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DISTRICT CASTE CERTIFICATE SCRUTINY COMMITTEE DISTRICT CASTE CERTIFICATE SCRUTINY COMMITTEE

DISTRICT JALGAON DISTRICT JALGAON

Online Payment Receipt Application with supporting documents Receipt

Receipt No. : 21-22-JLG-398007


Dear Mr. SAISH KAILAS CHAUDHARI
Application Number: ED-2021-00372192
Your hard copy of online submitted application with supporting documents for Caste Certificate Verification
Applicant's Name: Mr. SAISH KAILAS CHAUDHARI
has been received to District Caste Certificate Scrutiny Committee, Jalgaon as per below details.
Transaction Ref: 51822656
Application Number: ED-2021-00372192
Transaction Date/Time: 20-10-2021 08:11:00 PM
Receipt No. : 21-21-JLG-398007
Receiver Bank Name: IDBI Bank
Applicant's Name: Mr. SAISH KAILAS CHAUDHARI
Mode of Payment: DC
Transaction Ref 51822656
Transaction Status: Success
Transaction Date/Time 20-10-2021 08:11:00 PM
Received Application fee of Rs.100 /- through online.
Application Fee Rs.100
Rupees in words One Hundred Rupees Only.
Transaction Status Success
Mode of Payment: DC
Application with supporting
documents Received on

Committee Seal
Important Note :
Please bring Payment receipt,Original and photo copy of requried documents with application form at respective
Committee Seal Signature of Authorized Person
District Caste Certificate Scrutiny Committee in working hours only.
Request you to submit application form with all neccesary documents within 30 days from the online Application
Submission Date.

Print Date: 20 Oct 2021 20:10:51 PM

This is computer generated receipt, hence does not required signature.

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