CasteAffidavit FORM-2 PDF
CasteAffidavit FORM-2 PDF
CasteAffidavit FORM-2 PDF
[Rule 4(1)]
An Affidavit to be submitted to the Competent Authority with the Application FORM-1 to issue a
Scheduled Caste/Scheduled Caste converts to Buddhism/De-notified Tribes (Vimukt Jati)/Nomadic
Tribes / Backward Classes or Special Backward Category, Caste Certificate by the Applicant.
I, …………………………………………………………………………………………………………………………………………………
son/daughter of ………………………………………………………………………………………………………………… aged
……………………………………..years, occupation …………………………………………………………………., residing at
………………………………………………………………………………………., village town Tahsil
…………………………………………………, District …………………………………………………………………………, State of
Maharashtra. Hereby solemnly affirm as under:-
No one from my relatives have been refused Scheduled Caste/Scheduled Caste converts to
Buddhism/De-notified Tribes (Vimukt Jati/Nomadic Tribes/Other Backward Classes/Special
Backward Category, Certificate in the State of Maharashtra or any other State.
The True copy Validity Certificate received by my relative, viz.
(1) …………………………………………………………., (2) ……………………………………………………………..
To the best of my knowledge and belief the information given in the Application FORM -1 and in
the affidavit is based on facts and is correct.
Place Signature………………………........
Date ………………………………………………
……………………………………………………………...