EMPLOYEES’ STATE INSURANCE CORPORATION

MEDICAL COLLEGE,
SANATHNAGAR HYDERABAD-500 038 (T.S.)
Tel: 040-29803832,29804857,E-mail:dean-hyd@esic.in, website: www.esicmchyd.ac.in

RECRUITMENT FOR TEACHING FACULTY/RESIDENTS

Applications are invited for the post of Teaching Faculty – Professor, Associate Professor, Assistant Professor,
Tutor &Residents - ESIC Medical College & Associated Super Specialty Hospital Sanathnagar, Hyderabad,
Telangana on Contract/Deputation Basis. The details of vacancies and reservation position are as under:-
LAST DATE OF SUBMISSION OF APPLICATION : 23.01.2017 UPTO 4 PM

DETAIL OF VACANCIES
Table I
Sl.
No Post Professor Associate Professor Assistant Professor

SC ST OBC UR Total SC ST OBC UR Total SC ST OBC UR Total

1. Anatomy 1 1
2. Pharmacology 1 1 1 1
3. Pathology 1 1 1 1 1 1 2
4. Microbiology * 1 1 1 1
5. Forensic Medicine 1 1
6. Comm. Medicine 1 1 1 1 2 1 1 2
7. Epidemiologist 1 1
8. Statistician 1 1
9. General Medicine 1 1 1 1 2
10. TB/Chest * 1 1
11. Paediatrics 1 1 1 1
12. General Surgery 1 1 1 1 2
13. Orthopaedics 1 1 1 1 1 1
14 Anaesthesia 1 1 1 1
15 Radio Diagnosis* 1 1
16 Cardiology 1 1 1 1 2
17 Neurology 1 1 1 1
18 Nephrology 1 1 1 1
19. Urology 1 1 1 1
20 Neuro-Surgery 1 1 1 1
Total 2 2 6 10 3 1 3 8 15 2 1 5 10 18

Out of Total Vacancies (in respect of Faculty & Tutors) ONE Post is reserved for persons with Disability (PWD) in identified
Specialties (shown with symbol ‘*’)

Identified Posts for Persons with Disabilities (PWD)

Specialty Suitability for the post Physical requirement Abbreviations used
Radiology OL S,SE,ST,MF,KC,C KC –Kneeling and ST- Standing OA – One arm
Crouching
Res. Medicine (TB and Chest OL S,SE,ST,MF,KC,C RW – Reading and BLA – Both Legs and OL – one Leg
Disease) Writing Arms
Microbiology BLA,OL,OA, S,ST,W,RW,MF,SE,H,C S –Sitting H- Hearing C - Communication

SE-seeing MF- manipulation by W-walking

fingers

Contd..
 :::2:::

Table II: Senior Residents & Junior Residents & Tutors

Sl. Department Tutor Senior Resident Junior Resident

No
1. Pharmacology 01
2. Pathology 03
3. Micro Biology* 02
4. Forensic Medicine 01
5. General Medicine 01
6. TB/Chest 01
7. General Surgery 02 01
8. OBGY 01
9. Orthopaedic 01
10. Radiology 02
11. Dentistry 01
Total 07 04 06

Table III Reservation Positions of SRs, JRs, Tutors

Post SC ST OBC UR Total

Senior Residents 3 1 4
Junior Residents 1 1 4 6
Tutors 1 2 4 7
Total 1 1 6 9 17

Note:
1. Number of vacancies is provisional and may increase or decrease depending on actual requirement.
2. Age relaxation is applicable to reserved candidates as per rules.
 A. EDUCATIONAL & OTHER QUALIFICATIONS

Sl. No. Name of Post Educational and other Qualifications

1 Professor For GENERAL DISCIPLINES:

EDUCATIONAL QUALIFICATIONS

Essential for Medical Candidates:

(i) A recognized medical qualification included in the First or Second Schedule or Part-II of
the Third Schedule to the Indian Medical Council Act of 1956. (Holders of educational
qualifications included in Part-II of the Third Schedule should also fulfil the conditions
stipulated in Section13 (3) of the Act.); and
(ii) A Post Graduate qualification e.g. MD/MS (Doctor of Medicine and Master of Surgery)
or a recognized qualification equivalent thereto in the respective subject/ allied discipline.
(iii) For Dentistry: A Post graduate qualification i.e. Master of Dental Surgery (MDS) or a
recognized qualification equivalent thereto in the respective subject or allied discipline.

Essential for Non-Medical Candidates:

(i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied

discipline.
(ii) A Doctorate degree from a recognized University in the respective subject/allied
discipline.

Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI-
“Minimum Qualifications for Teachers in Medical Institutions Regulations, 1998.”

Experience:

a. Four years teaching experience as Reader/Associate Professor in a recognized medical college

in the concerned specialty.

Note: The Transitory period of 4 years with effect from 24 th July, 2009, the appointment or
promotion to the post of Professor can be made by the institute in accordance with the Medical
Council of India – “Minimum Qualifications for Teachers in Medical Institutions Regulations,
1998” as prevailing before notification of Medical Council of India-“Minimum Qualifications for
Teachers in Medical Institutions (Amendment) Regulations, 2009”.

OR

b. Three years teaching experience as Associate Professor in the concerned specialty in a

recognized medical college with minimum of four research publications in indexed/national
journals provided that these research publications are published/accepted for publications in the
Journals by the National associations/Societies of the respective specialties as the First Author,
and further provided that the requirement of 4 research publications for promotion to the post
of Professor should be taken on cumulative basis with minimum of 2 research publications must
be published during the tenure of the Associate Professor.

NOTE (1) The experience should be recognized by the MCI or the statutory body concerned with
the system of medicine as valid teaching experience for teaching posts and certificate thereof or any
other valid proof in support thereof should be submitted and a certificate to this effect is to be
submitted.

NOTE (2) Teaching experience in any other post like the post of General Duty Medical Officer
shall not be considered for eligibility purpose for recruitment to teaching posts
2 Associate For GENERAL DISCIPLINES:
Professor
EDUCATIONAL QUALIFICATIONS

Essential for Medical Candidates:

(i) A recognized medical qualification included in the First or Second Schedule or Part-II of
the Third Schedule to the Indian Medical Council Act of 1956.( Holders of educational
qualifications included in Part-II of the Third Schedule should also fulfil the conditions
stipulated in Section13 (3) of the Act.); and
(ii) A Post Graduate qualification e.g. MD/MS (Doctor of Medicine and Master of Surgery)
or a recognized qualification equivalent thereto in the respective subject/ allied discipline.
(iii) For Dentistry: A Post graduate qualification i.e. Master of Dental Surgery (MDS) or a
recognized qualification equivalent thereto in the respective subject or allied discipline.

Essential for Non-Medical Candidates:

(i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied

discipline; and
(ii) A Doctorate degree of a recognized University in the respective subject/allied discipline.

Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI-
“Minimum Qualifications for Teachers in Medical Institutions Regulations, 1998.”

Experience:

a. Five years teaching experience as Lecturer/Assistant Professor in a recognized medical college

in the concerned specialty.

Note: The Transitory period of 4 years with effect from 24 th July, 2009, the appointment or
promotion to the post of Associate Professor can be made by the institute in accordance with the
Medical Council of India – “Minimum Qualifications for Teachers in Medical Institutions
Regulations, 1998” as prevailing before notification of Medical Council of India-“Minimum
Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2009”.

OR

b. Four years teaching experience as Assistant Professor in the concerned specialty in a recognized
medical college with minimum of two research publications in indexed/national journals
provided that these research publications are published/accepted for publications in the Journals
by the National Associations/Societies of the respective specialties as the First Author and
further provided that the requirement of 2 research publications for promotion to the post of
Associate Professor should be fulfilled with 2 research publications must be published during
the tenure of the Assistant Professor.

NOTE (1) If a DNB qualified candidate is working as Assistant Professor in a MCI recognized
Medical College/Central Institute, he/she would require one more year of teaching/research
experience to be promoted as Associate Professor over & above the minimum time frame for
MD/MS candidate.

NOTE (2) The experience should be recognized by the MCI or the statutory body concerned with
the system of medicine as valid teaching experience for teaching posts and certificate thereof or any
other valid proof in support thereof should be submitted and a certificate to this effect is to be
submitted.

NOTE (3) Teaching experience in any other post like the post of General Duty Medical Officer
shall not be considered for eligibility purpose for recruitment to teaching posts.
 For SUPER SPECIALTY DISCIPLINES:

EDUCATIONAL QUALIFICATIONS:
(I) A recognized medical qualification included in the First or Second Schedule or Part-II
of third Schedule to the Indian Medical Council, Act 1956. (Holders of educational
qualifications included in Part-II of the third schedule should also fulfill the conditions
stipulated in section 13(3) of the Act; and
(II) Magister Chirurgiae (M.Ch.) for Surgical Super Specialties and Doctorate of Medicine
(D.M.) for Medical Super Specialties (2 Years or 3 years or 5 years recognized course)
or qualification recognized equivalent thereto in the subject/or specialty as in the
Table-II of Schedule I of the, Medical Council of India “Minimum Qualifications for
Teachers in Medical Institutions Regulations, 1998”.
EXPERIENCE:
Two years teaching experience as Assistant Professor in a recognized medical college in
the concerned specialty with minimum of two research publications in indexed or national journals
provided that these research publications are published or accepted for publication in the Journals by
the National Associations or Societies of the respective specialties as the First Author and further
provided that the requirement of two research publications for promotion to the post of Associate
Professor should be fulfilled with two research publications must be published during the tenure of
the Assistant Professor.

