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

ACKNOWLEDGEMENT SUP
Received an application for issue of Community, Nativity and Date of Birth Cer-
tificate relating to Scheduled Caste/ Backward class in Form II from............
(name of  the applicant/parent/guardian/ belonging to..............village/town
............mandal,................District on...................(date.)
Name of the Office                                     Signature of the Officer authorised
Date:                                                               by the Competent Authority
(Name in capital letters)
and designation, (affix seal)
FROM III
Serial No.
S.C.                                                                                            district Code:
S.T.                                               Emblem                                 Mandal Code:
B.C.                                 Village
Code:
Certificate No:
COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE
1) This is to certify that Sri/Smt/Kum..............,...................................Son/
daughter of Sri.....................................................of Village /Town.............
Mandal.........................................District..............................of the /State of
Andhra Pradesh belong to...............................Community which is recog-
nised as S.C./S.T/B.C under.
The Constitution (Scheduled Castes) Order, 1950
The Constitution (Scheduled Tribes) Order, 1950
G.O.Ms.No.1793, Education, dated 25-9-1970 as amended from time
to time (BCs) S.Cs., STs. list (Modification) Order, 1957, S.Cs and S.Ts. (Amend-
ment) Act, 1976.
2) It is certified that Sri/Smt/Kum..................................... is a native of..............
Village/Town.................Mandal......................District of Andhra Pradesh.
3) It is certified that the place of birth of Sri/3mt./KLim................................is
...............................Village/Town.....................Mandal................... District
of Andhra Pradesh.
4) It is certified that the date of birth of Sri/Smt/Kum.......................is Day......
Month...........Year............(in words)..................... as per the declaration given
by his/her father/mother/guardian and as entered in the school records vitiere
he/she studied.
Signature:
Date:
Name in Capital Letters:
Designation:
(Seal)
Explanatory Note: While mentioning the community, the Competent Authority
117