Certificate for Other Backward Classes

THE FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES CANDIDATES APPLYING FOR APPOINTMENT TO POSTS AND FOR ADMISSION IN EDUCATIONAL INSTITUTES UNDER GOVERNMENT OF INDIA

This is to Certify that Shri/Shrimati/Kumari*. Son/daughter* of Shri..of Village/Town* ....in District/Division*..of the State/Union Territory*...belongs to [Link] which is recognized as a backward class under : @ Government of India, Ministry of Welfare Resolution No. 12011/68/93-BCC (C) dated 10 th September, 1993 published in the Gazette of India Extraordinary Part-I, Section-1, No. 186 dated 13th September 1993. Government of India, Ministry of Welfare Resolution No. 12011/9/94-BCC dated 19 th October, 1994, published in the Gazette of India Extraordinary Part-I, Section-1, No. 163 dated 20 th October 1994. Government of India, Ministry of Welfare Resolution No. 12011/7/95-BCC dated 24 th May, 1995 published in the Gazette of India Extraordinary Part-I, Section-1, No. 88 dated 25 th May 1995. Government of India, Ministry of Welfare Resolution No. 12011/96/94-BCC dated 09 th March, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 60 dated 11 th March 1996. Government of India, Ministry of Welfare Resolution No. 12011/44/96-BCC dated 06 th December, 1996 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 11 th December 1996. Government of India, Ministry of Welfare Resolution No. 12011/99/94-BCC dated 11 th December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 236 dated 12 th December 1997. Government of India, Ministry of Welfare Resolution No. 12011/13/97-BCC dated 03 rd December, 1997 published in the Gazette of India Extraordinary Part-I, Section-1, No. 239 dated 17 th December 1997. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/68/98BCC dated 27th October, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 241 dated 27th October 1999. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/88/98BCC dated 06th December, 1999 published in the Gazette of India Extraordinary Part-I, Section-1, No. 270 dated 06th December, 1999. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/36/99BCC dated 04th April, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 71 dated 04th April, 2000 Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/44/99BCC dated 21st September, 2000 published in the Gazette of India Extraordinary Part-I, Section-1, No. 210 dated 21st September, 2000. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12015/9/2000BCC dated 06th September, 2001 published in the Gazette of India Extraordinary Part-I, Section-1, No. 246 dated 06th September, 2001. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/1/2001BCC dated 19th June, 2003 published in the Gazette of India Extraordinary Part-I, Section-1, No. 151 dated 20th June, 2003.

@ @ @ @ @ @ @

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Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/4/2002BCC dated 13th January, 2004 published in the Gazette of India Extraordinary Part-I, Section-1, No. 09 dated 13th January, 2004. Government of India, Ministry of Social Justice and Empowerment Resolution No. 12011/14/2004BCC dated 12th March, 2007 published in the Gazette of India Extraordinary Part-I, Section-1, No. 67 dated 12th March, 2007. Shri/Shrimati/Kumari*........and/or*

his/her* family ordinarily resided in Village/Town.....of District/Division* of the State/Union Territory* of. This is also to certify that he/she* does not belong to the person/sections* (Creamy layer) mentioned in column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt. (SCT) dated 08th September 1993, O.M. No. 36033/3/2004-Estt (Res.) dated 09 th March 2004 and O.M. No. 36033/3/2004-Estt. (Res) dated 14 th October 2008. Place: Date *please delete the words which are not application. @Strike out Whichever 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 OBC Certificate. (i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Deputy Collector/1 st Class Stipendiary Magistrate/#Sub-Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner. (#not below of the rank of 1st Class Stipendiary Magistrate) (ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. (iii) Revenue Officers not below the rank of Tehsildar. (iv) Sub Divisional Officer of the Area Where the candidate and/or his/her family normally resides. (v) Administrator/Secretary to Administrator/Development officer (Lakshadweep). Note 1: Candidates claiming to belong to OBCs should note that the name of their caste (including its spellings) as indicated in their certificates, should be exactly the same as published in the lists notified by the Central Government from time to time. A certificate containing any variation in the caste name will not be accepted. The OBC claim of a candidate will be determined in relation to the State (or part of the State) to which his/her father originally belongs. A candidate who has migrated from one State (or part of the State) to another should, therefore, produce an OBC certificate which should have been issued to him/her based on his/her fathers OBC certificate from the State to which he (father) originally belongs. Signature **Designation (With Seal of Office)

Note 2:

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Form of declaration to be submitted by the OBC candidate (in addition to the community certificate)
I. Son/Daughter of [Link] of Village/Town/City [Link].... ..hereby declare that I belong to

the..community which is recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No. 36102/22/93-Estt. (SCT) dated 08 th September 1993. It is also declared that I do not belong to persons/sections/sections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of India, Department of
Personnel & Training O.M. No. 36012/22/93-Estt. (SCT) dated 08th September 1993, O.M. No.

36033/3/2004-Estt. (Res.) dated 09th March 2004 and O.M. No. 36033/3/2004-Estt. (Res.) dated 14th October 2008.

Address (Ordinary Residence)

Signature: Full Name:.. Date:...

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UNDERTAKING BY OBC (NCL) - MINORITY CATEGORY CANDIDATES

I,

__________________________________

son

daughter

of

Shri

___________________________ resident of village/town/city ________________________ district ___________________________ State _______________ hereby declare that I belong to OBC (NCL) MINORITY Category as notified by Central Government of India. I also declare that the condition of status / annual income for Creamy Layer of my parents is within prescribed limits as on financial year ending on March 31, 2012.

Signature: Full Name:.. Date:...

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