PROFORMA-II
FORMAT OF THE CERTIFICATE TO BE PRODUCED BY SCHEDULED CASTES AND
SCHEDULED TRIBES CANDIDATES APPLYING FOR APPOINTMENT TO POSTS UNDER
GOVERNMENT OF INDIA)
This is to certify that Shri*/ Srimati/ Kumari* ......................................................................... son/daughter* of
………………................................................................ Village/Town …………….........................................
District/Division*.............................................................. of the..................................................................... State/ Union Territory*
belongs to the ……………................................. Caste*/Tribe which is recognised as a Scheduled Caste / Scheduled Tribe under: -
*The Constitution Scheduled Castes Order 1950.
*The Constitution Scheduled Tribes Order 1950.
*The Constitution (Scheduled Castes) (Union Territories) (Part C States) Order 1951;
*The Constitution (Scheduled Tribes) (Union Territories) (Part C States) Order 1951;
[As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification Order 1956, the Bombay Re-organisation Act 1960,
the Punjab Re-organisation Act 1966, the State of Himachal Pradesh Act 1970, the North Eastern Areas (Re-organisation) Act 1971
and the Scheduled Castes and Scheduled Tribes Orders, (Amendment)Act 1976]
*The Constitution (Jammu and Kashmir)* Scheduled Castes Orders, 1956
*The Constitution (Andaman and Nicobar Islands)* Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and
Scheduled *Tribes Orders (Amendment) Act, 1976
*The Constitution (Dadra and Nagar Haveli)* Scheduled Castes Order, 1962.
*The Constitution (Dadra and Nagar Haveli) Scheduled Tribes, Order, 1962
*The Constitution (Pondicherry) Scheduled Castes Orders,1964
*The Constitution (Uttar Pradesh) Scheduled Tribes Order,1967
*The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968
*The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968
*The Constitution (Nagaland) Scheduled Tribes Order, 1970.
*The Constitution (Sikkim) Scheduled Castes Order, 1978
*The Constitution (Sikkim) Scheduled Tribes Order, 1978
*The Constitution (Jammu & Kashmir) Scheduled Tribes Order, 1989.
*The Constitution (SC) Orders (Amendment) Act, 1990
*The Constitution (ST) Orders (Amendment) Ordinance Act,1991
*The Constitution (ST) Orders (Amendment) Ordinance Act,1996
*The Constitution (Scheduled Castes) Orders (Amendment) Act, 2002
*The Constitution (Scheduled Castes) Orders (Second Amendment) Act,2002.
*The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act,2002.
2. Applicable in the case of Scheduled Castes/Scheduled Tribes persons who have migrated from one State/Union Territory
Administration.
This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes Certificate issued to
Shri/Srimati*.................................................................... father/mother*of
Shri/Srimati/Kumari…….…………………………………… of Village/ Town* …………..............................
inDistrict/Division*............................................of the State/Union Territory*…………..………………….who belongs to
the…………….......................Caste*/Tribe which is recognised as a Scheduled Caste/ Scheduled Tribe in the Station/ Union Territory*
issued by the .................................................dated ………………….
3. Shri/Srimati/Kumari* …………………..………………………… and /or* his/her* family ordinarily resides in Village/Town*
................................................ District/ Division* ……………………………………. of the State/ Union Territory*
of............................................
Place.................................. Signature..................................................................
Date................................... Designation ((with seal of Office)......................................................
State/ Union Territory................................................
* Please delete the words, which are not applicable.
@ Please quote the specific presidential order.
% Delete the Paragraph, which is not applicable
Note: (a) The term “ordinarily reside(s)’ used here will have the same meaning as in Section 20 of the Representation of the People Act,
1950. Officers competent to issue Caste/Tribe certificates.
1. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner / Deputy
Collector / 1st Class Stipendiary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra
Assistant Commissioner. 2. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. 3. Revenue
Officers not below the rank of Tehsildar. 4. Sub-Divisional Officer of the area where the candidate and / or his / her family
normally reside(s). 5. Certificates issued by Gazetted Officers of the Central or of a State Government Countersigned by the
District Magistrate concerned. 6. Administrator/ Secretary to Administrator (Laccadive, Minicoy and Admin div islands).
39