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GOVERNMENT OF UTTAR PRADESH

FORM OF CASTE CERTIFICATE FOR SCHEDULED CASTES/ SCHEDULED TRIBE
BELONGING TO STATE OF UTTAR PRADESH
District Azamgarh
Tehsil Mehnagar ** Issue Date: 24/07/2020

Application No : 201910030068717
Certificate ID : 617204002268

This is to certify that GUDDI DEVI Wife of SIKARAM mother name INDRAVATI DEVI R/o Lakhanpur,Post Bibipur, लख्खनपुर
Tehsil Mehnagar ** District Azamgarh of the State of Uttar Pradesh belongs to Chamar Caste/Tribe which is recognised as a Scheduled
Caste / Scheduled Tribe under :-
The C onstitution (Scheduled C astes) Order 1950.
The C onstitution (Scheduled Tribes) Order 1950.
The C onstitution (Uttar Pradesh) Scheduled Tribes Order 1967.
The C onstitution Scheduled C astes and Scheduled Tribes Order (Amendment) Act 1976.
The Scheduled C astes and Scheduled Tribes Order (Amendment) Act 2002.

GUDDI DEVI and/or his/her family member ordinarily reside(s) in the Lakhanpur,Post Bibipur, लख्खनपुर of the Tehsil Mehnagar **
District Azamgarh of the State of Uttar Pradesh.

PAWAN KUMARDigitally Signed by PAWAN KUMAR SINGH

O=Personal, C=IN, CN=PAWAN KUMAR
SINGH,S=Uttar pradesh
Competent Authority/Tehsildar
Digitally Signed
SINGH Mehnagar **,Azamgarh
Date: 24/07/2020
Thi s Certi fi cate i s prepared by el ectroni c del i very system and di gi tal l y si gned by competent authori ty and sel f certi fi ed by the appl i cant.The
content of the certi fi cate may be veri fi ed on https://edi stri ct.up.gov.i n .

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