josk Operator: JAGANNATH PRUSTY,14, , Nnisingha Chhaka, Bank, Cuttack. Mo.~ 9861688063,
Office of the Tahasildar, Bank!, Miscellaneous Certificate Case No: e-RES/B81 of 2016
RESIDENT CERTIFICATE
This is to certify that Miss JASHMINE MAHARANA Daughter of Shri RABINARAYAN MAHARANA is a
Native of the District Cuttack in the state of Odisha and she/her family ordinarily resides in Village/Town.
CHARCHIKA P.S BANKI Tahasil Bankt in the District of Cuttack.
2.This certificate is being granted only for the purpose of STUDY.
ROUT ERE
SATYAK| Spies
CHARAN ssi
Signature of the Applicant dN
Signature of the Revenue Officer
Date : 18-05-2016
NOTE
+ Itis a digitally signed electronically generated certificate and therefore needs no ink-signed signature,
This certificate is issued as per section 4, 586 of Information Technology Act 2000, and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department notification numbers IMU-13/10-42518/R&DM
dated 21.10.2010, ROM-IMU-EGOV-0001-12/41244 dated 10.09.2012 and RDM-IMU-EGOV-0001-2012/95042 dated
12,09,2013.
For any query or verification, Agency/Department/Office may visit http:/iwww.edistrictodisha. gov.
- Tempering of this certificate wil attract penal action.
x Jarhmine = Moharena‘Kiosk Operator: JAGANNATH PRUSTY.14,, Neusingha Chhaka, Bank, Gutack, No S86 7686069
GOVERNMENT OF ODISHA.
FORM No. V
[See Rule 3}
Office of the Tahasildar, Bankl. Miscellaneous Certificate Case No: e-INC/1258 of 2016
INCOME CERTIFICATE
‘This isto certify that Shri RABINARAYAN MOHARANA Son of Shri LATE SANATAN MOHARANA of
Village/Town CHARCHIKA P.S BANKI Tahasil Bank in the district of Cuttack in the state of Odisha has an
‘Annual Income of Rs. 70000/- (Rupees. SEVENTY THOUSAND ONLY) from the Sources Specified below
SOURCE iat ANNUAL INCOME.
Agricultural Land Rs, 10000,
Salaries Rs.0
BUSINESS Rs. 40000,
WAGES. Rs. 20000,
2.This certificate is being granted only for the purpose of STUDY OF HIS DAUGHTER JASHMINE MAHARANA.
AND LAGNESHA MAHARANA
Jaduman Sect
i Mahala tsmmrom~
Signature of the Revenue Officer
Date : 12-07-2016
Signature of the Applicant
NOTE
- Its @ digitaly signed electronically generated certificate and therefore needs no ink-signed signature.
This corticate is issued as por section 4, 5&6 of Information Technology Act 2000, and ts subsequent amendments in
12008 and as per Revenue & Disaster Management Department notification numbers IMU-13/10-42518/R&DM
dated 21.10.2010, RDM-IMU-EGOV-0001-12/41244 dated 10.09.2012 and ROM-IMU-EGOV-0001-2012/35042 dated
12.09.2013.
For any quety or verication, Agency/Department/office may visit hif:v/www.edisrictodisha.gov.in,
= Tampering ofthis cortifcate will tact penal action,
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BANK
Account No: 9318620730
Branch Address And Tel No,: Hane And Address Of Account Kolder/s:
AOTUATE CHRAK Wiss, JASHIINE MAHARAKA
BeCI CUTTACK
ODIsHe
14008 O/O-RREI WARAYAN MARERANA
tie: ATHUAHTKA PATAWA ORKRCHIKA
PO/PS-BANKT
WICR Code: 754016504 154008 Nonination:¥
WS haty ENO 2ENGeE OPERATING SINGLY arftert
ag é{patd Toll Free Wo: (80020018) ie
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Kumars pda Sigh‘osk Qprator: Dip Kur Bushl, 5, Gana Chowk, Jaren
GOVERNMENT OF ODISHA
FORM No. V
[Seorule 3}
Offic of the Tahasildr, Jharsuguda. Miscellaneous Cerificate Case No: eINCI2677 of 2016
INCOME CERTIFICATE
This is to cerly hat Shri MITHILESH KUMAR SINGH Son of Shri. NANDLAL SINGH of Village/Town GM
COMPLEX P.S BRAJRAJNAGAR Tahasi Jharsuguda in the district of Jnarsuguda inthe state of Odisha has
‘2n Annual Income of Rs. 73036)- (Rupees. FIVE LAKH SEVENTY THREE THOUSAND THIRTY SIX ONLY)
fom the Sources Specified below .
source a ‘ANNUAL WoOME
‘Agicultural Land i Re.00 C
Salaries Rs. 00
MCL. Rs. 872036
2.This cerificate is being granted only for the purpose of EDUCATION OF MY DAUGHTER.
PANDEY Biagio
SRWAKESA ee
a
Signature of the Applicant Eber
Signature of the Revenue Officer
Date ; 03-08-2016
NOTE
is 2 dgtaly signed electronicaly generated geriicate and therefore needs no ink-signed signature,
This cortioat is isued as per section 4, 586 of Information Technology Act 2000, and its subsequent emendmonts in
2008 and as per Revenue & Disaster Management Departnentnotcaion numbers IMU-13/10-42518 80M.
dated 21.10.2010, RDMIMU-EGOV-0001-12/41244 dted 10.08.2012 and ROM-IMU-EGOV-0001:2012/35042 dated
12.09.2013
Fr any query or verfeation, Agency/DepartmendOtice may vst htt ywww.edistrctodishe gov.
