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Division-** -_---_*State t:'t nunlatl belongs to - Caste which has been
o,rogni,,rd ilrbh;rd,,l-d C;51t1 as per "The Constitutiun (Schedr"rled Castes) order' 1950"'
2 $ilr./Srnt,/l(untari---* -----ancl/hislher family lives in
villageitown* .--.--. --:-- ---r:itt'i;t/hivG-i"'* of Punjab State'
ANNEXURE-'A'
fplt$-$-[' G1]$rE-qEEIU::$AIEEfftqqtEDULED GASIE/TRIB ES
It is cerrtified that Sl'r./Snrt /Kumari--*-
$rUlol-Qou(Signature
Name
Designation
O;Tir:e Stanrp
F'lace-*------'-*--
Drrte--------*"-"--
ANNEXURE-'B
LQBlL.gf*gEl[tUflSA [E_IQ-_EIL it3g-puqeo BY A cAN DIDATE- rlEtoNQI Ng To
E&triYUlIBIJjtAgS-UL SUEeABI-qil:lls StA!II
-l'lrisi is to certify lhat lSlr./Srnt./l(urnari--.-,-.--___Son/Daughter
ttrmsofPtrnjabGovt.letterNol/41/93/aH1/2009Date1124,2'2009
l-his is also certlfierl that he*/she idr:es not belong to any category of perscins/sections
i)(rluftrn 3 of the $chedule to PLr.Govt't)eptt. of Welfare letter No'1/41/93/dH1/2009
Sh'/Smt./|(urniitri_*-__**-attClorhis/lrerfamilyordinarilyreside(s)inc,f nistTnivn'-----.-of the State of Punjah'
ofofin
2,t
rnerrttir:ned irt
cli"i 4 "2.09.
il,
village/towti
[)lace
.!tilte
[" ate
[iignature--*
Designation-
(with office seal of the officer concerned)
Cd,flB,AYlI
ANNEXUIUiE'
AlfidavitfrorntheEx.setvieetnanonnotr-jutlitlialstamppaperofRs.2S/.
t__*__-_, DOEt*----.-s/o sh----Oo n"i*UV *lernnly affirm and declare as under:-
resirJent of
i)
ii)
iii)
llo.------ -.--.dated-*-----__.-*-r -rr--^^/trr^,,,r 4o fr.mi -r"r* n"*
--rffixing "iri-ttte Armv/Air/Force/Navy as
to -- ]-rrt,l lvas clischarged on --** - '"' grounds--'.lhal I lrave; not avaii?ul-;,'y' ;;".*rsion" in respect ot availing post againsl reserve
categories meant to, r.,.,*,ui"e.tnan throughout.my life either by me or for any other
Mentber of nrY farnilY':iii"t'f O"l. "
not poisess tht.l reqr-risite rlualification for the post'
]'hat in tlre ev+nt uilhu r;election oi ---l unclertake that lshall not
avail/take any further c,rn*u*rio,vpost ttir rne or anv or my clependant against reserue
*riuEorv qtroiais',rat for [ix-s+rviceman itt future'
Ilrat I am Il:r-servicentan released vicle clischarge order
DEF'ONENT
iv)v)
DEPONENT
l-- - --"..-----.DOB... ---13/O *ih' Soletnnly affirms and
cleclares that nry urroru, =tutuinent ir; c.rrect to tlre best of my kpowledge and belief'
[:'lacr]
A,ttested b,Y
lr;t Class lvlagistral.e
lllate
Oourt {it,anrP
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