FORM OF DECLARATION.pdf

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FORM OF DECLARATION/UNDERTAKING TO BE SUBMITTED BY OBC CANDIDATE
(IN ADDITION TO THE COMMUNITY CERTIFICATE)
I, _______________________________________ Son/Daughter of Shri
__________________________________________ resident of village/town/city
______________________________________________________________________
District___________________________________State____________________________
____________ hereby declare that I belong to the
_____________________________________________community which is recognized as
a backward class by the Government of India for the purpose of reservation in Service
admission in Central Govt. institutions as per orders contained in the Department of
Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT) dated 08th
September, 1993. I also declare that I do not belong to the persons/sections (Creamy
Layer) mentioned in Column 3 of the Schedule to the above referred Office
Memorandum dated 08th September, 1993, which is modified vide Department of
Personnel and Training Office Memorandum No. 36033/1/2013-Estt. (Res.) dated 14th
September, 2017.
Signature of Candidates:
Full Name:
Correspondence Address:
Place:
E-Mail:
Mobile No:
Date:

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FORM OF DECLARATION.pdf

  • 1. FORM OF DECLARATION/UNDERTAKING TO BE SUBMITTED BY OBC CANDIDATE (IN ADDITION TO THE COMMUNITY CERTIFICATE) I, _______________________________________ Son/Daughter of Shri __________________________________________ resident of village/town/city ______________________________________________________________________ District___________________________________State____________________________ ____________ hereby declare that I belong to the _____________________________________________community which is recognized as a backward class by the Government of India for the purpose of reservation in Service admission in Central Govt. institutions as per orders contained in the Department of Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT) dated 08th September, 1993. I also declare that I do not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred Office Memorandum dated 08th September, 1993, which is modified vide Department of Personnel and Training Office Memorandum No. 36033/1/2013-Estt. (Res.) dated 14th September, 2017. Signature of Candidates: Full Name: Correspondence Address: Place: E-Mail: Mobile No: Date: