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12842008101014380563

Form­ 6
Rule No. 5(6) and 6(1)(a)
FORM OF CASTE CERTIFICATE FOR PERSON BELONGING TO SCHEDULED CASTE
(For Ordinary residents of Maharashtra)

CASTE CERTIFICATE
Outward No : 42011292118 Application Date : 10/08/2020
Rev Case No : MRC : 42011292118
This is to certify that Shri/Shrimati/Kumari Borade Surekha Sahadeo Daughter of
Shri/Shrimati Borade Sahadeo Mukta of Village/Town Hiwargaon Pawasa taluka Sangamner, in
District/Division Ahmednagar of the State of Maharashtra belongs to the Chambhar caste Sr.No.
11 which is recognized as a Scheduled Caste under:

#The Constitution (Scheduled Castes) Order,1950.


#The Constitution (Scheduled Tribes) Order, 1950.
#The Constitution (Scheduled Castes) (Union Territories) Order, 1951.
#The Constitution (Scheduled Tribes) (Union Territories) Order, 1951.
(As ameneded by the Scheduled Castes and Scheduled Tribes lists (Modification) order, 1956 the
Bombay Reorganization Act, 1960, the Punjab Reorganization Act.1966, the State of Himachal Pradesh Act,
1976, the North Eastern Areas(Reorganization) Act, 1971and the Scheduled Castes and Scheduled Tribes
Orders(Amendment) Act, 1976).
#The Constitution (Jammu and Kashmir) Scheduled castes Order, 1956.
#The Constitution (Andman and Nicobar Islands) Scheduled Tribes Order, 1959 as amended by the
Scheduled Castes and Scheduled Tribes Orders(Amendment) Act, 1976.
#The Constitution (Dadra and nagar Haveli) Scheduled Castes Order, 1962.
#The Constitution (Dadra and nagar Haveli) Scheduled Tribes Order, 1962.
#The Constitution (Pondicherry) Scheduled Castes Order, 1964.
#The Constitution (Scheduled Tribes) (Utter Pradesh) Order, 1967.
#The Constitution (Goa, Daman, Diu) Scheduled Castes Order, 1968.
#The Constitution (Goa, Daman, Diu) Scheduled Tribes Order, 1968.
#The Constitution (Nagaland) Scheduled Tribes Order, 1970.
#The Constitution (Sikkim) Scheduled Castes Order, 1978.
#The Constitution (Sikkim) Scheduled Tribes Order, 1978.

Shri/Shrimati/Kumari Borade Surekha Sahadeo and/ or her family ordinarily reside(s) in


Village/Town Hiwargaon Pawasa Tehsil Sangamner in the District/Division Ahmednagar of the
State Maharashtra.

Digitally Signed by
SHASHIKANT MANGRULE
Date:2020-08-12 6:41:09 PM

Place : Sangamner Sub Divisional Officer


(With the seal of Office)
Date : 12/08/2020 Sangamner
Printed By ­OMTID :MH021800218 VLE Name :SHWETA ANIL KADHANE , Date:12/08/2020 4:06PM

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.

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