Scribd
Upload
6K views1 page

BC Form

This document is an application form for obtaining a community and date of birth certificate from the Government of Andhra Pradesh. It requests information such as the applicant's name, father/husband's name, address, caste, sub-caste, date of birth, native place, ration card number, Aadhar card number, voter ID, and any previously issued caste certificates. The applicant and parent/guardian must sign declarations that the information provided is true and correct. Six types of documents must be enclosed as proof, including community certificates, school records, ration/ID cards, and documents related to property ownership.

Uploaded by

Rayakuduru Volunteers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
6K views1 page

BC Form

This document is an application form for obtaining a community and date of birth certificate from the Government of Andhra Pradesh. It requests information such as the applicant's name, father/husband's name, address, caste, sub-caste, date of birth, native place, ration card number, Aadhar card number, voter ID, and any previously issued caste certificates. The applicant and parent/guardian must sign declarations that the information provided is true and correct. Six types of documents must be enclosed as proof, including community certificates, school records, ration/ID cards, and documents related to property ownership.

Uploaded by

Rayakuduru Volunteers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Government Application Form: Form for applying community and date of birth certificate, including applicant details and document requirements.

GOVERNMENT OF ANDHRA PRADESH

APPLICATION FOR ISSUE OF COMMUNITY AND DATE OF BIRTH CERTIFICATE


Applicant full Name
1
(in block letters)
2 Father/ Husband Name
Address
House (Own/Rent)
House/Door No.
3
Street/Ward No.
Village/ Town
Mandal
4 Caste
Sub-Caste
5 Date of Birth
6 Native
7 Rationcard Number
8 Aadharcard Number
9 Voter ID
Caste Certificate
10
(if any issued in the past)

Declaration: I/ We declare that the information furnished by me/ us in the application is true and
Correct and the documents appended thereto are genuine and the contents of the Documents are true
and correct and that if these are found to be untrue and incorrect, I/ We will be liable for prosecution
for furnishing false and incorrect information documents under Section 10 of the Act No. 16 of 1993

Station: Signature of the Applicant

Date:

Signature of the Parent/ Guardian

Enclosures:

1. Application Form*
2. Community Certificate issued to the family members#
3. SSC marks memo or DOB extract or Transfer Certificate#
4. 1 to 10th study certificate or DOB certificates issues by Municipality/ Gram Panchayat*
5. Ration Card/ EPIC Card AADHAR CARD*
6. Documents related to immovable properties#

You might also like