GOVERNMENT OF WEST BENGAL
OFFICE OF THE SUB-DIVISIONAL OFFICER
JALPAIGURI (SADAR)
DIST. - JALPAIGURI
CASTE / TRIBE CERTIFICATE
Certificate No: WBXXXXXXX
Date: 15/04/2026
This is to certify that
NAME HERE
son of
FATHER NAME
of village
VILLAGE
P.O.
POST OFFICE
P.S.
POLICE STATION
in the district
DISTRICT
of the State
WEST BENGAL
belongs to the
CASTE NAME
caste which is recognized as SCHEDULED CASTE under the Constitution (Scheduled Caste)
Order 1950 and the Constitution (Scheduled Tribes) Order 1950 as amended by the Scheduled Castes and Scheduled Tribes list (Modification) order 1956 and
the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976
NAME HERE
and his/her family ordinarily resides in village
VILLAGE
of district
DISTRICT
State
WEST BENGAL
✔
Signature Not Verified
Digitally signed by TOMOJEET
CHAKRABORTY
Reason:Certified True Copy
Sub-Divisional Officer
JALPAIGURI (SADAR)
DIST - JALPAIGURI
STATE - WEST BENGAL