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GOVERNMENT OF ODISHA Office OF The Tahasidar Rampur Miscellaneous Certificate Case No: E-OBC/2021/81602 ANNEXURE-* FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA This is to certity that Sh SIDDHARTH SHANKAR PRADHAN son of Smt TULASI PRADHAN and Shri DILLIP KUMAR PRADHAN of village/town Dunguripali P.S. DUNGURIPALI in district SONEPUR in the stale Odisha belongs to the Kulta 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. Shri SIDDHARTH SHANKAR PRADHAN and his family ordinanly reside(s) in the district SONEPUR of the Odisha state. This is also to certify that he does not belong to the persons/sections (Creamy Layer) mentioned in Golumn 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" eet Signature of the Revenue Officer 26/04/2021 This fsa Computer Generated Statement And Does Not Require Signature" NOTE () his a digitally signed electronically generaed cerficate and therefore needs no ink-sgned signature {i) Ts Contiogie b aaved as por secton 4, 5,8 6 o Information Technology Act 2000 and is subsequent amendments in 2008 and as por Revenue 8 Disastor Management Deparment Noiicaion number IMU-1210-425UREOM. {Gi For any Overy or Verieation. Agen} opartment/ Ofice may vst hips ada govin {) Tampering ofthis Certiicale wil tact penal acon. Reference No: E-08C/2021V81602 To View: hpe:/tedistict dish gov nvUKDN1W/AB11B17D Token No ABN1¥70

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