Sample Affidavit for Caste Certificate - ST

I, Mr / Mrs. __________________________________________, Son / Daughter of Shri___________________________________ ______________, aged___________, having_____________________________ as occupation, residing at ____________________
__________________________ ___________________________________________an adult, Indian, do hereby declare on solemn affirmation as under:

I belong to _________________________________________Sub Caste of the Scheduled Tribes. I belong to ______________________ religion My Native place is _______________________, Tahsil__________________, District______________

I have applied / not applied for Scheduled Tribes Caste Certificate either in Maharashtra or any other State; I have been / not been given Scheduled Tribes Caste Certificate.

No Relative on my Father's side has been given / denied Scheduled Tribes Caste Certificate either in Maharaashtra or any other State.

Valdity Certificate given to the following close relative / s on my Father's side has been attached:

1) _______________________________________________________________
2) _______________________________________________________________

The above are ______________________________ to me by relation

 
Whatever has been stated hereinabove is correct and true.

Solemnly affirmed at Mumbai.

On this date: _________________

Explained and identified by me.
 
 
     
 
Deponent
 
     
     
     
 
 
 
Before me