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Cc FORMAT FOR SC/ST CERTIFICATE ‘A sanaidate who ciams to belong to one of the Scheduled Caste othe Scheduled Tribes should submt in support of ns ciam an attestecicertted copy ofa cericate inthe form given below, om the Oise! Oficer othe sub-Dwssonal Oficer or any ener steer a5 Indeated below ofthe Dist n which his parents (cr suviving parent ordinay reside who has been designated oy the State Governmen concered as competent to save such a cerficate both his parents are dead the affcer signing the cerficate should be ofthe date n whch the candate himsel ordinarily esides otherwise than for the purse of hie own education Wherever shoteg'aph an egal por of the certificate. the Corporation would accept only attested photocopies of such certtcates and nt any ater atest ot tae copy {Tre fomat of he coficate to be produced by Scheie Castes and Schedued Tubes cordtes applying Yor apporiment to posts under Government ot nea ‘This sto cay tht ShrvShrmatKumarr son/daughter of of Vilage/Town” 4 DstietDwsion © of he StateUnon Terry” ‘belongs oie CablelTrbes ‘wich is recognized as & Seheduiad Castes/Scheduled Toes" under = ‘The Conattaion (Scheduled Castes) caer. 1950 ‘Toe Censttuton (Scheduled Tribes) order. 1950 ‘The Consttuon (Scheduled Castes) Unson Tertones order, 1951 ‘The Consttuton(Seneduled Trbes) Union Terres Order 195" ‘As amended by the Scheduled Castes and Seneduled Tribes Lsts(MadNcalon) order 1956 the Bombay Reorganization Act. 1960 & the Punjab Reorganization Act 1966 the State of Henachal Pradesh Act 1970, ine North-Eastern Aveaiteorganzation) AcL1971 and the Schedles Castes and Scheduled Tibes OrgeriArendment) Act 1976 The Consttuton (Jammu & Kashme) Senedvied Castes Order 1956 The Gonsttuton (Angaman and Nicobar islands) Scheduled Tabes Order, 1859 a8 amended by the Scheduled Castes and Scheduled Tries Oraet (Amendment Aa). 1576" ‘The Constnton (Dara ana Nagar Havel) Scneduled Castes Orde 1962 The Cansttvion(Daara ana Naga Havel) Scheduled Tabes Order 19622 The Consttuton (Pondichery) Senedulad Castes Orde’ 1964 The Constaton (Scheduled Tribes) (Uta Praseeh) Order. 1987 @ The Consttuton (Goa, Daman & Di) Scheduled Castes Order (58 ‘The Consitubon (Goa, Daman & Diu) Scheduled Trees Order 1968 @ ‘rhe Consituben (Nagalang) Scheduied Tbes Order 970 ‘The Consttuton (Sikkim) Schedules Castes Orcer 19782 ‘ne Consttuten (Sikkim) Scheduled Trose Order 1976 The Consttvion (Jammu & Kashme) Scheduled Teibes Order1989@ The Consttvion (SC) orders (Armenument Act. 19808 ‘Te Constation (ST) orders (Amendment) Ordinance 1991 The Constttion (ST) orders (Seeona Amendment) Act 1981 ‘Tne Consttuton (ST arders (Amendment) Ordmance 1986 ‘The Scheduled Caste ané Scheduled Tres Orders (Amenament) Act 2002 ‘The Consttuton(Schedues Caste) Order Amendment) Act £002 ‘The Consttutan (Scheduled Caste and Schedules Tits) Orders (Amendment)Act 2002 % 2 Applicable m the case of Scheduled Castes, Schedules Tribes persons who have migrated from one StateUnion Teetory amination ‘hi cers is ssued on the babs ofthe Screed Castes! Scheduled Tribes cartcate sued to ShvShe Father / Wether (of Sha) Shvenat Kumar’ oF vilage town — in OstecuDrvsion* ot ‘Siaeionen Tartare swe belong 9 ire CCasteTbe which is recognized as 9 Schaduled CaslelScheduied Tribe athe StatelUion Terrtory” 'ssued bye dated % 3. Shr Shrati Kumari anor * ns! her family ecnaniy resides) in vilage/ town Distsevdwain"| (ofthe Sate Union Tetrtry of Signature © osignation — (with seal of ctice) Pla * Please dew tha woes which are ot applicable @ Please quote spect presidental order Delete ne paragraph which nok appieable NOTE: The erm ordinary resde(s) used here wl have the same meaning as m section 20 ofthe Representation ofthe People Act 1950 ist of authorities empowered to Issue CasterTribe Certificates: 1 Datict Magistrate / Addtiona! Dstict Magistrate / Collector | Deputy Commissioner | Additional Deputy Commasioner / Dy Colecovist Class. Sthendiary Magstate'Sub-Dvsional Magistrate / Exra-Assstant Commssioner / Taka Megstate Execuve Magistrate 1 Chet Presiiency Magistrate | Additional Chief Prescency Magistrate /Prescency Magistrate (1) Revenue Officers not below he rank o Tensigar \)_Sub-Dwsonal Offeers of the area where he canddate andor nis family normally resces NOTE:ST candidates beionging to Tami Nadu slate should sub castecerficate ONLY FROM THE REVENUE DIVISIONAL OFFICER ate ¢ c ck This is to certify that Shri/Smt./Kumari _ son/daughter of of village/town in Distriet/Division in the State/Union Territory belongs to the _ ‘ommunity which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment's Resolution No,__dated____*. Shri/Smt./Kumari and/or his/her family ordinarily reside(s) in the — District/Division of the State/Union Territory. 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 & Training O.M, No, 36012/22/93 ~ Estt.(SCT) dated 89.1993" District Magistrate Deputy Commissioner etc Dated: Seal ~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” used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950.

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