GOVERNMENT OF ODISHA
Office of the Tahasildar Tangi
Miscellaneous Certificate Case No: E-SEB/2024/44216
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Smt SANGEETA JENA daughterof Smt SABITA JENA and Shri SUBAS JENA ,
wife of Shri BIKASH PALEI of village Badapokharia P.S. NIRAKARPUR , district KHORDHA in the
State of Odisha belongs to the Khandayat 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-23/93 dated : 10. 09. 1993 (TW) published in Odisha Gazatte(Supplement) No.40
dated 1-10-93.
Smt SANGEETA JENA and her family ordinarily reside(s) in the KHORDHA District of the State Odisha.
This is also to certify that s h e 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
16/02/2024
**** 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/2024/44216 To View: https://serviceonline.gov.in/t/OpUse/EF8979EF Token No: EF8979EF
