GOVERNMENT OF ODISHA

Office of the Tahasildar Khaira

Miscellaneous Certificate Case No: E-SEB/2024/56499
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE

This is to certify that Miss SANGHAMITRA SAHOO daughterof Smt GITANJALI SAHOO and Shri
SANJAY KUMAR SAHOO of village PADUNA P.S. KHAIRA , district BALESHWAR in the State of
Odisha belongs to the Bania 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 Gazatte(Supplement) No.40 dated 1-10-93.

Miss SANGHAMITRA SAHOO and her family ordinarily reside(s) in the BALESHWAR District of the State
Odisha.

This is also to certify that s h e does not belong 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-
93.

dgSign2031LocnDyna

Signature of the Revenue Officer

06/02/2024

**** This is a Computer Generated Statement And Does Not Require a 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 with this Certificate will attract penal action.

Reference No: E-SEB/2024/56499 To View: https://edistrict.odisha.gov.in/t/UZ6qe/7507D79C Token No: 7507D79C