12842304206002240311

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 Relation Certificate (Relation Self) Relation Self Of Pawar
.
2 Copy of Ration Card SC No. 695053
.
3 Copy of Birth Certificate Vaibhav Shailesh Pawar Reg. No. 740060164 Dated 08/08/2007 Issued by Municipal
. Corporation Of Greater Mumbai
4 Copy of Aadhar Card Vaibhav Shailesh Pawar 8842 5853 0653
.
5 Copy of School Leaving Certificate Of Father Shailesh Kisan Pawar Reg. No. 2576 Dated 06/09/2001 Issued By
. New English School
6 Copy of School Leaving Certificate Of Grandfather Kisan Sakharam Pawar Reg. No. 99 Dated 25/09/1979 Issued
. by Ku. G. Parishad Marathi School
7 Self Declaration Shailesh Kisan Pawar
.
8 Form No 2 Shailesh Kisan Pawar
.

CASTE CERTIFICATE

Outward No : 41856086472 Application Date : 20/04/2023

Rev Case No : MRC : 41856086472

This is to certify that Kumar Vaibhav Shailesh Pawar Son of Mr. Shailesh Kisan Pawar of Village
Appartudil, Tehsil Mahad, in the District Raigarh of the State of Maharashtra belongs to the Kunbi
Caste which is recognised as Other Backward Class at Sr No.83 under Government Resolution
CBC­1467/M dated 13/10/1967 as amended from time to time.

Kumar Vaibhav Shailesh Pawar and/ or his family ordinarily resides in Village Appartudil, Tehsil
Mahad, in the District Raigarh of the State of Maharashtra.

Digitally Signed by
Pratima Pudalwad / Shengulwar
Date:2023-05-02 11:42:38 AM
Place : Mahad Sub Divisional Officer
Date : 28/04/2023 (With the seal of Office) Mahad

Printed By ­OMTID : VLE Name :RAJENDRA SUNDAR KADU, Date:28/04/2023 6:23PM

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.