AFFADAVIT 4 |, HARI KRISHNA SAHU S/o SAHU CHITRASEN, Hindu, Aged 21 years, Resident of D.No- 12-42-4/5, Gowsiya Street, BC Road, Gajuwaka, Visakhapatnam — 530.025 , do hereby state on solemnly affirmation as under: | hereby dectare that | am citizen of india and Do hereby solemnly affirm and oaths follows:- having Aadhar Card No.- $731 0794 1588 for Proof in Support af identification. 1. | submit that | belongs to “GUDIA, SL. No- 28. (BC-B}" Community / caste which is recognized as Backward classes welfare (C) department read the following .G.0 Ms.No.1793, Education Department dated 23.09.1970 as amended from time to time. 2. | hereby declare that my father was working as Daily wage Labor and getting Rs. 96, 000/- (Rupees Ninety Six thousand) per annum. We don't have any movable or immovable properties except the above said earnings only. We comes under Below Poverty Line (BPL) Category having my White Ration / Rice card No: 2817454427. 3. Previously Gajuwaka Tahsildar issued a Income Certificate to me name HARI KRISHNA SAHU, Application No ~1€221219015546 & dated : 04-01-2023, ci 4. | hereby dectare that | do not belongs to the person/section (Creamy Layer) mentioned in CoLNo3 of the Schedule to the Govt. of India, Dept of Personnel and Training (0.M.No.36012/22/93-Estt{SCT) 1.08-09-1993,Which is modified vide O.M.No: 36033/3/2004, Estt.(Res), dt: 03/03/2004 and 0.M. No ~ 36033/3/2004, Estd. (res) dated:14" October 2008. 5. Previously Gajuwaka Tahsildar issued 3 Caste Certificate to me name HARI KRISHNA SAHU, Application No ~ CGCO11713233651 & dated - 29-07-2017. 6. | humbly submit that | ami applying for OBC Certificate. This affidavit is being submitted with requesting to the concern authorities to issue 3 “NEW OTHER BACKWARD CLASS (OBC)" Certificate in favour of myself name HARI KRISHNA SAHU for my further Employment, Education , Scholarship, Central / State Jobs , Central institute Admission, Student Loans and other Govt. welfare schemes purpose with humanitarian grounds. The facts stated above are true and correct and nothing is concealed or misrepresented in this regard. (HARI KRISHNA SAHU) HEMA LATHA asimtamea 0 -22/C Pilhapuram Colony NOTARY VISAKHAPATNAM-530 07%, VISAKHAPATNAM Cell 9399963092 9502°35 Andhra Pradesh, indiePaD- ard Swmocdan ES 60GH55 Hzde50 \ ae ——+ GWSD 06772503 (GOVERNMENT OF ANDHRA PRADESH REVENUE DEPARTMENT Date : 27/10/2023 ‘This & to certify thet the annual income from all Sources of Sr/Srimethy/Kumarl CHITRASEN SAMU Flo / Wo / Wo SAHU HARI KRISHNA resident of H.No. 12-42-4/5, village GAIUWAKA , Mandal Gajuwaka , District VISAKHAPATNAM of State Andhra Pradesh © Rs. 96000 (Rupées ‘Ninety $& Thousand Oniy). The Aadhsar Number, applicant Ss KXAX-KAXK-2388. This Certficate ts issued for the purpose of fling application for sancton of Schobrship/ Fee reimbursement, avalment of benefts under any stheme of Government, as requested by the applicant. This certfiate willbe vakd for @ period of four (4) veers from the date of issue. 1A COT IO TO COCD: __cttitin _. ‘Note: This is @ Digitally Signed Cartiicate, does not require physical signature, And this certificate can be verified at www.gramawardeschivalayam.ap govin by furnishing the application number mentioned in the Certificate.(An Institution of Priyadarshini Educational Academy) AAC C ACCREDITED ¢ oe ‘Shrarrika Nagar, Chinegantyads, Gajuweks. (atin to Andra University, Watt Vie AU: Le No: cuits) 2584/01 (Dated 3-9-1991) @ M.V.R. DEGREE COLLEGE TRANSFER CERTIFICATE Rollo. 7IFVSOHOSORE te.no.: 8968 Admission No. \34R4 4) Name of the Pupil (in full) » Bho es trohno— 2) Name of the Parent/ Guardian/Mother . Chilroren Soho O1.0\-2OOR 3) Date of Birth as entered in the oO Gne— SOrEreK puso Zero wets 4, 2) Nationality and Religion 1s ‘admission Register (in words) son~ Be-B Godi ya TWues Bide “MAPC a . ° i TRon bay 7) Date of admission in to the College 1b) Whater the candidate belongs to SC/ST or BC iso, State caste and group in case of BCISC/ST : 5) Class studying at the time of leaving the college ead la-Orm 2019 4) Date on which the candidate efthe Colege = rhe weed fos TY’ 10) Whether appiied for TC or esued on SUO MOTTO 3h 05: 2028 {1) General Conduct and Progress Applied 412) Date of Transfer Certincate | ped 0: OF RORD PrincipalCo-orciator ‘PRIWC MMR, DEGREE COLLEGE ‘Stvamixa Hagar, Gan” VISAKHAPATNAM -£ ape ge S = Ap |e