NOTE (1) If a DNB qualified candidate is working as Assistant Professor in a MCI recognized
Medical College/Central Institute, he/she would require one more year of teaching/research
experience to be promoted as Associate Professor over & above the minimum time frame for
MD/MS candidate.

NOTE (2) The experience should be recognized by the MCI or the statutory body concerned with
the system of medicine as valid teaching experience for teaching posts and certificate thereof or any
other valid proof in support thereof should be submitted and a certificate to this effect is to be
submitted.

NOTE (3) Teaching experience in any other post like the post of General Duty Medical Officer
shall not be considered for eligibility purpose for recruitment to teaching posts.

3 Assistant Professor For GENERAL DISCIPLINES:EDUCATIONAL QUALIFICATIONS

Essential for Medical Candidates:

(i) A recognized medical qualification included in the First or Second Schedule or Part-II of
the Third Schedule to the Indian Medical Council Act of 1956. Holders of educational
qualifications included in Part-II of the Third Schedule should also fulfil the conditions
stipulated in Section 13 (3) of the Act; and
(ii) A Post Graduate qualification e.g. MD/MS or a recognized qualification equivalent
thereto in the respective subject/ allied discipline.

Essential for Non-Medical Candidates:

(i) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied

discipline.
(ii) A Doctorate degree of a recognized University in the respective subject/allied discipline.
(iii) A Postgraduate qualification i.e. Masters Degree in the concerned subject/allied discipline
(A doctorate degree, preferably) for the post of Statistician cum Assistant Professor .(As
per MCI guidelines)

Note: The respective subject/allied discipline should be as in the Table-I of Schedule I of the MCI-
“Minimum Qualifications for Teachers in Medical Institutions Regulations, 1998.”
Experience:

(a) For the candidates possessing MD/MS (Doctor of Medicine and Master of Surgery) Degree
from MCI recognized medical colleges: Three years teaching experience in the subject as
Resident/Registrar/Demonstrator/Tutor in a recognized medical college either during the post-
graduate course or after obtaining postgraduate degree in the subject.
(b) For the candidates possessing DNB qualification from MCI recognized medical
colleges/central institutes where the no MD/MS course running:
(i) Three years teaching experience in the subject in a recognized medical college either
during the DNB course or after possessing DNB qualification.
(ii) The concerned candidate would also require one year of additional
teaching/research experience in the concerned subject in a recognized medical
college after obtaining DNB qualification.
 (c) For candidates possessing DNB qualification from MCI recognized medical colleges/Central
institutes where there are MD/MS course running:
Three years teaching experience in the subject in a recognized medical college either during
the DNB course or after obtaining DNB qualification.
(d) For the candidates possessing DNB qualification from centres other than of MCI recognized
medical colleges/central institutes:
(i) Three years teaching experience in the subject either during the DNB course of after
possessing DNB qualification.
(ii) The concerned candidate would require two years additional teaching experience as
Senior Resident/Research Associate (CSIR) in a MCI recognized medical
college/central institute.
(e) ‘Research Experience’:
(i) For the candidates obtaining DNB qualification from centres other than MCI
recognized medical colleges/central institutes, the concerned candidate should have
minimum two publications (accepted/published) in the index journal
(National/International as first/second author)
(ii) In case The Concerned Candidate does not have the required publication, he/she
must have a total of three years teaching experience in a recognized college/institute
after possessing DNB Qualification.

