ISSUE OF CASTE CERTIFICATE TO BRAHMIN COMMUNITY

Aadhaar Number: ____________________________________________

_________________________________________
Applicant Name*:: __________________________
____________________________________ Gender*:
Male
Female
Father Name*: _____________________________
________________________ Mo
Mother Name*:: _____________________________________
Date of Birth / Year*: ________________________ Age: ________________________
District*: __________________________
__ Mandal
Mandal*: __________________________ Village/Ward*: __________
____________________
Locality/Landmark: ___________________________
_____________________________ Door No: _______________ Pin code: _____________________
______

Present Address:
Door No*: _____________________________ Locality/Land Mark*: ________________________________________________
District*:: __________________________ Mandal
Mandal*: __________________________ Village/Ward*: __________
____________________
Pin Code*: ________________________

Postal Address
Door No*: _____________________________ Locality/Land Mark*: ________________________________________________
State*: __________________________ District
District*: __________________________ Mandal*: __________________________
_________________
Village/Ward*: _________________________
______ Pin Code*: ________________________

Place of Birth :
Door No*: _____________________________ Locality/Land Mark*: ________________________________________________
State*: __________________________ District
District*: __________________________ Mandal*: __________________________
_________________
Village/Ward*: _________________________
______ Pin Code*: ________________________

Sub Caste And Gothram Details :

Applicants Sub Caste*:
Sri vaishnava
Madhava
Aradhyulu
Vaidika/Smartha
Niyogo
Karanam
Deshmukh

Others If Others: ________________________________
Applicant Gothram*: ___________________________
Whether the applicant is *:
A natural born son or daughter of his/her parents
Adopted son/daughter of his/her parents
Mobile No.*: _____________________________ Email ID: _____________________________________________________________
Delivery Type*:
At Kiosk
Post Local
Post Non
Non-Local

Documents List: -

Application Form *

SSC Marks memo or DOB Extract or Transfer Certificat
Certificate

1 to 10th study Certificates or DOB Certificate Issued by Municipality/Gram Panchayath *

Ration card/Aadhar Card/EPIC Card *

(* - Indicates Mandatory)

Applicant’s Signature