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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. Beneficiary Living
2. Beneficiary Adhar
3. Eletric Bill
4. Applicant Living
5. Ration Card
6. Grand Father Death Certificate
7. Applicant Adhar
8. Grand Father Death Certificate
9. Ration Card

CASTE CERTIFICATE

Outward No : 40194944373 Application Date : 19/03/2024

Rev Case No : MRC : 40194944373

This is to certify that Kumar Avinash Arun Mahadole Son of Shri Arun Budaram Mahadole of
Village Sindi Turf Hindnagar City, Tehsil Wardha, in the District Wardha of the State of
Maharashtra belongs to the MALI Caste which is recognised as Other Backward Class at Sr No. 182
under Government Resolution CBC ­1467/M dated 13/10/1967 as amended from time to time.

Kumar Avinash Arun Mahadole and/ or his family ordinarily resides in Village Sindi Turf
Hindnagar City, Tehsil Wardha, in the District Wardha of the State of Maharashtra.

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Wa Digitally Signed by
rd ha Dipak Shivaji Karande
Date:2024-04-02 9:02:59 PM
Place : Wardha Sub Divisional Officer
Date : 02/04/2024 (With the seal of Office) Wardha

Printed By ­OMTID : VLE Name :MAYUR PURUSHOTTAM NAIKE, Date:02/04/2024 1:29PM

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.