Annexure II
FORMAT OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES (NCL) APPLYING FOR
APPOINTMENT TO POST 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/Union Territory ......................... belongs
to the ................................................................................. community that is recognized as a backward class under
Government of India, Ministry of Social Justice and Empowerment's Resolution
No.....................................................................dated……………………………….…….**
Shri/Smt./Kum………………………………………………………………………………………………………………………………. and/or his/her family
ordinarily reside(s) in the …………………………………………………………………………………………………… District/Division of
the…………………………………State/Union Territory.
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 OM No. 36012/22/93-Estt. (SCT) dated
08/09/93 and modified vide GOI DOPT OM No. 36033/1/2013- Estt.(Res.) dated 13/09/2017***.
Dated: ……………………………..
District Magistrate/Deputy Commissioner/
Any other Competent Authority
Office Seal
* Please delete the word(s) which are not applicable.
** The authority issuing the certificate needs to mention the details of Resolution of Government of India, in which
the caste of the candidate is mentioned as OBC.
*** As amended from time to time.
NOTE:
a) The term 'Ordinarily resides' 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/ 1st Class Stipendiary Magistrate/ Sub-Divisional magistrate/ Taluka
Magistrate/ Executive Magistrate/ Extra Assistant Commissioner (not below the rank of 1 st Class Stipendiary
Magistrate).
(ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate.
(iii) Revenue Officer not below the rank of Tehsildar and Sub-Divisional Officer of the area where the candidate
and/ or his family resides.
CEN No. 03/2024 Page 23 of 73
