Certificate Of Belonging To A Backward Class

Certificate Of Belonging To A Backward Class

 

Certified that _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Son/Daughter of Shri _ _ _ _ _ _ _ _ _ _ _ _ _ belongs to _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Caste which falls in the category of backward class in accordance with the latest _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (State) Govt. Circular No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ dated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ issued by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (authority).

Name of the Certifying Officer _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Designation: _ _ _ _ _ _ _ _ _ _

Signature of the S.D.M./Tehsidar (with office seal)