also 56,100/-
1 Khamgaon Not essential
Rules) fulfil the conditions specified in sub-section plus allowances as
(3) of section 13 of the Indian Medical admissible per
Tenure: One Year or Council Act, 1956. month)
till regular incumbent ii. Completion of compulsory rotating
joins, whichever is internship.
earlier. iii. Should be registered with Medical
Council.
E Part Time Ayurvedic Physician on contract basis at ESIC Hospital Bibvewadi, Pune
Age as on the date of
SN Department Advertisement & Minimum Qualification Experience Emoluments
Tenure of Contract
35 years
as on the date of
i. Degree in Ayurveda from a recognized
Advertisement. (Age Consolidated
university/ Statutory Board/ Council/
relaxation is Remuneration of
Faculty of Indian Medicine ( under Indian
applicable Rs.50000/- Per month
Medicine Central Council Act 1970 48 of
as per Govt. of India for 5 hours per day
1 Ayurveda 1970) Not essential
Rules) for 6 days in a week.
ii. Enrolment on the central/State Register
No Other allowances
of Indian Medicine
Tenure: One Year or in any form shall be
iii. Candidate with PG Qualification will be
till regular incumbent admissible
preferred.
joins, whichever is
earlier

Additional Terms and Conditions

1. The recruitments are purely on contractual basis and selected candidates will have no claim for regularization of
the service in the hospital.
2. Selection Procedure:
a. The applications in the prescribed proforma of the candidates submitted on the day of walk-in interview will
be scrutinized by the authorized officer/ scrutiny committee of the Hospital and only the eligible Candidates
will be allowed to appear for walk-in interview before the selection committee. In case, the numbers of
applicants are large, the selection committee of the Hospital may at its discretion, devise criteria for short-
listing of the candidates which may include holding of a Screening Test.
b. The selection will be made on the basis of performance of the candidate in interview before the Selection
Board.
c. The decision of the Recruiting Authority of the ESIC Hospital shall be final. No further correspondence shall
be made in this regard.
d. Results will be published on https://bibvewadihospital.esic.gov.in / www.esic.gov.in/recruitments.
e. Selected candidates will have to join within 7 days from the date of issue of Offer of Appointment.
3. Application Fee and Mode of Payment :
S. No. Category Amount Mode of Payment
1 UR/OBC Rs.300/- Through Demand Draft in favour of ‘ESI Fund
2 SC/ST Rs.75/- Account No. 1’, drawn on any scheduled bank
3 Defense Ex-servicemen as per NIL payable at Pune, is to be mandatorily submitted
the definition of Ex-servicemen, along with the Application Form, at the time of
EWS & PH (Divyang) candidates Interview.
a. Application Fee paid by any other mode will not be accepted.
b. Interview Fee is Mandatory to appear in the Walk-in Interview.
c. The above Fees will not be refunded under any circumstances.
4. Candidates are permitted to apply for only one post at a time, with an exception for Emergency Medicine and
ICU. However, separate application form should be submitted for these two specialities.
5. Mere submission of application does not confer any right to the candidate to be eligible for interview unless they
report on the scheduled date and time.
ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 4 of 8
 6. Application should be submitted in the prescribed format only (Annexure – A). The applications submitted in any
other format OR incomplete applications will be summarily rejected.
7. The candidates may ascertain their eligibility and report for interview on the scheduled date and time for
interview. Candidates reporting after scheduled time will not be allowed to attend the interview process.
8. ESIC reserves the right to cancel the recruitment process at any stage at its discretion without assigning any
reason and such decision will be binding on all concerned.
9. Opportunity for appearing in the interview given to the candidates is purely provisional. Joining of the candidates
will be subject to detailed scrutiny of eligibility conditions/production of prescribed certificates in case of
reservation.
10. The selected Contractual doctor so engaged will be required to enter into a Contract Agreement containing Terms
and Conditions on a Non-judicial Stamp paper of Rs.500/- to be purchased by the candidate prior to joining.
11. All the selected candidates must have a professional indemnity policy which should cover the period as desired
by ESIC. The policy is meant to cover professional liability falling on them as a result of error and omission
committed by them while rendering professional service. The minimum sum assured should be Rs. 10 Lakhs for
General Medicine, Radiology, and Anesthesia, etc. and Rs. 20 Lakhs for Ophthalmology, ENT, Surgery, OBGY,
Orthopedics, Pediatrics, etc.
12. Private practice will not be allowed for Medical Officer, Senior Residents & Full Time Specialist /Super-specialist
on contract.
13. Interested candidates may appear for the Walk-in interview as per given schedule along with their original
documents & self-attested photocopies in support of their Date of Birth, Proof of Educational Qualification,
Experience Certificates, Caste Certificates as per Govt. of India formats, Non-Creamy Layer Certificates as per
Govt. of India format valid for the current year / latest in case of OBC, available on Net. The Candidates are
advised to appear for interview with duly filled ‘Annexure-A’ (Format Enclosed) one hour before Interview timing
mentioned against their specialty.
14. In case of selection, offer of appointment will be issued as per requirement of ESIC Hospital, at its discretion.
15. Candidates need to join duty within 07 days from the date of issue of offer of appointment.
16. The selection is subject to the candidates proving their medical fitness.
17. No accommodation facility is provided by ESIC for contractual engagements.
18. For Medical Officers, Senior Residents & Full Time Specialist /Super-specialist to be engaged on Contract: A
Security deposit of Rs.15,000/- by way of Demand Draft drawn on any nationalized bank & payable to “ESI Fund
A/c No. 1” at Pune has to be submitted at the time of joining by successful candidates which would be returned
without any interest, after the end of the tenure subject to satisfactory performance of the candidate. The same