Tampering ofthis cericate wil attract penel action
Kemet. Nid h'-Sia
|(8) Constituents aro requasted to not
{gress ancshoud ati bo sony Fegioed
‘or handed over lo tre Cosh Deparment a3
Taimsiacuals uid fe Cash Dopesren haaans
Suthorly to receive cash,
(2) The accountholder should Insst oq delivery of Pais
Seok ade uplodaa a8 far as posine onthe same
. thetwise ho should obtaln alreceih incleatng
‘ihe the Pane Bork Ul Senre
(@) Deposit Rules in vogue can bo oblainad by accbunt-
holder from the Branch on request.
gn fm | ucomank + wen ts xin W°9"S.8. Recount No: O2OIORITTE
5
- Ywten| teats | Reaad | amen | oe
SuP Cheque'| Cheque |, cans ae a Officers
ae abtertae No. Date _| withdrawals Deposits: Initials:
OPES RANE aT
FO BReaicE ;
e 198.05 AOLES.00Fr
osfor/2o1g ie yeaa
40/01/2015 |. na p ae. d
oxfor/zais :Kiosk Operator SRUSTIRAJ TRIPATHY, 2, Khordha
AHA
GOVERNMENT OF ODISHA
FORM No. Ill
[See Rule 3}
Office of the Tahasildar, Khordha. Miscellaneous Certificate Case No: e-RES/160 of 2016
RESIDENT CERTIFICATE
‘This is to certify that Miss SIPRAMAYEE PALATASINGH Daughter of Shri PRAVAKAR PALATASINGH is a
Native of the District Puri in the state of Odisha and she/her family ordinarily resides in Village/Town
JAJARSINGH P.S KHORDHA Tahasil Khordha in the District of Khordha.
2.This certificate is being granted only for the purpose of SCHOLARSHIP.
PANDA ESE
Z fury, SURESH oon
t CHANDRA = aS
Signature of the Applicant meee
‘Signature of the Revenue Officer
Date : 16-01-2016
NOTE
«it's adigtaly signed electronically generated certificate and therefore needs no ink-signed signature.
= This crtcae is issued as por section 4, 6 of Information Techrology Act 2000, and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department notification numbers IMU-13/10-42518/R&DM
dated 21.10.2010, ROM.IMU-EGOV-0001-12/41244 dated 10.09.2012 and ROM-IMU-EGOV-0001-201235042 dated
12.09.2013,
For any query or verification, Agency/Department/Ofice may visit hw. edistrictodisha gov.
Tampering of his certicae wil atract penal action.
Sipramayie fattoutigGOVERNMENT OF ODISHA
FORM No. It
[See Rule 3)
Office of the Tahasitdar, Bargarh. Miscellaneous Certificate Case No: ¢RESISA71 ozo?
RESIDENT CERTIFICATE
‘This is to certify that Miss Durlavi Swain Daughter of Shri Ashok Swain is a native of the District of Bargart
in the state of Odisha and shefher farrily ordinarily reside in Vilage/Town Dang P.S Bargarh Tahasil Bargarh
in the District of Bargarh.
This certificate is being granted only for the purpose of Study
TRUE COPY ATTESTED,
‘ p>
;
GO DasH SWAN BS eon
ANAS fe
NOTARY,Bargarh = RANJAN Sexton
Signature of the Applicant Read No -ON-04/07 ae2
Signature of the Revenue Officer
Date : 01-07-2017
NOTE:
= Itis a digitally signod electronically generated cartifcate and therefore needs no ink-signed signature.
= This certificate is issued as per section 4, 586 of Information Technology Act 2000, and its subsequent amendments fn
2008 ancl as per Revenue & Disaster Management Department notification numbers IMU-13/10-42512R&DM
dated 24.10.2010, ROM-IMU-EGOV-0001-72/41244 dated 10.09.2012 and RDM-II4U-EGOV-0001-2012/25042 dated
12.09.2013.
= For any query or verification, Agency/Department/Office may visit httpyiaw.edistrictodisha gov i,
= Tampering ofthis certificate Wil attract penaf action.Cecio teen sw
INCOME CERTIFICATE
Thisis to certly that Shri Ashok Swain Son of Shri Late Bakdhar Swain of Viloge/Tow
‘Tahasil Bargarh in the district of Bargarh in the state of Odisha has an Annual Income of Rs.
SEVENTY THOUSAND ONLY) from the Sources Specified below
‘SOURCE _ ANNUAL INCOME
Agricutral Land Re, 000
Salaries 7
Rs. 000
Lobour Rs, 70000
2.This certificate is being granted only for the purpose of Study Of His Daughter
TRUE Co)
f { SWAIN tints
G.D.Dasw MANAS Sk commas
Aten ae NOTARY, Bargarh Bee fe >
Signature of the Applican ae 3
‘a PP) Read No -ON-N4/0" Signature of the Revenue Officer
Date : 01-07-2017
NOTE:
«itis. digitally signed electronically generated certificate and therefore needs no ink signed signatxe
“This corticate is issued as per section 4, 586 of Information Technoiogy Act 2000, and its subsequent amendments i
2008 ondaas per Revenue & Disaster Management Department notification numbers (MU-1310-42518/R8DM
dated 24.10.2010, ROM-IMULEGOV-0001-12/41244 dated 10.09.2012 and ROM-IMU-EGOV-0001-2012/35042 dated
12.08.2013.
- For eny query or verification, Agency/Deparment/Otice may visit hp /twnw.edlstctodishe.gown.
Tampering of this cortificate wil attract penal action.