NON-CREAMY LAYER (OBC) AFFIDAVIT
I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. CASTE AND CATEGORY
- 2. PARENTS AND THEIR SERVICE
- 3. FAMILY INCOME
3.3 To the best of my knowledge and belief, neither I nor my parents fall within any category of persons treated as the "creamy layer" under the instructions that apply to the purpose stated in paragraph 4, and I ask to be treated as belonging to the Non-Creamy Layer.
- 4. PURPOSE
4.2 I undertake to inform the issuing authority if my family's income or my parents' service status changes materially before the certificate is issued, and I understand that the certificate may be withheld or cancelled if any statement made here is found false.
- 5. DECLARATION
5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence.
VERIFICATION
DEPONENT
Signature: ______________________________
__________
ATTESTATION
Notary Public / Oath Commissioner
Registration No. and seal: ____________________