shall be forfeited towards administrative expenses if the candidate resigns without notice or dereliction of duty
and other conditions unbecoming of an officer in this Government Hospital.
19. No TA/DA will be admissible either for walk in interview or joining the post.
20. The candidates appointed under PWD quota will be adjusted against the vacancy of respective categories of
SC/ST/OBC/UR.
21. The decision of the selection board will be final in all aspects of selection process and no further correspondence
will be entertained under any circumstances.
22. Candidates who have already worked as SR for 3 years after PG Degree/Diploma under central Residency
scheme in any govt. Organization are not eligible to apply for the post of Senior Residents on contract basis
under 3 Year Senior Residency Scheme.
23. Reservation and Age Relaxation for SC/ST/OBC /Ex-servicemen/PWD will be as per Central Government rules.
24. Candidates seeking reservation/Age relaxation benefits under SC/ST/OBC/PWD category must ensure that they
are entitled to such reservation as per eligibility prescribed in the Notice and 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 claiming reservation/ age relaxation under OBC Category should submit the
OBC Certificate prescribed vide Govt. of India, Department of Personal and Training OM No. 36012/22/93-
Estt.(SCT) dated 15.11.93 along with Self Declaration failing which the benefit of reservation or age relaxation will
not be given.
25. The candidates claiming reservation on grounds of belonging to OBC [non-creamy layer] should submit the
community certificate in Annexure “A” prescribed vide Govt. of India, Department of Personnel and Training O.M
No. 36036/2/2013-Estt (Res) dated 30.05.2014 failing which the benefits of reservation will not be given and their
application shall be rejected and no request /correspondence will be entertained. Certificate issued in other
formats will not be accepted and the candidature will be treated as “General Category” for all purposes.
26. Although Some Posts are reserved for the categories like SC, ST, EWS and OBC, in case of non-availability of the
candidates of appropriate category, candidate from other category can be considered at the discretion of the
Hospital Authority for appointment on contractual basis for the period of 39 days which may further be extended
for another 39 days or till the joining of regular Medical Officer whichever is earlier.
27. The Service rendered by the Senior Residents (SRs) in the ESI Corporation shall be considered as bonded service in
Maharashtra State as per Maharashtra State Govt. decision No. MED/1013/Admn. No.101/13/Edu-2 dated
31.01.2014.
28. Contractual Doctors will be eligible for certain leaves in accordance with guidelines of ESIC.
ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 5 of 8
 29. No claim for any service benefits like PF, Pension, Gratuity, Medical allowances, Medical benefits, Seniority,
Promotion etc. will be admissible.
30. Candidate must be registered with National Medical Council/Medical Council of India/State Medical Council as
applicable, before joining the post.
31. Candidate in the Government Service should submit “No Objection Certificate” from the employer at the time of
Interview.
32. The candidates who are already employed must produce relieving order from the previous employer at the time
of joining / NOC for taking up engagement with ESIC.
33. The Contractual doctor so selected will be required to submit acceptance/consent letter in writing before
appearing for medical examination.
34. The contractual doctors at any time found guilty of any gross misconduct or negligence of his/her duties shall be
terminated without any notice or payment in lieu of the notice period.
35. The absence from work for a period of fifteen days without proper permission of the competent authority will
amount to voluntary abandonment of engagement and automatic termination.
36. The Contractual Doctors are required to mark attendance manually as well as on Aadhaar Enabled Bio- metric
Attendance System (AEBAS) daily during scheduled working days/Time.
37. They will be required to attend emergency, floor duty and other clinical duty as assigned by the Competent
Authority.
38. They will also be required to perform duties in other departments as assigned by the competent authority, as and
when required.
39. If the selected candidate does not join within stipulated time or quits within 3 months of joining, appointment
may be offered to the waitlisted candidate at the sole discretion of the appointing authority. (Validity of Waiting
List shall be for 6 months only).
40. Wrong declarations/submission of false information or any other action contrary to law shall lead to cancellation
of the candidature at any stage in addition to suitable legal action.
41. Documents: The candidates are advised to bring their all Original Certificates with one set of self-attested
photocopies of the following during document verification on the date of walk-in Interview:
a. Identity Proof [e.g. PAN Card, Passport, Driving License, Voter Card, Aadhaar Card etc.]
b. Address Proof [e.g. Ration Card, Passport, Driving License, Aadhaar Card etc.]
c. Certificate showing Date of Birth [10th Certificate]
d. Two Recent passport size photographs.
e. Photocopies of Aadhaar Card/PAN Card and Bank Passbook [At the time of joining for only selected
candidates]
th th
f. Class 10 & 12 Mark Sheets or Certificates.
g. Proof of other Educational Qualification: MBBS, MD/MS/DNB/MCH/DM as applicable as per NMC
guidelines.
h. Internship Completion Certificate.
i. Registration with National Medical Council / State Medical Council and Renewal of NMC Registration
j. Subsequent to the selection, the candidate has to register with Maharashtra State Medical Council not
later than 30 days from the date of joining if not registered at the time of joining.
k. Experience Certificates.
l. Reservation category Certificate [OBC*/SC/ST/PH/EWS] in the format prescribed by Govt. of India (*
Candidate should belong to non-creamy layer of central lists of OBC).
m. NOC if already working in Government Institution/Organization/Other ESIC Institution.
n. Demand Draft (as applicable to candidate) of requisite amount in favour of ‘ESI Fund Account No. 1’,
drawn on any scheduled bank payable at Pune.

