‘Kiosk Operator: UMA CHARAN MAHARANA, CSC, Gangaour.Surade GOVERNMENT OF ODISHA Office of the Tahasildar, Surada. Miscellaneous Certificate Case No: e-SEB/96 of 2019 ANNEXURE-'C’ FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE This is to certify that Shri KANHU SWAIN Son of Shri KANGRES SWAIN of vilage KHARIPALLL District Ganjam in the State of Odisha belongs to the Kalanji community which is recognized as a Socially and Educationally Backward Class under the Government of Odisha, Department of Tribal Welfare Resolution No. 32714 Emp. (Vii)-M-23/93 dated : 16.12.1995 (W) published in Odisha Gazatte(Supplement) No.40 dated 1-10-93, ‘Shri KANHU SWAIN and he/his family ordinarily reside(s) in the Ganjam District of the State Odisha. This is also to certify that he does not belongs to the personsisections (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 js being granted only for the purpose of HIGHER STUDY. JANI See. KURESH ee omtcmsrout CHANDRA — aren't Qale-—- ‘Signature of the Applicant ‘Signature of the Revenue Officer Date : 21-07-2019 NOTE: - Itis 8 digitaly signed electronically generated certificate and therefore neads no ink-signed signature. = This certificate is issued as per section 4, 586 of Information Technolgy Act 2000, and its subsequent amendments in 2008 and as per S.T & S.C Development, Minories & Backward Glasses Welfare Department notification number 1388/0BC(MM)-71/2012,daled 12.09.2012. - For any query or verification, Ageney/Department/Office may visit hlp:/Wwww.edistictodisha.gov.in. Tampering of this cortiteate wil atract ponal action.