FORM No.

I
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Puri
Miscellaneous Certificate Case No E-RES/2023/691976
RESIDENT CERTIFICATE

This is to certify that Sri BISWANATH SWAIN son of Smt KUMA SWAIN and Shri
DURYODHAN SWAIN , is a native/permanent resident of the district of PURI in the state of Odisha
and he/ his family is presently residing at Village/Town Kanheibidyadharpur P.S. CHANDANPUR
Tahasil Puri in the district of PURI in the state of Odisha for 2 year(s) & 06 month(s).

dgSign2031LocnDyna
Signature of the Revenue Officer
17/04/2023

**** This is a Digitally Signed Document And Does Not Require Signature ****

NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments
in 2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification , Agency /Department / Office may visit https://edistrict.odisha.gov.in
(iv) Tampering of this Certificate will attract penal action.

Reference No: E-RES/2023/691976 To View: https://edistrict.odisha.gov.in/t/PqWxd/DFA7DD4F Token No: DFA7DD4F