90167

In The Court of
P. Shivshankar, Sub Divisional Officer, Gadchiroli.

RCNO2131MRC 81/2013-2014
MOUZA Gadchiroli
Taluka GADCHIROLI

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Form of Caste Certificate to be issued Other Backward Classes, Vimukt Nomatic

Tribe(B, C & D), Special Backward Class and its synonyms belongs to StateJati(A),
of Maharashtra.
Documents Verified
1) Certificate of Taiathi Gadchiroli
2) School Leaving Certificate of Applicant's
3) Village Form No. 7/n2
4) Residence Proof
5) Cast Certificate of Relative
6) Schooi Leaving Certificate of Relative
7) Three Year's Income Certificate

This is to certify that Shri. Vedant Son of Shri. Sunil Sontakke of village
Gadchiroli Taluka GADCHIROLI District GADCHIROLI in the State Maharashtra
belongs
to the "GURAV" (Sr. No. 43) Caste which is recognized as a
Other Backward Class
under Government Resolution No. CBC- 1467 M Dt: 13-10-67. as amended from time to

time

2 Shri. Vedant Sunil Sontakke and His family crdinarily resides in village

Gadchiroli Taluka GADCHIROL! District GADCHIROLI in the State Maharashtra.

Officer
isionaf

Place Gadchiroli
Date 28-1-2al4
(Withseal of Offoe )
BeDalonatifce
G D GA LD
0 3 87
M /2014
Gadcblrol

Please delete the words which are iot applicabie.

Please quote the name of de; strmet and specific number and date of Resolution under which the Caste/Community/
Tribe has been recoçnized as OBC, VJ, NT or SBC by the Government of Maharashtra.

Note: The term 'ordinarily reside(s)" used here will have ina same tning as in section 20 ofthe representatien of the
people Act 1950