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Had-2: dobeom gene ag sedis eax weenccln Sowro wced dot, avkdng— 201 who ot, ocelech, emeoe: stovi908 Caja cbeengid (Creamy Layer) deity chose _acodasoenchd ody ariiaen axidaatceod doakle getee ag cede, ae BiSre oe adeesedy Bordaw ae ota,825 Babes — 2 BLE OYDE FAO BF Qedecbs sd ity aay @e/Beabs fesetwe 2g Ca cantly meen Gc zcocide Sd}30M0T sddsobddS eh ge zyge_______ wedabg, aggod cea ___ aia aid} Boegfobe eogearcenchegd. & zedoln edgcoin aygod drad edeady smeud #0 adebdd egroixd, 1076 ewe cmcad Hd added wacded 101d waady nacgses coud they add gies ag add giles wuss doaided doddlexhs gece Bedsad gdewigs), sheen chan B& ae bys ermo andlggeoayobd wt BSeood eewcdBe/Becbs coeds abd/ abtebye Bay e/Bexd2 fedaino ag waged cyabclg cewepedhs wcich : add eienoadkid welooasovng ae @ésod toby ate ancy ageeddaadagennd ccch ce heed Gaecdesods :- (©) + + aatats abd abs) sad) ecloowsoong wad aa alamad edeccy (©) + « oSaeadd dation alemabely deondd: cleextonod zea aadaba abd : (@) + + 32d) edooasomeg day af dlamad ececiay waiae edged dacd xa adeno: (&) + + add aappdde Gedeadey cleeadoned ade ssoadac, ge: @aR08:28 9S SercUd WORE ages Sool Suzie 115 a0 2005, BaRoe: 10.11.2005 a] CERTIFICATE FOR THE PERSONS WITH DISABILITIES This is to certify that Sri / Smt / Kum / wife / daughter of Shri Age is a case of old, male / female, Registration No .. He / She is physically disabled/visual disabled/speech & hearing % permanent (physical impairment visual impairment speech & hearing impairment) in disabled and has percent) relation to his / her... Note: 1. This condition is progressive/non-progressive/likely to improve/not likely to improve. * 2. Re-assessment is not recommended/is recommended after a period of months/years. * * Strike out which is not applicable (Recent Attested Photograph showing the disability affixed here) Orthopedic / Senior Specialist Chairperson District . Eye / ENT / Psychiatrist Member, Medical Surgeon District, Member, Medical Board District Hospital Board Bice te adirededs Signature / Thumb impression Boridzds mae ote, of the disabled person29 GOVERNMENT OF KARNATAKA DEPARTMENT OF SAINIK WELFARE AND RESETTLEMENT X Office of the Deputy Director, Department of Sainik Welfare & Resettlem (Karnataka) No.. Date! CERTIFICATE This is to certify that Sri / Smt / Kum is an applicant for is the Spouse / Son / Daughter of No. Rank Name of Army / Navy / Air Force, who is an _Ex-Serviceman according to the definition laid down by the Minister of Defence, Government of India. He served from to The Ex-Serviceman had declared his home town in Karnataka at the time of entry into service as per records & hence eligible to avail reserved seats under Ex- Serviceman quota. His permanent home address at the time of entry into service was as under: ee 35m we adrese Department of Sainik Welfare & Resettlement Signature of the Deputy Director Hordacs me eaB District OR30 CERTIFICATE is an is the Spouse / Son / Daughter of Name who Died / Disabled while in service according to the certificate issued by Defence Authority. He Died / Disabled on Home address of the individual at the time of joining Defence Service as per the records is: Place: Signature of the Deputy Director Date: Department of Sainik Welfare & Resettlement ————= Bom de adreddd Bordacs 2) 80,8331 ceswodd marie cechaid aep dazed mee evegded Koski aziga @, Sociedad welch exgnscs .. » YS war seo ke soY / aensdoood Baye deabeos mQevErd adwead 4 Hime Be adleedeco Serieads mes 80,8ead abieed aixieed aidely sea adc ae sodeideod ang cha) aiid sed chgd ance sloanigd abgd agob aiddoingsioonngs abs Seoro endgeds Sede scizctiewstixiog cid gederegddesy wkd deongiodd Be/Becbs gaich wakd Boncedde. ze . chan : exod: exdqgriapab : lS Sim ae adeesdds 979 238.0, 83