ा ान ं ा ा ं ा
7WSI6032 HRBC/2025/811680
Parivar Pehchan Number Certificate Number
ा ा का
Government of Haryana
ि ा ग ा
Backward Class Certificate
ाि दक ा ा ा दक ी ि न कु ा ु ी ा कु ा िन ा ी H.No.-80,Landmark -BALSAMAND ROAD
HISAR HARYANA 125001, Vill/Town -Chandan Nagar 145, District -HISAR, Pin-125001, गाँ Chandan
Nagar 145, ी ि ा ,ि ाि ा , ा ा ा क Kumhar ाि ं ं ख ा ाि का ख ा ा
ि ग( ा ा ि क ं ान िािख ) ि िन , 2016 (2016 का 15) क नु ू ी "I" , ि ा ग
क " " दक ा ग ा
This is to certify that Mr. SACHIN KUMAR son of Mr. RAM KUMAR resident of H.No.-80,Landmark -
BALSAMAND ROAD HISAR HARYANA 125001, Vill/Town -Chandan Nagar 145, District -HISAR,
Pin-125001, Village Chandan Nagar 145, Tehsil HISAR, District HISAR in the State of Haryana belongs to
Kumhar Caste. This caste is mentioned in the Backward Class Block "A" in Schedule "I" to the Haryana
Backward Classes (Reservation in Services and Admission in Educational Institutions) Act, 2016 (15 of
2016).
ी ि न कु ा / ा नका ा ा ा ा H.No.-80,Landmark -BALSAMAND ROAD HISAR HARYANA
125001, Vill/Town -Chandan Nagar 145, District -HISAR, Pin-125001, गाँ Chandan Nagar 145, ी
ि ा ,ि ाि ा , ा ा ा ा
Mr. SACHIN KUMAR and/or his family ordinarily reside(s) in H.No.-80,Landmark -BALSAMAND ROAD
HISAR HARYANA 125001, Vill/Town -Chandan Nagar 145, District -HISAR, Pin-125001, Village Chandan
Nagar 145 of Tehsil HISAR, District HISAR of the Haryana State
ाि दक ा ा ा दक ा ा ा क ि ू ना क ाक 40/13/2024-1SW, दिनांक 16.07.2024 क नु ा
न ग ं ंि न
This is to certify that he does not belong to creamy layer as per the Haryana State notification no.40/13/2024-
1SW dated 16.07.2024.
ा ीक ा (Issued by)
Place: HISAR
ान: ि ा
ि ा ु -
ि ा नाग क ं ा न ू ना ि का ी
Dated: 18/08/2025 ि ा: ि ा
दिनांक: 18/08/2025 Additional Deputy Commissioner-cum-District
Citizen Resources Information Officer
District: HISAR
This certificate is electronically generated and authenticity of this certificate can be verified from
https://edisha.gov.in//d.aspx?r=9981FC30
