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सामा य शासन िवभाग, श ा स न िनण य . राआधो ४ ० १ ९/ . . ३ १/१ ६ अ, िद. ३ १ . ० ५ .

२ ० २ १ सोबतचे स ह प

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Annexure­A
Government of Maharashtra
Documents
(This certificate has been issued on the basis of following proof/evidences/documents)
1. Application Form Date ­ 20/07/2023
2. Affidavit Date ­ 20/07/2023
3. Economically Weaker Section Eligibility Self­Declaration Date ­ 20/07/2023
4. UID No. 3633 6070 1262
5. UID No. 4133 8260 8952
6. Ration Card SK No. 847673, Page 1
7. Ration Card Page 2
8. School Leaving Certificate Reg No. 2020­21/5791
9. School Leaving Certificate Of Father Reg No. C2320
10. School Leaving Certificate Of Grandfather Reg No. 131
11. Income Tax Return Assessment Year 2023­24
12. Electricity Bill Consumer No. 160261099273

Certificate No.: 419351089503 Date: 03/08/2023

(Valid for Year 2023­2024 )


Eligibility certificate for Economically Weaker Section
( For the purpose of 10% reservation prescribed for Economically Weaker Section vide Government
Resolution सामा य शासन िवभाग, शासन िनणय . राआधो ४०१९/ . .३१/१६-अ, dated, 31.05.2021 )

This is to certify that, Kumar Ashutosh Rahul Dudhane is Son of Mr. Rahul
Tayram Dudhane is resident of S. No. 112/4B, Shivshakti Nagar, Sutardara, Paud Road,
Village Kothrud Taluka Haveli District Pune And He belongs to ­ HINDU MARATHA
caste/sub caste / class which is not included in the cadres mentioned in the Maharashtra State
Public services, (Schedule Caste, Schedule Tribes, De­notified Tribes ( Vimukta Jati), Nomadic
Tribes, Special Backward category and Other Backward Classes) Act, 2001 ( Maharashtra Act
No 8 of 2004 )
As per norms prescribed Vide Government of Maharashtra, General Administration
Department, and Government Resolution No. राआधो ४०१९/ . .३१/१६-अ, dated 12 February,
2019. His/ Her gross family annual income for Year 2022­2023 from all source is Rs.
441550.00/­ which is less than Rs.8,00,000/­. Therefore it is certified that he/ she is within
category of Economically Weaker Sections.

Digitally Signed by
KIRAN MAGAN SURAVASE
Date:2023-08-03 11:31:30 AM

Place : Haveli Tehsildar


Date : 03/08/2023

Printed By ­OMTID : VLE Name :MEENAL DNYANESHWAR MENGADE, Date:03/08/2023 9:39AM

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