Government of Telangana: Caste Certificate Application

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

GOVERNMENT OF TELANGANA

Revenue Department

CASTE CERTIFICATE APPLICATION

1. Applicant Name : …………………………………………………………………................


2. S/o, D/o, W/o, H/o. : ………………………………………………………………………………..
ii) Mother Name : ………………………………………………………………………………..
3. Gender (Tick) : Male / Female
4. Date of Birth : …………………………………………………………………………………
5. Door No. : …………………………………………………………………………………
6. Village / Locality : …………………………………………………………………………………
7. District : …………………………………………………………………………………
8. Mandal : …………………………………………………………………………………
9. Village : …………………………………………………………………………………
10. Pin Code : …………………………………………………………………………………
11. Mobile Number : …………………………………………………………………………………
12. Ration Card No : …………………………………………………………………………………
13. Aadhaar Card No : …………………………………………………………………………………
14. Delivery Type (Tick) : Manual / Local Post / Non – Local Post
15. Issued Caste certificate in Past: ( Yes or No )
16. Caste Claimed (Caste Name) : …………………………………………………………………………………
17. Caste Category (SC/ST/BC) : …………………………………...…………………………………………..
18. Education Certificate Contains Caste: ( Yes or No )
19. Purpose of Caste Certificate : ………………………………………………………………………………..
20. Religion : (Hindu / Muslim / Christian)

Signature of the Applicant

Enclosures:

1. Application Form
2. 10th Marks (SSC) Memo
3. Aadhaar Card / Ration Card / EPIC Card
4. Old Cast

* If your application is in pending or rejected, we are not responsible. Please contact consult department.

You might also like