NCL 2017-2020

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FORM.

9
I Rule No. 5(6) ]
Form of Gaste Gertificate for other Backward class person
applying for the purpose of.education under the Government of India.
CASTE CERTIFICATE
Documents Verified :-
1. Application of Shri. SANTOSH DATTATRAY NAGARE, Dated'.101312O17
2, BONAFIDE CERTIFICATE OF ANJALI SANTOSH NAGARE REG .NO.658 ISSUED BY PRINCIPAL OF
V K.KRISHNA MENON COLLEGE OF COMMERCE AND ECONOMICS & SCIENCE, BHANDUP DATED-22-02-
2017
3. AffidAVit Of: SANTOSH DATTARAM NAGARE AT SR.NO.822 DATED'10-03-2017
4. Caste Gertificate of SELFANJALI SANTOSH NAGARE, l'.1o. MAG/H-542 Dated 2006 issued by SUB
DIVISIONAL OFFICER, AHMEDNAGAR
5. SCHOOL LEAVING CERTIFICATE OF SANTOSH DATTARAM NAGARE REG.NO.l5SO ISSUED BY
PRINCIPAL OF VIKAS HIGH SCHOOL JR. COLLEGE, VIKHROLI DATED-31.05.1992
6. FORM NO. 16 OF FINANCIAL YEAR 2013.2014,2014.2015,2015.2016,ISSUED BY OFFICE OF THE
ADDL.COMMISSIONER OF POLICE, MUMBAI DATED-30.04-2016 RESPECTIVELY
7. RATION CARD NO.642836

This is to Certify that Ms. ANJALI SANTOSH NAGARE daughter of SANTOSH DATTARAM NAGARE
of Vittage - VIKROLI, Taluka - KURLA, MUMBAI SUBURBAN DISTRICT in the State of Maharashtra
belongs to the Mali Caste/Community at Sr. No.159 (Entry No. 159 in Central List) which is recognized
as a Backward Class under:
(i) Government of lndia, Resolution No. 12012I68/93-BCC(C) dated 1Oth September 1993 published
in the Gazette of lndia, Extraordinary, Part-|, Section-1, No.186, dated the 13th September 1993.
(ii) Government of lndia, Ministry of Welfare, Resolution No. 12011/9/94-BCC dated 19th October
1994 published in Gazette of lndia, Extraordinary, Part-|, Section-l, No. 163 dated 20th October'1994.
(iii) Resolution No. 1201117!95-BCC dated the 24th May 't995 published in the Gazette of lndia,
Extraordinary, Part-|, Section l, No.88 dated 25th May 1995.

Ms. ANJALI SANTOSH NAGARE and/or her family ordinarily reside(s) in the Village - VIKROLI, Taluka
- KURLA, MUMBAI SUBURBAN DISTRICT of the MAHARASHTRA State.

This is also to certify that she does not belongs to the persons/sections (Creamy Layer) mentioned in

column 3 of the Scheduled to the Government of lndia, Department of Personal and Training O.M. No.
36012122193 - Estt.(Set)dated 8th September 1993.

NAL o
Certificate Sr.No.: 35812017
Place
Dated 1 ti
: Mulund
JUru 2017 g, ( \ @w46r
Sub Divisional Office ) ( (Rajesh Shripatrao Katkar)
Eastern Suburban
o ( ) * Sub DivisionalOfficer
Mumbai Suburban Dist., Vidyavihar r
* i
) Eastern Suburban
KURLA TAHSIL SETU KENDRA Mumbai Suburban District
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KUROBCEDUz6I2O17 i)
T.NO. KUt12059t2017

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