Form of SC / ST Caste Certificate
Form of SC / ST Caste Certificate
Form of SC / ST Caste Certificate
# [As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification) Order, 1956,
the Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of
Himachal Pradesh Act, 1970, the North Eastern Areas (Reorganisation) Act, 1971 and the
Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 1976.]
# The Constitution (Andaman & Nicobar Islands) Scheduled Castes Order, 1959, as amended by
Scheduled Castes and Scheduled Tribes Order (Amendement) Act, 1976.
# The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962.
# The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962.
# The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968.
# The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, 1968.
% 3. Shri * and *
his * family ordinarily reside(s) in town * of
District * of the State * of
.
Place State Signature
Date * * Designation
(with Seal of Office)
3
Note: The term “Ordinarily reside(s)” used here will have the same meaning as in Section 20 of
the Representation of the Peoples Act, 1950.
4. Sub-Divisional Officer of the area where the candidate and/or his family normally
resides.