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FORM OF CASTE CERTIFICATE FOR SC/ST
This is to certify that Shri*/Shrimati/Kumari*………………………………………..……….Son /daughter* of…………………………………..………..
Village/Town …………………………………../ District/Division*…………………………………………………. Of the ……………………………….State/ Union Territory* belongs to the………………………………………………….Castes*/Tribe which is recognised as a scheduled Castes / Scheduled Tribe under: @The Constitution Scheduled Castes Order 1950. @The Constitution Scheduled Tribe Order 1950. @The Constitution (Scheduled Castes) (Union Territories) (Part C States) Order 1951; @The Constitution (Scheduled Tribe) (Union Territories) (Part C States) Order 1951; [As amended by the Scheduled Castes and Scheduled Tribe Lists (Modification Order 1956, the Bombay Reorganisation Act 1960, the Punjab re-organisation Act 1966, the State of Himachal Pradesh Act 1970, the North Eastern Areas (Re- organisation) Act 1971 and the Scheduled Castes and Scheduled Tribe Order, (Amendment) Act 1976] @The Constitution (Jammu and Kashmir) Scheduled Castes Order, 1956 @The Constitution (Andaman and Nicobar Island) Scheduled Tribe Order, 1959 as amended by the Scheduled Castes and Scheduled Tribe Order (Amendment)Act, 1976 @ The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order, 1962. @ The Constitution (Dadra and Nagar Haveli) Scheduled Tribe Order, 1962. @The Constitution (Pondicherry) Scheduled Castes Order, 1964. @The Constitution (Uttar Pradesh) Scheduled Tribe Order, 1967. @The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968. @The Constitution (Goa, Daman and Diu) Scheduled Tribe Order, 1968. @The Constitution (Nagaland) Scheduled Tribe Order, 1970. @The Constitution (Sikkim) Scheduled castes Order, 1978. @The Constitution (Sikkim) Scheduled Tribe Order, 1978. @The Constitution (Jammu & Kashmir) Scheduled Tribe Order, 1989. @The Constitution (SC) Order (Amendment) Act, 1990 @The Constitution (ST) Order (Amendment) Ordinance Act, 1991. @The Constitution (ST) Order (Amendment) Ordinance Act, 1996. @The Constitution (Scheduled Castes) Order (Amendment) Act, 2002. @The Constitution (Scheduled Castes) Order (Second Amendment) Act, 2002. @The Scheduled Castes and Scheduled Tribe Order (Amendment) Act, 2002. As amended from time to time. % 2. Applicable in the case of Scheduled Castes/Scheduled Tribe persons who have migrated from one state/Union Territory Administration to another. This certificate is issued on the basis of the Scheduled Castes / Scheduled Tribe 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……………………….…………………………..….castes*/Tribe which is recognised as a Scheduled Castes/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 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).
