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www.maharashtra.gov.in
201407161103499322 .
.
.

Ramhari
Dagdu
Shinde

Digitally signed by Ramhari Dagdu

Shinde
DN: c=IN, o=Government of
Maharashtra, ou=Social Justice
&Spl Assistance,
postalCode=400032,
st=Maharashtra, cn=Ramhari
Dagdu Shinde
Date: 2014.07.16 11:12:46 +05'30'

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-
Form of certificate to be issued to Educationally and Socially Backward Category
persons belonging the state of Maharashtra.
Documents verified :-

(1)
(2)
(3)
(4)
CASTE CERTIFICATE

This is to certify / that shri/shrimati/kumari *______________________________

son /daughter * of _________________ of village/Town *____________________
in District/Division *_____________________________________________ of the
state of Maharashtra belongs to the _________________________caste which is
recognised as Educationally and Socially Backward Category under Goverment
Resolution _________________ Department No. ____________________ dated
_________________________ as amended from time to time.
2.

Shri / Shrimati / Kumari *____________________________________

and / or his / her * family ordinarily reside (s) in village / Town ____________
________________________ of _____________________district / division of the
State of Maharashtra.
Signature ________________________
Designation ______________________
With seal of office.

Place ______________
Date ______________

6 6