FORM ‘X’ to SRO 294 Dated 21-10-05 OFFICE OF THE TEHSILDAR CERTIFICATE OF BEING A MEMBER OF SOCIALLY AND EDUCATIONALLY BACKWARD CLASS This is to certify that Shri/Smt., Slo, Dio, Rio, Tehsil District is a member of Socially and Ediucationally Backward Class, failing under the category. 1. Resident of the Backward Area. 2. Resident of area adjoining Line of Actual Control 3. Week and under privileged class (Social caste) This is to certify that Shri. or ‘Shri, (on behalf of applicant) submitted his application for grant of this office on. and the certificate has been delivered to him under my hand and sea today on the, . This certificate shall remain valid for period of five years from the date issue of this certificate. Signature of Competent Officer with Seal Name (In Block Letter), Designation. Date.