Cost : ` 1/-

APPLICATION FOR E.B.C. CERTIFICATE

(In terms of G.O.Ms.No.231, dated.25.09.2008) To The Tahsildar, ______________________________ (M)

Respected Sir, I ___________________________________________________ S/o, D/o, W/o ________________________________ R/o _____________________________________ belongs to ECONOMICALLY BACKWARD CLASS (E.B.C.) SUBCASTE (O.C.) ________________________ So, I am in need of E.B.C. Certificate to apply Scholarship you to issue E.B.C. Certificate for me as possible. My fathzrs income is Rs.__________________ /(Rupees_________________________________________________________________________________________ only). Applicant Details Gender DOB Door No Locality/Landmark Village District Pin code Mobile Number Phone Number Email Adhaar Number Ration Card : : : : : : : : : : : :

Procedure (following to be enclosed): 1) Application Form* 2) Ration Card/ Aadhaar Card / EPIC Card # (*-mandatory #-any one of them)

Yours faithfully,

(Signature of candidate)

SERVICES OFFERED
Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Service Extract of Adangal / Pahani Extract of ROR 1B Copy of FMB Copy of Village Map F-Line Petitions Sub-Division of Lands Mutation of Entries in Revenue Records Income Certificate Residence Certificate Integrated Certificate (Caste-Nativity-Date of Birth) OBC Caste Certificate EBC Certificate Agricultural Income Certificate No Earning Member Certificate Family Member Certificate (Social Security Schemes & Govt. Employees / Pensioners) Issue of Encumbrance Certificate Certified Copy of Registration Document Money Lending License Allopathic Medical Care Registration Apathbandhu Scheme NFBS Application No Objection Certificate (Lands) Pawn Broker License School Registration Birth Certificate - GHMC Death Certificate - GHMC Birth Certificate Corrections - GHMC Death Certificate Corrections - GHMC Service Level 15 Minutes * 15 Minutes * 15 Minutes * 5 Days 30 Days 30 Days 45 Days 1st time - 7 days 2nd time & thereafter - 15 minutes 1st time - 7 days 2nd time & thereafter - 15 minutes 1st time - 30 days 2nd time & thereafter - 15 minutes 1st time - 30 days 2nd time & thereafter - 15 minutes 1st time - 7 days 2nd time & thereafter - 15 minutes 1st time - 7 days 2nd time & thereafter - 15 minutes 1st time - 7 days 2nd time & thereafter - 15 minutes 1st time - 7 days 2nd time & thereafter - 15 minutes Same day, if submitted by 2 pm 15 minutes Fresh - 45 days Renewal - 30 days 90 Days 10 Days 1 Week 30 Days Fresh - 45 days Renewal - 30 days 1 Week 15 Mins. (Category-A) 15 Mins. (Category-A) 6 Working Days 6 Working Days Service Charges (`) 25/25/25/35/35/35/35/35/35/35/35/35/35/35/35/-

16 17 18 19 20 21 22 23 24 25 26 27 28

25/25/35/35/35/35/35/35/35/25/- per transaction + statutory charges 5/- per additional copy 25/- per transaction + statutory charges 5/- per additional copy 60/- + 25/- per copy of certificate 60/- + 25/- per copy of certificate 10/- + 25/- per copy of certificate (after one year)

29 30

Child Name Inclusion - GHMC Non Availability Certificate Birth - GHMC

6 Working Days (within one year) 3 Working Days

25/- per copy of certificate 25/- per copy of certificate

NOTE : 1. Postal charges extra. 2. *Subject to availability of online digital records, otherwise the request will be processed within 7 days. 3. Printing of additional pages at ` 2/- per page.

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