*Candidates shall report for document verification 1 (One) hour in advance before the scheduled time of interview, on
the specified date.

Dated : 01.08.2025
-Sd-
(Medical Superintendent)
ESIC Hospital Bibvewadi, Pune, A
dvertisement No: 02/2025, Dated 19.05.2025

ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 6 of 8
 APPLICATION FORM
Advertisement No
Please affix
Recent Passport
Name of the Specialty Applied for
size photo
Name of the Post

Demand Draft No Amount (Rs.) Date Drawn at Bank

(Write NA, if not applicable)

UR/OBC (Rs.300), SC/ST (Rs.75), Ex-servicemen, EWS & PH (Nil) DD in favour of ‘ESI Fund Account No. 1’, on any scheduled bank payable at Pune

Personal Details [IN CAPITAL LETTERS]

1. Full Name
(First, Middle and Last)

2. Father’s/
Husband’s
Name

3. Address for
Correspondence
with PIN Code

4. Permanent
Address with
PIN Code

5. E-Mail Id (IN BLOCK LETTERS ONLY)

6. Phone/Mobile No + 9 1
Alternate Number (Mobile) + 9 1
(Landline)

7. Date of Birth D D M M Y Y Y Y 8. Nationality

[Please attach 9. State to which you
document for evidence] belong

10. Aadhaar Number

UR OBC SC ST EWS
11. Category [Please Tick Only)

12. Details of Educational Qualifications

University/Board/
Name of Degree Month, Year of No. of Extra
Examinations Passed Institution/ Council of
/ Diploma passing Attempts
Examination
Secondary [10th ]
Senior Secondary [12th]
MBBS
MD/MS/DNB/DIPLOMA
MCh/DM/DNB/Any Other

ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 7 of 8
 13. NMC Registration
No.

14. Work Experience [if any]

Name of Period of Service Designation Nature of Total Monthly Reason for
Organization duties Emolument Leaving
From To performed services

15. Publication Index National Journal Index International Journal

16. If Selected, Specify the minimum time that shall be

required for you to join
Note: Bring the original and attested photocopies of relevant documents and publications at the time of
Document verification /Interview. Candidates are also instructed to submit Documents as per the Checklist.
Check List of the Documents
Comments: Yes Remarks
SN Documents
/ No / NA (for Office Use)
1 Identity Proof [PAN, Passport, Driving License, Voter / Aadhaar Card etc.]
2 Address Proof [Ration Card, Passport, Driving License, Aadhaar Card etc.]
3 Certificate showing Date of Birth [10th Certificate/Birth Certificate]
4 Two Recent passport size photographs.
th th
5 Class 10 & 12 Mark Sheets or Certificates.
6 Proof of other Educational Qualification: MBBS, MD/MS/DNB/MCH/DM
whichever is applicable as per NMC guidelines.
7 Internship Completion Certificate.
8 Registration with NMC / State Medical Council / Renewal of NMC Registration
9 Experience Certificates.
10 Reservation Category Certificate [OBC*/SC/ST/PH/EWS] in the prescribed format
11 NOC if already working in Govt. Inst/Org
12 Demand Draft in favour of ‘ESI Fund Account No. 1’

I hereby declare that the information given above is true & correct to the best of my knowledge and belief. In case of
any information found to be false / incorrect at a later date of the recruitment/appointment, I shall be bound by the
decision of the Medical Superintendent, ESIC Hospital, Bibvewadi/ ESI Corporation without prejudice to other rights.
Place: ________________________________
Date: (Signature of the Candidate)
Name: { }
________________________________________________________________________________________________________
(For Office Use Only)
Remarks / Recommendations for Appearing in Interview by the candidate
Name of Verifying Officer Signature of Verifying Officer Remarks

*****
ESIC Hospital Bibvewadi, Pune, Advertisement No: 03/2025, Dated 01.08.2025 Page 8 of 8