Kiosk Operator: PRASANTA KUMAR MAHARANA, 18, Ramabila

GOVERNMENT OF ODISHA
Office of the Tahasildar, Ranpur. Miscellaneous Certificate Case No: e-SEB/1974 of 2018

ANNEXURE-'C'
FORM OF CASTE CERTIFICATE FOR
SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE SEBC CERTIFICATE

This is to certify that Shri Hrusikesh Nayak Son of Shri Kartikeswar Nayak of village Kotanisila,District
Nayagarh 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 Hrusikesh Nayak and he/his family ordinarily reside(s) in the Nayagarh District of the State Odisha.
This is also to certify that he does not belongs 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.
This certificate is being granted only for the purpose of For Service.

Digitally signed by RAY MANAS

RAY Date: 2018.11.09 15:04:37

+05:30
Reason: e-District Orissa Portal
Location: Orissa
MANAS

Signature of the Applicant Signature of the Revenue Officer

Date : 09-11-2018

NOTE :
- It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
- This certificate is issued as per section 4, 5&6 of Information Technology Act 2000, and its subsequent amendments in
2008 and as per S.T & S.C Development, Minorities & Backward Classes Welfare Department notification number
1388/OBC(MW)-71/2012,dated 12.09.2012.
- For any query or verification, Agency/Department/Office may visit http://www.edistrictodisha.gov.in.
- Tampering of this certificate will attract penal action.