FORM No. (See Rule 3) GOVERNMENT OF ODISHA Office of the Tahasildar Bhograi Miscellaneous Certificate Case No E-RES/2021/354078 _ RESIDENT CERTIFICATE This is to certiy that Sri JITENDRA JENA son of Smt PRAMILA JENA and Shri NARENDRA JENA, is a native/permanent resident of the district of BALESHWAR in the state of Odisha and he/ his family is presently residing at Village/Town Dakhinsarisa PS. BHOGRAI Tahasil Bhograi in the district of BALESHWAR in the state of Odisha for 26 years(s) & 03 month(s). ‘Signature of the Revenue Officer 21/06/2021 I =" This fea Digially Signed Document And Does Not Require Signature == NOTE (0 tis a digitally signed electronically generated certificate and therefore needs no ink-signed signature. {W) This Ceriticate is issued as per section 4, 5,8 6 of Information Technology Act 2000 and its subsequent amendments in 2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM. {ii) For any Query or Verification , Agency /Department / Office may vist htps://ecstict.odisha.gov.in (i) Tampering of this Certificate wil attract penal action. Refernce No: E-RES/2021/954078 To View: hips/eseiiet otha gov;nN/SAGSQIEBFS8037 Token No: EBF36637