12842306244004126960
FORM 8
[Rule No. 5 (6)]
Form of Caste Certificate for DeNotified Tribe (Vimukt Jati)/Nomadic Tribe/Other Backward
Class/Special Backward Category person belonging to the State of Maharashtra
Documents Verified
1. Copy of Ration Card
2. Caste Certificate Of Uncle
3. Caste Certificate Of Brother
4. Copy of School Leaving Certificate Of Grandfather
5. Copy of School Leaving Certificate Of Beneficiary
6. Copy of Birth Certificate
7. Copy of Aadhar Card
8. Shaptpatrak
9. father Death certificate
10 . P1
11 . Kar Akarni
12 . Abhilekh Panji
13 . Wanshawali
14 . Swaghoshna Patra
CASTE CERTIFICATE
Outward No : 40654305143 Application Date : 24/06/2023
Rev Case No : MRC : 40654305143
This is to certify that Shri Bhimrao Vasanta Bhusari Son of Mr. Vasanta Kondu Bhusari of
Village Wakrla, Tehsil Bhisi, in the District Chandrapur of the State of Maharashtra belongs to the
Kunbi Caste which is recognised as Other Backward Class at Sr No. 8 3 under Government
Resolution CBC1467/M dated 13/10/1967 as amended from time to time.
Shri Bhimrao Vasanta Bhusari and/ or his family ordinarily resides in Village Wakrla, Tehsil Bhisi,
in the District Chandrapur of the State of Maharashtra.
Divisio nal
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Digitally Signed by
Chimur Kishor Ghadge
Date:2023-07-17 6:27:34 PM
Place : Bhisi Sub Divisional Officer
Date : 17/07/2023 (With the seal of Office) Chimur
Printed By OMTID : VLE Name :Hakeshwar Sahare, Date:17/07/2023 10:43AM
This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.
To verify visit https://www.mahaonline.gov.in/Verify OR SMS “MH<space>CSC<space>VRFY<20 digit Barcode number>” to 166 from a BSNL, MTNL, Tata Mobile and
51969 from others.