Essential (for Super specialty disciplines):

(i) A recognized medical qualification included in the First or Second Schedule or Part-II
of the Third Schedule to the Indian Medical Council Act, 1956.(Holders of
educational qualifications included in Part-II of the Third Schedule should also fulfill
the conditions stipulated in section 13 (3) of the said Act); and

(ii) M.Ch.( Magister Chirurgiae) for Surgical Super Specialties and D.M.(Doctorate of
Medicine) for Medical Super Specialties (2 years or 3 years or 5 years recognized
course) or qualification recognized equivalent thereto in the subject or DNB
qualification and other qualification specialty as in the Table-II of Schedule I of the
Medical Council of India-“Minimum Qualifications for Teachers in Medical
Institutions Regulations, 1998.
EXPERIENCE:
1. Recognized specialization in the subject i.e. recognized by the Medical Council of
India.
2. Three years teaching experience in the concerned specialty in a recognized medical
college as resident or Registrar or Demonstrator or Tutor.
NOTE: The qualifications regarding experience in respect of the Scheduled Castes and the
Scheduled Tribes candidate are relaxable based on the guidelines issued by the Government of India
from time to time.

4 Senior Residents 1. MBBS from a recognized Medical Institutions

. 2. Qualifications and experiences as per teachers eligibility criteria available in MCI
website
i. MD/MS in the concerned specialty from MCI recognized Medical colleges.
ii. Diploma in the concerned specialty from MCI recognized Medical colleges with one
year teaching experience.
iii. DNB in concerned specialty from MCI recognized teaching institutions and as per
MCI regulations.
3. For Gen. Medicine(ICU)(ICCU)-MD (Gen Medicine)/MD(TB & Chest Medicine)/or
diploma NB in (Medicine/Chest Medicine)
4.Should have registered with MCI or State Medical Council.
5 Junior Residents 1.General Medicine, Gen. Surgery, Orthopaedics, Pathology and forensic medicine,
. and Tutors OBGY, TB/chest: MBBS degree from MCI recognized Medical college,
2. Pharmacology: MBBS Degree from MCI recognized Medical college/ M.Sc., in
Medical Pharmacology(faculty of medicine)
3. Micro Biology : MBBS Degree from MCI recognized Medical college/
M.Sc., in Medical Micro Biology (faculty of medicine)
4. Dentistry : BDS.
 B. AGE LIMIT: AS on last date of submission of application(23.01.2017)
Sl. Name of post Not exceeding
No.
1. Professor, 67 Years
Associate Professor,
Assistant professor
2. Senior Residents 35 years
3. Tutors, Junior Residents 30 years

C. PAY & ALLOWANCES:

1. Pay and other allowances shall be as per rules in force..

2. The retired Government Officers shall be paid emoluments in accordance with the rules in force as on date.
3. Other Candidates appointed on Contractual basis will be paid Pay at the initial stage i.e. Initial Pay of the relevant Pay band
plus Grade Pay and other allowances as per Rules of the Corporation.
4. Eligible Candidates who are working in the Central/State Government may also apply and attend for the interview, Their
candidature will be considered ON DEPUTATION/LIEN/SABBATICAL and the rules of deputation in force will be
applicable to them on selection to the post. A copy in advance directly may also be submitted for consideration.

5. Pay as on date i.e. Pay in (Pay Band + Grade Pay + NPA @ 25%( as admissible)(as per 6th CPC) in different categories is
as Under:2

PAY Professor Associate Professor Assistant Professor

(PB-4+GP 8700/- +NPA) (PB-3+GP7600/- +NPA) (PB-3+GP 6600/- +NPA)
(*Approx. Total Salary Rs. 150000/-) (*Approx. Total Salary Rs. 102000/-) (*Approx. Total Salary Rs. 88000/-)
PAY Tutors Senior Residents Junior Residents
PB-3+GP 5400/- +NPA) (PB-3+GP 6600/- +NPA) (PB-3+GP 5400/- +NPA)
(Approx. Total Salary Rs. 74000/-) (*Approx. Total Salary Rs. 88000/-) (*Approx. Total Salary Rs.74000/-)
*Note: likely to be revised as per 7th pay commission
6. In addition to the above, other allowances like DA,HRA etc would be payable as admissible as per rules in force.(Medical
degree Holders only are eligible for NPA.
7. No Private practice is allowed during tenure of service in ESIC.
8. Retirees from Central/ State Govt./PSU from the equivalent posts are eligible to apply. Persons working in recognized
Medical Institutions fulfilling eligibility criteria for the Post may also apply
9. The Candidates have to attach the self attested copies of all the relevant certificates/testimonials in support of date of birth,
category, subcategory i.e. educational qualifications, teaching experience, pension payment order (PPO), etc., with the
application form and have to produce originals thereof at the time of interview.

D. TERM OF CONTRACT:-
Selected candidates shall be appointed on purely contractual basis for an initial period of one year extendable for another
one year subject to requirement and satisfactory performance. OR till regular incumbent join duty in the specialty
concerned whichever is earlier. Extension beyond Two years or on attainment of 70 years of age whichever is earlier shall
not be given.

