GOVERNMENT OF ODISHA

Office Of The Tahasildar Baripada

Miscellaneous Certificate Case No: E-OBC/2023/461730
ANNEXURE-'B'
FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT
TO POSTS UNDER THE GOVERNMENT OF INDIA

This is to certify that Shri SAMARATHA BEHERA son of Smt SIROMANI BEHERA and Shri
LAXIRAM BEHERA of village/town TUNGADHUA P.S. BETNOTI in district MAYURBHANJ in the
state Odisha belongs to the Kumbharo 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 : 19.10.94.

Shri SAMARATHA BEHERA and his family ordinarily reside(s) in the district MAYURBHANJ of the
Odisha state.

This is also to certify that he does not belong to the persons/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**

dgSign2031LocnDyna

Signature of the Revenue Officer

30/09/2023

**** This is a Computer Generated Statement And Does Not Require Signature ****

NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per sections 4, 5,& 6 of the Information Technology Act 2000 and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification, Agency /Department / Office may visit https://edistrict.odisha.gov.in
(iv) Tampering of this Certificate will attract penal action.

Reference No: E-OBC/2023/461730 To View: https://edistrict.odisha.gov.in/t/IdNXd/71F79007 Token No: 71F79007