This is to certify that Shri/Smt./Kurnari_______________son/daughter of _______________________of village/town in District/Division __________________________in the State/Union Territory____________________belongs to the __________________community which is recognised as a backward class under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No. _________________dated____________________*. Shri/Smt./Kumari ____ ______________ 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 8.9.1993.**
Deputy Commissioner etc.
* - The authority issuing the certificate may have to mention the details of Resolution of
Government of India, in which the caste of the candidate is mentioned as OBC.
** - As amended from time to time.
Note:- The term “Ordinarily” used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950.