Format For Caste Certificate For SC/ST Candidates: Annexure I
Format For Caste Certificate For SC/ST Candidates: Annexure I
Format For Caste Certificate For SC/ST Candidates: Annexure I
This certificate is issued on the basis of the Scheduled Castes / Scheduled Tribes Certificate issued to
Shri/Srimati*...............................father/mother*of Shri/Srimati/Kumari...............................of
Village/Town*...............................in/District/Division*...............................of the State/ Union
Territory*……………………………………who belongs to the Caste* /Tribe which is recognised as a Scheduled Caste/Scheduled
Tribe in the State/Union Territory* issued by the………………………dated.
%3. Shri/Srimati/Kumari*...............................and/or* his/her* family ordinarily resides in Village
Town*...........................District/Division*......................of the State/Union Territory* of ...............................
Place............................... Signature.........................................
Date............................... Designation .....................................
(with seal of Office)
State/Union Territory........................
*Please delete the words which are not applicable.
@ Please quote the specific presidential order.
% Delete the Paragraph, which is not applicable.
Note: (a) The term "ordinarily reside(s)" used here will have the same meaning as in Section 20 of the Representation of the People Act,
1950.