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OBC Certificate Format FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS / ADMISSION TO CENTRAL EDUCATIONAL INSTITUTIONS (CEls), UNDER THE AOVERNMENT OF INDIA This f to certify that Shi / Smt. Kum’ Son / Daughter of Shet/ Se of VilagerTowit Distrievowieton” ie the Sate Bolange to the community whichis recognized a6 a backward class under: (pReeton No. 04 V8HS OCC) dled 1200S pblred te Get fn Extacdnay Pa! Secon No 88 eto Wo, $201YRF4ECC dtd 801 pebianed he Ga tw Extacary Pat | econ No 169 ced 2a ‘ {@ awonte No, 12011771000 sid 240305 phd nba Guat ta Exaetay Pa | acton No 0 aes 26, {) Resoldion No, 1201 70679480 dated sass {(Resalon No. 12011744)06-2CC dated 6/2/96 pubished in the Gaza of Inca Extraordinary Past | Section | No, 210 dated Sai (0) Resoliton No. 1201 /13/07-8CC dated 03/1297 {ip Resoldlon No, 1201 /86/4-8CC dated 1/1287. {a)Resoldon No, 1201 /S8/08-BCC dated 27/101. {ihe Ne, #01 20 ee 0200 puaed nm Gate ta Extoday Pa Sacto |, 270 ded 218, Gaeta Wo, 20110898: dud 4047000 ptt he zee nga Exrohary Pa Secon No.7! dated Bara {33 Resoldion No, 12011448-90C dated 21/08/2000 pubtshes inthe Gazette of India Extraordinary art | Section | No, 210 ‘dea 2170972000. {pl Resolution No. 1201812000 -8CC dated 08/09/2001 [abResotslon No, 1201"712001-BCC dale 151082003 fan Resoliion No. 12011/4/2002-8CC dated 1301/2004 fa Resolution No. 12011/8/2004-8CC dated 1601/2006 published in the Gazette of Indi Extraordinary Prt | Section | No, 210 Gates 400172008. (av): Recoiion No, 12011/142004-8CC dated 12/03/2007 pushed nthe Gazati of India Extraordinary Part | Section | No. 67° fated 120372007, (Gv) Resolution No, 12018/2/2007-BCC dated 1408/2010 (GviiResoution No, 1201573720" 0-8CC dated 08/12/2041, Shit Sm. / Kum. ana #0 his tai oxdinarty reside) in the Dist [BWron ot ‘inte Tn le oo cally that helshe ‘does nat belong fo the personsizactions (Creamy Layér) mentored i Column 3 of the Schedule 10 the Governrent fina, ‘epertrentof Personal Trang OM. Ne. 3601222282 Ext(SCT) dated O/0GSS which is modified vide OM No. 960332004 akon) doled 099082004, rer modified vde OM No, 3603S//2004-Est. (Res) dated 14/102008 or the latest rotation of ‘he Goverment of nda. Dates Diet Magistrate / ‘Deputy Commissioner / ‘Compatont Authority seal + Pease delet the words) whic are nt appcabe. nore: gtr Ory ete ws trav te ames Salon 20 taper he Pal At (0) The authortie competent to lssue Casto Ceticates ae ndcated below: oleic Mogistate /Addional Magistrate 1 Colector / Deputy Commissioner / Addilonal Deputy Commissioner / Deputy Cotedor at Gass Sipendiany Maglatate/Sut-Diveonsl maglrate Taluka Mapistle / Executive Magisvale / Ex Assstan. Gansmiasionar (nt below the rank of Class Stpendiary Megisvat) (G)chlet Presideney Magia Adconal Chet Presidency Mapisae / Presiency Magistrate (09 Revense Offer not below the rank of TehsBiar and {fh} SubDNstnal Ofles ofthe area where the candidate and / or his family resides

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