GOVERNMENT OF ODISHA
Office of the Tahasildar Khurda
Miscellaneous Certificate Case No: E-SEB/2024/582613
ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to certify that Shri RANI BALIARSINGH son of Smt RENU
BALIARSINGH and Shri BISWANATH BALIARSINGH of village Durgapur P.S.
JANKIA , district KHORDHA in the State of Odisha belongs to the Mahalayak
community which is recognized as a Socially and Educationally Backward Class
under the Government of Odisha, Department of Tribal Welfare Resolution
No. 529 Emp. (Vii)-M-23/93 dated : 24. 12. 2004 (M&BCW) published in Odisha
Gazatte(Supplement) No.40 dated 1-10-93.
Shri RANI BALIARSINGH and his family ordinarily reside(s) in the KHORDHA
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
12/01/2025
**** 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/2024/582613 To View: https://edistrict.odisha.gov.in/t/xZAGf/5499DDC3 Token No: 5499DDC3