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GOVERNMENT OF KARNATAKA
Certificate Printing(Reprint)
REVENUE DEPARTMENT
FORM-F
Ack No: RD0038048116631 Search Office of Tahsildar,
Athni Taluk,
Date: 11/09/2019
FacilityName Ack. No ApplicantName FatherName Document Type
INCOME AND CASTE CERTIFICATE
Caste and Income Certficate RD0038048116631 SHIVARAJ PUJARI SIDDAPPA C
Certificate
View the Draft Copy. If it No:
is a correct
allowed to print the certificate
certificate, pay the
RD0038048116631 *RD0038048116631*
service charge Rs.25 by clicking PAY SERVICE FEE button. After successful payment, you will be
This is to certify that Kumar. SHIVARAJ PUJARI S/O Sri. SIDDAPPA(Father Name) and
Draft View Pay Service Fee
Smt. GIRIJABAI (Mother Name) residing at Shivanur , Athani , BELAGAVI , 591232 of Shivanur
( Shivanur ) Village/Ward, Ananthpur Hobli, Athni Taluk, Belagavi District and his/her family
does not come within the purview of creamy layer specified in Government Order No.:Himvaka 304
BCA 2017; Dt: 14.09.2018.
Either the applicant or his/her/parents/guardian/wife/husband is not class-I or class-II officer in the
service of the Government;
OR
Does not hold an equivalent post in Public Sector Undertaking;
OR
Is not an employee under a Private Employer and drawing a salary which is not less than that of a
Class-II Officer (initial stage of the pay scale of Rs.22800-43200/-)
OR
His/Her Father, Mother/Guardians Gross Annual Income does not exceed Rs.8.00 lakhs (Rs. Eight
Lakhs)
OR
Certified that Kumar. SHIVARAJ PUJARI S/O Sri. SIDDAPPA residing at Shivanur , Athani
, BELAGAVI , 591232 of Shivanur ( Shivanur ) Village/Ward, Ananthpur Hobli, Athni Taluk,
Belagavi District belongs to caste Kurab of Category I I (A) of the Backward Classes and
certified that his/her family annual income is Rs. 16000 /- ( Rs. sixteen thousand only. ).
This certificate is valid for five year.
Date:11/09/2019
Note : This is a digitally signed certificate and does not require manual signature.
BARCODE
Please, verify authenticity of this certificate by visiting
www.nadakacheri.karnataka.gov.in & entering certificate Number or by SMSing KA
NK <certificate Number> to 161.
Name: REJESH BURLI
Tahsildar
Athni Taluk
Belagavi District