Rajasthan SC/ST Caste Certificate Form

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1. आवेदक की जानकारी

Aadhaar Number

Bhamashah / Family ID

Applicant Name *

Father Name *

Current Address *

Permanent Address *

Village / City *

Tehsil *

District *

Date of Birth

Birth Place *

Age

Gender *

Marital Status

Certificate Category *

Mobile Number

Applicant Religion *

Applicant Caste * (Select only)

Applicant Sub-Caste *

Father Religion *

Father Caste * (Select only)

Father Sub-Caste *

Education / Occupation records show caste/religion as

Rajasthan Native?

Place

Application Date

Applicant Photo

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2. Patwari Report

Applicant Name

Father Name

Resident Of

Sub-Caste

Ration Card No.

Ration Card Date

Patwari Halka No.

3. Witness 1

Witness Name

Witness Father Name

Witness Address

Department

Post

Applicant Name in Statement

Applicant Father Name

Applicant Address in Statement

Sub-Caste in Statement

Witness Date

Witness 2