{Kiosk Operator: MANENORA GHAD 17, €5C Badanerjana Danarpal Anaul Mob:9737907968 9060000804 GOVERNMENT OF ODISHA Office of the Tahasidar, Banarpal, Miscellaneous Certificate Case No: e-OBCI920 of 2018 ‘ANNEXURE-B" FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES 'S UNDER THE GOVERNMENT OF INDIA hri MANMATH MUDULL of vilage/town PARIPARA in This to cerify hat Shei SIKRAM District Angul inthe State Ocisha belongs to the Kumbhar community which is recognized as a backward class Under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No.12011/9/94-BCC dated :19/1011994, Shri BIKRAM MUDULI and he/his family ordinal reside(s) in the Angul Distict of the Odisha State. is also to certify that he does not belong tothe personsi/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". SAHOO ESSEC JITENDRA See *SS KUMAR SSS = ignature of the Revenue Officer Date : 16-06-2018 Signature of the Applicant NOTE: = Its a digtaly signed electronically generated certificate and therfore needs n ink-signed signature = This certificates ssued as per secon 4, 586 of Iformaton Technology Act 2000, andits subsequent amendments 2008 and as per S.T& S.C Development, Minories & Backward Classes Welfare Department natifcaton number 1988/08C(MW)-7172012,dated 12.09.2012. For any query or veieation, Agency/DepartmenUOffce may visit Ntww.edistctodisha gov in + Tampering of tis ceritcat wil atract pena action “As amended fom time to time