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Application for Caste Certificate- Scheduled Caste ...

Application for Caste certificate - Scheduled Caste / Scheduled Caste converts to Buddhism/De-Notified Tribes (Vimukt Jati) Nomadic Tribes/Other Backward Classes/ Special Backward Category Applicant Details Aadhaar Number Full Name * Gender * Male [ ] Female [ ] Other [ ] Date of Birth * DD MM YYYY Occupation of Applicant* Residence Address * (Please provide the following details) House/Flat No. Building No. /Building Name Society/Complex Road Name Name of Post Office Village Taluka District Pin Code Permanent Address * (Fill if different from above) House/Flat No. Building No. /Building Name Society/Complex Road Name Name of Post Office Village Taluka District Pin Code Mobile No.

b. Proof of marriage- marriage registration certificate and name change notification in gazette [ ] 7. If applicant migrated from other state/ district, then caste certificate of applicant’s father issued by competent authority in that state/district [ ] 8. In case of religion conversion then Proof of caste before conversion, as prescribed in

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Application for Non Agricultural Permission

www.mahaonline.gov.in

condition imposed at the time of grant of land for permission for such non- agricultural use viz. Is applicant superior holder of land by* Alienated land [ ] Occupant Class I [ ] Occupant Class II [ ] Tenant [ ] Govt. Lessee [ ] Details of the Land for which NA Certificate is Required* Village Taluka District Gat Number Reference No.

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