SC (Scheduled Castes) and ST (Scheduled Tribes) Certificate Format (Sample)
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Here is a Proforma for a Scheduled Caste (SC) and Scheduled Tribe (ST) certificate as per Indian Government guidelines. The format includes relevant details, rules, and sections applicable under the law. This proforma can be used for applications where an SC/ST certificate is required for availing benefits under government schemes, education, or employment.

1. Certification of SC/ST Status

This is to certify that Shri/ Shrimati/Kumari _______________________________ 

son/daughter of___________________________________ of Village/Town __________ 

____________________________________________________________District/Division 

______________________________ of State/Union Territory* belongs to the

Scheduled Caste / Scheduled Tribe* under :-

> The Constitution (Scheduled Castes) Order, 1950
> The Constitution (Scheduled Tribes) Order, 1950
> The Constitution (Scheduled Castes) (Union Territories) Order, 1951
> The Constitution (Scheduled Tribes) (Union Territories) Order, 1951

[As amended by the Scheduled Castes and Scheduled Tribes Lists (Modification Order) 1956, the Bombay Reorganisation Act, 1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastern Areas (Reorganisation) Act, 1971, the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 1976 and the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002]

> The Constitution (Jammu and Kashmir) Scheduled Castes Order, 1956;
> The Constitution (Andaman and Nicobar Islands) Scheduled Tribes Order, 1959, as amended by the Scheduled Castes and Scheduled Tribes Order (Amendment) Act, 1976;
> The Constitution (Dadara and Nagar Haveli) Scheduled Castes Order, 1962;
> The Constitution (Dadara and Nagar Haveli) Scheduled Tribes Order, 1962;
> The Constitution (Pondicherry) Scheduled Castes Order, 1964;
> The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967;
> The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968;
> The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968;
> The Constitution (Nagaland) Scheduled Tribes Order, 1970;
> The Constitution (Sikkim) Scheduled Castes Order, 1978;
> The Constitution (Sikkim) Scheduled Tribes Order, 1978;
> The Constitution (Jammu and Kashmir) Scheduled Tribes Order, 1989;* The Constitution (Scheduled Castes) Order (Amendment) Act, 1990;
> The Constitution (Scheduled Tribes) Order (Amendment) Act, 1991;
> The Constitution (Scheduled Tribes) Order (Second Amendment) Act, 1991.

2. Certification for Migrants (If Applicable)

This certificate is issued on the basis of the Scheduled Caste/Scheduled Tribe certificate issued to Shri/Smt./Kumari* _______________________ (Father/Mother) of Shri/Smt./Kumari* _______________________, of Village/Town* _______________________ in District/Division* _______________________, of the State/Union Territory* __, who belongs to the ** Caste/Tribe**, which is recognized as a Scheduled Caste/Scheduled Tribe in the State/Union Territory* of _______________________.

This certificate was originally issued by _______________________ on (Date) _______________________.

3. Residential Status

Shri/Smt./Kumari* _______________________ and/or his/her* family ordinarily resides in Village/Town* _______________________, in District/Division* _______________________ of the State/Union Territory* _______________________.



Signature: _______________________

Designation: _______________________
(Seal of Office)


Place: _______________________.  State/Union Territory ____________________

Date: _______________________

Important Notes:

The term “ordinarily reside(s)**” used here will have the same meaning as in Section 20 of the Representation of the People Act, 1950.
Officers competent to issue Caste/Tribe certificates:

  1. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner / Deputy Collector / Ist Class
    Stipendiary Magistrate / City Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner.
  2. Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate.
  3. Revenue Officers not below the rank of Tehsildar.
  4. Sub-divisional Officer of the area where the candidate and/ or his family normally reside(s).
  5. Administrator / Secretary to Administrator / Development Officer (Lakshadweep Island).
  6. Certificate issued by any other authority will be rejected.