Thoubal District

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IN THE COURT OF EXECUTIVE  MAGISTRATE, THOUBAL/KAKCHING.  

 A   F   F   I   D   A   V   I   T
---------------------------

 

            I Shri /Smt. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ age about  _ _ _ _ _ _ _ _

 G/O,F/O,M/O, Shri/Km. _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _  _ __ _ _ _ _ _ an inhabitant of 

_  _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ P.O. _ _ _ _ _ _ _ _ P. S. _ _ _ _ _ _ _ __  _ _ _ _ _ within

Thoubal District, Manipur do hereby take oath and solemnly affirm and as follows.

1.      That, I say that none of my family members are Govt. / Semi Govt. public Under taking Armed Forces
      employee. This is true to my knowledge.

2.      That , I say  that I am  _ _ _ _ _ _ _ _ _ _ _ _ _ _ profession as such annual income  from all sources  is

      Rs: _ _ _ _ _ _ _/- (Rupees _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __) approximately.

      This is true my knowledge

3.      That, I say that except a piece of agricultural land/Ingkhol/Phoural/ Anganphou/ Taothabi class under patta
      No. _ _ _ _ _  Kakching/Thoubal Tashil/coverd by C.S. Dag No. _ _ _ _ _ _ _ _ _ measuring an area  of
       _ _ _  _ _ _  acre Hect. Which is standing in my natural father/grand father/ brother /mother as joint family
      properly.

4.      That, I say that I and my son/daughter Shri/Km _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _  _ 
       including my family members are belong to Meitei/Pangal community which is obtaining  by O.B.C.
      certificate,     My family does not belong to Creamy Layer. This is true to my knowledge.

5.      That my name is inserted in ther electoral roll of  . . . . . . . . . . . .under Serial No,and house No. . . . . . . . 
      This is true to the best of my knowledge.
      Verified that the contents in Pata No. 1 to 4 all are correct in the said affidavit and nothing concealed 
      baying this facts I put my signature on this affidavit. The schedule to the Govt. of India Deptt. Personal
       training O.M. No. 36012/22/93 Estt. (SCI)

 

 Dated, the                                                                               Signature of the deponent 

 

                                                              Executive Magistrate
                                                            
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“CREAMY LAYER’S  CERTIFICATE”

 

            The family of Shri/Smt. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _

F/O, M/O, Shri/Km. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _  _ _ _ _ _ _ _ _ _ _  has the following agricultural/homestead land holding as per documents produced by the family in :

1.         Sub-Division                        :-

2.         Village No.                          :-

3.         Patta No.                             :-

4.         Dag No.                              :-

5.         Area.                                   :-

6.         Classification.                       :-

2.                The total family annual income excluding salaries and agriculture product is about Rs :_ _ _ _ __/- (Rupees  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ ) .

3.                The family does not belong to Creamy Layer or other Section/person mentioned in vide column No. 3 of
           the Schedule to the Govt. of India, Department of personal and Training O.M. 110. 36012/22/93-Estt
           (SCT) dated 08/09/1993.

The report of   _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _  _ _ _  _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _  

_ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _  _ _ _ Signature of the Enquiry is examined and  Certified for
            issuing of O.B.C.

            Signature of S.D.C.                                                                         Official    :

                                                                                                                  Signature :

                                                                                                              Designation :

                                                                                                                         Seal : 

 

 

 

GOVERNMENT OF MANIPUR
OFFICE OF THE DEPUTY COMMISSIONER:
THOUBAL.

 

 “TO WHOM IT MAY CONCERN”

DOMICILE CERTIFICATE

 

No. 4/89/91/DC(TBL)/Vol-III

 

This is to certify that Shri/Km. … … … … … … … … … … … … ….. . . . . .……...

S/o,D/o, Shri/Smt. … … … … … … … … … … … … … … … ... ..…………………......

of … … … … … … … … … … … … … … … … … … … … … … … … … … .. ……

P.O. … … … … … P.S. … … … … … Thoubal District, Manipur whose Father/Mother’s Name

is enlisted in Sl. No … … … …  House No. … … Polling Station  No … … … … … … … … of

… … … … … … … … ..   Assembly Constituency in E/Roll… … … … … … …is known to me.

He/She is a bonafide resident of Thoubal District, Manipur State  as on date and is domicile as by birth of this District.

                                                He/She is not related to me.

 

Place :

Date :

Identified by                                                                 Deputy Commissioner, Thoubal.

 

 
 
 
“INCOME CERTIFICATE”

 

            This is certify that  Shri/Smt.  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _

F/O,M/O Shri /Km.  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  a resident of  _ _ _ _ _ _ _ _ 

_ _ _ _  _ _ _ _ _ _ _ _ _ _ _ P.O.  _ _ _ _ _ _ _  P.S.  _ _ _ _ _ _ _ _ _ Sub-Division _ _ _ _ _ __ _

District Manipur is cultivator /business by profession.

