The form 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 thatShri/Shrimati/Kumari*_______________________________ Son/daughter of _______________________________ of village/town* in District/Division* _____________________________________ of the State/Union Territory* _____________________ belongs to the Caste/Tribes _______________ which is recognized as a Scheduled Castes/Scheduled Tribes* under :This Constitution (Scheduled Castes) order, 1950 ________________ the constitution (Scheduled Tribes) order, 1950 ___________________ the Constitution (Scheduled castes) Union Territories order, 1951* ______________________ the Constitution (Scheduled Tribes) Union Territories Order, 1951*__________________. As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification) Order, 1956, the Bombay Reorganization Act, 1960 & the Punjab Reorganization Act, 1966, the State of Himachal Pradesh Act 1970 the North-Eastern Area (Reorgnization) Act, 1971 and the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976. The constitution (Jammu & Kashmir) Scheduled Castes Order, 1956 The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the Scheduled Castes and Scheduled Tribes Order (Amendment Act), 1976*. _____________________________________________________________ The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order 1962 The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order 1962@ The Constitiuion (Pondicherry) Scheduled Castes Order 1964@ The Constitution (Scheduled Tribes)(Uttar Pradesh) Order, 1967@ The Constitution (Goa, Daman & Diu) Scheduled Castes 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 19892 The Constitution (SC) Orders (Amendment) Act, 1990@ The Constitution (ST ) Orders (Amendment) Ordinance, 1991@ The Constitution (ST) Orders (Second Amendment) Act, 1991 @ The Constitution (ST) Orders (Amendment) Ordinance, 1996 _____________________________________________________________ %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/Shrimati _____________________________ Father/mother _________________ of Shri/Shrimati/Kumari* _________________________ of
village/town* ________________________________ in District/Division* ______________ of the State/Union Territory* ____________________ who belong to the _______________ caste/Tribe which is recognized as a Scheduled Caste/Scheduled Tribe in the State/Union Territory* issued by ____________________ dated _______________ . %3. Shri/Shrimat/Kumari and/or his/her family ordinarily reside(s) in the village/town* ________________________ District/Division* __________________ of the State/Union Territory of _____________________________ Signature_______________________ Designation ________________________ ( with seal of office) State/Union Territory Place ____________ Date _____________ * (Please delete the words which are not applicable @ Please quote specific presidential order % Delete the paragraph which is not applicable. NOTE: The term ordinarily reside(s) used here will have the same meaning as in section 20 of the Representation of the People Act, 1950. List of authorities empowered to issue Caste/Tribe Certificates :(i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional Deputy Commissioner/Dy. Collector/1st Class Stipendiary Magistrate/Sub-Divisional Magistrate/Extra-Assistant Commissioner/Taluka Magistrate/Executive Magistrate. (ii) Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate. (iii) Revenue Officers not below the rank of Tehsildar. (iv) Sub-Divisional Officers of the area where the candidate and/or his family normally resides. NOTE: ST candidates belonging to Tamil Nadu state should submit caste certificate ONLY FROM THE REVENUE DIVISIONAL OFFICER.