12852401182003709260

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. rajpatra1
2. rajpatra2
3. self decleraton
4. bonafide
5. grand father tc
6. grand father tc
7. father tc
8. adhar card
9. ration card 1
10 . ration card 2
11 . benifi adhar

CASTE CERTIFICATE

Outward No : 40174380872 Application Date : 18/01/2024

Rev Case No : MRC : 40174380872

This is to certify that Kumari Durga Pradip Kushwah Daughter of Shri Pradip Bhagchand
Kushwah of Village Arvi (M Cl), Tehsil Arvi, in the District Wardha of the State of Maharashtra
belongs to the KACHHI Caste which is recognised as Other Backward Class at Sr No.85 under
Government Resolution C.B.C.10/2008/C.R.597/MVK dated 18/10/2013 as amended from time to
time.

Kumari Durga Pradip Kushwah and/ or her family ordinarily resides in Village Arvi (M Cl), Tehsil
Arvi, in the District Wardha of the State of Maharashtra.

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Digitally Signed by
Arvi Vishwas Shirsath
Date:2024-01-23 6:40:38 PM
Place : Arvi Sub Divisional Officer
Date : 23/01/2024 (With the seal of Office) Arvi

Printed By ­OMTID : VLE Name :KARTIK ANANTRAO ZADE, Date:23/01/2024 4:42PM

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.