CGC011928601499

DATE:17-12-2019

CHECK SLIP FOR CASTE CERTIFICATE

Procedure:(following to be enclosed)
1)Application Form*
2)Caste Certificate issued to the family members#
3)SSC marks memo or DOB extract or Transfer certificate#
4) 1st To 10th study certificate(s) or DOB certificates issued by Municipality/Gram Panchayath#
5) Ration Card/EPIC Card /AADHAAR Card
6) Schedule I to IV #
*-Mandatory #-Any of them
Narisetty Lakshmi
Name of the Applicant
Narasamma

Father Name N Venkateswarlu

Address TENALI

Conduct of enquiry at door level

Whether verified the caste certificates if

1 VRO
any sanctioned to the parents of the
applicant

Whether recorded a statement from the

applicant

Mediators Statement

Recommendation of the VRO

Signature of the VRO

Verification of report of the VRO

Verification of records produced by the

applicant
2 RI
Recommendation of the RI

Signature of the RI

Preparation of Caste Certificate

3 Tahsildar Signature of the Tahsildar

Dispatched on