Schedule Caste Certificate - District Bathinda

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Annexure 'B'
PHOTO
Office of Tehsildar
FORM OF CASTE CERTIFICATE FOR SCHEDULED CASTES
It is Certified that Shri/Kumar..........................................................................................
S/o.D/o.Sh...................................................................................................................................
of Village/Town .............................................................District/Division .....................State of
Punjab belongs .......................................Caste which has been recognised as Scheduled
Caste per The Constitution (Scheduled Caste) Order 1950.
2. Shri/Smt/Kumari.....................................................and his/her family lives in
Village/Town.........................Districrt/Division..................................of Punjab State.
Place.........................
Date..........................
Number..................... Signature, Designation
Seal of office

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Verification of Numberdar/Sarpanch/Panch/M.C.
Signature
verification of Halka Patwari
Signature
Report of Dealing Official
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Signature

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