Caste & EWS Category Self-Undertaking Studio

OBC-NCL नॉन क्रीमी लेयर, EWS स्वघोषणा पत्र व अनंतिम प्रमाण पत्र प्रस्तुति अंडरटेकिंग

Reservation Category Presets

Candidate & Exam Particulars

DECLARATION / UNDERTAKING FOR OBC-NCL CANDIDATES

(As per DoPT OM No. 36012/22/93-Estt.(SCT) & Central OBC Regulations)

I, VIKAS KUMAR VERMA, son/daughter of Shri Santosh Kumar Verma, resident of House No. 124, Mohalla - Civil Lines, City - Bareilly, Uttar Pradesh - 243001, Roll No. 3008019482, having applied for SSC Combined Graduate Level (CGL) Examination 2024 for the post of Inspector (Central Excise) / Assistant Section Officer, do hereby solemnly affirm and declare as under:

  1. That I belong to the ‘Kurmi’ community which is recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT) dated 08/09/1993.
  2. That 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 08/09/1993, modified vide OM No. 36033/3/2004-Estt.(Res) dated 09/03/2004 and OM No. 36033/1/2013-Estt.(Res) dated 13/09/2017.
  3. That my parental annual income and status strictly satisfy the non-creamy layer criteria for the financial year 2023-2024 (valid for FY 2024-2025).
  4. That if any statement or claim made above is proven false at any stage, my candidature/selection shall stand cancelled and I shall be liable for termination and legal action under the law.

Place: Bareilly

Date: 2026-11-13

(VIKAS KUMAR VERMA)

SIGNATURE OF CANDIDATE

Roll: 3008019482

FOR OFFICIAL USE (DOCUMENT VERIFICATION DESK):

Verified against identity documents & application records.

Status: Provisionally Accepted / Retained in Dossier

Signature of Verification Officer