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FORM-6

FORM OF CASTE CERTIPICATE AS PRIESCRIBED IN M.JL.A0.M No 42/21/49/N.CG.S dated 28-01- 1952, AS RHVISED IN DEPT OF PIRSONNEL, & ADMINISTRATIVE RIEFORMS. LETTER No. 36012/6/76-Est. (S.C.T) DATED 29-10-1977, TO BE PROUCED BY A CANDIDATE BELONGING TO A SCHBDU.ED CASTE OR SC:NU1.ED TRIBIE IN SUPPORT OF IIS CLAIM

PORM OP CASTE CERTIPICATEThis is to certity that Shri./ Shrimati/ Kumari,

Son/ Daughter of In District/ Division

of' village/ 1own of the Stae/ Union 'Territory

cnste/ uribe which is recognized as a belongs to the scheduled Caste/ Scheduled Tribe under

The Constitution (Scheduled C'asto) Order, 1950 The Constitution (Scheduled Tribes) Order, 1950 The Constitution (Schecluled C'astes) (Union 'T'ervitories) Order, 1951. The constitution (Scheduled Tribes) (Union Teritories) Order, 1951.

[ As amended by the Scheduled Castes and Scheduled Tribes Lists (Modi fication (Order) 1956, the Bombay Reorganization Act 1960, the Punjnb Reorganization Act, 1966, the State of Himachal Pradesh Act 1970, the North -Eastem Arcas (Reorganisation) Act 1971 and the Scheduled Castos and Scheduled Tribes Orders (Amendment) Act. 1976]

The Constitution (Jammu and Kashmir) Scheduled Castes Order, 1956. The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Schedules Castes and Scheduled Tribes Orders (Amendment) Act 1956.

The Constitution (Dadra und Nagar Hlaveli) Sclheduled Castes Order, 1962 The Constitution (Dadra and Nagar llaveli) Seheduled Tribes Order), I1962 The Constitution (Pondicherry) Scheduled Castes Order, 1964

The Constitution (Utar Pradesh) Schecduled Tribes Order, 1964 The Constitution (CGoa. Daman and Diu) Scheduled Castes Order, 1968

*The C'onstitution (CGoa, Daman and 1Diu) Scheduled Tribes Order, 1 968 The Constitution (Nagaland) Scheduled Tribes Order. 1970

The Constitution (Sikkim) Seheduled Castes (rder, 1978 The Constitution (Sikkim) Scheduled Tribes Order, 1978 The Constitution (Jammu and Kashmir) Seheduled Tribes Order, 1989 The Constitution (Scheduled Castes) Orders (Amendment) Act, 1990 The Constitution (Scheduled Tribes) Orders Amendment Act, 1991

This certificate is isued on the basis of the Scheduled Castes/ Scheduled Tribes Certificate of

in District

2. Sri/Srimati father/mother* issucd

Sri/Srimati/Kumari" Division "

to the Caste/Tribe" which is recognized as a Scheduled Caste/ Scheduled Tribe* in the Statel Union

Territory 3.

to of villagel town *

of the State/ Union Territory " who belong

issued by the datod

Sri/ Srimati/ Kumari " and/ or * his/her * family

ordinarily reside(s) villager town of

District Division of the State/ Union Territory * of

Place Date:

Signature :

Designation: (With seal of Office) State/ Union Territory

Page 13 of 19

NOTE: The term Ordinarily resides" used here will have the same meaning as in Section 20 of tlhe

Representation of the peoples act. 1950.

Please delete the words which are not applicable.

The under-mentioned authorities have been empowered to issue Caste Certificates of veri fication:

1. District Magistrate/ Additional District Magistrate/ Collector/ Deputy Commissioner

Additional Deputy commissioner/ Deputy Collector/ 1" Class Stipendiary Magistrate/ Sub-

Divisional Magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Assistant Commissioner.

2. Chief Presidency Magistrate/ Additional Chief Presidency Magistrate/ Presidency Magistrate.

3. Revenue Officcr not below the rank of Tehsildar.

4. Sub Divisional Officer of the area where the candidate and/ or his family normally resides.

Page 14 of 19

FORM-7

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES (OBC) APPLYING

FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT (OF INDIA Government of India, Department of Personnel and Trainig. ).M No. 36033/28/94-Est. (Res.) dated 02-07-

1997] son/ daughter * of

District/ This is to certify that Shri/ Srimati/ Kumari*

of village *

in the Division State belongs to the community which is recognized as a Backward Class under

*() 1993, published in the Gazette of lndia. Estraordinary . Part-l. Section I No. 186. dated the 13h September

Government of India, Ministry of Welfare, Resolution No. 12011/68/93-BCC(C). dated 10-09-

1993. Govermment of India, Ministry of Welfare, Resolution No. 12011/9/94-BCC, dated 19-10-1994, °(ii)

published in the Gazetteof India. Extraordinary Part-I Section 1. No 163 dated 20 October 1994,

(ii) published in the Gazette of India. Extraordinary. Part-I Section!. No 88, dated the 25 May 1995. (iv)

December, 1996, published in the Gazette of India. Extraordinary. Part-I Section 1. No. 210, dated the 11"

December, 1996.

Government of India, Ministry of Welfare. Resolution No. 12011/7/95-BC, dated 24-05-1995,

Government of India. Ministry of Welfare, Resolution No. 12011/44/96-BCC. Dated 6"

Sril Srimati/ Kumari* and/ or his family ordinarily reside(s) in District/ Division * of the State. the 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 Covernment of India. Dopartment of Personnel and Training, O.M No 36012/22/93-Estt. (SCT) dated 08-09-1993.

Signature of District Magistrate Deputy Commissioner. Etc

Place: Date: Seal

Strike out whichever is not applicable. Note:(a) The tern,'ordinarily' used here will have the same meaning as in Section 20 of the Representation

of the People's Act 1950.

(b) The authorities competent to issue Caste certificates are indicated below:

District Magistratel Additional District Magistrate/ Collector/ Deputy Commissioner/ Additional (1) Deputy Commissi oner/ Deputy Collector/1" Class Stipendiary Magistrate/ Sub Divisional Magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Assistant Commissioner (not below the rank of First Class Stipendiary Magistrate).

ii) Chief Presidency Magistrate / Additional Chief Presideney Magistrate/ Presideney Magistrate (ii) (iv)

Revenue Officer not below the rank of Tehsildar: and Sub divisional Oficer of the area where the candidate and or/ his family normally resides.

Page 15 of 19

Annexure C

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9

Annexure B

DEPARTMENT OF POSTS, INDIA

Inda Poat

FORM OF UNDERTAKING

On my appointment the Postal Department in relaxation of the normal rules of recruitment, I

hereby undertake and bind myself that I shall serve the Department atleast for a period of three years and

shall also faithfully take part in sports events for whiçh I may be selected, by the appropriate authority and

that I shall also represent the Department in National Games when called upon to do so.

Signature

Date: Name of Applicant

Placc:

Page 19 of 19