Application Form For A Certificate For Eligibility

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APPLICATION FORM FOR A CERTIFICATE FOR ELIGIBILITY FOR
RESERVATION OF JOBS FOR OTHER BACKWARD CLASSES IN CIVIL POSTS AND
SERVICES UNDER GOVERNMENT OF INDIA
TO
Sir,
I request that a certificate in respect of reservation for other backward classes in civil post and
services under Government of India be granted to me.
I) Given below the necessary particulars:
1. Full name of the applicant
:
(in block letters)
2. Date of Birth
:
3. Complete residential address
:
a) Present
b) Permanent
4. Religion
:
5. Caste
:
6. Sub-caste
:
7. Occupational group
:
8. Serial Number of the caste in
the Central list of OBCs
:
9. Name of Father
:
10.Name of Mother
:

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