Acknowledgement Receipt

Token Number : 2451759241286600084994 Applicant Date 06/07/2024

Non Creamy Layer

Application For " Certificate Amount

Applicant's Name : Vijay Arjun Kudkar

Applicant Details

Full Name Vijay Arjun Kudkar Full Name (Marathi)

Date of Birth : 01/06/1978 Gender M

Address
B/405, Rosita Chs Ltd,, Lazarus Park, Behind Kajri Sweets, Goddev Naka, Bhayander
East, 401105.

Mobile 7900116612 Email ld : NA

Appar Tahsil Mira

District Thane Taluka Bhayandar Thane Taluka

Village
Mira-Bhayandar Current Occupation : Others
(Municipal Corporation.)

Beneficiary Details

Beneficiary Son
Relation

Category : OBC Caste : Kunbi(83)

Beneficiary Details
Full Name Tanmay Vijay Kudkar FullName (Marathi)

Date of Birth : 30/08/2006 00:00:00 Gender : M

Address : B/405, Rosita Chs Ltd, Lazarus Park, Behind Kajri Sweets, Goddev Naka, Bhayander
East, 401105.

Mobile Email ld :NA

: Thane Taluka Appar Tahsil Mira

District
Bhayandar Thane Taluka
Mira-Bhayandar
Village (Municipal Corporation.)

Reason EDUCATION

Applicant Sign
Applicant Name: Vijay Arjun Kudkar