Transcription of APPLICATION FORM FOR SCHEDULED CASTE CERTIFICATE …
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APPLICATION FORM FOR SCHEDULED CASTE CERTIFICATE …
APPLICATION FORM FOR SCHEDULED CASTE CERTIFICATE Warning: It is an offence to give false information in this form. To, Deputy .. Delhi 1. Name (in BLOCK letters) 2. Father s/Husband s Name 3. Permanent Address 4. Complete present address with name of Police Station 5. Ration Card Number 6. Date and place of birth 7. Is he/she SCHEDULED CASTE since birth or by adoption 8. Nationality 9. CASTE 10. Religion 11. Duration of stay in Delhi (with date) 12. Complete address of father before migration to Delhi 13. If migrated after or before 20-9-1951 in Delhi, give date of migration 14. The state to which ancestors belong to 15. Educational Qualification 16. Name of School / College last attended (attach an attested copy of the Education CERTIFICATE ) 17. Purpose for which the CERTIFICATE is required : : : : : : : : : : Date Month Year : Date Month Year : : : : 18.
APPLICATION FORM FOR SCHEDULED CASTE CERTIFICATE Warning: It is an offence to give false information in this form. To, Deputy Commissioner... ..... Delhi
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