FORM OF CASTE CERTIFICATE FOR MALAI ARAYAN CHRISTIAN

[Vide G.O. (Ms.) No. 57/84/HWD dated 4-8-1984]

Certified that Shri/Smt/Kumari ....................................................................................... (Name

of person) ............................................................................................... s/o or d/

o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

............................................................................House ................................................................. Vil-

lage ........................................................................................... Taluk ................................................

District ........................................................................... is a member of Malai Arayan Christian fam-

ily converted to Christianity from Hindu Malai Arayan Community which is included in the list of
Scheduled Tribes.

Signature :
Place: Name and Designation:
Date: (with seal of office)

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 CERTIFICATE OF EXPERIENCE (in respect of Ex-servicemen)

1. Wing (Army/Navy/Air-Force) ..
2. Rank ..
3. Number ..
4. Name and address as shown in the discharge
certificate ..
5. Date of enrolment ..
6. Date of discharge ..
7. Trade (s) ..
8. Period of service or experience in the
trade/trades (the actual period served in
individual trade should be specified both in
words and figures)

Place: Signature:
Date: Name and Designation of
the Officer issuing the Certificate

(Office seal)