ESIC Medical College & Hospital, Varanasi Recruitment of Teaching Faculty on contract basis at ESIC Medical College & Hospital, Pandeypur, Varanasi.- size: . 2026-10-21 Interview (2026-12-04)…

Page 1 of 5 FormatofApplication Candidates are advised to read the detailed advertisement carefully prior to filling the application form.The candidate must ensure that he/she has an active e-mail ID and Mobile number. The e-mail ID and the Mobile number are required to be preserved till publication of final result. This application form can be converted to “Word” format. 1. Advertisement No: 2. Post applied for: 3. Department in which applied: 4. Choice of Mode of appearing in the Interview (Offline/Online): 5. Name in CAPITAL letters: 6. Gender:Male/Female/Other 7. Father’s/Husband’s Name: 8. Date of Birth, Age as on Date of Interview: X X 9. Category of the Candidate(please write):UR/EWS/OBC/SC/ST: 05/2026 Candidate’sColorPhoto The photograph of the candidatemustcontain his/herfullface,both ears and neck, in frontal view with a neutral, non-smiling expression and with open eyes directed at the camera. Page 2 of 5 10. Caste: 11. Post advertised under Category:(UR/EWS/OBC/SC/ ST) 12. Qualifications (MBBS/MD/MS/DNB/PG Diploma/BDS/ MDS etc.

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