12842308110260848577

FORM ­ 8
[Rule No. 5 (6)]
Form of Caste Certificate for De­Notified Tribe (Vimukt Jati)/Nomadic Tribe/Other Backward
Class/Special Backward Category person belonging to the State of Maharashtra

Documents Verified
1 Other Issued By Applicant
.
2 Caste Certificate of the Relative Issued By SDO Amalner
.
3 Copy of School Leaving Certificate of beneficiary Issued By National Urdu High School Reg. 2886, Date­
. 20/06/2022
4 Copy of School Leaving Certificate of Father Issued By Nagar Parishad Shala No. 13, Date­ 15/06/2011
.
5 Copy of School Leaving Certificate of Grandfather Issued By Nagar Parishad School No. 13 Amalner
.
6 Identity card issued by Govt or Semi Govt organisations Issued By UIDAI
.
7 Ration Card Issued By Nayab Tahsildar Amalner
.
8 Other Issued By Applicant
.

CASTE CERTIFICATE

Outward No : 39691326786 Application Date : 11/08/2023

Rev Case No : MRC : 39691326786

This is to certify that Kumar Almas Mohammad Nasir Bagwan Son of Mr. NASIR BABULAL
BAGWAN of Village Amalner (M Cl), Tehsil Amalner, in the District Jalgaon of the State of
Maharashtra belongs to the Bagwan Caste which is recognised as Other Backward Class at Sr No.
182 under Government Resolution CBC­10/2006/P.No.94/MVC­5 dated 25/11/2006 as amended
from time to time.

Kumar Almas Mohammad Nasir Bagwanand/ or his family ordinarily resides in Village Amalner
(M Cl), Tehsil Amalner, in the District Jalgaon of the State of Maharashtra.

Divisio nal
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Digitally Signed by
r Mahadev V. Khedkar
Amalne
Date:2023-08-28 1:30:52 PM

Place : Amalner Sub Divisional Officer

Date : 28/08/2023 (With the seal of Office) Amalner

This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.
To verify visit https://www.mahaonline.gov.in/Verify OR SMS “MH<space>CSC<space>VRFY<20 digit Barcode number>” to 166 from a BSNL, MTNL, Tata Mobile and
51969 from others.