E. HOW TO APPLY:
The application along with Annexure( two sets) is to be submitted, by Speed Post only to The office of the Dean,
Academic Block, ESIC Medical College Sanathnagar, S.R. Nagar, Hyderabad -500038 on or before 23.01.2017 upto
4.00 PM.

Amount of Application fee:

Sl.No. Category Fee Amount
01 SC/ST/Regular ESIC Candidates/Female Candidates & Ex- NIL
servicemen &PH candidates
02 All other categories 225/-

Mode of payment: -
A Demand Draft of Rs.225/-(as applicable) in favour of ‘ESI Fund Account No. I’, drawn on any branch of SBI payable at
Hyderabad has to be submitted along with the Application Form.

Note: - i. Fee once paid will not be refunded under any circumstances.
ii. Only Demand Draft drawn on any branch of SBI valid for three months will be accepted. Application
Fee paid by any other mode will not be accepted.
iii. The Demand Draft must be drawn on or after the date of this advertisement.
iv. Separate Demand Drafts to be paid if candidate applies for more than one post
How to Apply: -

Two sets of duly filled and signed Application Form in the Proforma appended below along with self attested copies of certificates
are to be submitted within the time stipulated as mentioned above at col. “E”

The following testimonials should be attached with application form (Two sets):
(a) Recent self-attested passport size photograph firmly pasted on the application form.
(b) Self-attested copies of certificates and testimonials in support of proof of age (Date of Birth), Educational Qualification,
Experience and Research Papers etc.
(c) Self-attested copy of Community Status Certificate in the prescribed form in case of candidates belonging to reserve categories i.e.
SC/ST /OBC(OBC certificate must be in Central government Proforma obtained within one year span for consideration of
reservation.)

(d) The duly filled in application forms along with Annexure and all relevant self attested certificates and D.D. should be
submitted on or before 23.01.2017 upto 4:00 PM by Speed Post. The Applications received after last
date will not be considered for interview and selection. ESIC will not be responsible for any postal delays.

(e) The list of applications received will be uploaded in college website i.e.www.esicmchyd.ac.in on 24-12-2016 by 4.00 PM.

(f) The Applicants should produce Original documents in respect of their age, educational qualifications, experience, caste etc., for
verification at the time of Interview.

Note 1:- The application and the other documents should be arranged in the following order :
1. Application Form.
2. Attested copies of certificates.
Note 2:-The Demand Draft should not be tagged or stapled, but should be pinned or clipped at the top of the application form. The name,
Phone Number and address of the candidates should be written on the reverse side of the Demand Draft.

Note 3: Candidates may contact DEAN OFFICE, ESIC MEDICAL COLLEGE, SANATHNAGR, HYDERABAD over
Phone no. 040-29803832, 04067872015 between 11.00 AM to 4.00 PM on working days for any clarification.

Corresponding Postal Address: The Dean, Academic Block, ESIC Medical College Sanathnagar,
S.R.Nagar, Hyderabad – 500038

Date and venue of interview

Table I

Sl. No. Specialty Date of interview Venue

1. Gen. Medicine
1 2. TB & chest 01-02-2017
3. Pediatrics
4. Pathology

2
1.
2.
Gen.Surgery
Orthopedics 02-02-2017 Office of Dean
3.
4.
Radio diagnosis
Micro Biology ESIC Medical College
3 1. Anaesthesia 03-02-2017 Sanathnagar
2.
3.
Anatomy
Dentistry Hyderabad-38
1. Pharmacology
2. Community Medicine
4 3. Epidemiologist 04-02-2017
4. Statistician cum asst.
Professor
5. Forensic Medicine
 Table II

Sl. No. Specialty Date Office of Dean

1 Neurology 06-02-2017 ESIC Medical College
2 Neuro surgery 06-02-2017
3 Nephrology 07-02-2017
Sanathnagar
4 Urology 07-02-2017 Hyderabad-38
5 Cardiology 08-02-2017

* “NO SEPARATE INTERVIEW CALL LETTER WILL BE SENT”

NOTE 4: Candidates are requested to report by 9 AM at the venue on scheduled dates along with all the
Original certificates, 2 copies of passport size photographs and the relevant certificates issued by the
competent authority in the Form prescribed by Government of India, Department of Personnel & Training
for consideration of reservation to the reserved candidates. Failing which they may not be allowed for interview.

