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ANNEXURE FORM OF CERTIFICATE TO BE PRODUCED BY NON CREAMY LAYER - OTHER BACKWARD CLASSES (NC - OBC) mice Cgext-Mo e- OBC/ 2402 as 10/7 bis ese rerresesarg 14.091 hiss to cet that hfs guar PREENEL..... PRADHON san / daubfter of PRBS ANT KU: OOM 3 g0 / 100 nL RPROGOTHA. Dist¥fct / Division Ob1LuA. belongs di Aelep-U-L... in the St& / Union Territory. 10 rn HSB) community which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No LOAF IMM. Gb Ge . - ss dated Wis na / Sm Peon CUE. PO REP ET bis | her family ordinarily OD3S4tQ....State / Union Territory reside(s) in the. ylgle. District / Division of the This is also to certify that he / she does not belong to the persons / sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel and Training O.M. No. 36012/22/83 — Estt. (SCT), dated 8-9-1993" Bie ofl District Magistrate/Dy. Se aeee . ‘Addl, Tahasildar, ~" Angul * The authority issuing the certificate may have to mention the details of Resolution of Government of India, in which the caste of the candidate is mentioned as OBC. ** As amended from time to time. NOTE: The term “Ordinarily resides” used here will have the same meaning as in Section 20 of the Representation of the Peoples Act, 1950,

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