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    Obc Declaration Form

    Uploaded by

    Sangammeshwra Ab
    The document is a declaration form for OBC candidates applying for admission to central education institutes under the Government of India. It requires the candidate to declare their caste, that they belong to a community recognized as backward by the government, and that they do not belong to the "Creamy Layer" sections excluded from reservation benefits. The candidate must sign and date the declaration.

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    Obc Declaration Form

    Uploaded by

    Sangammeshwra Ab
    443 views3 pages
    The document is a declaration form for OBC candidates applying for admission to central education institutes under the Government of India. It requires the candidate to declare their caste, that they belong to a community recognized as backward by the government, and that they do not belong to the "Creamy Layer" sections excluded from reservation benefits. The candidate must sign and date the declaration.

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    The document is a declaration form for OBC candidates applying for admission to central education institutes under the Government of India. It requires the candidate to declare their caste, that they belong to a community recognized as backward by the government, and that they do not belong to the "Creamy Layer" sections excluded from reservation benefits. The candidate must sign and date the declaration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    443 views3 pages

    Obc Declaration Form

    Uploaded by

    Sangammeshwra Ab
    The document is a declaration form for OBC candidates applying for admission to central education institutes under the Government of India. It requires the candidate to declare their caste, that they belong to a community recognized as backward by the government, and that they do not belong to the "Creamy Layer" sections excluded from reservation benefits. The candidate must sign and date the declaration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    Declaration/undertaking - for OBC Candidates only

    I, ____________________ son/daughter of Shri ______________ resident of


    village/town/city ____________ district ____________ State hereby declare that I
    belong to the ___________ community which is recognised 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.36012/22/93-
    Estt.(SCT), dated 8/9/1993. It is also declared that I do not belong to
    persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above
    referred Office Memorandum, dated 8/9/1993, which is modified vide Department of
    Personnel and Training Office Memorandum No.36033/3/2004 Estt.(Res.) dated
    9/3/2004.

    Signature of the Candidate


    Place:
    Date:

    Declaration/undertaking not signed by Candidate will be rejected


    Format of OBC Certificate

    FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD


    CLASSES APPLYING FOR ADMISSION TO CENTRAL EDUCATION
    INSTITUTES UNDER THE GOVERNMENT OF INDIA

    This is to certify that Shri/Smt./Kum. _____________________________ Son/Daughter of


    Shri/Smt. __________________________________ of Village/Town
    ________________________________ District/Division __________________________ in the
    _________________________ State belongs to the ________________________ Community
    which is recognized as a backward class under:

    (i) Resolution No. 12011/68/93-BCC(C) dated 10/09/93 published in the Gazette of India
    Extraordinary Part I Section I No. 186 dated 13/09/93.
    (ii) Resolution No. 12011/9/94-BCC dated 19/10/94 published in the Gazette of India Extraordinary
    Part I Section I No. 163 dated 20/10/94.
    (iii) Resolution No. 12011/7/95-BCC dated 24/05/95 published in the Gazette of India Extraordinary
    Part I Section I No. 88 dated 25/05/95.
    (iv) Resolution No. 12011/96/94-BCC dated 9/03/96.
    (v) Resolution No. 12011/44/96-BCC dated 6/12/96 published in the Gazette of India Extraordinary
    Part I Section I No. 210 dated 11/12/96.
    (vi) Resolution No. 12011/13/97-BCC dated 03/12/97.
    (vii)Resolution No. 12011/99/94-BCC dated 11/12/97.
    (viii)Resolution No. 12011/68/98-BCC dated 27/10/99.
    (ix) Resolution No. 12011/88/98-BCC dated 6/12/99 published in the Gazette of India Extraordinary
    Part I Section I No. 270 dated 06/12/99.
    (x) Resolution No. 12011/36/99-BCC dated 04/04/2000 published in the Gazette of India
    Extraordinary Part I Section I No. 71 dated 04/04/2000.
    (xi) Resolution No. 12011/44/99-BCC dated 21/09/2000 published in the Gazette of India
    Extraordinary Part I Section I No. 210 dated 21/09/2000.
    (xii)Resolution No. 12015/9/2000-BCC dated 06/09/2001.
    (xiii)Resolution No. 12011/1/2001-BCC dated 19/06/2003.
    (xiv)Resolution No. 12011/4/2002-BCC dated 13/01/2004.
    (xv) Resolution No. 12011/9/2004-BCC dated 16/01/2006 published in the Gazette of India
    Extraordinary Part I Section I No. 210 dated 16/01/2006.

    Shri/Smt./Kum. ________________________ and/or his family ordinarily reside(s) in the


    __________________________ District/Division of ________________________ State. 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 Government of India, Department of
    Personnel & Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93 which is modified
    vide OM No. 36033/3/2004 Estt.(Res.) dated 09/03/2004.

    Dated:
    District Magistrate/
    Deputy Commissioner, etc.

    Seal
    NOTE:
    (a) The term ‘Ordinarily’ used here will have the same meaning as in Section 20 of the
    Representation of the People Act, 1950.
    (b) The authorities competent to issue Caste Certificates are indicated below:
    (i) 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).
    (ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency
    Magistrate.
    (iii) Revenue Officer not below the rank of Tehsildar’ and
    (iv) Sub-Divisional Officer of the area where the candidate and / or his family resides.

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