Selection Procedure for Faculty:

Selection will be as follows:
(i) 40% of weightage of marks by evaluation of CV and the Objective Criteria by external respective subject experts before
the date of interview. The CV and the Objective Criteria shall be sent to experts by post/e-mail
(ii) Plus, 40% of weightage of marks by evaluation of CV and the Objective Criteria by expert members of the selection
board on the date of interview.
(iii) Plus, 20% of weightage of marks on the performance of candidate before selection board during interview.

Selection Procedure for Residents & Tutors:

Selection will be as follows:

(i) 70% of weightage of marks by evaluation of CV and the Objective Criteria by committee of experts before the date of
interview.
(ii) Plus, 30% of weightage of marks on the performance of candidate before selection board during interview.

The results will be declared and displayed on the notice board at the end of the day of interview
by 8.00 PM.

General Conditions:-

(i) Mere submission of application does not confer any right to the candidate for selection.
(ii) A candidate should submit only one application for one post. In case candidate wishes to apply for more than one post then
he/she must appear with separate sets of application forms, documents and testimonials, photographs, and separate
demand draft fees for each post applied for.
(iii) Application should be submitted in the prescribed form appended below. It should be filled up in block/capital letters in the
candidates own handwriting.
(iv) Incomplete or Unsigned applications or the applications submitted without the self-attested copies of mark sheets/certificates in
support of educational qualification, proof of age (Date of Birth), application fee, caste certificate, experience certificates,
research papers and photograph are liable to be rejected.
(v) Wrong declarations/submission of false information or any other action contrary to law shall lead to cancellation of the
candidature at any stage.
Notification and application form may be downloaded from the ESIC Website www.esic.nic.in and also the college website
www.esicmchyd.ac.in

Note 5: The crucial date for determining the age limit, work experience and other criteria regarding eligibility for the post shall be the
Date of last date of submission of application for the post.
Caution: - Canvassing in any form will be a disqualification.

The ESIC reserves the right to cancel the recruitment process at any stage at its discretion and such dicision
will be binding on all concerned.

Dated: 9th January 2017 Dy. Director (Administration)

On behalf of Dean
APPLICATION FORM FOR ENGAGEMENT OF TEACHING FACULTY / RESIDENTS ON CONTRACTUAL BASIS
IN ESIC MEDICALEDUCATION INSTITUTIONS ( 9th JANUARY 2017)

1. (a) Name of ESIC Medical Education Institution applied for _____________________________________________

(b) Post applied for _____________________________________

Affix self-attested
(c) Specialty applied for __________________________________ recent passport size
photograph here
(photograph should
2. Particulars of the draft:
be firmly pasted on
Amount Rs.___________________________ this space and not
stapled)
Name of issuing bank branch _____________

D.D. No. ______________ dated___________

3. Name in full (in block letters) __________________________________________________________

4. Father’s / Husband's Name __________________________________________________________

5. (a) Date of Birth (in figures) __________________________________________________________

(in words) __________________________________________________________

(b)Age as on ( 23.01.2017) ______ ____________________________________________________

6. (a) Religion __________________________________________________________

(b) Nationality __________________________________________________________

7. (a) Mailing address _______________ __________________________________________

__________________________________________________________

8. (a) Email __________________________________________________________

(b) Mobile No. __________________________________________________________

9. Permanent Address __________________________________________________________

__________________________________________________________

10. Sex (write 1 for Male, 2 for Female)

11. (i) (a) If Person With Disability (PWD) Yes / No

(b) Percentage of Disability ____________

(ii) Whether Ex-Serviceman Yes / No

(iii) Whether ESIC / Govt. Employees Yes / No

12. Community to which applicant belongs

(Write 1 for SC
2 for ST and
3 for OBC
4 for General
Contd…02/-
 -- 02 –

13. ESSENTIAL EDUCATIONAL AND PROFESSIONAL QUALIFICATIONS (Attach Annexure if necessary)

Examinations Name of the Degree/ Subjects/ Discipline/ Percentage of marks Division/ Date of Number of
Board/University Duration Examination specialty obtained class / grade completion of the attempts
Passed course
From To
High School / NA
Matric

Intermediate

(Write if BSc)
MBBS/B.SC

MD/MS/MSc/
DNB

DM/MCh

PhD

Other examinations
if any

contd. …3
 -3-
14. DETAILS OF EMPLOYMENT (IN CHRONOLOGICAL ORDER)
(Attach annexure if necessary).

Name of the Position(s) Period of service Whether on Institution type Nature of work Whether experience
Institution held Adhoc (Teaching/Research/Patient is recognized by
Dt. of joining Dt. of leaving /Contract/ Care/Administrative) MCI
Regular basis

Contd. …4-
 -4-

15. List of enclosures :

(i) (ii)
(iii) (iv)
(v) (vi)
(vii) (viii)
(ix) (x)
NOTE:
1. Annexure-I to be filled by the faculty i.e. Professors, Associate &Assistant Professors
2. Annexure-II to be filled by the Tutors & Residents.

