Form-15A

Certificate to be given by Principal of the School/College

This is to Certify that

Shri/Kum………………………………………………………....…. is
Student of this School / College in Year 20 - 20 and he/she is studying in
Std 11th /12th Science/ Engineering / Medical /
Management……………………………. faculty. His/her name and
other information is as per mentioned at number
…….…………………… in general register. And the Caste stated as per
our general register is
………………………………………………………….. (Strike out of if
not applicable).

Place:
Date:
Seal and Signature of the Principal/Head Master
Important Instructions: -
a) If Claim for Scheduled Caste, Caste evidences should be prior to 10th
August 1950.
b) If Claim for De-Notified Tribes (Vimukta Jatis), Nomadic Tribes
Caste evidences should be prior to 21st November 1961.
c) If Claim for Other Backward Class and Special Backward Category,
Caste evidences should be prior to 13th October 1967.
d) In addition, evidence of residents of above mentioned prior is
essential for applicant who has migrated in Maharashtra from other
State.
e) Migrants from other State to Maharashtra after above mention period
whose Caste Certificate is in “Migrants” format should not apply to
committee.