Sample Affidavit for Caste Certificate

I, Mr / Mrs. __________________________________________, residing at ____________________
__________________________ ___________________________________________an adult, Indian, do hereby declare on solemn affirmation as under:

I say that I am living in Mumbai, State- Maharashtra, since last ______________ years.

I am making this affidavit to submit it before the concerned authorities to kindly issue CASTE CERTIFICATE, in Mumbai, State- Maharashtra, for ___________________________ purpose on the strength of this affidavit.

I say that I and all my family members residing in the State of Maharashtra since ________ years and belong to the _______________________ caste,which is recognized by the Government as _______________________________________ (Special Backward Class SBC/ Nomadic Tribe NT/ Other Backward Class OBC/Scheduled Caste SC/Scheduled Tribe ST).

I am submitting the attested photocopies (Xerox) of the original relevant documents, which are true and correct. If found false or incorrect, I am liable for legal action under sections 192, 193(1), and 200(A) of IPC.

* I am submitting the attested Photo Copies of the following documents as a Proof of Residence & Caste:-
 
S/No. Name of Document Holder & Particulars of Documents Issuing Authority Relation with the Candidate Date & Document No.




















 
I am submitting the above documents to prove the above facts and submit to the concerned authorities of deputy collector, Mumbai, to enable them to issue a Caste Certificate in the name of ________________________________________________________________________________

Whatever has been stated here is correct and true.

Solemnly affirmed at Mumbai.

On this date: _________________

Explained and identified by me.
 
 
     
 
Deponent
 
     
     
     
 
 
 
Before me