FORM tio. IV (Gea ule) | GOVERNMENT OF ODISHA | Otfico of tho Collacor PUR Miscolianoous Goteato Caso No E-AC/2029/00005, | ‘VALID FOR FINANCIAL YEAR 2022-2023 } INCOME AND ASSET CERTIFICATE TO BE PRODUCED BY ECONOMICAI LLY WEAKER SECTIONS | ‘on of Smt SASMITA ACHARYA and Shri 'e/ street Biswanathapur Post Office ‘ode 752014 whose photograph is attested some 500000.00(Rs. Five i 2021- This is to certity that Shri SURAJEET ACHARYA si SUSHANTA ACHARYA permanent resident of villag BISWANATHPUR District PURI in the state of Odisha, PinCi below belongs to Economically Weaker Sections, since the gross annual income 500007 Lakh ) only of his family is below Rs.8.00 lakh (Rupees Eight Lakh only) for the financial year 2022. His family does not own or possess any of the following assets: | |. acres of agricultural land and above; I Residential flat of 1000 sq. ft. and above; Il, Residential plot of 100 sq. yards and above in notified municipalities; IV. Residential plot of 200 sq. yards and above in areas other than the notified municipalities; 2, Shri SURAJEET ACHARYA belongs to the caste which is not recognised as a Scheduled Caste, ‘Scheduled Tribe and Other Backward Class (Central List). Signature of the Revenue Officer 10/01/2023, Digtaly signed by SANTOSH KUMAR PANIGRAH! (02t22023.01,1005:46:43 +050, NoTE () Itis a digitally signed electronically generated certificate and therefore needs no ink-signed signature. (i) This Certificate is issued as per section 4, 5, & 6 of Information Technology Act 2000 and its subsequent amendments it 2008 and as per Revenue & Disaster Management Department Notification number IMU-19/10-4251/R&DM. (i) For any Query or Verification, Agency /Department / Office may visit ttos//edistrict.odisha.aov.in (iv) Tampering ofthis Certificate will attract penal action :