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Backward Classes Reservation Certificate

This document outlines the form of certificate required for individuals from backward classes in Andhra Pradesh to claim reservation and age concession. It includes sections for personal details, community recognition, native place, and confirmation of not belonging to the creamy layer. The certificate must be signed and sealed by an authorized individual.

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lakshmiteja105_18319
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13 views1 page

Backward Classes Reservation Certificate

This document outlines the form of certificate required for individuals from backward classes in Andhra Pradesh to claim reservation and age concession. It includes sections for personal details, community recognition, native place, and confirmation of not belonging to the creamy layer. The certificate must be signed and sealed by an authorized individual.

Uploaded by

lakshmiteja105_18319
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM OF CERTIFICATE TO BE PRODUCED BY BACKWARD CLASSES FOR

CLAIMING RESERVATION AND / OR AGE CONCESSION.

Serial No. District Code:

Mandal Code: Village Code:

Certificate No.

1) This is to certify that Sri/Smt/Kum________________________________


Son/Daughter of Sri _________________________________________ of
Village/Town_____________________Mandal________________ District
_________________ of the state of Andhra Pradesh belongs to ________
Community which is recognized as B.c. sub–group ___________
2) It is certified that Sri/Smt/Kum __________________________ is a native
of ___________________ Village/Town ____________________ Mandal
____________________ District of Andhra Pradesh.
3) It is certified that the place of birth of Sri/Smt/Kum _________________ is
____________________ Village/Town _____________________ Mandal
________________ District of Andhra Pradesh.
4) It is certified that the place of birth of Sri/Smt/Kum _________________ is
___________________Village/Town_______________________ Mandal
________________ District of Andhra Pradesh.
5) It is certified that Sri/Smt/Kum ___________________________ does not
belong to the section of Creamy layer as per G.O. Ms. No. 3, Backward
Classes Welfare (C2) Department dated 04-04-2006 read with [Link].
No.26 Backward Classes Welfare (C) Department, dated 19.12.2013 of the
Government of Andhra Pradesh.
(* Strike out if it is not applicable)

Signature:
Date:
Name in Capital Letters:
Designation:

(Seal)

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