Minority Community Student Self Declaration

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MINORITY COMMUNITY STUDENT SELF DECLARATION

(for seats under Minority Quota)

I, ​ ​Son/Daughter/of __________________________________

Resident of (full address) _________________________________________________________

___________________________________________________ hereby declare that I belong to the

linguistic Minority category*{Linguistic MInority - Gujarati / Linguistic Minority - Gujarati (Jain),

Linguistic Minority - Gujarati (kutchi)}

As my mother tongue is not mentioned in my Leaving / Transfer Certificate for deciding my

candidate under Linguistic Minority status - I undertake that my mother tongue is

________________________.

I undertake to submit the relevant documents supporting my claim for belonging to minority

community as per government resolution Minority Department No अ


​ व व - 2010/

. .109/10/काया-5 dated 1.7.2013 at the time of admission to the admitted Institute.

Date : ----------------- Signature of Candidate : ---------------------------

Place : ----------------------- Name of Candidate : ---------------------------------

(*Strike out whichever is not applicable)

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