power system operation corporation limited · call letter for document verification and format for...

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1 POWER SYSTEM OPERATION CORPORATION LIMITED (A Government of India Enterprise) Regd. Office: B-9 (1 st Floor), Qutab Institutional Area, Katwaria Sarai, New Delhi -110016 Crop.Centre: IFCI Tower, 9 th Floor ,Nehru Place, New Delhi Date: 04 th June, 2018 NOTICE LIST OF CANDIDATES SHORTLISTED AGAINST VACANCIES NOTIFIED FOR POSOCO BY POWERGRID FOR RECRUITMENT FOR THE POST OF JUNIOR OFFICER TRAINEE (HR) Based on performance of candidates in the written test (Computer Based Test) conducted by POWERGRID on behalf of POSOCO, for the post of “Junior officer Trainee (HR)”, the following candidates are provisionally shortlisted for verification of documents against vacancies notified for POSOCO only, subject to their fulfilling the eligibility criteria as notified in detailed Advertisements issued by POWERGRID. The short-listed candidates are advised to report for document verification as per details below. Time : 09:00 AM Date : 08 th June, 2018 Venue : POWER SYSTEM OPERATION CORPORATION LIMITED, IFCI Tower, 9th Floor, Nehru Place, New Delhi – 110016 After documentation, the said candidates are required to undergo Pre-Employement Medical Test. Details of which are as follows :- Time : 11:00 AM Date : 08 th June, 2018 Venue : Sitaram Bhartia Institute of Science & Research, B-16, Qutab Institutional Area, Block B Road, New Delhi- 110016. LIST OF CANDIDATES SHORT-LISTED FOR THE POST OF JUNIOR OFFICER TRAINEE (HR) S.N ROLLNO REG.NO NAME OF THE CANDIDATE FATHER’S/GUARDIAN’S NAME 1 152310109 824396 Uttam Kumar Singh Ashok Singh 2 152340189 831665 Jayant Oscar Minz Sunil Minz 3 152310094 836552 Shivangi Rai Tapo Vardhan Rai 4 152310063 831369 Pankaj Kumar Singh Bachchan Singh

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POWER SYSTEM OPERATION CORPORATION LIMITED (A Government of India Enterprise) Regd. Office: B-9 (1

st Floor), Qutab Institutional Area, Katwaria Sarai, New Delhi -110016

Crop.Centre: IFCI Tower, 9th

Floor ,Nehru Place, New Delhi

Date: 04th June, 2018

NOTICE

LIST OF CANDIDATES SHORTLISTED AGAINST VACANCIES NOTIFIED FOR POSOCO BY POWERGRID FOR RECRUITMENT FOR THE POST OF JUNIOR OFFICER TRAINEE (HR)

Based on performance of candidates in the written test (Computer Based Test) conducted by POWERGRID on behalf of POSOCO, for the post of “Junior officer Trainee (HR)”, the following candidates are provisionally shortlisted for verification of documents against vacancies notified for POSOCO only, subject to their fulfilling the eligibility criteria as notified in detailed Advertisements issued by POWERGRID.

The short-listed candidates are advised to report for document verification as per details below.

Time : 09:00 AM

Date : 08th

June, 2018

Venue : POWER SYSTEM OPERATION CORPORATION LIMITED, IFCI Tower, 9th Floor, Nehru Place, New Delhi – 110016

After documentation, the said candidates are required to undergo Pre-Employement Medical Test. Details of which are as follows :-

Time : 11:00 AM

Date : 08th

June, 2018

Venue : Sitaram Bhartia Institute of Science & Research, B-16, Qutab Institutional Area, Block B Road, New Delhi- 110016.

LIST OF CANDIDATES SHORT-LISTED FOR THE POST OF JUNIOR OFFICER TRAINEE (HR)

S.N ROLLNO REG.NO NAME OF THE

CANDIDATE FATHER’S/GUARDIAN’S

NAME

1 152310109 824396 Uttam Kumar Singh Ashok Singh

2 152340189 831665 Jayant Oscar Minz Sunil Minz

3 152310094 836552 Shivangi Rai Tapo Vardhan Rai

4 152310063 831369 Pankaj Kumar Singh Bachchan Singh

2

On successful completion of the document verification process they shall be issued Offer of Appointment followed by Pre-Employment Medical Examination on the dates mentioned against their names. On being found medically fit, they shall be required to join immediately and complete the joining formalities.

