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    Ravi Alla
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    This document is a template for a Community, Nativity and Date of Birth Certificate issued in Andhra Pradesh, India. It contains fields for personal information such as name, father/spouse's name, community, place and date of birth. The certificate certifies that the person belongs to a scheduled caste, scheduled tribe or backward class according to Indian law and confirms their place of birth and date of birth based on school records.

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    This document is a template for a Community, Nativity and Date of Birth Certificate issued in Andhra Pradesh, India. It contains fields for personal information such as name, father/spouse's name, community, place and date of birth. The certificate certifies that the person belongs to a scheduled caste, scheduled tribe or backward class according to Indian law and confirms their place of birth and date of birth based on school records.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    22 views2 pages

    Birth Certificate

    Uploaded by

    Ravi Alla
    This document is a template for a Community, Nativity and Date of Birth Certificate issued in Andhra Pradesh, India. It contains fields for personal information such as name, father/spouse's name, community, place and date of birth. The certificate certifies that the person belongs to a scheduled caste, scheduled tribe or backward class according to Indian law and confirms their place of birth and date of birth based on school records.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Download the forms.....now its free.....

    1 of 2

    Serial No.
    S.C.
    S.T.
    B.C.
    Certificate
    No.

    http://www.esevaonline.com/htmlpages/mch/communitynativity.htm

    District
    Code
    Mandal
    Code
    Village
    Code

    1 6

    COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE


    .....................................................................
    .............................
    .........................................................
    ...........................................
    ............................................................
    .............................................................
    .
    This is to certify that Sri / Smt.Kum............................................................................S/o.D
    /o.Sri..........................................................
    of village / Town ...............................................Mandal...................................................District Hyderabad of
    the State of
    Andhra Pradesh belongs to Community which is recognised as S.C. /S.T./ B.C. under :
    1950,
    1950,
    1956,
    1976,
    23-09-1970
    The Constitution (Scheduled Castes) Order, 1950.
    The Constitution (Scheduled Tribes) Order, 1950.
    S.Cs., S.Ts., list (Modification) Order, 1956.
    The S.Cs. and S.Ts. (Amendment) Act, 1976.
    G.O.Ms.No.1793 Education Dept., dated 23.9.1970 as amended from time to time (B.Cs.)
    1.

    ...........................................

    ..........................................................................
    2. It is certified that Sri / Smt. / Kum ...............................................................is a native of Village /
    Town, Khairtabad Mandal,
    Hyderabad District of Andhra Pradesh.
    3.

    ....................................

    .................................................................
    3. It is certified that the place of birth of Sri / Smt. / Kum.
    ...............................................................................................................is
    .........................................................Village/Town, Khairatabad Mandal, Hyderabad District of Andhra
    Pradesh.

    2/21/2012 12:25 PM

    Download the forms.....now its free.....

    http://www.esevaonline.com/htmlpages/mch/communitynativity.htm

    4.
    ...........................................

    ...............................................................................................................
    4. It is certified that the date of birth of Sri / Smt./
    Kum..............................................................................................................is
    Day
    Month

    Year

    (in words) ............................................................................................as per the declaration given by


    his / her father /
    mother / guardian and as entered in the School Records where he / she studied.
    /
    Signature:
    / Date:
    /Name in Capital
    Letters:
    /
    Designation
    SEAL

    2 of 2

    2/21/2012 12:25 PM

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