APPLICATION FORM FOR OTHER BACKWARD CLASSES CERTIFICATE


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APPLICATION FORM FOR OTHER BACKWARD CLASSES CERTIFICATE

To

The Deputy Commissioner, Bishnupur

Sir,

I request that a Certificate in respect of reservation for OTHER BACKWARD CLASSES in Civil posts and service under Govt. of India’s be granted to me:-

1. Full name of the applicant :-
(in block letters)
2. Date of birth :
3. Complete residential address:
      i. Present :
     ii. Permanent :
4. Caste/Community :
5. Religion :
6. Sub-Caste :
7. Father
      i. Name :
     ii. Occupation & designation :
        (if any)
8. Mother
     i. Name :
    ii. Occupation & designation :
      ( if any)
9. Husband
      i. Name :
     ii. Occupation & designation :
        (if any)
10. Electoral Roll No. :
House No. :
Polling Station No. :
11. Annual income from all sources : Rs. ………………………………………./-
(Rupees ………………………………………)
approximately.

I certify that the above particulars are true to the best of my knowledge and belief and that do not belong to the person/Sections "CREAMY LAYER" of OBC and eligible to be considered for the post of reserved for OBC. In the events of any wrongful information being detected before or after the selection , I am liable to be cancelled from such appointment be imposed upon me under relevant law/rules.

                                                                                                                                     Yours faithfully,

     Place :
                                                                                                                    SIGNATURE OF THE APPLICANT
     Dated :-

Contd. …..2/-

(2) Detailed enquiry has been made and found that all the particulars furnished by the applicant are found correct.

SUB-DIVISIONAL OFFICER

…………………………………………………………………………………….. Certified that Shri/Smt/Km. ……………………………………………… …………………………………S/O, D/O, F/O Shri ……………………………. …………………… village of ……………………… of ………………………. Sub-Division does not belong to the person/section Creamy Layer, mentioned in column-3 of the Schedule of the Govt. of India, Department of Personal and Training O.M. No.