Xiqlf 'Atak A 0.8 C: Declaration (For Obc Candidates)

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DECLARATION

(For OBC candidates)

I, rAOKBV-l U\^. son/daa^ of Shri X .\igNK/^Tg-^>^<^


resident of village/town/city cv^ ]'y<^f^r^A(,^A L O A ^ district cjH]Hy<f^r^^\A^'^

state XiQlf^^'ATAK A hereby declare that 1 belong to the 0.8 C jf^ju^kuJbrJI CW^gj
community contained in Department of Persormel and Training Office Memorandum No. 36012/22/93-
Estt (SCT) dated 8.9.1993. 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 OflBce Memorandum, dated 8.9.1993
which is modified vide Department of Persormel and Training Office Memorandum No.
36033/3/2994.Estt.(Res.) dated 09/03/2004.

Declaration not signed by the OBC Candidates will be rejected

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