GOVERNMENT OF ODISHA
Office of the Tahasildar Saintala
Miscellaneous Certificate Case No: E-SEB/2023/476173
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri SITARAM BHOI son of Smt BASANTI BHOI and Shri SRIBATSA BHOI of
village Dunguripali P.S. , district BALANGIR in the State of Odisha belongs to the Gouda 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.
Shri SITARAM BHOI and his family ordinarily reside(s) in the BALANGIR 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
10/09/2023
**** 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/2023/476173 To View: https://edistrict.odisha.gov.in/t/6uOUd/4325EC4E Token No: 4325EC4E