uRe 8003120151
Ferm of Certifcate to be produced by a cancidate belonging to a Scheduled Caste/Tribe In support cf his claim
FORM OF CASTE CERTIFICATE
,.is is to certify that Waghmare Ganesh Manohar
Shri Son/Daughter of Waghmare Manchar
Shri of Vilage/Town Siraswadi of Taluka Ghansawangi
in Jalna District /Division o
oi the Maharashtra State.
belongs to the Caste.Tribe*which is recognised
MANG (SC-46)
as Scheduled Caste/Scheduled Tribe *under
√The Consttution (Scheculed Castes)Order,1050
Tie Curstiulien (Seioditos Tribes)Order.1950
The Constitution(Scheduled Castes)Union Termtories Order,1901.
·The Constitution(Scheduled Tribes)(Union Ternitories Order),1951.[(As amended by the Scheduled Castes and
Scheduled Tribes Lists (Modification)Order,1956,the Bombay Reorganisation Act,1960.The Punjab
Recognisation Act,1966,the State of Himachal Pradesh Act.1976 the North Eastern Areas (Reorganisation)Act,1971
d l A Act 1 9 7
·T a
·T n d e r 1959 amended by the Scheduled
Castes and Scheduled Tnibes Orders (Amendment)Act,1976.
·The Const itut ion DadraandNaga rHave l Schedu led Castes Or er ,1962.
·The Con s t i tu ti o n D a d ra a n d N agar Havell S c h e dule d Tribes Ord r 1 9 6 2
·The Constitution (Pondicherny)Scheduled Castes Order,1964.
*The Constitution (Uttar Pradesh)Scheduled Tribes Order,1967.
·The Constitution (Goa ,Daman and Diu)Scheduled Castes Order,1968.
*The Constitution (Goa ,Daman and Diu)Scheduled Trnibes Order,1968.
·The Constitution (Nagaland)Scheduled Tribes Order,1970.
*The Constitution(Sikkim)Scheduled Castes Order,1978.
The Constitution(Sikkim)Scheduled Tnibes Order,1978.
2) irhS Waghmare Ganesh hanohar
and /or his /her family ordinarily(s)in village /town Siraswadi of Taluka Ghansawangi of
Jalna District /Division of the State of Maharashtra.
No./SDO/ 2014
StShbDVSAHH
Office
No.MAG/SR1069h!2014 Stat Aonsra
Place:Ambad
Date: Maharashtra: ·Please
delete the words which are not applicable.
Note:·The tern ordinarily used here will have the same meaning as in section 20 of the Representation of the
peoples Act,1950
Proof:1)Schoolleaving Certifcate of Applicant issued by Head Master of
Zpp School Gunj Bu vide R.No. 577 Dt.17/06/2010
2)School leaving Certificate of issued by Head Master of
vide R.No. Dt.
3)Casie Cerificate of Brother issued by
S D O Partur NO 535 Dt.1 7/06/2005
4)Residence Certiicate issued by V.0. Gunj Bu Dt. 28/03/2014
5)Afidavate executed by applicant Dated 28/03/2014
6)Local inquiry report of circle Oficer No Date 28/03/2014
eis issned WFSt,8823/
Thig Eerlificate is valid ong sbiect p iiealien hy tae
legeRpented by ibe validitg & Caste Certficate Tsrilr alion
eetifcste issgee hv fhe Caste Esmitee ia csmpliance of s srier
arhiftale Ferificafinn Cemitiee nf the erder af Won.Rinh
Sauri hraneh a!Aurangahad
in
