प रवार प चान ं या मा प ं या
7DTQ7999 HRBC/2025/572626
Parivar Pehchan Number Certificate Number
रया ा रकार
Government of Haryana
िप ा वग मा प
Backward Class Certificate
य माि दकया ा ा ै दक ु ी पूनम पु ी ी पवन कुमार िनवा ी H.No.-H NO558 1,Landmark -NEAR MC RAJBIR
HOUSE INDIRA COLONY, Vill/Town -Ward 1, District -ROHTAK, Pin-124001, श र रो क, ील रो क,
ि ला रो क, रा य रया ा क Saini ाि े ंबं रख ी ै ाि का लेख रया ा िप े वग ( ेवा ा शै ि क
ं ान म िािखले म र ) ि िनयम, 2016 (2016 का 15) क नु ूची "II" म, िप ा वग लॉक "बी" म दकया गया ै
This is to certify that Ms. PUNAM daughter of Mr. PAWAN KUMAR resident of H.No.-H NO558 1,Landmark -
NEAR MC RAJBIR HOUSE INDIRA COLONY, Vill/Town -Ward 1, District -ROHTAK, Pin-124001, City
ROHTAK MC, Tehsil ROHTAK, District ROHTAK in the State of Haryana belongs to Saini Caste. This caste
is mentioned in the Backward Class Block "B" in Schedule "II" to the Haryana Backward Classes
(Reservation in Services and Admission in Educational Institutions) Act, 2016 (15 of 2016).
ु ी पूनम र/ वा नका प रवार ामा य या H.No.-H NO558 1,Landmark -NEAR MC RAJBIR HOUSE INDIRA
COLONY, Vill/Town -Ward 1, District -ROHTAK, Pin-124001, श र रो क, ील रो क, ि ला रो क, रा य
रया ा म र ा ै
Ms. PUNAM and/or her family ordinarily reside(s) in H.No.-H NO558 1,Landmark -NEAR MC RAJBIR
HOUSE INDIRA COLONY, Vill/Town -Ward 1, District -ROHTAK, Pin-124001, City ROHTAK MC, Tehsil
ROHTAK, District ROHTAK of the Haryana State
य माि दकया ा ा ै दक व रया ा रा य क ि ूचना कमाक 40/13/2024-1SW, दिनांक 16.07.2024 के नु ार
नवो वग े ंबंि न ै
This is to certify that he/she does not belong to creamy layer as per the Haryana State notification
no.40/13/2024-1SW dated 16.07.2024.
ारीक ा (Issued by)
Place: ROHTAK
ान: रो क
ि र पयु -
ि ला नाग रक ं ा न ूचना ि कारी
Dated: 15/06/2025 ि ला-रो क
दिनांक: 15/06/2025 Additional Deputy Commissioner-cum-District
Citizen Resources Information Officer
District: ROHTAK
This certificate is electronically generated and authenticity of this certificate can be verified from
https://edisha.gov.in//d.aspx?r=0735E12D