His/Her   annual   income   from   all  sources  for   the  year  ending  upto  the  31st March _ _ _ _ _ _Was Rs. _ _ _ _ _ _ _ _ _ _/ (Rupees  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _  _ _ _ __ _ _ )approximately during the year _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

 Place:                                                                                                  Signature    :

Dated :                                                                                                 Designation :

                                                                                                            With Seal.  :

 

 

 

 

APPLICATION FOR CERTIFICATE  FOR ELIGIBILITY FOR RESERVATION OF JOBS FOR OTHER BACKWARD CLASSES IN CIVIL POSTS AND SERVICES UNDER GOVERNMENT OF INDIA.

--------

To

 

The Sub-Division Officer, Thoubal/Kakching
District Manipur.

Sir,

I request that a certificate in respect of reservation for other Backwards Classes in Civil Post and services under Government of India be granted to me.

I give the necessary particulars:
1.         Full name of the applicant: - _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _        (in Block Letter)

2.         Date of Birth: - - _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

3.         Complete Residential Address: - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _  

                  a)      Present Address :-  _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ 

                  b)      Permanent Address:-  _ _ _ _ _ _ _ _ _ _ _ _ __  __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ 
 

4.
      Religion :- _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

5.      Caste :- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __  _ _ __  _ _ _ __ _ _ _ _ _ _ _ _ _ _ _

6.      Sub-Caste:- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ _

7.      Occupational Group : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

8.      Serial Number of the Caste :- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _       In the Central List of OBCs.

9.       Name of Father :- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _

10.   Name of Mother :- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _  _ _ _ _ __ _ _ _ _

11.  Name of Husband : - _ _ _ _ _ __   _ _ _ _ _ _ _ _ __  _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

12.  Status of parents (s) Husband :- _ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _  _ _ _ _ _ _ _

(A)  Constitutional  Posts : 

i)        Designation :                                         Father                                                  Mother

B)   Government of Cervices : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ 

            i)    Cervices Central/State : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ 

ii)      Designation : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _ _ _ _ _ _ _

            iii)    Scale of pay, including Classification, if any : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

iv)      Date of appointment to the post : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

            v)         Age at the age of promotion to Class-I, Post (if applicable) : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

B  (I) Employment in international Orgn. e.g. UN, UNDER, WHO

 i)  Name of Organisation                 :

ii)  Designation                                 :

iii) Periods of service (indicate date) :

B (II)  Date/Permanent in /capacitating (Omit if not applicable):

 i)     Date of death/permanent in/capacitating putting an office out of service  :

ii)    Details of permanent incapacitation :

C)   Employment in public sector undertaking etc :

i)                    Name of organization           :

ii)                   Designation                          :

iii)                 Date of appointment the post:

D. Armed Forces including para-military forces. ( This will not included persons holding civil posts) :

i)                    Designation:

ii)                  Scale of pay :

E.      Professional class (other that these covered in Item Nos. B.& C and those engage in trade,
       business and Industry).

F.      (I) Property –owners .(Agricultural land holdings owner by mother, father and minor children)

i)                    Location          :

ii)                   Size of holding :

iii)                  (a) Irrigated (type  of irrigated land) :

i)                    Percentage of irrigated land holding to statutory ceiling limit under state land ceiling laws.

ii)                   If land holding is both imaged / urinated  total irrigated land holdings on the basis of conversion formula in land sealing law.

iii)                 Percentage of total irrigated land holding to be statutory ceiling limit as per (iv).

F (II) Plantation

i)                    Crops/Fruit           :
            ii)                   Location               :
            iii)                 Area of plantation :

(To be certified by district Revenue Officer not lower than the rank of Tashildar ).
F.(III) Vacant land and / or building in urban area of urban agglomeration.

i)                    Location of property :
           ii)                   Details of property    :
           iii)                 Use to which it put    :

G.     Income/ Wealth.

i)                    Annual family income from all sources ( excluding salaries and income from agricultural
                        land) :

i)                    Whether  tax payer (if yes, a copy of the last three years return furnished)

III)              Whether covered in wealth Tax Act :(If so furnished details)

13.  Any other remarks.

14.            I certify that above said particulars are true to the best of my knowledge and that I do not
      belong to the Creamy Layer of OBCs and eligible to be considered  for posts reserved for OBCs, In
      the event of any information being found false or incorrect, or ineligibility being detect before of after
      the selection, I understand that my candidature / appointment  is liable to be cancelled and I and I
      shall be liable to such further action as may by provided under the low and/or rules.

