GOVERNMENT OF ODISHA Office of the Tahasildar Bhadrak Miscellaneous Certificate Case No: E-SEB/2021/134222 ANNEXURE-C" FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE This is to certify that Shri SAROJ KUMAR MOHAPATRA son of Smt MANARAMA MOHAPATRA. and ShriSARAT KUMAR MOHAPATRA of village Kaupur P.S. BHADRAK RURAL , district BHADRAK in the State of Odisha belongs Khandayat to the community which is recognized as a Socially and Educationally Backward Class under the Government of Odisha, Department of Tribal Welfare Resolution No. 25455 Emp. (Vii)-M-23/93 dated : 10. 09. 1993 (TW) published in Odisha Gazatie|Supplement) No.40 dated 1-10-93. Shri SAROJ KUMAR MOHAPATRA and his family ordinarily reside(s) in the BHADRAK District of the State Odisha. This is also to certify that hedoes not belongs to the persons/sections (Creamy layer) mentioned in column 3 of the schedule appended to the office memorandum No.4030/ dated 29-1-1992, EMP (VII)92- Otay sores by DAS MINAKE Baueatat or aos 4300550 Signature of the Revenue Officer 13/07/2021 c == Tiss a Comput Genera Sarin Ar oes Nat Requra Snare = NOTE (i itis a digtally signed electronically generated certificate and therefore needs no ink-signed signature. {in This Certticate Is issued as per section 4, 8,8 6 of Information Technology Act 2000 and its subsequent amendments in 2008 and as ‘per Revenue & Disaster Management Department Notiication number IMU-10/10-4251/R&DM. (i) For any Query or Verticaion , Agency /Department / Office may visit htps/edstrictodisha,gov.in (iv) Tampering ofthis Cerificate wil attract penal action Reference No: E-SEB/2021/134222 To View: htpsleditritodisha.gov inw7RSb/IFC9GFT1 Token No: 1FCQQF71