GOVERNMENT OF ODISHA
Office of the Tahasildar Chatrapur
Miscellaneous Certificate Case No: E-SEB/2025/28709
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri PRASANT KUMAR PALLAI son of Smt RAJANI
PALAI and Shri SIBARAM PALAI of village Humuri P.S. , district GANJAM 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.
Shri PRASANT KUMAR PALLAI and his family ordinarily reside(s) in
the GANJAM 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
05/02/2025
**** 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/2025/28709 To View: https://edistrict.odisha.gov.in/t/xnZKf/4D9D45D0 Token No: 4D9D45D0