This is to certify that Shri*/ Srimati/ Kumari* ......................................................................... son/daughter* of ………………................................................................ Village/Town …………….........................................District/Division*..............................................................of the.....................................................................State/UnionTerritory* belongs to the ……………….................................Caste*/Tribe which is recognised as a Scheduled Caste / Scheduled Tribe under:- *The Constitution Scheduled Castes Order 1950. *The Constitution Scheduled Tribes Order 1950. *The Constitution (Scheduled Castes) (Union Territories) (Part C States) Order 1951; *The Constitution (Scheduled Tribes) (Union Territories) (Part C States) Order 1951; [As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification Order 1956, the Bombay Re-organisation Act 1960, 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/Scheduled Tribes persons who have migrated from one State/Union Territory Administration. This certificate is issued on the basis of the Scheduled Castes/ Scheduled Tribes Certificate issued toShri/Srimati*....................................................................father/mother*of Shri/Srimati/Kumari…….…………………………………… of Village/ Town* …………..............................inDistrict/Division*............................................of the State/UnionTerritory*…………..………………….who belongs to the…………….......................Caste*/Tribe which is recognised as a Scheduled Caste/ Scheduled Tribe in the Station/ Union Territory* issued by the .................................................dated ………………… 3. Shri/Srimati/Kumari* …………………..………………………… and /or* his/her* family ordinarily resides in Village/Town* ................................................ District/ Division* ……………………………………. of the State/ Union Territory* of............................................ Place.................................. Signature.................................................................. Date................................... Designation............................................................... (with seal of Office) State/ Union Territory................................................ * Please delete the words which are not applicable. @ Please quote the specific presidential order. % Delete the Paragraph, which is not applicable Note: (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.Officers competent to issue Caste/Tribe certificates. 1. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner / Deputy Collector / 1st Class Stipendiary Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner. 2. Chief Presidency 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 normally reside(s). 5. Certificates issued by Gazetted Officers of the Central or of a State Government Countersigned by the District Magistrate concerned. 6. Administrator/ Secretary to Administrator (Laccadive, Minicoy and Admindivi Islands). Annexure I FORM OF CASTE CERTIFICATE FOR SC/ST