Call Letter for Document verification and other necessary document short-listed candidates will be mailed to the candidate. They are advised to go through the contents of letter and its enclosed documents carefully. Further, they are advised to bring the following documents as listed below:

LIST OF DOCUMENTS REQUIRED TO BE BROUGHT FOR VERIFICATION

Document in original along with one set photocopy: 1. Resume (enclosed) 2. Call letter for Document verification and format for Pre-Employment medical examination report (enclosed) 3. Four latest Passport size colour photograph. 4. Following documents in original along with one set photocopy (duly self-attested):

i. Date of Birth Certificate – Matric/Birth Certificate ii. Educational Qualifications Certificate along with mark sheets all years / semesters following examination.

a) Matriculation b) Intermediate (if applicable) c) Diploma/Degree (as applicable) d) Any other Qualification

iii. Proof of norms adopted by the University/Institute to convert CGPA/OGPA/DGPA into percentage (wherever applicable).

iv. Experience/ service Certificate in the letter head of Company clearly indicating the post held, period of service, gross emoluments, area of experience as proof of post qualification Experience duly certified by Organization concerned(if applicable).

v. “No Objection Certification” from your present employer, in case you are already employed in State/Central/Public Sector/Autonomous undertaking (if applicable).

vi. SC/ST Certificate, in the prescribed GOI format Competent Authority, if applicable. vii. Latest OBC (NCL) Certificate (issued in the Financial year 2017-18), in the prescribed GOI format from

Competent Authority, if applicable. viii. Declaration Form regarding Non Creamy Layer status in respect of OBC (NCL) candidates in the prescribed

format. ix. Disability Certificate in case of PwD candidate in the prescribed format, if applicable. x. ID proof viz. Driving License/Passport/Aadhar Card/PAN Card etc. xi. Discharge Certificate, Undertaking and Performa of Certificate for Employed Official in case of Ex-

Servicemen in the prescribed format, if applicable xii. Certificate in the prescribed format issued by Competent Authority in respect of J&K Domicile/Victims of

Riots, if applicable.

5. Service Agreement Bond duly signed by candidate and the person standing surety for candidate as per mentioned in the enclosed terms and candidates of appointment. Guideline for executing Service Agreement Bond is enclosed along with the offer. Candidates are advised to study the guidelines carefully before executing the Bond. Candidates may note that they shall not be allowed to join without the Service Agreement Bond completed in all respects.

6. Character Certificates from two different persons not related to candidate from amongst the following: (a) Gazetted Officer of Central or State Government; (b) Member of Parliament/State Legislature or Municipal Bodies; (c) District Magistrate of Sub-Division Magistrate;

3

(d) Tehsildar or Deputy Tehsildar; (e) Principals of the recognized Educational Institutions last attended.

7. Attestation Forms (4 in numbers) duly filled and signed by any of the persons as mentioned in the enclosed Form.

8. Duly filled in Pre-Employment Medical Examination Report (Part-I)

In case the candidate fails to bring any of the above mentioned certificates/documents or if they are found not meeting the eligibility criteria specified in the detailed advertisement, then his/her candidature will be rejected and he/she will not be allowed to appear for the Pre-employment Medical Exam and shall not be considered any further. Mere appearance in the Document verification and /or pre-employment Medical examination, does not entitle candidates for employment in POSOCO. Eligibility is further subject to check/verification at various stages during/after the selection process. Candidates may be required to stay for 1-2 days at their own expense for completion of Document verification, Pre-Employment Medical Examination & joining formalities. On successful completion of all the formalities, they shall be required to report at the training location immediately. Accordingly, they are advised to come prepared with their bag and baggage. It may be noted that TA shall be paid only to those candidates who are found medically fit and report for joining at the place of training. We take this opportunity to welcome you to the POSOCO family & look forward to long and fruitful association and wish you an exciting career ahead.

********************

STANDARDS FOR MEDICAL FITNESS

Sl. Organ/Sys. Details/ Test/ Examination Standards Criteria for Disqualification

1. GENERAL

EXAMINA

TION

Height,

Weight,

BMI

Measurement Minimum height requirement for drivers is

162 cms.

Age up to 35 yrs- BMI max-30 kg/m2

Age above 35 yrs- BMI max-32 kg/m2

Medical Authority should use his clinical

discretion for abnormal height, weight & BMI

for further clinical evaluation for medical

fitness.

Significant underweight/ overweight & height

more than 200 cms needs further investigations

before declaring FIT.

BMI above the maximum limit will be a

disqualification.

Chest Measurement Minimum in full expiration 79 cm

(relaxable by 5 cm) and minimum

expansion 5 cm. The range of expansion

upto 4 cm i.e. deviation of 20% will be

acceptable. Not applicable to female

candidate

Glands &

others

Physical examination Thyroid should be normal with no

evidence of hypo or hyper thyroidism or

Generalized enlargement of lymph glands.

