OBC Declaration Format-Hindi

†−µÖ ׯ֔û› üÍÖ ¾ÖÖÔ (†Öê²ÖßÃÖß ²ÖßÃÖß ) †³µÖ£Öá «üÖ¸üÖ ‘ÖÖêÂÖÖÖ  ÂÖÖÖ  Declaration by OBC Candidate

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ÖÖÑ¾Ö¾Ö / ¿ÖÆü¸ü,

וֻÖÖ _____________________ ¸üÖ•µÖ _________________________ ‹ŸÖ¤Ë ü «üÖ¸üÖ ‘ÖÖêÂÖÖÖ ÂÖÖÖ ú¸üŸÖÖ/ú¸üŸÖß ÆÑ üæ  ×ú ´Öï ______________________________ ÃÖ´Öã ¤ü¤üÖµÖ ÃÖê ÃÖ´²Ö¨ü Ææ ü Ñ  •ÖÖê ³ÖÖ¸üŸÖ ÃÖ¸üúÖ¸ü «üÖ¸üÖ ÃÖê ¾ÖÖ†Öë ¾ÖÖ†Öë ´Öë †Ö¸üÖÖ  ê ú ˆ§ê ü¿µÖ ÃÖê úÖÙ´Öú ‹¾ÖÓ ¯ÖÏ׿ÖÖÖ ×¾Ö³ÖÖÖ ê ú úÖµÖÖÔ»ÖµÖ »ÖµÖ

–ÖÖ¯Ö−Ö Πú.: 36012 / 22 / 93-ãÖÖ. (

‹ÃÖÃÖß™üß ) פü−ÖÖÓú ú 08.09.1993 ´Öë ×−Ö×ÆüŸÖ †Ö¤ê ü¿ÖÖë ê ú †−ÖãÃÖÖ¸ü àÖÖ¸ü ׯ֔û› ü êÍ ¾ÖÖÔ ê ú ºþ¯Ö ´Öë ´ÖÖ−µÖŸÖÖ ¯ÖÏÖ¯ŸÖ Æî ü …  ‘ÖÖêÂÖÖÖ ÂÖÖÖ úß •ÖÖŸÖß Æî üÆî ü ×ú ´Öï ˆ¯Ö¸üÖŒŸÖ Œê ŸÖ ÃÖÓ¤ü¤üÙ³ÖŸÖ 3 ê ú †ÓŸÖÖÔ ŸÖÖÔŸÖŸÖ ÃÖ´ÖÖ×ÆüŸÖ ¾µÖÛŒŸÖ / ¾ÖÖÔ

“µÖÆü ³Öß 

פü−ÖÖÓú ú 08.09.1993 ê ú úÖµÖÖÔ»ÖµÖ »ÖµÖ –ÖÖ¯Ö−Ö úß †−Öã ÃÖæ ÃÖæ“Öß  “Öß ê ú úÖò »Ö´Ö  »Ö´Ö  ( ×Îú´Öß »ÖêµÖ¸ü µÖ¸ü ) ÃÖê ÃÖÓ²ÖÓ²ÖÓ×¬ÖŸÖ ×¬ÖŸÖ −ÖÆüà ÆÑ üæ ”…

I ______________________________________________________________ Son /  daughter of Shri ___________________________________________________ resident of  village / town / city ____________________________________________ hereby declare that I belong to the community which is recognised as a backward class by the Government of  India for the purpose of reservation in services as per orders contained in Department of  Personnel and Training Office Memorandum No.36012 / 22 / 93 - Estt.(SCT) dated 08.09.1993. “ It is also declared that I do not belong to persons / sections ( Creamy Layer ) mentioned in column 3 of the Schedule to the above referred Office Memorandum dated 08.09.1993 ”.

ÆüßÖÖÖ¸ü  /  / Signature : __________________________________ †³µÖ£Öá úÖ −ÖÖ´Ö  Candidate’s Name

: ___________________________ _____________________________________ __________

ׯ֟ÖÖ úÖ −ÖÖ´Ö  Father’s Name

: __________________________________

†Ö¾Öêפü פüŸÖ ¯Ö¤ü úÖ −ÖÖ´Ö  Post for which applied: _____________________________________

†−ÖãΠúÎ ´ÖÖÓú ú / Roll No. : _____________________________________________ ¯ÖŸÖÖ / Address

: __________________________________ ___________________________________ ___________________________________