ESIC29 Jul 2026circularPrepared by Complied AI

56(j)-Detail Proforma-March-27

Sl. No. Name of the officer Sh./Smt./ Kum. Emp. ID Designation Place of Posting Date of Birth (Strictly in DD/MM/ YY) Age as on 31.03.2027 Date of Joining in Govt. Services/ESIC (also indicate service prior to ESIC, if any) Length of Service as on 31.03.2027 Age at which officer joined service (including service prior…

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Source
Employees' State Insurance Corporation
Type
circular
Published by source
29 Jul 2026
Coverage area
labour

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Sl. No.Name of the officer Sh./Smt./ Kum.Emp. IDDesignationPlace of PostingDate of Birth (Strictly in DD/MM/ YY)Age as on 31.03.2027Date of Joining in Govt. Services/ESIC (also indicate service prior to ESIC, if any)Length of Service as on 31.03.2027Age at which officer joined service (including service prior to ESIC, if any)Details of Verifiable Complaints including Sexual Harashments, if any.Details of Chart Sheet and Penalties, if any, imposed on officer during the entire serviceStatus of Vigilance ClearanceIntegrityState of HealthLeave Availed during last 5 YearsWhether promoted in the last 5 yearsWhether Retiring/Super annuating within One YearWhether to be reviewed under FR- 56(j), 56(I), or Rule 42 of CCS (Pension) Rules, 2021 or BothRemarks, if any
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EL- HPL- COMM- EOL-

DD(F) DD(ADMN) PROFORMA

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