Tre eee 2 FORM “X” OF SRO 294 DATED 21-10-2005 APPLICATION FOR CERTIFICATE OF BELONGING SOCIALY AND EDUCATIONALY BACKWARD, ‘The AuthorizedOMticer | request that » certifeate of being 4 member of socialy and educs backward class as defined ‘under the Jamu and Kashmir Reservation Rules 1994 may be intued in ny favour of my child ward Grounds and other particulars ae given [Name of the applicant Father's nameGuardian/Person epee a Peery) Does the applicant's Fa area or un area near the actual coatrol Yea the Applicant's Father/Guardian/Person upon whom dependent resied in the area aforestid for not ‘ess than fifleea years. Porto this application facluding the period spent outside the aren on accoust ofthe ‘employment business or other profesional or vocations Yeuwo Whether the Applicant's Father/Guardine/Perion upon whom dependent is temporary reiding ouside the area in connection wth employment business or oth ‘The occapation ofthe FatheriGuardia ‘Whether the father of the applicant or other person whom he depend is actually engeged and Following the ‘oceupaton on bass of which the benefit is claimed Ol! Total Date of Application 1 solemaly deca ieatification backward ‘applicant's Father/Guardian/Persoa upon atom dependent pet thatthe entries made above are trac and notbing bas been concesled. Mirieeh> - Foren ora ete ote aera Oe Application recelved on Aloog wit, Enclotures and entered ia the register at Serial Ne, Authorized OMticer @ scanned with OKEN ScannerCertification Authsntleatton by Patwarl/ Nath Tehslidar concerned Pwo cert ston . Theigeni mansion 6 vissar soMViS5A3 abmacl Héergoa? yo (Onzg am+ is. comtinoonsly sing he ile seat ae an 15 yas al wih fay. The vale ote aly ole apie wipe ote kane of RA Hl oar ae A. Dette ety : More than3 i, Family Income: rani Tot ones. 0,000 # Tr nsnoteuets peering B. Local Schooling: ‘That entire schooling ie Nursery to 12 standard has/has not been completed from local school within designated RBA area where the sai applicant resides. © Residence: R D L Applicants any ess inilage TAZ rofl Koha for st, years, IL. That Chullah entries have been verified by wy of spot verification and through eminent cilizens of said village and the family actually has been residing in sid village continuously froglast [years and hhas not migrated ata. | hereby declare that above mentioned facts have been thoroughly verified yx me personally, nothing haste conta ormistated and havefound applcanelghifor OBC crcate iak any point of time some information fact/ det ld by me's found tobe incorrect false/untrue, Tshll be personally responsible and liable for nitation of any ation as warranted nde ruks against ‘meas the competent authority may decide, ‘Hence, I hereby recommend that RBA certificate may be iss ‘That 1 have verified all above mentioned details pertaining to REA file of said applicant ‘and found applicant eligible for certineate and 2. Naib Tetuildar’s certification: hence | recommend It. Name of Nalb Tehsidar. ‘SIgnature with Seal @ scanned with OKEN Scanner SEE"a a Maree Step fo? —— oa are Vibes . apne —_ wes) ] LIMP SSG + py pe. me @ scanned with OKEN Scannershel UM etene tex TRUE COPY : CL Uribe j0 toget weber S Wer wo? Bas TEHSILDARKOKERNAG ~ ~ en OBC ey 4 Vp at a 4 Bile: tif eins joes @ scanned with OKEN Scannerst rittok Pe vehroen Pa 58 Gute we LL P< UG __ ttl & alZle LL mE toL Pst ey Hou eeeeer vr PEeead ere ncrcwlef $00 iF PRIS Shes Le Suited @ scanned with OKEN Scanner‘ Fr é SIs 7 A [ae INE saheosy Ce: aayey ah, Cl omblel ayyplt (bho ey SS ale tids Ke MAGE Fil dan See wh tims AVL PDI A LMS AIAG. Shes S16 Te Up vISLIP wd VE ew Srl Ul ROACBUsl ye F fe mentert lube ML LILEL eto Sais bis a 5 AZ elle ot) A 1 @ scanned with OKEN Scanner_tuidiey WERE Sy H anaes Con CAC dSe oft Ct ini ahe ances Critbe dv. Bf tvifie: SA ISL ot hu et SHLe VALE 21 VRS GEM AA yn Ee AIS Fons ud S71 din Un i FFA LIS St fxs pieedyjuz e-PROISTRBAISCLE> ROAC ual ZL eure @ scanned with OKEN Scanner‘TO WHOM IT MAY CONCERN NON MIG&.