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 and agree that in the event of any information being found false/ incorrect/in complete or ineligible being
detected at any stage before or after selection, my candidature/appointment shall be liable to be cancelled / terminated
summarily without notice or any compensation in lieu thereof and I shall be bound by the decision of the Authorities, ESI
Corporation.
Further, I declare that I will not approach any Members of Parliament/State legislature or other Political/Outside
authorities/ESI authorities for recommendations/sponsoring/influence my selection to the post. I UNDERSTAND THAT in
violation of above, by me, will automatically make my candidature cancelled.
I also affirm that No Objection Certificate from the present employer for applying this post has been applied for/taken.

Place :
Date: Signature of the Candidate
 ESIC MEDICAL COLLEGE, SANATHNAGAR, HYDERABAD
ANNEXURE-I
Faculty – General Objective Criteria to complement the Subjective Performance in Interview
ACADEMIC PERFORMANCE INDICATORS PROFORMA FOR THE APPOINTMENT OF TEACHING FACULTY

General Instructions:
a. Please tick  in the boxes provided
b. Give the additional information wherever necessary
c. Kindly enclose only the first page of each research paper
d. Attach annexure(s) if necessary and mention the annexure number in the respective box
e. Please attach a copy of awards/certificates received
f. Please write NA when not applicable

CATEGORY I: Teaching, Learning and Evaluation Related Activities

S.No Nature of activity Additional

Information
(please mention how)

1 a. Enumerate 2 recent teaching-learning methods you practiced in the

previous institutions
1.
2.
2 a. Involvement in curriculum design.Y/N How?

b. Enumerate the best 3 additional resources provided by you to the students

for syllabus enrichment
1.
2.
3.
3 Experience as examiner Enclose copy of the
a. Examiner ship letter
(i) UG 
(ii) PG 
4 Describe your notable teaching/patient care experiences in not more than 100 words
Category II: Medical Education Technology Activities

S.No. Training Institution / Centre with Additional Information

Duration
5 Basic Course Workshop / Revised Basic
Course Workshop

6 Advanced Course Workshop

7 ATCOM

8 MET related Conferences / Workshops

9 Position Held in MEU

10 a. Number of MET Workshops / Events Conducted 

b. Number of MET Workshops / Events Participated 

11 Advice and counselling for students (Mentors) 

CATEGORY-III: Research and Academic Contributions

S.No Details Additional

information
(please mention)
12 Research Publications (the points a, b, c &e must be in *indexed journal only) Documentary
a. Total number of full papers published  evidence to be
b. Number of papers under publication provided
c. Total number of abstracts published 
d. Conference Proceedings
e. Authorship:
(i) As First / Second author 
(ii) Corresponding Author 

f. Authors of Books / Chapters:

(i) Number of full books authored (text book/educational)
(ii) Number of chapters written in books (text/educational)
(iii) Number of Edited books 
*as per circular No. Medical Council of India-12(1)/2015-TEQ/131880 dt. 3/9/2015

13 Member of Documentary
a. Editorial boards of Medical Journals  evidence to be
b. Review Committees provided

14 Conferences / Workshops(mention TOTAL NUMBER) Documentary

a. Attended: i. State level  ii. National  iii. International  evidence to be
b. Papers / Posters presented. State level ii. National provided
iii. International 
c. Organized. State level  ii. National iii. International 

15 No. Of students guided for Research Documentary

a. UGs evidence to be
b. PGs  provided
c. PhDs 

16 Awards and Grants Obtained: Documentary

a. National awards evidence to be
b. International awards provided
c. National grants
d. International grants
17 Describe your most notable research experience in not more than 100 words
CATEGORY IV: Co-Curricular, Extension and Professional Development Related Activities
18 Your role in student-related co-curricular/ extension and field based Documentary evidence to be
activities: provided
a. NSS / NCC / etc. 
b. Cultural activities 
c. Public Awareness Programmes
d. Part of Social Organisations for
health related activities 

19 Contributions in Community & National Health Programmes Documentary evidence to be

a. As individual  provided
b. As a part of NGO / etc.

