GOVERNMENT OF ODISHA
Office of the Tahasildar Sarskana
Miscellaneous Certificate Case No: E-SEB/2023/123502
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri JEEVANDEEP MOHANTA son of Smt DEEPANJALI MOHANTA and Shri
MANOJ MOHANTA of village Ghiajodi P.S. JHARPOKHARIA , district MAYURBHANJ in the State of
Odisha belongs to the Kudumi community which is recognized as a Socially and Educationally Backward
Class under the Government of Odisha, Department of Tribal Welfare Resolution No. 11177 Emp. (Vii)-M-
23/93 dated : 01. 05. 1995 (W) published in Odisha Gazatte(Supplement) No.40 dated 1-10-93.
Shri JEEVANDEEP MOHANTA and his family ordinarily reside(s) in the MAYURBHANJ District of the
State Odisha.
This is also to certify that he 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
23/03/2023
**** 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/2023/123502 To View: https://edistrict.odisha.gov.in/t/NQHrd/3F2D8DF1 Token No: 3F2D8DF1