(1GON CERTIFICATE This is to certify that MUNEEB _AlnS4Q S/ONIZAR Ahmad Shee x g0.1Ke. R/O SHomsttPRD Pant2erge Tehsil KOKERNA fy District AWONTN/ Der state Jammu and Kashmir. He is residing in the above address since from last Since br'2fA. Years and He has not migrated from the said place. Hence Non Migration certificate is issued in his favour. if (8 Signansire eto gi Gazetted officer ed @ scanned with OKEN Scanner- qi pattern inte P a> @ scanned with OKEN Scannerfirth eet [he eb EAM, Tit- Diya AGA big Nott Pay si le eepeiee ee 7 eae Ob es (3 : oe eile pe ap J Ji Cay) x despre oprah. Gh ze WY bP Ze aie @ scanned with OKEN ScannerINDIA NON JUDICIAL Government of Jammu and Kashmir %10 e-stamp i a] ra at ai at Cerifcete Ne. INJK37220844004849V a] Cerfeate Issued Date 15.Jun-2023 03:48 PM i © Account Reference SELFPRINT (PU)!jk-solt/ JAMMU JK-JM 3 | ungue Doc. Reference *SUBIN-IKIK-SELFo951 1985052000 i | pucnesed by 1 APPLIGANT ONE Descrtion of Document 1 Aficle 4 Aidavit i Property Description 2 AFFIDAVIT Consideration Price (Rs) 2 10 {en ony) Fist Pany { NISSAR AHMAD SHEERGOJAI FO MUNEEB NISSAR ‘Seoond Pany | TEHSILDAR KOKERNAG ‘Stamp Duty Paid By { NISSAR AHMAD SHEERGOJRI FO MUNEES NISSAR ‘Stamp Duty Arount(As.) ne a SELF PRINTED CERTIFICATE TO BE VERIFIED BY THE RECIPIENT AT 'WWW.SHCILESTAMP.COM in-sko7220844004849V i i Hes unte ype Dew tis neo saan gua emnzo.raro vine honnemae lp sextRoomIro MaeraneSAN @ scanned with OKEN ScannerAFFIDAVIT [ Nissar Ahmad Sheergojr S/o, D/o, F/O Muneeb Nissar R/o: Panzgam Tehsil Kokernag pistrict Anantnag, do hereby solemnly affirm and declares oath as under: 1. That Lam citizen of India and residing at UT J & K. T Tehsil Kokernag and have been residing at the said village continuously for the last 15 Years. That my Family comprises of 7 member and the annual income of the family is RS yoero_|-|_0@ tac. ___onlv) 3, That | have applied for Issuance of OBC certificate in favour of me on the ground that Ihave been residing at above said village for the last 15 years. The annual income of my family does/does not exceed the prescribed celling of Rs. 8.00 lacs per annum. 4, That in case after the issuance of certificate it’s proved that | have not been residing at the said village continuously for the last 15 years or the members of my family exceeds the numbers shown above or the income of my family exceeds the amount I shall surrender the certificate and the competent authority shall be ut any notice. Further in such case | shall not declared above, at liberty to cancel the certificate withot be entitled to any benefit in terms of selection /recruitment/promotion etc. | shall no tof perfect appeal before appellant authority or approach any court in case the 5 subsequently cancelled on account of my certificate issued in my favour i: y: GHPMN misrepresentation of facts. Deponent Verification: 1, PINGS Deponent fz @ scanned with OKEN Scannerion/Recon fication/Authentic: ition of Pat. 1 Let mete Sai Pawait Hatga f, Le derhereby certify following details with respect to OBC file of appl Ml Aenea te Vihar Bo Akar Au. Shepley Wo “hoi __Tehsit concerned 2. Details of applicants family [SNo__[Name Profession [income [1 Wi841 Abmad. heeswehi sla Sih: Abril! Lave, prs 2e00] = 2 Faris ance Wifes Th. sw de 3 An. MidecT “2 i) The applicant is real son/ Daughter of y/S4Y Au. gheey. a ii) Total femily annual income of the applicant is Rs uso 2 ‘and agriculture income Rs ae does/ does not exceeds the prescribed ceiling limit ii) The undersigned is personally verifed all the revenue records und itis found that the caste of the applicant is as_~ -% go-g pt Fa. i) The applicants forefathers are permanent resident of the said village and also applica village Pes ~ of Tehsil Kokerag file and has not migratedrom the said village till date. it) The chulla entries have been also verified byway of spot verification and it is found that the chula holder consists family members who are separately residing from more than 3 yeare Thereby declare that above mentioned facts has been thoroughly verified by me personally, nothing hyas been concealed or misstated and | have found applicant is eligible for S€°certficate, If at any point of time some information/ Fe detail submitted by me is found to be incorrect/false, I sdhall be liable for criminal proceedings, which competent authority, as warranted undes rules may intimate against me, 3.Residence: . om Therefore, the undersigned has no objection, if SC certificate be issued in favour of the above mentioned applicant. Hence the case Is recommended, No: Dated: @ scanned with OKEN Scanner2 Ble } le é. Stet oe ae U 7 Ue | se LM j Z fe ae to apes e A wees £ }} Te ry age & oh or ¢ , Cefe weus Pecans ee & Fue fp ferE Kay (PsPl stisciasnioee Be) PUA tus a —— i @ scanned with OKEN Scannerals jhtward usb ve blb Als cols jl (bsg sree tL rei iis s se N Nog Fo Ceol [Df ostusiitier” Oeil 2odstlthes SCCISTOIBACU Stat ae __ Chee ee Pledges wiles ee nepal ee ae a ATie ey Oipentice KASS Api Lote SEE eyDourss Atel were aA AaB bp SP LLP @ scanned with OKEN Scanner