Format of Application for Caster Certificate:
To
The Mandal Revenue Officer,
. . . . . . . . . . . .Mandal,
. . . . . . . . . . . . District.
Sir,
I am in need of a caste certificate to apply for the welfare scheme of Andhra Pradesh Brahmin Welfare Corporation Limited (A Government of Andhra Pradesh Undertaking). I am providing the necessary details below:
1. Name of the Application in full (in Block letters)
2. Sex (Male/Female)
3. a. Father’s name
b. Mother’s name
4. Present postal address
5. Permanent place of residence
6. Date of Birth (dd/mm/yyyy), Age
7. Place of Birth
8. Community for which certificate is claimed, including sub-sect and gothram.
DECLARATION
I declare that the information furnished above by me is true and correct. If these are found to be untrue and incorrect, I will be liable to be prosecuted.
Place:
Date:
Signature of the Applicant
Format of Caste Certificate:
CASTE CERTIFICATE
This is to certify that . . . .. . . . . . . . . Son/daughter of . . . . . . . . . . . . . . . . born on . . . . . . . . . . . . residing at . . . . . . . . . . . . . . . . in Andhra Pradesh State, belongs to the Brahmin Community with . . . . . . . . sub-sect and . . . . . . Gothram.
REVENUE INSPECTOR
Dated:
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