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WII Staff 15.11.2024

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Annexure-VI

FORM OF DECLARATION FROM THE CANDIDATES SEEKING RESERVATION AS OBC

"I,________________________son/daughter of Shri _________________________resident of


village/town/city_________________________district ____________________________state
_________________ hereby declare that I belong to the _____________________community
which is recognized as a backward class by the Government of India for purpose of reservation
in services as per orders contained in Department of Personnel and Training Office
Memorandum No.36012/22/93-Estt.(SCT) dated 8.9.1993. It is also declared that I do not belong
to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above
referred Office Memorandum dated 8.9.1993."

PLACE: (SIGNATURE OF THE APPLICANT)

DATE:

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