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qÞkãuÂà §íýtàÞ§ý

ÂàªàÀ säªàmàÂà (ârÂàà »þà§ý â¹þ§ý¹þ) §çý Zàçx½à

“²þ¾mãyªàð¼þ/Àäªàê/09/2013

-

2015.”

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-

22

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²þ¾mãyªàð¼þ

ªàk¹þ

/

38

ây.

yç.

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30

-

05

-

2001.”

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(¡yàoàʽà)

Zààâo§ýàÊ yç Zà§ýàâÎàm

§íýtàÞ§ý

80

]

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2022



tài 29

, Îà§ý 1943

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Mh-Mh-flag] lfpo-

ANNEXURE -1

'Dr. Ambedkar Scheme for Social Integration through Inter-Caste Marriages'

Dr. Ambedkar Foundation, Jeevan Prakash Building, 9th Floor, 25, K.G. Marg, New Delhi-110001

A certificate on the following lines, along with photographs of the applicants, to be issued by the District

Magistrate/District Collector or as authorized by the DM/DC.

(a) One of the spouse belongs to Scheduled Caste

"it is certified that Shri/Kumari Son/daughter of is a resident

of and comes under the category of Scheduled Caste (name of the caste)

as per Hindu Religion".

(b) One of the spouse belongs to Non Scheduled Caste

"it is certified that Shri/Kumari Son/daughter of is a resident

of and comes under the category of Non Scheduled Caste (name of the

caste) as per Hindu Religion".

(Signature of the DM/DC or Officer authorized by the DM/DC)

Name :

Stamp :

Tel No. :

Email Id :

vuqyXu@,usDlj & I

vUrZtkrh; fookg ;kstuk

¼/keZ lacaf/kr lfVZfQdsV QkWjesV lacaf/kr DM/DC }kjk izekf.kr½

izekf.kr fd;k tkrk gS fd Jh@Jhefr--------------------------------------------------------------------------------------------------------------------------iq=@

iq=h---------------------------------------------------- ds LFkkbZ fuoklh gS rFkk ;g fgUnw /keZ ds varxZr vuqlwfpr tkfr ¼mi tkfr½ esa vkrs

gSaA ¼vkosnd dk QksVks ftykf/kdkjh@dysDVj@eftLVªsV }kjk izekf.kr fd;k x;k gks½A

izek.k i=

izekf.kr fd;k tkrk gS fd Jh@Jhefr--------------------------------------------------------------------------------------------------------------------------iq=@

iq=h---------------------------------------------------- ds LFkkbZ fuoklh gS rFkk ;g fgUnw /keZ ds varxZr lkekU; tkfr@vfr fiNM+k oxZ

¼mi tkfr½ esa vkrs gSaA ¼vkosnd dk QksVks ftykf/kdkjh@dysDVj@eftLVªsV }kjk izekf.kr fd;k x;k gks½A

(Signature of the DM/DC or Officer authorized by the DM/DC)

Name :

Stamp :

Tel No. :

Email Id :

yÞjàv§ý, t

äô½à mnà vçhÂà yàtªàíã, ²þ¾mãyªàð¼þ õàÊà Îàày§ýLu täô½ààvu, Êàuq

äÊ yç täâôm mnà Zà§ýàâÎàm

–

2022

.