Annexure-HA, OBC-NCL Certificate Format FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES (NCL)* APPLYING FOR ADMISSION TO CENTRALEDUCATIONAL INSTITUTIONS. (CEls), UNDER THE GOVERNMENT OFINDIA This is to certify that Shri/Smt/Kum** Son) Daughter“ of Shri/Smt.** of Village! ‘Town** District/Division** the — State/Union Territory belongs to the ‘community that is recognized as a backward class under Government of India***, Ministry of Social Justice and Empowerment’s Resolution No. dated. sees Shri/Smt/Kum. and/or his/her family ordinarily reside(s) in the, District/Division of the State/Union Territory. This is also to certify that he/she does NOT belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93- Estt, (SCT) dated 08/09/93 which is modified vide OM No. 36033/3/2004 Estt. (Res.) dated 09/03/2004, further modified vide OM No. 36033/3/2004-Fstt. (Res.) dated 14/10/2008, again further modified vide OM 'No.36036/2/2013-Estt (Res) dated, 30/05/2014, and again further modified vide OM No. 36033/1/2013-Estt (Res) dated, 13/09/2017. District Magistrate/Deputy Commissioner Any other Competent Authorit Dated: Seal ¥ Ps y Visit Hitps ew nee MTe In Vor the atest guidelines ands on the Central List of Stave-wise OBCs. ** Please delete the word(s) which are not applicable. *** As listed in the Annexure (for FORM-OBC-NCL) **** ‘The authority issuing the certificate needs to mention the details of the Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. NOTE: (®) The term ‘Ordinarily resides’ used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950, () The authorities competent to issue Caste Certificates are indicated below: @ District Magistrate/ Additional Magistrate’ Collector’ Deputy Commissioner! Additional Deputy Commissioner/ Deputy Collector! Ist Class Stipendiary Magistrate/ Sub-Divisional magistrate/ Taluka Magistrate/ Executive Magistrate/ Extra Assistant Commissioner (not below the rank of Ist Class Stipendiary Magistrate). ® Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate @ Revenue Officer not below therank of Tehsildar’ and {4 Sub-Divisional Officer of the area where the candidate and/or his family resides { 2 }ANNEXURE for FORM-OBC-NCL. [SI No! Resolution No. Date of Notification T No.12011768/93-BCC(C) 13.09.1993 2 No.12011/9/94-BCC 19.10.1994 3 No.1201177795-BCC 24.05.1995 4 'No.12011796/94-BCC (09.03.1996 3 No.12011/44/96-BCC 11.12.1996 6 No.12011/13/97-BCC 03.12.1997 7 'No.12011/99/94-BCC 11.12.1997 8 'No.12011768/98-BCC 27.10.1999 9 ‘No.12011788/98-BCC (06.12.1999 10 No.12011/36/99-BCC (04.04.2000 i 'No.12011/44/99-BCC 21.09.2000 12 'No.12015/9/2000-BCC (06.09.2001 B ‘No.1201171/2001-BCC 19.06.2003 14 'No.1201174/2002-BCC 13.01.2004 15 No.12011/9/2004-BCC 16.01.2006 16 'No.12011714/2004-BCC 12.03.2007 7 ‘No.12011716/2007-BCC 12.10.2007 18 ‘No.1201976/2005-BCC 30.07.2010 19 No. 12015/2/2007-BCC 18.08.2010 20 'No.12015/15/2008-BCC 16.06.2011 21 'No.12015/13/2010-BC-II 08.12.2011 2 ‘No.12015/5/2011-BC-IT 17.02.2014Annexure. IIB DECLARATION BY THE CANDIDATE IN LIEU OF OBC-NCL CERTIFICATE Passport Name of the candidate: “he Photograph Address: of the Candidate Application Number of CUET 2023: ‘Mobile No: Email: understand that as per the new guideline from the Ministry of Personnel, Public Grievances and Pensions, Gol, I am required to submit the OBC-NCL certificate issued on or after 1 April 2022. Since I have not been able to collect the said certificate on time, | may kindly be allowed to write CUET (UG) - 2023 provisionally. I hereby declare that I will upload a fresh certificate (issued on or after 1 April 2022) at the time of reporting after seat allocation. T understand that inability to upload the same by the given date and time will lead to the withdrawal of the OBC-NCL benefit. [ also understand that, if qualified, my category will be adjusted accordingly in the Common Rank List. Signature of Father/Mother ‘Name: Date: Signature of Applicant Date: 44