FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER GOVERNMENT OF INDIA AND CENTRAL GOVT. PUBLIC SECTOR UNDERTAKINGS Regn. No, Date, A. This is to certify that Shri/Smt/Kum._A edhe. dia Pal sin daughter of Conky Kumar Pal of village town _Dewlpaaa ______in District / Division Avambag— of the Sta / Union Territory Weal Bengal __ belongs tothe Subadhar community which is recognised as a backward class under Please Tick Mark ee Marr dia, Ministry of Welfare Resolution No.1201 1/68/83-BCC dated 10.09.1999, published in Gazette of India, Extraordinary - Part 1, Section 1, No 186 dated 19.09.1005, 48) Govt, of India, Ministry of Welfare Resolution No.12011/9/94-BCC dated 19.10.1994 published in Gazette of India, Extraordinary Part |, Section 1, No. 163 dated 20.40.1088. iy Govt. of India, Ministry of Welfare Resolution No.12011/7/95-BCC dated 24.05.1995 published in Gazette of india Extraordinary Part I, Section ! No.88 dated 25.05.1996. (v) Govt of India, Ministry of Welfare Resolution No.12011/96/94-BCC dated 12.1996 published in Gazette of India Extraordinary Par I, Section 1 No.210 dated 11.12.1996. B. Applicable in the case of OBC persons who have migrated from another State/U.T. (delete the paragraph if not applicable) : , Backward Classes Certificate father / mother of This certificate is issued on the basis of the O} issued to Shri/ Smt/Kum. ‘Shri./Smt/Kum._ in District t Division of the State / Union Jerritory who belong to ‘the caste which is “ecognised as a Backward Class in the State t Union Territory issued by the: fame of prescribed —_ authority) vide their No. dated c. Siiussmurkum,_Andhendiy Pol afd or te 1 nor family oxdnary reside(s) in vilage / town Dewlparn _ of Hooghly District / Division of the Stale / Union Territory of Werk Bango D. This is also to certify that he/she does not belong to the persons / sections (Creamy Layer) Mentionod in column 3 of the Schedule to the Govt. of India, Department of Personae & Training O.M.No.96012/22/93-Estl.(SCT) dated 08.09.1993. ite 117f1~ Place A Awxb eget, Signature__Dy- Magistrate ssidie/ Union Territory 7-te/> phewgot Name of Issuing Authority Collecter ‘Arambogh, Hoophly pated : SFL 9 +P Designation, (With seal of Office) \o, 1ol2 “we Aw