Scars, if any of the previous removal of

tubercular glands should be normal and

there must not have been any active

disease in last five years

Any lymphadenopathy to be thoroughly

investigated to rule out chronic granulomatous

disease like tuberculosis, sarcoidosis and blood

dyscrasias.

Individuals with diabetes will be temporarily

unfit for max. 21 days if their blood sugar level

is not in normal limit. HbA1C should be at or

less than 7.0. If after 21 days, it is still in

abnormal range or HbA1C is above 7.0 then

they will be Unfit.

Diabetics with any target organ involvement

e.g. nephropathy, retinopathy, neuropathy etc.

will be declared Unfit.

Blood Sugar Within normal limits

2 EAR Hearing standards will be tested in a quiet

room. Doctor and candidate will stand at a

distance of 20 ft. from each other. Both the

ear will be examined separately. The ear not

being tested will be marked by a masking

apparatus or by rubbing a piece of paper

against pinne by an attendant. The candidate

will face at right angles the doctor with the ear

under examination facing him. He will use the

whispering voice.

Candidate should be free from any active

disease of ear and should be able to

reproduce the whisper.

Candidate who fails to hear whispering voice

separately in both ears at a distance of 2 feet in

a quiet room.

3 NOSE General examination Should be free from active disease of nose.

Sl. Organ/Sys. Details/ Test/ Examination Standards Criteria for Disqualification

4 THROAT State of tonsils Throat, palate, gums, jaws, temporo-

mandibular joint and dentitions within

normal limits

Slight hypertrophy without evidence of repeated tonsillitis

is not a cause of rejection.

Enlarged tonsils cause temporary unfitness until treated

with tonsillectomy.

5 EYES General Examination Any morbid condition of eyes, eye-lids or contiguous structures

of such a nature as would render him/ her unfit for service at the

time of appointment or at a future date.

Trachoma, unless complicated, shall not ordinarily be a cause for

disqualification. Visual Acuity for

Both Eyes (with or

without glasses /

contact lenses/IOL/

Implantable

Contact lenses)

Distant Vision test

& Near Vision

test

Age in

Yrs.

Distant Vision Near Vision Any organic disease or a progressive refractive error which is

likely to result in lowering of the visual acuity.

For technical skilled jobs where binocular vision is essential,

squint is considered as disqualification.

For other services squint is not a disqualification if visual acuity

is of prescribed standard.

Better

Eye

Worse

Eye

Better

Eye

Worse

Eye

Below

35

6/9

6/6

6/9

6/12

Sn 0.6 Sn 0.6

35 &

ab.

6/12

6/9

6/12

6/18

Sn 0.8 Sn 0.8

Fundus Fundus

examination

Fundus and media should be healthy and

within normal limits.

Any progressive pathological condition, Vitreous or

Choriorentinitis, Any retinal disease in Diabetes,

Hypertension, Atherosclerosis,

Corrected Myopia (including the cylinder) exceeding -6D

and Hypermetropia +4D in each eye up to 35 years of age,

Corrected Myopia (including cylinder) exceeding -6D and

Hypermetropia +6D in each eye beyond 35 years of age

Colour Vision Ishiara’s

Isochromatic

plates in good

light

Normal Colour Vision.

Candidates should identify individual

colours separately and pass pink

perception test.

Colour blindness is a disqualification for all technical

positions/ jobs / other occupations where perception of

colour is essential in view of nature of duties of the offered

post or future posts likely to be occupied by the candidate

excepting employment in HR, Finance, accounts, clerical,

ministerial, canteen peons, attendants and any other

category where defective colour vision is not likely to

interfere with his work create risk for others.

Night Vision Dark room test Normal night vision

One eyed person Prognosis or the functioning of eye is good

and it’s not likely to be endangered by the

condition of the worse eye and the prescribed

visual acuity standards are fulfilled.

For regular service one eyed person is unfit except for

ministerial and allied jobs where binocular vision is not

considered essential

Sl. Organ/Sys. Details/ Test/ Examination Standards Criteria for Disqualification

Eyes Field of Vision Field of vision

by confrontation

method/ Visual

field screener/

perimeter.

Should have good binocular vision,

fusion faculty and full field of

vision in both the eyes.

Defects in visual field to be thoroughly evaluated by specialists

before deciding on fitness.

6 RESPIRA-

TORY

SYSTEM

Physical examination , Chest X-

ray PA view

All parameters within normal limit. Pulmonary tuberculosis, Chronic obstructive pulmonary disease

will be a disqualification.

7 CARDIO

VASCUL

AR

SYSTEM

General

examination

Resting ECG

Normal ECG

Other parameters of heart size,

position, , rate, sounds , pulse

within normal limits

Organic/ Valvular/ Congenital heart disease non corrected with

definite clinical signs & symptoms will be a disqualification.

