us| 1 /23-24 FORM OF CASTE CERTIFICATE FOR SC/ST ‘This is to certify that Shri*/Shrimati/Kumai KOAAN VIWodTyA SonDaughter of HANDLTEA fan sot VI NODE MAwn JA aa. . _ [Distriet/Division* Se SABYAL of the IAD WYA PRADES — Staie/Union Territory belongs to the game a Caste*/Tribe which is recognised as a Scheduled Caste/Tribe under : ‘The Consition Scheduled Castes Order, 1950. ‘The Constitution Scheduled Tribes Order, 1950 ‘The Constitution (Scheduled Castes) (Union Territories) (Part C States) Order, 1951; * The Constiuton (Scheduled Tebes) (Union Territories) (Par C States) Ode, 1951; {AAs amended by the Scheduled Castes and Scheduled Tribes List (Modiiation Onder, 1956, the Bombay Reorganisation Act, 1960, the Punjab Reorpaistion Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastem Ares (Reorganisation) Ac, 1971 andthe Scheduled Castes and Schoduled Tribes Orders (Amendment) Act, 1976] ‘The Conatitution Janae and Kashnis)* Scheduled Casts Orders, 1956 ‘The Coastuton (Andaman end Nicobar Islands)" Scheduled Tibes Order, 1959, as amended by the Scheduled Cases and Scheduled Ties Orders (Amendment) Act, 1976 ‘The Constitution (Dadra and Nagar Havel) Schoduled Castes Onder, 1962. ‘The Constitution (Dadra and Nagar Havel)® Scheduled Tribes Order, 1962 ‘The Constitution (Pondicherry) Scheduled Castes Oder, 1964 ‘The Constitution (Uta Prades) Scheduled Tribes Order, 1967. ‘The Consiution (Ge, Daman and Diu) Scheduled Cases Onder, 1968. ‘The Constitution (Gos, Daman and Din) Scheduled Tribes Onder, 1968, ‘The Constitution (Nagaland) Scheduled Tribes Onde, 1970. ‘The Consition (Sikkim) Schatled Castes Onde, 1978 ‘The Constitution (Sikkim) Scheduled Trbes Onder, 1978 ‘The Constitution lam & Kashmir) Scheduled Tribes Order, 1989, ‘The Constitution ($C) Onders (Amendment) Act, 1990. ‘The Constitution (ST) Orders (Amendment) Ordnance Act, 1991 ‘The Constitution (ST) Orders (Amendment) Ordinance Act, 196, ‘The Constitution (Scheduled Castes) Orders (Amendment) Act, 2002. ‘The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002, “The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002, 2. Applicable in the case of Scheduled Castes/Scheduled Tribes pérsons whaiheve from one State/Union Territory Administration. aa This certificate is issued on the basis of the Scheduled Castes/Schedule ficate issued 10 Shri/Shrimati* COHAN VINOD J}L4 fathier/mother* HAND RIK PRASHS SHOSHMDGHKumari nceRer vi Odi of Village/Town* DTwsurpzu PR in /Districv/Division* DA BWIA of the State/Union Territory*t4A DAY PRADESH — who belongs to the Caste*/Tribe which is recognised as a Scheduled Caste/Scheduled Tribe in the Station/Union Territory* issued by the 240)B-\2) dated _13\06) 20% 3. Shri/Shrimati/Kumari* and /or* his/her* family ordinarily reside(s) in Village/Town* DSASar Que DistricvDivision* of the State/Union Territory* of MADMA PRADESH Place JDAeaLev A Signature Date yB}on 2424 aie CE atvey A ea ees (with seal of Office) equa : SF 26 49/812] 9912 THB SatelUnion Tevitoy Tetenmamene TS AAS sfelooig Dela the Pargph whichisnot opin. CF BAT ITE y sy) ee a beret nastics amis Pewee Cont ns ie rie ep i ce ee ca bepeepatgs in secenucsoaoone octane Pe et easy a a ene ee eee joerc eee eat oat Ref n= (O.M.NO-3601216/88-Et, (SCT) dated 244.1990 and OM No:36012/2293-Estfes) date 15.11.1993 & OM No, 360113/2009- Estes) dated 2.092009). _