Application for Schedule Caste/Tribe Certificate

To

The Sub-Divisional Officer

______________________

West Tripura.

Sub: Prayer for Schedule Caste/Tribe Certificate

Sir,

I beg to state that I am in need of getting my Schedule Caste/ Tribe Certificate .So, I am submitting herewith necessary documents in favour of your kind consideration of my prayer.

P A R T I C U L A R S

1. Name of applicant :-

( In block letter)

2. Father’s name :-

3. Husband’s name :-

4. Permanent Address :-

5. Present address :-

6. Caste & Community :-

7. Age/Date of birth :-

8. Education qualification ;-

9. If the Applicant is a citizen of India

the Citizenship Card No. & date :-

Date: Yours faithfully,

In case of minor Copy of Citizenship Card of his/her parents attested by gazetted

Officer should be enclose. The attested copy of Citizenship certificate should be produced. The Certificate from the Gazetted Officer should be enclosed.