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Age. years Occupation. residing at. hereby solemnly affirm today dated. that Caste Certificate of my son/daughter Number. dated. given by. District. is submitted for the Scrutiny. Validity Certificate is required for my Appointment/Promotion in reserve category. The documents and proofs attached with the application form are obtained by me from Competent Authority. FORM-19 rule 14 Affidavit to be submitted with application Caste Certificate Verification I Shri/Smt. age. years Occupation. residing at. hereby solemnly affirm today dated. that Caste Certificate of my son/daughter Number. dated. given by. District. is submitted for the Scrutiny. Validity Certificate is required for my Appointment/Promotion in reserve category. FORM-19 rule 14 Affidavit to be submitted with application Caste Certificate Verification I Shri/Smt. age. years Occupation. residing at. hereby solemnly affirm today dated. that Caste Certificate of my son/daughter Number. dated. given by. District. is submitted for the Scrutiny. Validity Certificate is required for my Appointment/Promotion in reserve category. The documents and proofs attached with the application form are obtained by me from Competent Authority. These documents are true and correct and obtained by following proper procedure. No alteration / correction / change are made in these documents. I affirm hereby that these documents are not duplicate or bogus. Caste Certificate of any relative from my paternal side was not invalidated by the Scrutiny Committee. And it is not a case that I applied before any Caste Certificate Scrutiny Committee in Maharashtra and my caste certificate is invalidated* I will be responsible if the documents and proofs attached with the application form are found to be incorrect or bogus and I am aware that I will be liable for punishment under provision of Indian Penal Code. I declare that the above mentioned information is true and correct hence this affidavit. Place Date -------------------------------------Signature of the Declarant. FORM-19 rule 14 Affidavit to be submitted with application Caste Certificate Verification I Shri/Smt. age. years Occupation. residing at. hereby solemnly affirm today dated. that Caste Certificate of my son/daughter Number. dated. given by. District. is submitted for the Scrutiny. Validity Certificate is required for my Appointment/Promotion in reserve category. The documents and proofs attached with the application form are obtained by me from Competent Authority. The documents and proofs attached with the application form are obtained by me from Competent Authority. These documents are true and correct and obtained by following proper procedure. No alteration / correction / change are made in these documents. These documents are true and correct and obtained by following proper procedure. No alteration / correction / change are made in these documents. I affirm hereby that these documents are not duplicate or bogus. Caste Certificate of any relative from my paternal side was not invalidated by the Scrutiny Committee. .

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