CAST AND CHARACTER CERTIFICATE

1. It is certified that Shri __________________________ S/O ____________________________

of House No.___________, Village/ Town __________________, Mandal ___________________
District______________________ (AP) belongs to ___________ Religion________________
Cast _____________ Sub Cast_______________

(Passport size photo of the

Candidate to be attested by the Village
Sarpanch /Municipal Councilor)

2. He bears good moral Character

Date:

Place:

stamp and Signature of the Village Sarpanch/

Municipal Councilor.

(Round Seal of Village Sarpanch/

Municipal Councilor)