Annexure II
OBC - NCL CERTIFICATE FORMAT
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POST UNDER THE GOVERNMENT OF INDIA
This is to certify that Shri / Smt. / Kumari*........................................................................
son / daughter* of ……………… ……………. of Village/Town*........................................... in
District/ Division* ........................ in the State / Union Territory .......................... belongs to the
. ................................................... community which is recognised as a Backward Class
under the 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 8.9.1993 and modified vide Government of
India, Department of Personnel and Training O.M.No.36033/1/2013-Estt. (Res) dated
13.09.2017***.
Date:
DISTRICT MAGISTRATE / DY. COMMISSIONER/
ANY OTHER COMPETENT AUTHORITY
Office Seal
* Please delete the word(s) which are not applicable.
** The authority issuing the certificate need 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 authority competent to issue cast 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 Tahsildar and Sub-Divisional Officer of
the area where the candidate and / or his family resides.
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