ANNEXURE
FORM OF CERTIFICATE TO BE PRODUCED BY NON CREAMY LAYER - OTHER
BACKWARD CLASSES (NC - OBC)
mice Cgext-Mo e- OBC/ 2402 as 10/7 bis
ese
rerresesarg 14.091
hiss to cet that hfs guar PREENEL..... PRADHON san / daubfter of
PRBS ANT KU: OOM 3 g0 / 100 nL RPROGOTHA. Dist¥fct / Division
Ob1LuA. belongs
di Aelep-U-L... in the St& / Union Territory.
10 rn HSB) community which is recognized as a backward class under the
Government of India, Ministry of Social Justice and Empowerment’s Resolution No
LOAF IMM. Gb Ge . - ss
dated Wis na / Sm Peon CUE. PO REP ET bis | her family ordinarily
OD3S4tQ....State / Union Territory
reside(s) in the. ylgle. District / Division of the
This is also to certify that he / she does not belong to the persons / sections (Creamy Layer)
mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel
and Training O.M. No. 36012/22/83 — Estt. (SCT), dated 8-9-1993"
Bie ofl
District Magistrate/Dy. Se aeee .
‘Addl, Tahasildar,
~" Angul
* The authority issuing the certificate may have to mention the details of Resolution of
Government of India, in which the caste of the candidate is mentioned as OBC.
** As amended from time to time.
NOTE: The term “Ordinarily resides” used here will have the same meaning as in Section 20 of the
Representation of the Peoples Act, 1950,