Yes No CERTIFICATE FROM THE DEPUTY COMMISSIONERS 1. Name in full (in block letter) 2. Date of Birth 3. Name of Tribe 4. Father's details : Name Village Circle Sub-Division District 5. Mother's details : Name Whether Mother is APST or Non APST If APST, Name of tribe 6. Permanent address of the applicant Village Circle Sub-Division District 7. Present Address : Post office Police station Sub-Division District 8. Religion 9. Nationality 10. Occupation if any 11. Purpose for which certificate is asked for Published on National Portal of India (india.gov.in) FORM OF APPLICATION FOR OBTAINING SCHEDULE TRIBE No Yes DECLARATION I solemnly affirm that the particulars given in the above application are correct to the best of my knowledge, belief and information. I bind myself to legal action in the particulars found incorrect. Place & Date SIGNATURE OF THE APPLICANT IN CASE, IF MINOR-GUARDIAN In case the application is minor, applicant is to be signed by Parents or Guardian, if parents are not alive. VERIFICATION Certified that both the parents of Shri / Smti / Miss is a bonafide APST Tribe and thereby said applicants a bonafide Schedule Tribe of village Circle District I have verified the above particulars and found correct. SIGNATURE RECOMMENDATION OF VILLAGE COUNCIL PANCHAYAT FOR SCHEDULED TRIBE CERTIFICATE wife son/ daughter/ Miss is known to me since last years and he/she is permanent resident of Village under District,Arunachal Pradesh. Circle, (SIGNATURE OF GPM/ ASM/ HGB/ VP) ZPM/ Village RECOMMENDATION OF THE ADMINISTRATIVE OFFICER Certified that the above particulars furnished by the applicant is correct to the best of my knowledge and belief. Recommendation of the concerned administrative officer of the area Published on National Portal of India (india.gov.in) 12. Whether such certificate was obtained earlier, if yes give details SIGNATURE OF THE APPLICANT Shri/ Smt/
