FROM OF THE GENERATION SCHEDELED TRIBE CAST CERTIFICATE
SSID NO
                    This is to certify that Sri ---------------------------------------------------------
Son of Sri ----------------------------------------of ----------------------------------------------------
Village /Town--------------------- mandal in the district of Srikakulam of the State of Andhra Pradesh has
been verified as for the procedure laid down and he Belongs to the caste scheduled tribe -----------------
Caste /Tribe /community which is recognized as a scheduled tribe.
                    The constitution (scheduled tribes order 1950)
G.O.Ms.No: 1793 (education) Dated 26-0901970 as amended from time to time (as amended by the
schedule tribes as modification) order 1956 the tribes orders (amendment) Act 1976.
Sri--------------------------------his family ordinary resides in ------------------------- Village/Town-------------------
Of ----------------------- district/division of the state of Andhra Pradesh.
Station :                                                                                  Signature
Date :                                                                           Mandal Revenue Officer
1.Willage Secretary
2. Revenue Inspector.