Appendix C

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA
1. This is to certify that ________________________ son of Shri___________________________ of village District/Division _________________ in the State ___________________________

of_________________________ belongs to the __________________________ community which is recognized as a backward class under:i) ii) iii) iv) v) vi) vii) viii) ix) x) xi) Resolution No. 12011/68/93-B.C.C (c) dated the 10 Sep 1993. Published in the Gazette of th Extraordinary part 1 Section 1 No. 186 dated 13 September, 1993. Resolution No. 12011/9/94-B.C.C dated 19th Oct 1994. Published in the Gazette of th Extraordinary part 1 Section 1 No. 163 dated 20 Oct, 1994. th Resolution No. 12011/7/95-B.C.C, dated the 24 May, 1995. Published in the Gazette of th Extraordinary part 1 Section 1 No. 88 dated 25 May, 1995. th Resolution No. 12011/96/94-B.C.C, dated 9 March, 1996. th Resolution No. 12011/44/96-B.C.C, dated the 6 Dec, 1996. Published in the Gazette of th Extraordinary part 1 Section 1 No. 210 dated 11 Dec, 1996. rd Resolution No. 12011/13/97-B.C.C, dated 3 Dec 1997. th Resolution No. 12011/99/94-B.C.C, dated 11 Dec 1997. th Resolution No. 12011/68/98-B.C.C, dated 27 Oct 1999. th Resolution No. 12011/88/98-B.C.C, dated the 6 Dec, 1999. Published in the Gazette of th Extraordinary part 1 Section 1 No. 270 dated 6 Dec, 1999. th Resolution No. 12011/36/99-B.C.C, dated the 4 Apr, 2000. Published in the Gazette of th Extraordinary part 1 Section 1 No. 71 dated 4 Apr, 2000. st Resolution No. 12011/44/99-B.C.C, dated the 21 Sep, 2000. Published in the Gazette of st Extraordinary part 1 Section 1 No. 210 dated 21 Sep, 2000. India India India

India

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2.

Shri _____________________________________ and/or his family ordinary reside (s) in the

District/Division______________________________ of the State_____________________________. 3. This is also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Govt. of India. Department of of personnel and Training O.M. No. 36012/22/93Estt. (SCT) dated 8.9.1993 which is modified vide Deptt. of Personnel and Training O.M. No. 36033/2/2004-Estt (Res) dated 09.03.2004.

Dated : Seal Note : (a) (b) (i)

District Magistrate or Deputy Commissioner etc

The term Ordinarily used here will have the same meaning as in Section 20 of the Representation of the people Act. 1950. The authorities competent to issue Caste Certificate are indicated below :

(ii) (iii) (iv)

District Magistrate/Additional Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Deputy Collector/Ist Class Stipendiary Magistrate/Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner (not below the rank of Ist Class Stipendiary Magistrate). Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. Revenue Officer not below the rank of Tehsildar. Sub-Divisional Officer of the area where the candidate and /or his family resides.