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GOVEBNMENT OF ODISHA
Oflice oI the Tahasildar Keonihar
Miscellaneous Certificate Case No: E-SE8/20221297569
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY A D EDUCATIONALLY BACKWARD CLASSES OF THE STATE

This is to certily that Miss TAPASWINI MAHARANA daughterof Smt MEENA MAHARANA and Shri
GOURANGA MAHARANA of village Danardanpur P.S, SADAB , district KENDUJHAR in the State of
Odisha belongs to the Kamara community which is recognized as a Socially and Educationally Backvvard
Class under the Governmenl of Odisha, Departmenl of Tribal Welfare Resolution No. 25455 Emp. (Vii)-M-
23193 dated : 10. 09. 1993 (TW) published in Odisha Gazatte(Supplement) No.40 dated '! -10-93.

l/iss TAPASW|NI MAHARANA and her family ordinarily reside(s) in the KENDUJHAR District of the
State Odisha.

This is also to certify that she does not belongs to the persons/sections (Creamy layer) mentioned in
column 3 of the schedule appended to the ofJice memorandum No-4030/ dated 29-1 -1992, EMP (Vll)92-
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Digitally signed by RAGHUNATH TUDU
Da1e202209 16 10 20:37 +05:30
Signature of the Bevenue Officer
't6to9t2022

-*" Th tslsa puter Generated Statement And Does Not Require nature
NOTE
(a)lt is a digitally signed electronically generated certificate and thercIore needs no ink-signed signature"
(ii) This Certificate is issued as per section 4, 5,& 6 oI lnlormation Technology Act 2000 and its subsequent amendments in 2008 and as
per Revenue & Disaster Management Department Notification number IMU-13/104251/R&DM.
(iii) For any Query oI Verification , Agency /Depa.tment / Ofiice may visit httos:/i edistrtct.odts&l.qov.io
(iv) Tampering of lhis Certiiicate will attract penal action-

Relerence No: E-SE8/20221297569ToView: https://edistriet.odisha.gov.in/t/DdLHcl032359A Token No: 0382359A