IN THE COURT OF SUB-DvisIONAL OFFICER.

DY. COLLECTOR.. aessaaseeve

FORM-6 See Rule No.56) and 6{IMa

B.No Rev.Case No. ]47Mrca1/201617

Vllage KHARARI.
Form of Certificate to be produced by a candidate belonging to aa

Scheduled Caste in support of hie claim

FORM OF CASTE CERTIFICATE

To bo
retalned in
This is to certitythat ShruShrimat/Kumari" ANUSHKA MAHADEQ RAMTEKE
boththe
cases .e.
Son/daughter of
MAHADEO LAHANU RAMTEKE of villagetown
in District /Dhvision handrapur
while
KHAPAR!
ssuing the the State/Union Territory belongs
Caste B.Ccs Maharashtra Caste/Tribe" which is
belonging t o the Mahar Sr No 37
to thia Stae
recognised as a S c h e d u l e d C a s t e / S c h e d u l e d Tribe * u n d e r
well
to the

grermte". The Conctitution (Scheduled Castes)Order,1950

t The Constitution (Scheduled Tribes)Order, 1950.
t The Consttution (Scheduled Castes)(Union Territories) Order,1951.
t The Constitution (Scheduled Tribes)(Union Teritories) Order, 1961.
(As amended by the Scheduled Castes and Scheduled Tribes Lists (Modificatio) Order, 1956, the Bombay
Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1976, the North
Act,
Areas 1971 and the Scheduled Castes and Scheduled Tribes Orders (Amendment)
(Reorganis atio) Act,
Eastern
1976)
f The Constitution (Jammu ahd Kashmir) Scheduled Castes Order, 1956.
Order, Tribes 1959, as amended by the Scheduled
t The Constitution (Andaan and Nicobar Islands) Scheduled
Castes and Scheduled Tribes Orders (Amendment) Act, 1976
t The Constitution (Dádra and Nagar Haveli) Scheduled Castes Order,1962.
t The Constitution(Dadra and Nagar Haveli) ScheduledTribes Order, 1962.
TheConstitutjón(Pondicherry) Scheduled Castes Order, 1964.
t The Constihátion (Scheduled Tribes) (Uttar Pradesh),Order, 1967.
f The Constrtution (Goa, Daman and Diu) Scheduled Castes Order, 1968.
t The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968
t The Constitution (Nagaland) Scheduled Tribes Order, 1970.
t he Constitution (Sikkim) Scheduled Castes Order, 1978. 1978.
fThe Constitution (Sikkim) Scheduled Tribes Order,
Tribes F rsons who have migrated
Applicable
to migrants Applicable in the case of Scheduled Castes/Scheduled
t2. one State/Union Teritory Administration.
from
only
certificate issued to
This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes
father/mother of
Shri/Shrimat of village/town
Shr/Shrimat/Kumarr"
who
.of he State/Union Teritoy
Distric/Division
belongs to the
as a Scheduled Ceste/Schedule Tribe in the
State/Union Temitory
Caste/Tribe *which is recognised
their No
issued by the (Name of prescribed authority) vide

dated
3 . Shri/Shrimati/Kumari* ANUSHKA MAHADEO RAMTEKE
of Chandrapur
Not in villagetown KHAPARI
Applicable to and of his/her famili ordinarily reside(s)
migrants Distnct/Division
"ofthe State/Union Terrtory of Maharashtra
FSUB-0
VISION ameand Signatua

shb pivisfonal Officer

(WOWL, DNel Chandrapur
Certificate sr.no:

Place: Chimur Chimu

Date 2.219/2016 State/Union territory

Please delele the words whioh are nol applicable.

Presidential Order.
TPlease quole specific
which is not annlinnhl af the Peaples Act, t960
f Detete the paragraph "
used here will have ihe same meaning
as in section 20 of the Representeion
Niote The term Ordianariy reside(s)