5/27/2018 CCMT SC ST Format Format
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SC/ST Certificate Format
FORM OF CERTIFICATE TO BE PRODUCED BY A CANDIDATE BELONGING TO
SCHEDULED CASTE OR SCHEDULED TRIBE
This is to certify that ShriS!t"#$!"
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% So&Da$'hter of Shri
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%of
(i))a'eTo*&%%%%%%%%%%%%%%%%%%%%%%%i& District Di(isio&
%%%%%%%%%%%%%%%%%%%%% ofthe StateU&io& Territory
%%%%%%%%%%%%%%%%%%%%% +e)o&'s to the %%%%%%%%%%%%% casteTri+e,
*hich is reco'&i-e. as a Sche.$)eCasteSche.$)e. Tri+e
$&.er"
The Constitution (Scheduled Castes) order, 1950.The Constitution
(Scheduled Tribes) order, 1950.The Constitution (Scheduled
Castes)(Union Territory) order, 1951.The Constitution (Scheduled
Tribes) (Union Territory) order, 1951.(As amended by the Scheduled
Castes and Scheduled Tribes (Modiication) !rder 195", the #ombay
$eor%ani&ation Act,19"0, the 'unab $eor%ani&ation Act,
19"", The State o imachal 'radesh Act, 19*0, the +orth astern
Areas($eor%ani&ation Act, 19*1) and the Scheduled Castes and
Scheduled Tribes orders (Amendment) Act, 19*".)
-The constitution (ammu / ashmir) Scheduled Caste !rder,
195"-The Constitution (Andaman and +icobar 2slands) Scheduled
Tribes, 1959, as amended by the Scheduled Castes andScheduled
Tribes orders (Amendment) Act. 19*"
-The Constitution (3adra and +a%ar a4eli) Scheduled Castes !rder
19"-The Constitution (3adra / +a%ar a4eli) Scheduled Tribes !rder,
19"-The Constitution ('ondichery) Scheduled Castes !rder, 19"6-The
Constitution (Uttar 'radesh) Scheduled Tribes !rder, 19"*-The
Constitution (7oa, 3aman / 3ieu) Scheduled Castes !rder, 19"8-The
Constitution (7oa, 3aman / 3ieu) Scheduled Tribes !rder, 19"8-The
Constitution (+a%aland) Scheduled Tribes !rder, 19*0-The
Constitution (Siim) Scheduled Castes !rder, 19*8-The Constitution
(Siim) Scheduled Tribes !rder, 19*8-The Constitution (Scheduled
Castes) !rders (Amendment) Act, 1990.-The Constitution (Scheduled
Tribes) !rder, (Amendment) !rdinance, 1991.-The Constitution
(Scheduled Tribes) !rder, (Second Amendment) Act, 1991.-The
Constitution (Scheduled Tribes) !rdinance, 199"
This certificate is iss$e. o& the +asis of the Sche.$)e.
CastesSche.$)e. Tri+es Certificate iss$e to
Shri%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%Father of Shri
%%%%%%%%%%%%%%%%%%%%%%%%%
%%%%%%of(i))a'eto*&%%%%%%%%%%%%%%%%%%%%%%%% i&
DistrictDi(isio& %%%%%%%%%%%%%%%%%%%%% of the StateUT
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%*ho +e)o&'s to the %%%%%%%%%%%%
casteTri+e *hich is reco'&i-e. as a SCST i& the
StateU&io& Territory%%%%%%%%%%%%%%%%%%%%%%%%%% iss$e. +y
the %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% /&a!e of the 0rescri+e.
iss$i&' a$thority1(i.e their No"
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% .ate. %%%%%%%%%%%%% or Shri
%%%%%%%%%%%% %%%%%%%%%%%%%%%%%%a&. or hisher fa!i)y
or.i&ari)y resi.e/s1 i& 2i))a'eTo*& %%%%%%%%%%%%%of
%%%%%%%%%%%% DistrictDi(isio& of the
StateU&io&Territory of %%%%%%%%%%%%%%%"
P)ace%%%%%%%%%%%%%%
Si'&at$re%%%%%%%%%%%%%%Date%%%%%%%%%%%%%%% Desi'&atio&
%%%%%%%%%%%%
/3ith sea) of Office1NOTE4 5 The ter!s or.i&ari)y resi.e/s1
$se. here *i)) ha(e the sa!e !ea&i&' as i& Sectio&
67 of the Re0rese&tatio& of thePeo0)e Act, 89:7"
LIST OF AUTHORITIES EMPO3ERED TO ISSUE CASTETRIBE CERTIFICATE41.
3istrict Ma%istrate:Additional 3istrict Ma%istrate:Collector:3e;uty
Commissioner :Additional 3e;uty Commissioner:3y. Collector:1st
Class
Sti;endiary Ma%istrate:Sub 3i4isional Ma%istrate:
