GOVERNMENT OF ODISHA
Office of the Tahasildar Banarpal
Miscollanoous Cotificate Case Ne: E-SEB/2029/10906
ANNEXURE-C*
FORM OF CASTE CERTIFICATE FOR SOCIALLY AND EDUCATIONALLY BACKWARD CLASSES OF THE STATE
This is to ceriify that Shri CHANDRASEKHAR JENA son of Smt ANJALI JENA and Shri
DAYANIDHI JENA o/ village Kandaser (Part) (CT) PS. NALCO NAGAR , district ANUGUL in the
State of Odisha belongs to the Chasa community which is recognized as a Socially and Educationally
Backward Class under the Government of Odisha, Department of Tribal Welfare Resolution No. 25455
Emp. (Vii}-M-23/93 dated : 10. 09. 1993 (TW) published in Odisha Gazatte(Supplament) No.40 dated
1-10-93.
Shri CHANDRASEKHAR JENA and his family ordinarily reside(s) in the ANUGUL District of the State
Odisha.
This is also to certiy that he does not belongs to the persons/sections (Creamy layer) mentioned in
column 3 of the schedule appended to the office memorandum No.4030/ dated 29-1-1992, EMP
(vilge-93,
Signature of the Revenue Officer
16/01/2023
Dita siget by SUSANTA NA
Dateatzas 1607:8022 10520,
=" This is a Computer Genevaied Gtaioment And Does Not Requre Sgraure ==
[tis a dghally signed elecronicaly generated corancate ard therefore needs no ink-signed signature.
It) This Gertheate is issues as per section 4, 8,8 6 of Information Technology Act 2300 ane its subsequent amendments in 2008
and as per Revenue & Disaster Management Department Notfcation number INU-13/10-4251/R&DM.
Ii) For any Query o Verification, Agency (Department / Office may vist httas.//edistrit.ocisha,aov in
|v) Tampering of this Certificate wil attract penal action
Reference No: E-SER002118086 To View htps:/fedieiet delish gon fWOESAAIEBEY 0320 Toten No: EBS10626