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FORMAT FOR SC/ST CERTIFICATE A candidate who claims to belong to one of the Scheduled Caste or the Scheduled Tribes should submit in support of his claim an attested/certified copy of a certificate in the form given below, from the District Officer or the Sub-Divisional Officer or any other officer as indicated below, of the District in which his parents (or surviving parent) ordinarily reside, who has been designated by the State Government concerned as competent to issue such a certificate. If both his parents are dead, the officer signing the certificate should be of the district in which the candidate himself ordinarily resides otherwise than for the purpose of his own education. Wherever photograph is an integral part of the certificate, the Commission would accept only attested photocopies of such certificates and not any other attested or true copy. The format of the certificate to be produced by Scheduled Castes and Scheduled Tribes candidates applying for appointment to posts under Government of India. This is to certify that Shri/Shrimati/Kumari* ______________________ son/daughter of ________________________________of village/town* ___________ in District/Division* __________________________ of the State/Union Territory* ______________ belongs to the __________Caste/Tribe* which is recognised as a Scheduled Caste/Scheduled Tribe* under :- The Constitution (Scheduled Castes) Order, 1950 The Constitution (Scheduled Tribes) Order, 1950 The Constitution (Scheduled Castes) Union Territories Order, 1951 * The Constitution (Scheduled Tribes) Union Territories Order, 1951* As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification) Order, 1956, the Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North-Eastern Area (Reorganisation) Act, 1971 and the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976, The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956* The Constitution (Andaman & Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and Scheduled Tribes order (Amendment Act), 1976* The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order, 1962 The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order,1962 @ The Constitution (Pondicherry) Scheduled Castes Order, 1964 @ The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967 @ The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968 @ The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, 1968 @ The Constitution (Nagaland) Scheduled Tribes Order, 1970 @ The Constitution (Sikkim) Scheduled Castes Order, 1978 @ The Constitution (Sikkim) Scheduled Tribes Order, 1978 @ The Constitution (Jammu & Kashmir) Scheduled Tribes Order, 1989 @ The Constitution (SC) Orders (Amendment) Act, 1990 @ The Constitution (ST) Orders (Amendment) Ordinance, 1991 @ The Constitution (ST) Orders (Second Amendment) Act, 1991 @ The Constitution (ST) Order (Amendment) Ordinance, 1996@ % 2 Applicable in the case of Scheduled Castes, Scheduled Tribes persons who have migrated from one State/Union Territory Administration. This certificate is issued on the basis of the Scheduled Caste/ Scheduled Tribes Certificate issued to Shri/Shrimati* ____________________________Father/Mother* _____________________of Shri/ Shrimati/Kumari* _________________________ of village/town* _________________________________ in District/Division* __________________________of the State/Union Territory* ______________ who belong to the _________________________ Caste/Tribe which is recognised as a Scheduled Caste/Scheduled Tribe in the State/Union Territory* issued by the __________________ dated _________________. %3. Shri/Shrimati/Kumari and/or* his/her family ordinarily reside(s) in village/town* ________________________________of District/Division* ________________of the State/Union Territory* of _________________ Signature ______________________________________ Designation ______________________________________ (with seal of office) State/Union Territory* Place ________________ Date ________________ * Please delete the words which are not applicable @ Please quote specific Presidential Order % Delete the paragraph which is not applicable. NOTE: The term ordinarily reside(s) used here will have the same meaning as in section 20 of the Representation of the People Act, 1950. List of authorities empowered to issue Caste/Tribe Certificates: (i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Dy. Collector/Ist Class Stipendiary Magistrate/Sub-Divisional Magistrate/Extra-Assistant Commissioner/Taluka Magistrate/Executive Magistrate. (ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. (iii) Revenue Officers not below the rank of Tehsildar. (iv) Sub-Divisional Officers of the area where the candidate and/or his family normally resides.
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