Caste Certificate (Part A) : Form B 2 (Amended) RULE 5 (5) (4) (IV)

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12872402232004048335

Form B­2 (Amended)


RULE 5(5)(4)(IV)
Form of Caste Certificate to be issued Other Backward Classes, Vimukta Jati (A) Nomadic
Tribes (B,C & D), Special Backward Class, Educationally and Socially Backward Class and
Special Backward Class (A) and its synonyms belong to State of Maharashtra
Documents Verified
1 Bonafide Of Beneficiary
2 Caste Certificate issued by the Local Competent Authority
3 Income Certificate for the last 3 years issued by the Tahsildar
4 Photo ID of Applicant
5 Copy of Ration Card
6 Copy of School Leaving Certificate of Father
7 Copy of Kotwal Book of Grandfather
8 Self Declaration

SDO/Non Creamy OBC Reg./Case No /Year: 2023 ­ 2024


Outward No : 40214589904 Dated: 23/02/2024

CASTE CERTIFICATE (PART­A)


This is to certify that Kumar Gaurav Prakash Rode Son of Shri Prakash Bajirao Rode of
village Wadner, taluka Hinganghat, district Wardha of the State of Maharashtra belongs to the Teli
(181) caste which is recognized as Other Backward Class under the Government Resolution No
CBC1468/M dated 24/04/1968 as amended from time to time.
Kumar Gaurav Prakash Rode and/or his family ordinarily reside(s) in village Wadner,
taluka Hinganghat, district Wardha of the State of Maharashtra.
NON­CREAMY LAYER CERTIFICATE (PART­B)
T h i s i s t o c e r t i f y t h a t Kumar Gaurav Prakash Rode does not belong to the
persons/sections (Creamy­layer) mentioned in the Government of Maharashtra Gazette, Part IV­B,
dated 29th January 2004, Maharashtra State Public Service Commission (Reservation for
S.C./S.T./D.T.(V.J.)N.T., S.B.C. & O.B.C. Act, 2001 and instructions and guidelines laid down in
the Government Resolution, Social Justice, Cultural Affairs, Sports and Special Assistance
Department No. CBC­10/2001/Pra.Kra.120/Mavak­5, dated 1st November 2001, CBC­
1094/Pra.Kra.86/Mavak­5, dated 16th June, 1994, CBC­1094/Pra.Kra.86/Mavak­5, dated 5th June,
1997 and Government Resolution No.CBC­ 10/2001/Pra.Kra.111/Mavak­5, dated 29th May 2003
and Government Resolution No. VJNT­2014/C.R.118/VJNT­1, dated 31st July 2014
This Certificate is valid for the period upto 31­Mar­ 2026 from the date of issue.

Digitally Signed by
Shilpa Kamlesh Sonale
Date:2024-03-05 2:37:47 PM

Place : Hinganghat Sub Divisional Officer


Date : 05/03/2024 (With the seal of Office) Hinganghat
Printed By ­OMTID : VLE Name :SACHIN SUDHAKARRAO KAMDI, Date:05/03/2024 10:56AM

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.

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