Appendix B: Proforma for Certificate for Other Backward Class (OBC)
PROFORMA FOR OTHER BACKWARD CLASS (OBC) CERTIFICATE
(Certificate to be Produced by other Backward Classes applying for Admission to Central
Educational Institutions (CEIs), 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-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 dated 25/05/95.
(iv) Resolution No. 12011/96/94-BCC dated 09/03/96.
(v) Resolution No. 12011/44/94-BCC dated 06/12/96 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. 12011/88/99-BCC dated 06/12/99 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 1 No. 210 dated 21/09/2000.
(xii) Resolution No. 12015/09/2000-BCC dated 06/09/2001.
(xiii) Resolution No. 12011/01/2001-BCC dated 19/06/2003.
(xiv) Resolution No. 12011/04/2002-BCC dated 13/01/2004.
(xv) Resolution No.12011/09/2004-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 Scheduled 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 or the latest notification of the Government of India.
Dated:
District Magistrate/Competent Authority 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/1stClass Stipendiary Magistrate/Sub-Divisional Magistrate/Taluka
Magistrate/Executive Magistrate/Extra Assistant Commissioner (not below the rank of 1st Class
Stipendiary Magistrate.)
ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.
iii) Revenue Officer not below the rank of Tehsildar.
iv) Sub-Divisional Officer of the area where the candidate and/or his family resides.