20 Management of department and institution through participation in Documentary evidence may

committees be provided
a. Academic 
b. Administrative 
What was your role?
c. Chairperson of a committee 
d. Member of a committee 

21 Professional Development activities - participation in (Total no) Documentary evidence may

a. Conferences  be provided
b. Short term training courses 
c. Membership of Associations 
d. Fellowships 
(Details – Area/place/university/college/period)

Category V: PERSONAL statement of the candidate

22. Please give a short Biographical sketch about outstanding achievements – starting from School, Graduation,
Post graduation and during the work (not more than 200 words)
 23. In your understanding, top 5 priority areas with respect to teaching, research and patient care required for the
development of this Institute:
S.No. Teaching Research Patient care

Category VI: Specialty Specific Criteria

24(a). For all specialties/super specialties:

Specialty/ Skill / Participation (enclose the list/certificate/etc) Contribution

Super
(application of the
specialty
knowledge / skill)
Mention any hands-on Any other recent Any programmes In your Outside (in
training in specific techniques learnt therapeutic / Institute general)
techniques/ programmes/ diagnostic procedures
surgeries/ skill labs/ rare developed or patents
events/ taken

24(b). For Epidemiologist cum Assistant Professor:

S.No. Specialty Skill Contribution (application of

the knowledge / skill)

Were you involved in Mention any In your Institute Outside

the data procurement District/State/National (in
(Devised any
related to notifiable level Epidemic control general)
strategies to
diseases programmes in which you
control
were part of
outbreaks)
1 Epidemiologist
24(c). For Statistician cum Assistant Professor:

S.No. Specialty Skill Contribution

(application of the knowledge /
skill)
Mention any hands-on training in In your Outside (in
specific techniques (Statistical Institute general)
Software)
(State level
Statistics
programmes –
surveys)

1 Statistician

Place:
Date: Signature of the Candidate
 ESIC MEDICAL COLLEGE, SANATHNAGAR, HYDERABAD
ANNEXURE-II
Residents and Tutors – General Objective Criteria to complement the Subjective Performance in Interview
General Instructions:

a. Please tick  in the boxes provided

b. Give the additional information wherever necessary
c. Kindly enclose only the first page of each research paper
d. Attach annexure(s) if necessary and mention the annexure number in the respective box
e. Please attach a copy of awards / certificates received
f. Please write NA when not applicable

Category I:

S. No Aggregate Marks (%) Total No. of Distinctions Total no. of Gold Medals

(mention the departments) (mention the departments)

MBBS

MD /
MS

DNB

MSc

Category II: Training/Experience

Institution Period Field of Training

Category III: Co-Curricular, Extension and Professional Development Related Activities

1. Co-curricular/ extension and field based activities: Documentary evidence to be

a. NSS / NCC / etc.  provided
b. Cultural activities 
c. Public Awareness Programmes 
d. Part of Social Organisations for
health related activities 

2. Contributions in Community & National Health Documentary evidence to be

Programmes provided
a. As individual 
b. As a part of NGO / etc .

3. Management of department and Institution through Documentary evidence may be

participation in committees provided
a. Academic 
b. Administrative 
What was your role?
c. Chairperson of a committee 
d. Member of a committee 

4. Professional Development activities - participation in Documentary evidence may be

(Total no) provided
a. CMEs 
b. Membership of Associations 
c. Fellowships 
(Details – Area/place/university/college/period)
Category IV: Research and Academic contributions

S.No Details Additional information

(please mention)

5. Research Publications (the points a,b,c & e must be Documentary evidence to be

in *indexed journals only) provided
a. Total number of full papers published 
b. Number of papers under publication 
c. Total number of abstracts published 
d. Conference Proceedings 
e. Authorship: Y / N (mention order)
*as per circular No. Medical Council of India-
12(1)/2015-TEQ/131880 dt. 3/9/2015

6. Conferences / Workshops (mention TOTAL Documentary evidence to be

NUMBER) provided
a. Attended: i. State level  ii. National 
iii. International 
b. Papers / Posters presented: i. State level 
ii. National iii. International 
c. Organized: i. State level  ii. National
iii. International 
7. Awards and Grants Obtained: Documentary evidence to be
a. National awards provided
b. International awards
c. National grants
d. International grants

Category V: PERSONAL statement of the candidate

8. Please give a short Biographical sketch about outstanding achievements – starting from School, Graduation,
Post graduation and during the work (not more than 200 words)
 9. In your understanding, top 5 priority areas with respect to teaching, research and patient care required for the
development of this Institute:
S.No. Teaching Research Patient care

Category VI: Please write your most notable experience during your career as an intern/post
graduate/medical officer with respect to patient care/techniques learnt/techniques practiced/teaching (in not
more than 200 words)

Place:
Date: Signature of the Candidate