To,

The Tehsildar

---------------------------

Subject: - Issue of Scheduled Caste/Scheduled Tribe/Backward Class Certificate

Sir,

As I belong to _____________________________________ community

which has been recognized as a Scheduled Caste/Scheduled Tribe/Backward

Class by the constitution of Punjab State Government.

Hence, it is prayed that a S.C/B.C./S.T. certificate be issued to me and

oblige.

Thanking you,

Yours faithfully,

Name__________________________________

S/O Shri__________________________________

Full Address________________________________

________________________________

District __________________________

Dated ___________________________