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BcaTan, rfe fin, th ffl rfu, 3TT{.a.TH. ffan, fry (t§.T.) 495004HEADQUARTER, PERSONNEL DEPARTMENT, RAILWAY RECRUITMENT CELL, R.T.S. COLONY, BILASPuR (C.G.) 495004

No.p-HQmRc/GDCE/oi/2o2i/Z69

un gta @ fara: 11.08.2021

Date: 10.08.2021

er-fir fafa: io.09.2021 (23.59 rd RE )

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This is to certify that Shri*/Srimati/Kumari*of VillageITown

Son/Daughter* of Shri/Smt.District/Division*

State/UnionTerritory* belongs toCaste*ITribe which is recognised as a Scheduled Caste / Scheduled Tribe* (tick whichever is

applicable) under:-

*The Constitution Scheduled Castes Order 1950.

The Constitution Scheduled Tribes Order 1950.*The Constitution (Scheduled Castes) (union Territories) (Part C States) Order 195i ;*The Constitution (Scheduled Tribes) (Union Territories) (Part C States) Order 1951 ;

[As amended bythe Scheduled Castes and Scheduled Tribes Lists (Modification Order 1956, the Bombay Re-organisation Act1960, the Punjab Re-organisation Act 1966, the State of Himachal Pradesh Act 1970, the North Eastern Areas (Re-organisation) Act 1971 and the Scheduled Castes and Scheduled Tribes Orders, (Amendment) Act 1976]*The Constitution (Jammu and Kashmir)* Scheduled Castes Orders, 1956*The Constitution (Andaman and Nicobar Islands)* Scheduled Tribes Order,1959 as amended by the Scheduled Castes and

Scheduled *Tribes Orders (Amendment) Act,1976*The Constitution (Dadra and Nagar Haveli)* Scheduled Castes Order,1962.*The Constitution (Dadra and Nagar Haveli) Scheduled Tribes, Order,1962*The Constitution (Pondicherry) Scheduled Castes Orders, 1964*The Constitution (Uttar Pradesh) Scheduled Tribes Order,1967*The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968*The Constitution (Goa, Daman and Diu) Scheduled Tribes Order,1968*The Constitution (Nagaland) Scheduled Tribes Order, 1970.*The Constitution (Sikkim) Scheduled Castes Order, 1978*The Constitution (Sikkim) Scheduled Tribes Order, 1978*The Constitution (Jammu & Kashmir) Scheduled Tribes Order,1989.*The Constitution (SC) Orders (Amendment) Act,1990*The Constitution (ST) Orders (Amendment) Ordinance Act,1991*The Constitution (ST) Orders (Amendment) Ordinance Act, 1996*The Constitution (Scheduled Castes) Orders (Amendment) Act, 2002*The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002.*The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002.

2. Applicable in the case of Scheduled Castes/Schedule.d Tribes persons who have migrated from one State/Union TerritoryAdministration.

This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes Certificateissuedto Shri/Srimati* father/mother*

.... of VillageITown*of State/UnionTerritory*

of Shri/Srimati/Kumariin Disrtict/Division*

who belongs to the ..................... Caste*ITribewhich is recognized as a Scheduled Caste/ Scheduled Tribe in the State/Union Territory* issued by the ........ dated.3. Shri/Srimati/Kumari* and/or* his/her* family ordinarily reside(s) in VillageITown*District/ Division*

Place..-...'........................_

Date-.."".......".'..."............

Please delete the words which are not applicable.

of the State/ Union Territory* of

Signature

Designation

(with seal of Office)State/ union Territory

@ Please quote the specific presidential order.% Delete the Paragraph, which is not applicableNote: (a) The term "ordinarily reside(s)' used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950.Officerscompetent to issue CasteITribe certificates.1. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner / Deputy Collector / 1stClass Stipendiary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner. 2. ChiefPresidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. 3. Revenue Officers not below the rank of Tehsildar. 4. Sub-Divisional Officer of the area where the candidate and / or his / her family nomally reside(s). 5. Certificates issued by Gazetteed Officers of theCentral or of a State Government Countersigned by the District Magistrate concerned. 6. Administrator/ Secretary to Administrator (Laccadive.Minicoy and Admindivi Islands).

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES\PPLYING FOR APPOINTMENT TO POST UNDER THE G_Q_VERNMENT OF INDl/

This is to certify that Shri/Smt./Kumari

Districv Division

belongs to the

of VillageITown

son/daughter of

in the State/Union Territory .................

community which

is recognised as a Backward Classunder the Government of India, Ministry of Social Justice

and Empowerment's Resolution No.

Shri/Smt./Kum.*

ordinarily reside(s) in the

Dated . *.

and/or his/her family

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 OM No.

36012/22/93-Estt(SCT), dated 8.9.1993 and modified vide Government of India, Department of

Pers.onnel and Training O.M.No.36033/1/2013-Estt. (Res) dated 27.05.2013 and 13.09.2017**.

Date:DISTRICT MAGISTRATE /

DY. COMMISSIONER ETC.

(Seal )

* The authority issuing the certificate may have to mention the details of Resolution ofGovernment of India, in which the caste of the candidate as OBC.

" As amended from time to time.

Note: The term ``Ordinarily" used here will have the same meaning as in Section 20 ofthe Representation of the People Act, 1950.

DECLARATION

Proforma for declaration to be submitted by Other Backward Class

Candidates at the time of document verification, who had applied for the

posts against GDCE Employment Notice No. -01/2b21

son/daughter of Shriresident of VillageITown/City

Statehereby declare that I belong to the

(indicate your sub caste) community which is recognized as a backward class by theGovernment of India for the purpose of reservation in services as per orders contained inDepartment of Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT)dated 08.09.1993. It is also de.clared that I do not belong to persons/sections (CreamyLayer) mentioned in column 3 of the Schedule to the above referred Office Memorandumdated 08.03.1993 and its subsequent revision through O.M.No.36033/1/2013-Estt. (Res)dated 27 05.2013 and 13.09.2017.

Place:

Date:

Signature of the Candidate

Name of the candidate