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Kiosk Operator: GYANENDRA KU MOHANTY, 9, Rasulpur
GOVERNMENT OF ODISHA
Office of the Tahasildar, Rasulpur. Miscellaneous Certificate Case No: e-OBC/526 of 2019
ANNEXURE-'B'
FORM OF CERTIFICATE TO BE PRODUCED BY
OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA
{sto certify that Miss Yostna Rani Sahoo Daughter of Shri Chitta Ranjan Sahoo of village/town
Brahmabarada in District Jajpur 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.
12011/9/94-BCC dated :19/10/1994,
Miss Yostna Rani Sahoo and she/her family ordinarily reside(s) in the Jajpur District of the Odisha State,
This is also to certify that she does not belong to the personsi/sections (Creamy Layer) mentioned in Column 3 of
the Schedule to the Government of India, Department of Personne! & Training O.M. No, 36012/22/93-Estt (SCT)
dated 08.08.1993".
BHUJAB Zico”
AL JK Serene
er
- Signature of the Revenue Officer
‘Signature of the Applicant Date : 18-06-2019
NOTE:
+ Itis a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
+= This certiicate is issued as per section 4, 586 of Information Technology Act 2000, and its subsequent amendments in
2008 and as per S.T & S.C Development, Minorities & Backward Classes Welfare Department notification number
1388/0BC(MWN}-71/2012,dated 12.09.2012.
For any query or verification, Agency/Department/Ofice may visit htio:/www.edistrictodlsha, gov jn,
- Tampering of this certticate wil attract penal action
“As amended from time to time
