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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.

converts to Buddhism/De-Notified Tribes (Vimukt Jati) Nomadic Tribes/Other Backward Classes/ Special Backward Category Applicant Details Aadhaar Number ... Bill/ Water Bill/ Extracts of 7/12 and 8 A / Rent Receipt/ Telephone Bill/ Ration Card/Property Tax Receipt [ ] 3. Affidavit for Caste Certificate (Form 2) [ ] 4. Proof of caste of a self or ...

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