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I, hereby declare that the above statements are true, complete and correct and also that no facts have been
suppressed. Further, the educational qualification acquired by me subsequent to the registration with the
Employment Exchange has been furnished correctly. If the information furnished by me is found to be false or
incorrect at a later date, my candidature is liable for forfeiture.
Place :
Date : SIGNATURE
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA
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Seal.
*The authority issuing the certificate may have to mention the details of Resolution of
Government of India, in which the caste of the candidate is mentioned as OBC.
** As amended form time to time.
Note: The term Ordinarily used here will have the same meaning as in Section 20 of
Representation of the People Act. 1950.