Any cardiac abnormality is to be further evaluated by relevant

tests and opinion of cardiologist to be taken for medical fitness.

Blood

pressure

Acceptable limit is 140/90 mm/Hg

without any target organ damage.

Candidates diagnosed as hypertensive will be further

investigated.

8 GENETO

URINARY

SYSTEM

Urine Routine/

microscopic

Within normal limits If any albumin, sugar or any other abnormality is detected,

further tests shall be conducted before deciding on fitness.

Non-orthostalic albuminuria cases will be Unfit.

Signs of incontinence of urine or enuresis, at the time of

pre-employment examination will declare candidate unfit

for employment.

Scrotum/

Testicles

Physical

examination

Normal Candidates with undescended testicles on one or both sides shall

be temporarily unfit for max. 21 days. Fitness can only be

granted if the candidate reports back with orchidectomy with

negative biopsy report for malignancy.

Candidate with hydrocele, piles, varicocele and hernia shall be

declared temporarily unfit for a max. period of 21 days.

Venereal Disease No evidence of VD Candidates who have suffered or are suffering from venereal

disease will not be declared fit unless detailed examination or

urethral smear and serological test prove negative.

Kidney Function Normal limits.

Presence of kidney/ uteric stone can

be considered after being surgically

corrected.

Any disease of genito urinary system to be further investigated

with Ultra-sound/ IVP and renal function test.

Cases of Polycystic kidney to be rejected.

Chronic renal disease to be a disqualification.

Sl. Organ/Sys. Details/ Test/ Examination Standards Criteria for Disqualification

9 SKIN Physical examination Treated/ cured Hansen’s disease

with no deformity is acceptable.

Vitiligo cases are acceptable

Candidates suffering from active leprosy or chronic and

inveterate skin conditions will be declared unfit.

10 NERVOUS

SYSTEM

Speech/ Gait

Nystagmus

Motor System

Sensory system

Reflex

Mental condition

There should be no evidence of

paralysis, palsy, epilepsy or any

signs of mental retardation or

neurological disorder.

Any Abnormality to be evaluated thoroughly before

appointment.

Candidates suffering from Epilepsy will be unfit, however,

Epileptic candidates under regular treatment may be accepted

for non-technical jobs only (excluding driver & security).

Candidates suffering from Paralysis / Stroke/ schizophrenia/

parkinsonism or any other major neurological disorder to be

unfit.

11 REPRODU

CTIVE

SYSTEM

(For

females

only)

Clinical examination Normal physical state of

development

Fibroid uterus, ovarian cyst should be removed before

appointment, if symptomatic & clinically significant.

Cases of pregnancy of 24 weeks or more at the time of medical

examination will be temporarily unfit until completion of six

weeks after miscarriage or 3 months after confinement. At the

end of the period fresh examination reqd.

Any lump in breast to be operated before making fit &

malignancy to be excluded.

12 MUSCULO

-

SKELETA

L SYSTEM

Clinical examination - Progressive musculoskeletal disorder will be disqualification.

Non-progressive congenital abnormality should be evaluated by

medical board.

If candidate is found unfit merely on grounds of high myopia, the matter should be examined by ophthalmologist to assess whether it is

pathological or not. If it is not pathological, then he/she may be declared fit subject to other visual requirements

Any Malignancy : any carcinoma, multiple myeloma and blood dyscrasias will be disqualification

Cancer with life expectancy highly reduced will be a disqualification

Cirrhosis of liver is a disqualification.

In case any critical disease is noticed then fitness will be decided by a 3 Member Govt. Medical Board / Specialist Medical Board duly

constituted by Appointing authority or Regional Head.

In case of presence of any disease not mentioned in the standards, the same is to be evaluated keeping in mind the objective of medical examination

and the definition of medical fitness as defined under POWERGRID Guidelines for Pre-employment Medical Examination.

CONFIDENTIAL

POWER SYSTEM OPERATION CORPORATION LIMITED B-9, 1

st Floor, Qutab Institutional Area, Katwaria Sarai,

New Delhi, Delhi 110016

MEDICAL EXAMINATION REPORT (For use and retention in HR Department)

Passport size Photograph with signature of

candidate attested by POSOCO Official

PART – I

Post for which selected: ____________________Ref. No.________________ ________________

Name:_________________________________________________________________________ Father/Husband’sName:___________________________________________________________

(in block letters)

Date of Birth :_______________________________Place of Birth:_________________________

Age:___________Permanent Address __________________ _____________________________

_______________________________________________________________________________

Candidate’s statement and declaration (To be completed before medical examination)

