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Sunday, July 3, 2011

Revenue Forms of Income, Caste,Residential certificates

APPLICATION FOR LEGAL HEIR CERTIFICATE
To
The Mandal Revenue Officer,
------------------------------------
------------------District.
Respected Sir,
Sub:- Issue of Legal Heir certificate- regarding.
I R/o ------------H.No.------------------------------------------------------------------------I am Legal Heir of deceased person who is expired on ---------------------------------------- the following family members are legal heirs of Shri Late:----------------------------------------------------------------------------------------------------.
Sl.No. Name Relationship with Age
Deceased person
- -- ------------------------ ------------------------------- --------------------- ------------------- -----
-------------------------------- ------------------------------- ---------------------------------- --------
I request your kind authorities to issue us legal heir certificate at an early date.
Thanking you,
Yours faithfully,
( )
Encl: Affidavit
2.Death Certificate
3.Service certificate of deceased if He/she were an employee.
AFFIDAVIT
I ……………………………..S/o Sri ………………………………………. Aged about ………………………years, having an occupation of …………………………, resident of ………………………………do hereby solemnly affirm and state on oath as follows:
I am the deponent herein, as such I am well acquainted with the facts of this affidavit.
I submit that my …………………..(relationship to be mentioned) namely ………………………………………..(givename of the deceased) who was working ………………………….. (give details of occupation of the deceased) has expired on ……………………..(date) leaving behind surviving legal heirs as under:
Sl. No. Names Age Relationship with the deceased Status (married/unarried)
1
2
3
4
5
I further submit that the above mentioned are legal heirs only.
Hence, I swear this affidavit in order to obtain legal heir certificate from the concerned Mandal Revenue Officer for the service benefits of my ………………….(give relation ship with the deceased).
The above facts are true and correct to the best of my knowledge and belief. Hence this affidavit.
DEPONENT
Sworn and signed before me on this
………..day of ……..month ………
year at ………..place.

NOTARY
Form
of Application for issue of Community, Nativity and Date of Birth Certificate relating to ScheduledCASTE/ BACKWARD CLASS under Section 3(1) of the Act 16 of 1993(Information to be furnished by the applicant himself supported by the documentary evidence)

To

The Mandal Revenue Officer, Shaikpet MandalHyderabad District

Sir,
I am in need of Scheduled Caste/Backward Class Community certificate for me / for my son/daughter for which the details are give below

1. Name of the applicant (in block letter)

2. Sex of the applicant

3. a) Father Name b) Mother Name

4. Present postal address

5. Place of permanent residence of the Certificate Seeker / is father / paternal Grand father as on the date of first Notification declaring the community as Scheduled Tribe, to which the certificate Seeker claims to belong

6. Age, date of birth and place of birth (If date is known approximate year of birth)

7. Place of ordinary residence (documents relating to house/land or other immovable property or Birth registration certificate or ration card or school records may be furnished)

8. If the applicant has been issued a community certificate in the past by any authority, a copy of such certificate should be furnished

9. Community for which certificate is claimed (Including sub-tribe or sub-group)

10. a) Community of the father (Including sub-tribe or sub-group) b) Community of the Mother (Including sub-tribe or sub-group)

11. Whether the applicant is a) a natural born son or daughter of his/her parents (OR) b) adopted son/daughter of his/her parents

DECLARATION

I/We declare that the information furnished by me/us in the application is true and Correct, and the documents appended thereto are genuine and the contents of the documents are true and correct and that if these are found to be untrue and incorrect I/We shall be liable for prosecution for furnishing false and incorrect information / documents under section 10 of the Act No. 16 of 1993.

STATION
Signature of the Applicant

DATED
Signature of the Parent/Guardian

FORM OF RESIDENTIAL CERTIFICATE
FIX COURT FEE STAMP OF RS.2/-
To
The Mandal Revenue Officer
.........................................Mandal
Hyderabad, A.P.

Sub: Application for Issue of Residential Certificate - requested - Regarding.

Respected Sir,
I,.....................................................................................S/o. ..............................................................................................................................................................................................................................beg tostate the following few lines for your kind consideration and favorable orders. Here with enclosing certificate copies of Residential Certificate of myself.I am residing in the above mentioned address, which is in the jurisdiction of Shaikpet Mandal. On the strength of copies and my study certificates submitted to you for verification, I may kindly be issued a Residential Certificate.On receipt of the Certificate from Mandal Oficer, I will submit the same.....................................................for the purpose of.............................................................................................................I, therefore, humbly request you to issue me the Residential Certificate.


Yours faithfully

Dated:Place:
Enclosures:
1) Photocopy of Transfer Certificate. 2) Photocopy of Bonafied Certificate 3) Photocopy of Ration Card
FORM OF INCOME CERTIFICATE
A FIX COURT FEE STAMP OF RS.2/-
To

The Mandal Revenue Officer
.........................................Mandal
Hyderabad, A.P.

Sub: Application for Issue of Income Certificate - Requested - Regarding.

