CilsMres.imkarakwillage / town
a S
oe Ub foo1q ditt 24-08-2019, Yo
Tahsicledt
Ucn ti Pda,
ANNEXURE
FORM OF CERTIFICATE TO BE PRODUCED BY NON CREAMY LAYER - OTHER
BACKWARD CLASSES (NC — OBC)
This isto certify that Shri /Smt / Kumari tna varoan, Seee Hae son / daughter of
Manry.alperc, . District / Division
CAANE-XOQR.... in the State / Union Territory Ar DAREX.. DAADESM..... belongs
to. MANLIMIUSS..62.C]... community which is recognized asa backward class under the
Government of India, Ministry of Social Justice and Empowerment’s Resol
oN Qe Gd Eas BOC. LE Syi
dated L 13.*.'Shri / Smt / KumariCbantaanasnn an
reside(s) in theCHix.
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