Sl Question Yes No 1. Have you ever had/ Do you suffer from any of the following

Ear Disease

Any disease of Eyes

Night blindness

Colour blindness

Any disease of mouth cavity

Lung disease- Asthma/ spitting of blood

Tuberculosis

Mental Illness/ Neurological disorder/ Epilepsy/Headaches

Fainting attacks

High Blood Pressure

Stroke

Heart disease

Diabetes

Liver Disease

Kidney Disease

Leprosy

Cancer

Any deformities in extremities

Any abdominal disease

POSOCO/ Medical Examination Page 1 of 10

: : 2 : :

Sl Question Yes No

Any piles, fissure, hydrocele

2 If answer to any of the above is YES, Please give details

3 Any other disease of accident requiring confinement to bed and

medical or surgical treatment? If YES, Please give details

4 Are you on any prolonged medication

5 Have you been examined and declared unfit for Government service

by a medical officer/ medical board within the last three years? If

YES, Please give details

6 When you were last vaccinated? Date / Month & Year

Which vaccination?

7. Furnish the particulars concerning your family:

Father’s age if Father’s age at death and Mother’s age if living Mother’s age at death

living and state of cause of death and and cause of death

health state of health

No. of brothers No. of brothers dead, No. of sisters living, No. of sisters dead, living, their ages & their ages at death and their ages and state of their ages at death, and

state of health cause of death health cause of death

POSOCO/ Medical Examination Page 2 of 10

: : 3 : :

8. Marital Status : Single/ Married/ Widowed/ Widower/ Divorced

9. No. of Children : Male ___________________Female__________________

10. Family Planning History : Vasectomy/ Tubectomy / Not Applicable

11. Please specify any significant information if not covered above.

I declare all the above answers to be true and correct, to the best of my knowledge and belief. If at

any point of time it is found that I have suppressed or hidden any information or submitted any

wrong information, my candidature will be liable for rejection and if appointed my services will be liable for termination along with forfeiting all claims of Provident Fund, Gratuity and other

benefits.

Candidate’s Signature

Date: Signed in my presence:

Signature of Medical Officer

Date:

POSOCO/ Medical Examination Page 3 of 10

PART – II (To be recorded by the Authorized Medical Officer)

A. Identification marks : 1 2

B. Appearance

1. Age : ____________ Years

2. Physique : Well built / thin built

3. Temperament : Sober / Nervous / Irritable

4. Marks of primary vaccination : Present/ Absent

5. Deformities :

6. Operation scars :

C. General Physical Examination

1. Height without shoes : Cms.

2. Weight without shoes : Kgs.

3. Chest in full expiration : Cms.

4. Chest in full inspiration : Cms.

5. Abdomen over naval-stripped : Cms.

6. BMI :

7. Lymph Nodes :

8. Thyroid :

9. Additional Findings :

D. ENT & Dental Examination

1. Teeth : Clean/ dirty/ missing/ dentures

2. Gums : Healthy/ unhealthy

3. Tongue : Clean/ coated

4. Throat : Normal/ congested/ tonsils

5. Nose :

6. Hearing : RE: Normal/ Impaired LE: Normal/ Impaired

7. Tympanic membrane : RE LE

8. Ear discharge : Yes/ No Other abnormalities------------

E. Eyes/ Vision 1. Distant vision (Without glasses/lenses) : RE: LE:

2. Distant vision (with glasses/ lenses) : RE: LE:

3. Near vision(Without glasses/lenses) : RE: LE:

4. Near vision(with glasses/ lenses) : RE: LE:

5. Power of glasses / lens used : Dioptre (No.) Dioptre (No.)

6. Contact lenses :

7. Whether suffering from squint or any :

other morbid condition of eyes or eyelids

8. Field of vision (if required)

9. Colour vision :

10. Night Blindness : Page 4 of 10 POSOCO/ Medical Examination

11. Fundus examination :

12. Any other findings :

F. Respiratory System 1. Form of chest : Normal/ deformed

2. Lungs :

3. Respiration :

4. Breath sounds :

G. Cardio-Vascular System/ Heart 1. Pulse in upper and : Normal/ thickened/ varicose veins

lower extremities

2. Position of Heart :

3. Rate, Rhythm :

4. Sounds & any murmurs :

5. Blood vessels :

6. ECG Report :

7. Blood Pressure : Systolic mm Hg

Diastolic mm Hg

H. Alimentary System 1. Liver :

2. Spleen :

3. Abnormalities (piles, Fistula, peptic ulcer, etc.):

4. Any organomegaly :

I. Genito Urinary System 1. Urine

(a) Specific gravity :

(b) Albumin- : Present / Absent

(c) Sugar- : Present / Absent

(d) Microscopic pus cells :

