Annexure-I
Government of ………………………………….
(Name and Address of the authority issuing the certificate)
INCOME AND ASSET CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS
Certificate No.__________________________ Date:
_____________
1. This is to certify that Shri/Smt./Kumari ____________ son/daughter/wife of _____________ permanent
resident of ________________, Village/Street Post Office ________________ District ________ in the
State/Union Territory ________________ Pin Code ________________ whose photograph is attested
below belongs to Economically Weaker Sections, since the gross annual income* of his/her “family”**
is below Rs. 8 lakh (Rupees Eight Lakh only) for the financial year 2023-2024. His/her family does not
own or possess any of the following assets***:
I. 5 acres of agricultural land and above;
II. Residential flat of 1000 sq. ft. and above;
III. Residential plot of 100 sq. yards and above in notified municipalities;
IV. Residential plot of 200 sq. yards and above in areas other than the notified municipalities.
2. Shri/Smt./Kumari _______________ belongs to the caste which is not recognized as a Schedule Caste,
Schedule Tribe, and Other Backward Classes (Central List).
Signature with the seal of Officer _____________________________
Name __________________ Designation
_________________________
Recent Passport size attested
photograph of the applicant. The income and assets of the families as mentioned
would be required to be certified by an officer not
below the rank of Tehsildar in the States/UTs.
* Note1: Income covered all sources i.e. salary, agricultural, business, profession, etc.
** Note2: The term “Family” for this purpose includes the person, who seeks the benefit of reservation,
his/her parents and siblings below the age of 18 years as also his/her spouse and children below the age of
18 years.
*** Note3: The property held by a “Family” in different locations or different places/cities have been
clubbed while applying the land or property holding test to determine EWS status.
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Annexure-II
OBC-NCL Certificate Format
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES (NCL)*
APPLYING FOR ADMISSION TO CENTRAL EDUCATIONAL INSTITUTIONS (CEIs), UNDER THE
GOVERNMENT OF INDIA
This is to certify that Shri/Smt./Kum** __________________Son/ Daughter** of
Shri/Smt.**__________of Village/ Town**_____________________
District/Division**______________ in the State/Union Territory__________________ belongs to the
___________________community that is recognized as a backward class under Government of
India***, Ministry of Social Justice and Empowerment’s Resolution No.________________
dated______________ **** Shri/Smt./Kum.____________________ and/or
____________________ his/her family ordinarily reside(s) in the ________________________
District/Division of the _______________ State/Union Territory. This is also to certify that he/she
does NOT belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule
to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93- Estt. (SCT)
dated 08/09/93 which is modified vide OM No. 36033/3/2004 Estt. (Res.) dated 09/03/2004, further
modified vide OM No. 36033/3/2004-Estt. (Res.) dated 14/10/2008, again further modified vide OM
No.36036/2/2013-Estt (Res) dated. 30/05/2014, and again further modified vide OM No.
36033/1/2013-Estt (Res) dated. 13/09/2017.
District Magistrate / Deputy Commissioner / Any other Competent
Authority
Dated:
Seal
* Visit http://www.ncbc.nic.in for the latest guidelines and updates on the Central List of State-wise
OBCs.
** Please delete the word(s) which are not applicable.
*** As listed in the Annexure (for FORM-OBC-NCL)
**** The authority issuing the certificate needs to mention the details of the Resolution of Government
of India, in which the caste of the candidate is mentioned as OBC.
NOTE:
a) The term ‘Ordinarily resides’ used here will have the same meaning as in Section 20 of the
Representation of the People Act, 1950.
b)
c) The authorities competent to issue Caste Certificates are indicated below:
i. District Magistrate/ Additional Magistrate/ Collector/ Deputy Commissioner/ Additional
Deputy Commissioner/ Deputy Collector/ Ist Class Stipendiary Magistrate/ Sub-Divisional
magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Assistant Commissioner (not
below the rank of Ist Class Stipendiary Magistrate).
ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency
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Magistrate.
iii. Revenue Officer not below the rank of Tehsildar’ and
iv. Sub-Divisional Officer of the area where the candidate and/or his family resides
ANNEXURE FOR FORM-OBC-NCL
Sl. No. Resolution No. Date of Notification
1 No.12011/68/93-BCC(C) 13.09.1993
2 No.12011/9/94-BCC 19.10.1994
3 No.12011/7/95-BCC 24.05.1995
4 No.12011/96/94-BCC 09.03.1996
5 No.12011/44/96-BCC 11.12.1996
6 No.12011/13/97-BCC 03.12.1997
7 No.12011/99/94-BCC 11.12.1997
8 No.12011/68/98-BCC 27.10.1999
9 No.12011/88/98-BCC 06.12.1999
10 No.12011/36/99-BCC 04.04.2000
11 No.12011/44/99-BCC 21.09.2000
12 No.12015/9/2000-BCC 06.09.2001
13 No.12011/1/2001-BCC 19.06.2003
14 No.12011/4/2002-BCC 13.01.2004
15 No.12011/9/2004-BCC 16.01.2006
16 No.12011/14/2004-BCC 12.03.2007
17 No.12011/16/2007-BCC 12.10.2007
18 No.12019/6/2005-BCC 30.07.2010
19 No. 12015/2/2007-BCC 18.08.2010
20 No.12015/15/2008-BCC 16.06.2011
21 No.12015/13/2010-BC-II 08.12.2011
22 No.12015/5/2011-BC-II 17.02.2014
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Annexure III
SC/ST Certificate Format
FORM OF CERTIFICATE TO BE PRODUCED BY SCHEDULED CASTES (SC) AND SCHEDULED
TRIBES (ST) CANDIDATES
1) This is to certify that Shri/ Shrimati/ Kumari* ______________ son/daughter* of _______________of Village/Town*
______________ District/Division* _________________ of State/Union Territory*______________ Scheduled Caste /
Scheduled Tribe* under :-
* The 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 belongs to the
[As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification Order) 1956, the Bombay
Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the
North-Eastern Areas (Reorganisation) Act, 1971, the Scheduled Castes and Scheduled Tribes Orders (Amendment)
Act, 1976 and the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002]
* The Constitution (Jammu and 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 Constitution (Pondicherry) Scheduled Castes Order, 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 and Kashmir) Scheduled Tribes Order, 1989;
* The Constitution (Scheduled Castes) Order (Amendment) Act, 1990;
* The Constitution (Scheduled Tribes) Order (Amendment) Act, 1991;
* The Constitution (Scheduled Tribes) Order (Second Amendment) Act, 1991.
2) *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 State/Union Territory*_____________who belong to the Caste / Tribe*
which is recognised as a Scheduled Caste / Scheduled Tribe* in the State / Union Territory*____________________
issued by the __________________ dated _____________.
3) Shri/ Shrimati/ Kumari * ______________ and / or* his / her* family ordinarily reside(s)** in Village/Town*____________
of _________________ District/Division* of the State Union Territory* of_____________________ .
Signature: ___________________
Designation: ________________
Place: __________ State/Union Territory*_______________ (With seal of the Office)
Date: _______________
* Please delete the word(s) which are not applicable.
# Applicable in the case of SC/ST Persons who have migrated from another State/UT.
IMPORTANT NOTES
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 / Ist Class Stipendiary
Magistrate / City 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 family normally reside(s).
5) Administrator / Secretary to Administrator / Development Officer (Lakshadweep Island).
6) Certificate issued by any other Authority will be rej
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