Central ST
Central ST
Central ST
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 reside9s)” used here will have the same meaning as in section 20 of the Representation of the
People Act, 1950.
Officer competent to issue Caste/Tribe certificate:
1. District Magistrate / Additional District Magistrate / Collector /Deputy Commissioner /Additional Deputy
Commissioner / Deputy Collector / 1st Class Stipendiary Magistrate / City Magistrate / Sub-Divisional Magistrate /
Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of First Class
Stipendiary Magistrate). 2. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency
Magistrate. 3. Revenue Officers not below the rank of Tehsildar. 4. Sub-Division Officer of the area where the
candidate and / or his / her family normally reside(s). 5. Certificates issued by Gazetted Officers of the Central or of a
State Government Countersigned by the District Magistrate concerned. 6. Administrator/Secretary to Administrator
(Lakshadweep, Andaman & Nicobar Island).