 

      Place_________                                                                                      Yours faithfully

      Dated :-_________________                                            

 

               Signature of the candidate

 

       I have personally and physically verified all the information furnished by the applicant and found correct.

 

                                                                                                           

 

                                                                       S.D.O.

 

 

 

      2.        The above person/the applicant does not belong to the category of person mentioned in column
      3 of the schedule to the office Memorandum No. 3601/22/93-Estt. (SCT), Government of India,
      Ministry of personal, public Grievances and Pensions dated 8th Sept. 1993. On  the subject.

            Reservation for other backward classes in civil posts and services under government of India
      Regards.

 

 

 

                                                                                                    S.D.O.

 

 

 

 

1/179/DC(TBL)/N-AC/2002
GOVERNMENT OF MANIPUR
OFFICE OF THE DEPUTY COMMISSIONER: THOUBAL
-----

 

NON-ACCOMMODATION CERTIFICATE

 

            This is to certify that Shri … … … … … … … … … … … … … … … of  .. .. .. .. .. .. …...

 …. … … … … … … . Thoubal  District, who had been posted only at … … … … … … … … … .

Thoubal  was not provided any  Government quarter during his service period from …… … …  to … 

This certificate is issued on the basis of the report of . . . . . . . …. …. …. …. … … ….…. ......

Thoubal  vide his letter  No. … … … … … … … ..  dated … … … … …

 

Dated/Thoubal
The      th         ,2002.

 

Estate Officer/DC, Thoubal
                    ---

 

                      

 

Sl.No.

 

 

GOVERNMENT OF MANIPUR
OFFICE OF THE DEPUTY COMMISSIONER
THOUBAL

 

No. 4/III/94/DC(TBL)                                                                           Thoubal, the . . . . . . . . . . . . . 

This  is  to  certify  that


Shri/Smt/Km. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 

S/o,D/o,W/o, Shri/Smt. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . 

of village … … … … … … … … … … … … … … … … … … … … District/Division Kakching/

 Thoubal  in  the Thoubal District State  Manipur  belong to the . . . . . . . . . . . . . . . . .  .  . Community  which  is  recognised   as  a  Backward  Class  Under :
(i)            Resolution No 12011/68/93-BCC(C) dated the10th September, 199, Published in the Gazette of India
         Extraordinary Part 1. Section 1, No. 186 dated 13th September, 1993.
(ii)
          Resolution No. 12011/9/94-BCC dated the 19th  October, 1994,  Published  in  the  Gazette of India
         Extraordinary Part 1, Section 1, No. 163, dated 20th October, 1994.
(iii)
        Resolution  No.  12011/7/95-BCC  dated  the  24th  May,  1995,   Published  in  the Gazette of India 
        
Extraordinary Part 1, Section 1, No. 88 dated 25th May, 1995.
(iv)
        Resolution No. 12011/44/96-BCC dated the 6th December, 1996,  Published  in the  Gazette of India 
        
Extraordinary Part 1, Section 1, No. 210 dated the 11th December, 1996.

Shri/Smt/Km. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  And/or his family ordinarily  reside  (s) in  the  Thoubal  District/Division  of  the Manipur State. This is  also  to  certify  that  he/has  does  not  belong   to  the   persons/section  (Creamy Layer),   mentioned  I n column  3  of   the schedule  t o the Govt.   of  India,  Department  of  Personnel and Training O.M No. 36012/22/93-Estt. (SCT) dated 8/9/1993.

 

 

 

DATED                       SEAL                                      District Magistrate/Deputy Commissioner etc.

Note:- For O.B.C.:- 1. The applicant has to produced No-Due Certificate from the concern Electricity Department for electricity consumption.

2. Receipt for clearance of Land Revenue.

3. Jamabandi copy.
4.  Income Certificate from the circle SDC concerned.

 

 

 

 

CONFIDENTIAL

GOVERNMENT OF MANIPUR
OFFICE OF THE DISTRICT MAGISTRATE: THOUBAL.
-----

 

 No. 17/89/DM(TBL)/J/96/                                                 Thoubal, the …………………………

 

“V  E  R  I  F  I  C  A  T  I  O 

 

1.      Full Name of Candidate :- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ……….

2.      Fathers Name :- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………

3.      Permanent Home address:- .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of the 
      candidate.

 

REPORT OF THE DISTRICT MAGISTRATE

 

            The character of the above person has been verified by the Superintendent of Police, Thoubal and found satisfactory as per his report vide letter No. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .dated . . . . . . . . . . .  of the Superintendent of Police, Thoubal.

 

 

 

DISTRICT MAGISTRATE: THOUBAL
 ------

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