This document is a declaration and undertaking that must be submitted by OBC (Other Backward Class) candidates in addition to a community certificate. It requires the candidate to declare their name, father's name, address, community recognized as OBC by the Government of India for reservation purposes, and that they do not belong to the high-income "creamy layer" defined by Office Memoranda from the Department of Personnel and Training dated September 8, 1993 and September 14, 2017. The candidate must provide their signature, full name, address, email, mobile number, and date at the bottom.