Certificate Of Caste
(To be submitted by Scheduled Castes/Scheduled Tribes candidates only)
Certified that Mr./Ms. ______________________, son/daughter of Shri __________________________, resident of _____________________, District _________________, is a member of the Scheduled Castes/Tribes and belongs to _______________________ caste/tribe which has been recognized as a Scheduled Caste/Tribe vide notification No. _______________________ dated _______________ issued by Government of ____________________ (State).
Date Seal Signature of the Revenue Officer of the District
concerned, not below the rank of Tehsildar.
Note: Certificate, if issued by other than authority mentioned, notification of Government must be included.