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Full text of "The Ethnology Of Beda Badaga Jangam Caste In Andhra Pradesh"

Form IV                    Notices to the applicant for verification issued by

the Competent Authority.

Form V                     Notices to the applicant for verification issued by

the District Level Scrutiny Committee (Doubtful
claims)

Form VI                    Notices to the applicant for veiitifcation issued by

the District Level Scrutiny Committee (Fraudulent
claims).

FORM -1
Rule-5

From of Application for issue of Community, Nativity and
Date of Birth Certificate relating to Scheduled Tribe

under Section 3(1} and 3(2) of the Act 16 of 1993

(information to be furnished by the applicant himself supported by

documentary evidence

To

The Mandai Revenue Officer/

Revenue Divisional Officer/

Sub-Coliector/Asst.Coilector

...............................Mandal/Divislon.

....................__.....  District.

Sir,

I am in need of a Scheduled Tribe community certificate for me / for my
son / daughter for which the deatils are given below :

1.   Name of the applicant in full (in block letters)

2.   Sex of the applicant

3.   a) Father's name
b) Mother's name

4.   Present postal address

5.   Place of permanent residence of the certificate
seeker/hisfather/paternal grand father, as on the
date of the first notification declaring the commu-
nity as a Scheduled Tribe, to which the certificate
seeker claims to belong.

6.  Age, date of birth and place of birth (If date is
not known approximate year on birth)

7.   Place of ordinary residence (documents relating
to house/land or other immovable property or
birth registration certificate or ration card or
school reooitfe may be furnished}.

8.   If the applicant has been issued a community

114