Form of Caste Certificate
Form of Caste Certificate
Form of Caste Certificate
2. This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issued
to Shri/Smt.* ………………………father/mother* of Shri/Smt./Kumari……………………………
of………………………. village/ town*…………………… in District/Division*…………………
of the State/Union Territory* ………………………………..who belongs to the……………………
Caste/Tribe* which is recognized as a Scheduled Caste/Scheduled Tribe* in the State/Union
Territory* ………………………… issued by the …………………………………………………..
Dated ……………………
Signature …………………… ……
Designation………………………
(With seal of Office)