https://cscservices.mahaonline.gov.in/Sewa/Caste OBC Nandurbar..

2831983000

FORM-8
Rule No. 5 (6))
Form of Caste Certificate for De-Notified Tribe (Vimukt Jati/Nomadic Tribe/Other Backward
Class/Special Backward Category person belonging to the State of Maharashtra

Documents Verified
1 School Leaving Certificate Aniket Angad Patil Ambikaq idyalaya Kandur Sr No- 934 Date-15/06/2015

No- 1355
2Copy. cholLeaving Certificate Of Father Angad Shivaj Patil Shahu Vidyalaya Sarud Sr
3 Copy of Birth Certificate Tahsildar Shirala Housi Bala Patl San 1916, Sakhya Yesu Patil San 1986

4 Caste Validity Shia Diip Patil No- 78 Cast Certificate Scrutiny Committe No 2 Kolhapur

5 Gazette Notification copy Shila Dip Patil & Viaya Shivaj Pat
6 7/12 Extract 175/1.152/5
7 Pherphar No- 1777,6646,8199
8 Circle Enquiry Report 88 /2017

9 Copy of Ration Card SM-229910

CASTE CERTIFICATE

Outward No Date 30/06/2017

Rev Case No MRC: 112./2o17

This is to certify that Kumar Vikas Angad Patil son of Shri Angad ShivajiPatil of
of the State of Maharashtra belongs the
Village Kandur, Tehsil Shirala, in the District Sangli
KUNBI Caste which is recognised as Other Backward Class at SrNo 83 under Government

Resolution CBC-1467/M dated 13/10/1967 as amended from time to time.

Kumar Vikas Angad Patil and/ or his family ordinarily resides in Village Kandur,
Tehsil Shirala, in the District of the State of Maharashtra.
Sangli

Diviso

Certificate Sr. No. 12/217 Subbivisiopal Officer

Place Shirala Olvisiot
Islddpur
2-18|2o
(with the s e l or Omce)
Date

1255PM
NameSaran Babasaneb Varekar, Date 3o/062017
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