GOVERNMENT OF ODISHA
Office of the Tahasildar Telkoi
Miscellaneous Certificate Case No: E-SEB/2025/179683
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri DEEPAK BARIK son of Smt DIPA BARIK and Shri
DUSHMANTA BARIK of village Karamangi P.S. , district KENDUJHAR in the
State of Odisha belongs to the Gopal community which is recognized as a
Socially and Educationally Backward Class under the Government of Odisha,
Department of Tribal Welfare Resolution No. 34905 Emp. (Vii)-M-23/93 dated :
30. 11. 1994 (W) published in Odisha Gazatte(Supplement) No.40 dated 1-10-93.
Shri DEEPAK BARIK and his family ordinarily reside(s) in the KENDUJHAR
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
25/04/2025
**** 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/2025/179683 To View: https://edistrict.odisha.gov.in/t/PnMcg/DBF037FD Token No: DBF037FD