2. Hernia- : Present / Absent

3. Evidence of V.D. :

4. Scrotum (For males) : Normal / Hydrocele / Bubonocele/ other

5. Testicles (For males) : Normal / Undescended

J. Reproductive System (for female candidates)

1. History of menstrual cycle : Regular / Irregular

2. Breasts :

3. Pregnancy with duration :

4. Local/ PV / P.S. Examination : (if required)

5. L.M.P. :

K. Nervous System

1. Mental condition :

2. Reflexes : POSOCO/ Medical Examination Page 5 of 10

3. Pupils

(a) Normal/ Abnormal

(b) Light reflexes- Present/ Absent :

4. Gait :

5. Specify any other evidence of disease : of nervous system except epilepsy

viz. paralysis, wasting, tremors, irregular

movements etc.

L. Mandatory Investigations

1. Blood examination

(a) CBC : (d) ESR :

(b) Blood Group : (e) FBS :

(c) Hb % : (f) PPBS :

2. Urine Routine / Microscopic

3. Stool

4. Ski gram chest (X-ray-PA view)

5. ECG

M. Other Investigations (If Required.)

1. Sputum Test 6. 2D-Echo Colour Doppler 2. S/ Creatinine 7. TMT/ Stress ECG 3. S/ Urea 8. Pulmonary Function Test 4. Ultrasound of abdomen 9. Liver Function Test 5. VDRL 10. Glycosylated Hemoglobin

11. Any other test ---------------------------------------------------------------------------------------------------------------------------------------------

Diseases found, if any Chronic / Non Chronic Treatable / Untreatable

(In case of any Critical Diseases, the case is mandatorily required to be referred to a Govt. Medical Board or Specialist Medical Board to be constituted by POSOCO)

Certified that Shri /Smt./ Km. __________________________________ a candidate selected for the post of

______________________________ whose signature/ thumb impression is appended below, is MEDICALLY

FIT/ UNFIT/ TEMPORARILY UNFIT (strike off whichever is not applicable).

OR

Certified that Shri /Smt./ Km. __________________________________ a candidate selected for the post of

______________________________ whose signature/ thumb impression is appended below, is suffering from a

critical disease as indicated above and is therefore referred for examination by Medical Board.

Remarks:

AUTHORISED MEDICAL OFFICER

Signature/ Thumb impression of the candidate

Signed before me

AUTHORISED MEDICAL OFFICER-------------------------------------------- Date:

POSOCO/ Medical Examination Page 6 of 10

PART-III

POWER SYSTEM OPERATION CORPORATION LIMITED

B-9, 1st Floor, Qutab Institutional Area, Katwaria Sarai,

New Delhi, Delhi 110016

Unit : (Medical Department)

Post for which selected :

Ref. No. :

MEDICAL CERTIFICATE OF FITNESS ON FIRST ENTRY INTO POSOCO’S SERVICE

(For retention by HR Department, POSOCO)

1. I hereby certify that I have examined Shri /Smt./ Km. ____________________________________

son/daughter/wife of ___________________________________________ a candidate for employment in POSOCO

and could not discover that he/she has any disease (communicable or otherwise) except

_________________________________.

I do/do not consider this as a disqualification for employment in the company. I, therefore, certify that

this candidate is medically FIT / UNFIT.

2. Shri/ Smt./ Km. _______________________________’s age according to his/her own statement is ______________

years and by his/her appearance, about ______________ years.

3. Identification marks (as recorded in the medical examination forms)

(a)

(b) ---------------------------------------------------------------------------------------------------------------------------------------

Signature of the candidate

MEDICAL OFFICER Date:

POSOCO/ Medical Examination Page 7 of 10

CONFIDENTIAL

PART-IV

POWER SYSTEM OPERATION CORPORATION LIMITED B-9, 1

st Floor, Qutab Institutional Area, Katwaria Sarai,

New Delhi, Delhi 110016

To,

Mr. / Ms -----------------------------------------------------

-------------------------------------------------------------------

-------------------------------------------------------------------

------------------------------------------------------------------

------------------------------------------------------------------

Subject: Medical Examination

Dear Sir/ Madam,

With reference to your medical examination held on _______________________, we have to inform you that you have

been found temporarily unfit on account of the following:

You may undergo the treatment to cure yourself of the above disease/sickness and appear for a re-

examination within________ weeks of the date of issue of this letter. You should produce a certificate of

treatment & cure from the Doctor who treated you alongwith corresponding test reports.

