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GOVERNMENT OF ODISHA
Office of the Tahasildar Ballkuda
Miscellanoous Certiicate Case No: E-SEB/2021/177065
ANNEXURE-C"
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Miss ITISHREE LENKA daughterof Sm! ANJANA LENKA and Shri
RAGHUNATH LENKA of village DARADA P.S. BALIKUDA, district JAGATSINGHAPUR in the State
of Odisha belongs Khandayat to the 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-23/98 dated : 10. 09. 1993 (TW) published in Odisha Gazatte(Supplement) No.40 dated 1-
10-93.
Miss ITISHREE LENKA and her family ordinarily reside(s) in the JAGATSINGHAPUR District of the State
Odisha.
This is also to certity that she does not belongs to the persons/sections (Creamy layer) mentioned in
column 8 of the schedule appended to the office memorandum No.4030/ dated 29-1-1992, EMP (VII)92-
93,
‘ia ign by CHANDRAKANTA PANOA,
‘Dawezoaton 1 12:4047 4050
Signature of the Revenue Officer
18/08/2021
ais Conant Sana a oer Raa SS
nore
(tis a cigitaly signed electronical generated cartiicate and tharelore needs no ink-signed signetuxe.
(@ This Cercle i issued as por section 4, 5.8 6 o information Technology Act 2000 and ts eubsequent amendments in 2008 ard as
Ber Revenue & Disaster Management Department Noticaton rumber IML-19/10-4251/REDM.
(i) Fr any Query or Veriicalon , Agency /Oopartment/ Oce may visit htps:Medibict otsha gov in
(i) Tampering ofthis Corttieate wil tract penal action.
‘Reference No: E-SES/2021/177965 To View: psec. odleha.govnfQMmAL/SBSECSSC Token No; SBSECU6C