(FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD
CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA)
This is to certify that Shri
/Smt./Kumari _________________________son/daughter of
_______________________________ of village/town
_________________________
in
District/Division
________________________________
in the State/Union
Territory
____________________________ belongs
to the __________________ Community 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 8.9.1993**.
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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