GOVERNMENT OF ODISHA
Office of the Tahasildar Dasarathpur
Miscellaneous Certificate Case No: E-SEB/2024/516257
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri ASHISH ROUT son of Smt PARBATI ROUT and Shri
RASANANDA ROUT of village Dattapur P.S. MANGALPUR , district JAJAPUR
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 ASHISH ROUT and his family ordinarily reside(s) in the JAJAPUR 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
30/11/2024
**** 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/2024/516257 To View: https://edistrict.odisha.gov.in/t/RRr9f/E179F3A1 Token No: E179F3A1