Respected Sir,
I,..............................................................................S/o. ...........................................................................S/o. D/o. W/o..................................................................................................................................................R/o.H.No........................................................................................................................................beg tostate the following few lines for your kind consideration and favorable orders. Here with enclosing Ration Card copies and Affidavit to different Gazetted Officers I.E. Certificate of myself.I am residing in the above mentioned address, which is in the jurisdiction of Shaikpet Mandal. On the strength of copies and my study certificates submitted o you for verification, I may kindly be issued a Residential Certificate.On receipt of the Certificate from Mandal Oficer, I will submit the same..........................................................................................................for the purpose of...........................................................................................I, therefore, humbly request you to issue me the Residential Certificate.


Yours faithfully

Dated:Place:
Enclosures:
1) Two Gazetted Officer Signature. 2) Photocopy of Bonafied Certificate. 3) Photocopy of Ration Card. 4) One Affidavition of Rs. 10/- Stamp papers with notary
FORM II
Form of Application for issue of Community, Nativity and Date of Birth Certificate relating to ScheduledCASTE/ BACKWARD CLASS under Section 3(1) of the Act 16 of 1993(Information to be furnished by the applicant himself supported by the documentary evidence)

To

The Mandal Revenue Officer, Shaikpet MandalHyderabad District

Sir,
I am in need of Scheduled Caste/Backward Class Community certificate for me / for my son/daughter for which the details are give below

1. Name of the applicant (in block letter)

2. Sex of the applicant

3. a) Father Name b) Mother Name

4. Present postal address

5. Place of permanent residence of the Certificate Seeker / is father / paternal Grand father as on the date of first Notification declaring the community as Scheduled Tribe, to which the certificate Seeker claims to belong

6. Age, date of birth and place of birth (If date is known approximate year of birth)

7. Place of ordinary residence (documents relating to house/land or other immovable property or Birth registration certificate or ration card or school records may be furnished)

8. If the applicant has been issued a community certificate in the past by any authority, a copy of such certificate should be furnished

9. Community for which certificate is claimed (Including sub-tribe or sub-group)

10. a) Community of the father (Including sub-tribe or sub-group) b) Community of the Mother (Including sub-tribe or sub-group)

11. Whether the applicant is a) a natural born son or daughter of his/her parents (OR) b) adopted son/daughter of his/her parents

DECLARATION

I/We declare that the information furnished by me/us in the application is true and Correct, and the documents appended thereto are genuine and the contents of the documents are true and correct and that if these are found to be untrue and incorrect I/We shall be liable for prosecution for furnishing false and incorrect information / documents under section 10 of the Act No. 16 of 1993.

STATION
Signature of the Applicant

DATED
Signature of the Parent/Guardian

APPLICATION FORM SCHEDULED CASTE CLASS/SCHEDULED TRIBE CLASS/
BACKWARD CLASS FOR PROFORMA
Affix 2 RupeesCourt Fee Stamp
To
Khairtabad Mandal,
HYDERABAD, A.P.
Sir,
1. Name of the Applicant (in Block Letters & Full)
:__________________________________________________________


2. Father's Name
:__________________________________________________________


3.Sex
:__________________________________________________________


4. Native Place (Origin District)
:__________________________________________________________


5. Present Address H.No.
:__________________________________________________________


6. Caste Claimed S.C./S.T./B.C./O.C.
:__________________________________________________________


7. List of Documents enclosed T.C. from the recognised School or College of Caste certificate earlier if any to the family member
:__________________________________________________________


8. Oritin of present Age Affidavit duly enclosed
:__________________________________________________________


9. Copy of the Ration Card
:__________________________________________________________


10. Two different Gazetted Officer's Certificate of State Government
:__________________________________________________________


DECLARATION

I declare that the information furnished by me in this application is true and correct and that it is found to be
untrue and incorrect, I will be liable for prosecution for furnishing false information under Section 199 and 200 of I.P.C.


Date: / /
SIGNATURE OF THE APPLICANT

Certificates enclosed: ( )
1) Two different State Govt. Gazetted Officers Certificate
2) Affidavit with Notary on Rs.10/- Bond Paper
3) T.C. or Bonafides Xerox with attested by the Gazetted Officer
4) Ration Card with Attested by the Gazetted Officer
5) Photo Identity Card issued by the Election Commission or Electorate rolls from Municipality
6) Caste Certificate issued to any of the family members xerox attested by the Gazetted Officer
7) Certificate from the Registered Caste Sangham xerox attested by the Gazetted Officer

Form of Caste Certificate

This is to Certify that claim of Sri/Smt/Kum._____________________________________________ S/o.D/o.W/o_______________________________________Village/town H No.___________________ ________________________________________________Taluk ______________________in the dist ________________________________________of the state __________________________________ been verified as per the procedure laid down and he/she belongs to the _______________________ be/Backward classes under___________________________________________________________ * The constitution (Schedule Castes) Order, 1950. * The constitution (Schedule Tribe) Order, 1950. G.O Ms. No. 1793 Education date 23-9-70 as amended from time to time, ( As amended by the Scheduled Castes and Scheduled Tribe Lists (Modification) order, 1956 the SC & ST amended) 2. Sri/Smt/Kum.____________________________________________and his/her family ordinarily resides in village/town H.No. ________________________________________________________________of Dist/Divn. _____________________________________of the state of ___________________________ of place ____________________________________________state_____________________________

Signature of the Gazetted officerDate :Designation :Office Seal :NAME

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