Employees State Insurance Corporation New Delhi Recruitment 2010 Application Form:

(A) Applicants for the above posts may apply in the form appended below. ESIC Application Form complete in all respects and enclosing attested copies of all essential certificates are to be sent in a cover superscribed "ESIC Application Form for the post of ____________" by Registered Post / Speed Post so as to reach the following ESIC address.

The Jt. Director (Recruitment),
E.S.I. Corporation (Hqrs. Office),
Panchdeep Bhawan,
C.I.G. Marg,
New Delhi - 110 002.

The following documents should be attached alongwith the ESIC application form.

1. Two copies of recent passport size photographs duly attested by Group A? / Group B? Gazetted Officer with one photograph pasted on the ESIC application form.
2. Attested copies of certificates and testimonials in support of proof of age / date of birth, educational qualifications and experience etc.
3. Attested copy of community / status certificate in prescribed form in case of candidates belonging to SC / ST / OBC / PH category. Candidates claiming reservation / age relaxation on the grounds of belonging to OBC category should submit the community certificate in Annexure 'A' prescribed vide Govt. of India, Deptt. of Personnel & Training O.M. No. 36012/2/93/Estt. (SCT) dated 15-11-93 failing which the benefit of reservation will not be given.
4. Two self addressed envelopes of size 23 x 10 cms.
5. The demand draft should not be tagged or stapled but should be pinned or clipped at the top of the ESIC application form. The name and address of the candidate and the post applied for should be written on reverse of the demand draft.

B. The last date of receipt of Employees State Insurance Corporation applications 07-05-2010 (last date for receipt of ESIC application form from candidates residing in Assam, Meghalaya, Arunachal Pradesh, Mizoram, Manipur, Nagaland, Tripura, Sikkim, Ladakh Division of Jammu and Kashmir State, Lahaul and Spiti District and Pangi Sub-Division of Chamba district of Himachal Pradesh, Andaman and Nicobar Islands and Lakshadweep will be 21-05-2010).

C. Candidates employed in Government / Semi Government / Autonomous bodies should send their Employees State Insurance Corporation applications through proper channel. However, they may send an advance copy of their ESIC application form before the last date. The advance copy should also be complete in all respects, enclosing attested copies of all certificates.

ESIC Examination Fee: ESIC Application Form has to be submitted along with a Demand Draft as detailed below.

		For General / OBC Candidates	For SC / ST / Women Candidates
(i)	ESIC Application Form fee	Rs.200/-	-
(ii)	Postal Charges	Rs. 25/-	Rs. 25/-
	Total	Rs.225/-	Rs. 25/-

The Demand Draft issued from any scheduled bank should be drawn in favour of "E.S.I". Corporation, Account No.-1, payable at New Delhi. Payment of fee by any other mode will not be acceptable.

ESIC New Delhi Recruitment 2010 Application Form