Yours faithfully,

MEDICAL OFFICER

STAMP OF HOSPITAL

CC: HR Department, POSOCO

POSOCO/ Medical Examination Page 8 of 10

PART-V

POWER SYSTEM OPERATION CORPORATION LIMITED

B-9, 1st Floor, Qutab Institutional Area, Katwaria Sarai,

New Delhi, Delhi 110016

Unit : (Medical Department)

Post for which selected :

Ref. No. :

MEDICAL CERTIFICATE OF FITNESS BY SPCIALISTS MEDICAL BAORD ON FIRST ENTRY INTO POSOCO’S

SERVICE (For retention by HR Department, POSOCO)

1. We hereby certify that we have examined Shri /Smt./ Km. ____________________________________

son/daughter/wife of ___________________________________________ a candidate for employment in

POSOCO. 2. He/ She is suffering from a critical disease __________________________________________________________. With

respect to the position for which he/ she is selected and nature of job in which he/ she is likely to be

engaged, we do / do not consider this as a disqualification for employment in POSOCO. We,

therefore, certify that this candidate is medically FIT / UNFIT.

3. Shri/ Smt./ Km. _______________________________’s age according to his/her own statement is ______________

years and by his/her appearance, about ______________ years.

4. Identification marks (as recorded in the medical examination forms)

(a)

(b) ---------------------------------------------------------------------------------------------------------------------------------------

Signature of the candidate Date:

(

)

(

)

(

)

SPECIALIST MEMBER SPECIALIST MEMBER

SPECIALIST MEMBER

STAMP

POSOCO/ Medical Examination Page 9 of 10

POWER SYSTEM OPERATION CORPORATION LIMITED

B-9, 1st Floor, Qutab Institutional Area, Katwaria Sarai,

New Delhi, Delhi 110016

Ref.: C/HR/Rectt./

Date :

Mr. / Ms ----------------------------------------------------- ------------------------------------------------------------------- ------------------------------------------------------------------- ------------------------------------------------------------------ ------------------------------------------------------------------ Sub. : Your Medical Examination

Dear Candidate,

With reference to your medical examination on ______________________________at ____________________________________we are sorry to inform you that you have been found medically Unfit on account of the following.

Hence your candidature for the post of ___________________________is hereby rejected.

The offer of appointment issued to you stands automatically withdrawn and cancelled with immediate effect. No further correspondences shall be entertained in this regard.

Thanking you,

Yours faithfully, For POSOCO

PO/ SR.PO/ DY. MGR(HR)/ MGR.(HR)

POSOCO/ Medical Examination Page 10 of 10

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 1 of 6

POWER SYSTEM OPERATION CORPORATION LIMITED Corporate Office : B-9, Qutab Institutional Area, Katwaria Sarai, New Delhi-110016

Tel.: 011-26524525. Fax : 011-26536901

1. Name in full (in block capitals) with

aliases. If any (Please indicate if you have added or dropped any part of your name or surname

SURNAME NAME

2. Present Address in full (i.e Village, Thana and District, or House Number Lane/ Street/Road and Town)

3. a. Home Address in full (i.e. Village.

Thana and District, or House Number, Lane/Street/ Road and Town and name of District Head- Quarters.

b. If Originally a resident of Pakistan, the address in that country and the date of (immigration to Indian Union.

WARNING : The furnishing of false information, suppression of any factual information inthe Attestation Form would be a disqualification, and is likely to render the candidate unfit foremployment under the Government.

If detained, convicted, debarred etc. subsequent to the completion and submission of thisform the details should be communicated Immediately to the Power Grid Corporation of India Ltd. or the authority to whom the attestation form has been sent earlier, as the case may be, failing which it will be deemed to be a suppression of factual information.

3. If the fact that false information has been furnished or there has been suppression of any factual information in the attestation form comes to notice at any time during the service of a person, his services would be liable to be terminated.

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 2 of 6

4. Particulars of places (with periods) of residences where you have resided for more than one year at a time during the preceding five years. In case of stay abroad (including Pakistan) particulars of all places where you have resided for more than one year after attaining the age of 21 years.

From To Residential address in full (i.e. village Thana

and Distt. or House No./lane/ Street/Road and Town)

Name of the District Headquarters of the place mentioned in the preceding column

5. . Name Nationality (by birth and/or by domestic)

Place of Birth Occupation (if employed, give designation and official address)

Present postal address (if dead, give last address)

Permanent Home Address

(i) Father’s Name (in full), Give aliases, if any

(ii) Mother

(iii) Wife/ Husband

(iv) Brother(s)

(v) Sister(s)

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 3 of 6

6. Information to be furnished with regard to son(s) and/or daughter(s) in case they are studying/living in a foreign country :-

Name Nationality (by birth and/or by domicile)

Place of Birth Country in which studying/ living with full address

Date from which studying/ living in the country mentioned in the previous column

7. Nationality ____________________________________________ 8.

(a) Date of Birth (a) ___________________________________________________________________________

(b) Present Age (b)

___________________________________________________________________________

(c) Age of Matriculation (c) ___________________________________________________________________________

9.

