Government of West Bengal
Backward Classes Welfare Department
Application Form For Digitization Of Manual Caste Certificate
Manual Caste Certificate No
*
Certificate Issue Date
*
Certificate Issuing Authority
*
Caste
*
-- SELECT FROM THE LIST --
SC
ST
OBC
OBC-A
OBC-B
Subcaste/Tribe/Community
*
-- Select Caste --
Religion
*
- SELECT FROM THE LIST -
Hinduism
Jainism
Christianity
Jew
Islam
Buddism
Meiteism
Parsi
Sikhism
Zoroastrian
No religion
--Other religion--
Full Name
*
Father's Name
*
Date of Birth
*
Gender
*
- SELECT FROM THE LIST -
MALE
FEMALE
TRANSGENDER
OTHERS
Aadhaar No
*
Khadya Sathi No
Phone No
*
State
*
West Bengal
District
*
- SELECT FROM THE LIST -
Alipurduar
Bankura
Birbhum
Cooch Behar
Dakshin Dinajpur
Darjeeling
Hooghly
Howrah
Jalpaiguri
Jhargram
Kalimpong
Kolkata
Maldah
Murshidabad
Nadia
North 24 Parganas
Paschim Bardhaman
Paschim Medinipur
Purba Bardhaman
Purba Medinipur
Purulia
South 24 Parganas
Uttar Dinajpur
Sub-Division
*
- SELECT FROM THE LIST -
Police Station
*
- SELECT POLICE STATION FROM THE LIST-
Post Office
*
Municipality
Block
- SELECT FROM THE LIST -
GP/Ward
*
- SELECT FROM THE LIST -
Vill/Para/House No./Road
*
Pin Code
*
Upload Old Certificate Photo
*
(in jpg within 100 KB)
Choose file
Applicant's photograph
*
(in jpg within 50 KB)
Choose file
Submit