GOVERNMENT OF ODISHA

Office Of The Tahasildar Bhubaneswar

Miscellaneous Certificate Case No: E-OBC/2022/25539
ANNEXURE-'B'
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO
POSTS UNDER THE GOVERNMENT OF INDIA

This is to certify that Miss DIPTIMAYEE SAHOO daughter of Smt LAXMIPRIYA SAHOO and Shri
JAYADEV SAHOO of village/town ASHOK NAGAR P.S. KHARAVELA NAGAR in KHORDHA District
in the State Odisha belongs to the Teli community which is recognized as a backward class under the
Government of India, Ministry of Social Justice and Empowerment's Resolution No. 12011/94 – BCC
dated : 19.10.94.

Miss DIPTIMAYEE SAHOO and her family ordinarily reside(s) in the KHORDHA District of the Odisha
State.

This is also to certify that she does not belong to the persons/sections (Creamy Layer) mentioned in
Column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No.
36012/22/93 Estt.(SCT) dated 08.09.1993**.

dgSign2031LocnDyna
Signature of the Revenue Officer
19/02/2022

**** This is a Computer Generated Statement And Does Not Require Signature ****

NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per sections 4, 5,& 6 of the 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.
(iii) For any Query or Verification, Agency /Department / Office may visit https://edistrict.odisha.gov.in
(iv) Tampering of this Certificate will attract penal action.

Reference No: E-OBC/2022/25539 To View: https://edistrict.odisha.gov.in/t/cc0kc/133B67CB Token No: 133B67CB