(a) Place of birth, District and state in which situated (a) ___________________________________________________________________________

(b) District and state to which you belong (b)

___________________________________________________________________________

(c) District and state to which your father originally belongs (c) ___________________________________________________________________________

10. (a) Your Religion (a)

___________________________________________________________________________

(d) Are you a member of Schedule Cast/Schedule Tribes/

Other backward class (Non creamy Layer)? Answer ‘Yes’ or ‘No’ and if the answer is ‘yes’ state the name of community thereof

(b) _________________________________________________________________________________

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 4 of 6

11. Educational Qualifications showing place of education with years in schools and colleges since 15th year of age.

Name of School/College with full

address

Date of Entering Date of Leaving Examination Passed

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 5 of 6

12. . a. Are you holding or have at any time held an appointment under the Central or State Government or a Semi-

Government or a Quasi Government body, or an autonomous body, or a Public Undertaking or a Private Firm or institution? If so. give full particulars with date of employment, upto date.

Period Designation, emoluments and nature of

employment

Full Name and Address

of Employer

Reasons of leaving

previous service From To

b. If the previous employment was under the Govt, of India, a State Govt/an undertaking owned or controlled by the Govt, of India or a State Govt./an autonomous body/University/Local body. If you had left service on giving a month's notice under Rule 5 of the Central Civil Services (Temporary' Service) Rules 1965. or any similar corresponding rules. Were any disciplinary proceedings framed against you, or had you been called upon to explain your conduct in any matter at the time you gave notice of termination of Service, or at a subsequent date, before your services were actually terminated.

13. (i)

Have you ever been arrested? Yes/ No

b) Have you ever been prosecuted? Yes/ No c) Have you ever been under detention? Yes/ No d) Have you ever been bound down? Yes/ No

e) Have you ever been fined by a Court of Law? Yes/ No

f) Have you ever been convicted by a Court of Law for any offence? Yes/ No

g) Have you ever been debarred from any examination or rusticated by any University or any other educational authority/institution? Yes/No

h) Have you ever been debarred/disqualified by any Public Service Commission from appearing at its

examination/selection? Yes/No i) Is any case pending against you in any law at the time of filing up this Attestation Form

Yes/ No

j) Is any case pending against you in any University or any other educational Authority/institution at the time of filling up this Attestation Form? Yes/ No

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 6 of 6

(ii) If the answer to any of the above mentioned questions is “Yes" give full particulars of the case/ arrest/ detention/ fine/ conviction/ sentence/ punishment etc. and/or the nature of the case pending in the Court/ University/ Educational Authority etc., at the time of filling up this Form.

NOTE : (i) Please also see the "warning at the top of this Attestation Form. (ii) Specific answer to each of the questions should be given by striking out Yes" or 'No' as the case may be.

i. Name and address of two responsible persons of your locality or two references to whom you are known:

Name Designation& Employer Address Phone Number

15. Details of UID /PAN/Passport Number (if Any) : a) Document Type

b) Number

I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not aware of any circumstances which might impair my fitness for employment under Govt.

Signature of Candidate

Date:

Place:

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 7 of 6

IDENTITY CERTIFICATE

(Certificate to be signed by any one of the following)

i. Gazetted Officers of Central or State Government:

ii. Members of Parliament or State Legislature belonging to the constituency where the candidate or his

parent/guardian is originally resident:

iii. Sub-Divisional Magistrates/officer:

iv. Tehsildars or Naib/Deputy Tehsildars authorised to exercise magisterial powers.

v. Principal/Head-Master of the recognized School/College/Institution where the candidate studied last.

vi. Block Development Officer

vii. Panchayat inspector

viii. Post-Master

Certified that I have known Shri/Smt./Kumari ..........................-.................................................................................................................................................;. ................................................................................................. son/daughter of Sh..................................................................................................................................

for the last ................................................................................... years............................................................................... months and that to the best

of my knowledge and belief the particulars furnished by him/her are correct.

Place ...................... Signature

Date ......................... Designation. Status and Address

TO BE FILLED BY THE OFFICE

(i) ) Name, designation and full address of the appointing authority : POWER SYSTEM OPERATION CORPORATION LIMITED. Corporate Centre, B-9, Qutab Institutional Area, Katwaria Sarai, New Delhi-110016

(ii) Post for which the candidate is being

considered

(iii) Reference No. of Post

CONFIDENTIAL (For Detailed Verification)

Attestation Form POWER SYSTEM OPERATION CORPORATION LTD. Page 8 of 6