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    OBC Non Creamy Layer Application Format

    Uploaded by

    tgvnayagam
    This document contains an application form for an Other Backward Classes certificate for reservation in government jobs. The form requests information such as the applicant's name, date of birth, address, religion, caste, occupation, income details, and property owned. It certifies that the applicant does not belong to the "creamy layer" of OBCs and is eligible for jobs reserved for other backward classes. The applicant pledges that the information provided is true and understands any incorrect or ineligible information could result in cancellation of candidature or appointment.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    OBC Non Creamy Layer Application Format

    Uploaded by

    tgvnayagam
    954 views4 pages
    This document contains an application form for an Other Backward Classes certificate for reservation in government jobs. The form requests information such as the applicant's name, date of birth, address, religion, caste, occupation, income details, and property owned. It certifies that the applicant does not belong to the "creamy layer" of OBCs and is eligible for jobs reserved for other backward classes. The applicant pledges that the information provided is true and understands any incorrect or ineligible information could result in cancellation of candidature or appointment.

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    OBC Non Creamy Layer

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    © © All Rights Reserved

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    This document contains an application form for an Other Backward Classes certificate for reservation in government jobs. The form requests information such as the applicant's name, date of birth, address, religion, caste, occupation, income details, and property owned. It certifies that the applicant does not belong to the "creamy layer" of OBCs and is eligible for jobs reserved for other backward classes. The applicant pledges that the information provided is true and understands any incorrect or ineligible information could result in cancellation of candidature or appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    954 views4 pages

    OBC Non Creamy Layer Application Format

    Uploaded by

    tgvnayagam
    This document contains an application form for an Other Backward Classes certificate for reservation in government jobs. The form requests information such as the applicant's name, date of birth, address, religion, caste, occupation, income details, and property owned. It certifies that the applicant does not belong to the "creamy layer" of OBCs and is eligible for jobs reserved for other backward classes. The applicant pledges that the information provided is true and understands any incorrect or ineligible information could result in cancellation of candidature or appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    ANNEXURE III

    APPLICATION FORM FOR A CERTIFICATE FOR ELIGIBILITY FOR RESERVATION OF


    JOBS FOR OTHER BACKWARD CLASSES IN CIVIL POSTS
    AND SERVICE UNDER GOVERNMENT OF KERALA/INDIA
    To
    .
    .
    .
    Sir,
    I request that a Certificate in respect of reservation for Other Backward Classes in Posts
    and Service under Government of India be granted to me
    I give 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 Husband
    11) Name of Mother
    12) Status of parent (s)/husband

    :
    :
    :
    :
    :
    :
    :
    :
    :Father

    (A) Constitutional Posts

    (B) Designation

    ( C) Government Service

    (i) Service (Central/State)


    (ii) Designation
    (iii) Scale of pay, including
    Classification, if any
    (iv) Date of appointment to the post
    (v)Age at the time of promotion
    to Class I post
    (if applicable)

    :
    :
    :

    Father

    :
    :

    Mother

    Mother

    Husband

    Husband

    II Employment in international
    Organization Eg; UN, UNICEF, WHO
    :
    (i) Name of Organization
    :
    (ii) Designation
    :
    (iii) Period of Service
    indicate date from ..
    .to.
    III Death/Permanent Incapacitation, Omit if not applicable
    (i)Date of death permanent
    incapacitation putting an officer
    out of Service
    :
    (ii) Details of Permanent
    incapacitation
    :
    C) Employment in Public Sector under-taking etc
    (i) Name of Organization
    :
    (ii) Designation
    :
    (iii) Date of appointment to the post
    :
    D) Armed Forces including Para Military
    Forces(This will not include persons
    holding Civil Posts)
    :
    (i) Designation
    :
    (ii) Scale of pay
    :
    E) professional Class (other than those covered in item Nos B & C) and those
    engaged in trade Business and Industry.
    (i) Occupation/Profession
    :
    F) Property Owners
    :
    G) 1) Agricultural Land Holding
    : Owned by mother, father & Minor
    Children.
    i)
    Location
    :
    ii) Size of holding
    :
    iii) (a) Irrigated land
    Type of irrigate land
    (i)
    (ii)
    (iii)
    (b) Un-irrigated
    To be certified by District
    Revenue Officer not lower
    than the rank of Tahsildar

    :v

    vi

    vii

    Percentage of irrigated land


    holding to statutory ceiling
    Laws. If land State Land
    ceiling Laws If land holding
    is
    Both
    irrigated/unirrigated
    total irrigated land holding on
    the basis of conversion
    formula in State land Ceiling
    Law
    Percentage of total irrigated
    land holding to statutory
    ceiling limit as per (iv)

    F) II Plantation
    (i)
    Crops/Fruit
    :
    (ii)
    Location
    :
    (iii) Area of Plantation
    :
    G) III Vacant land and/or buildings in
    urban areas or urban agglomeration
    (i)
    Location of property
    :
    (ii)
    Details of property
    :
    (iii) Use to which it is put
    :
    H)Income/Wealth
    (iv)
    Annual family income from
    all sources excluding salaries &
    income from agricultural land :
    (v)
    Whether Tax payer (Yes/No)
    (If yes, a copy of the last three
    year return be furnished
    :
    (vi)
    Whether cover in wealth
    Tax Act Yes/No
    If so furnish details
    :
    I)

    Any other remarks

    I certify that the above said particulars are true to the best of knowledge and belief and
    that I do not belong to the Creamy Layer of OBCs and an eligible to be considered for Posts
    reserved for OBCs. In the event of my information found false or incorrect, or ineligibility being
    detected before or after the selection I understand that my candidature/appointment is liable to be
    cancelled and I shall be liable to such further action as may be provided under the law and/Rules.
    Yours faithfully,

    Signature of the Candidate.

    ANNEXURE II
    FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
    APPLYING FOR APPOINTMENT TO POSTS UNDER GOVT.OF KERALA AND ITS
    ORGANISATION AND INSTITUTION.

    This is to certify that ..


    Son/daughter of ..House.
    Village.
    TalukDistrict/Division..
    in the Kerala State belongs to the
    community which is designated as a Backward class in the
    state of Kerala.
    This is also certify that the above Sri/Smt. ..

    does not belong to the category of Creamy Layer in the light of the guidelines issued in
    G.O.(P) 36/2000/SC/ST .. dated 27-5-2000 and the
    schedule prescribed there under to identify the Creamy Layer among the designated other
    backward classes in the State of Kerala.

    Tahsildar,
    Dated:

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