IN THE COURT OF DY. COLLECTOR,NAGPUR
(raotee)
|| Form Of Certificate to be produced by Other Backward Classes, Vimukt Jati(A) / Nomadic
Tribe(B,C,D), and Special Backward Category and its synonyms belonging to State of |
l Maharashtra alongwith Non Creamy Layer Status |
| Documents Verified:
1. Application of Kumar SURAJ DEEPAK WANVE A |
2. Schoo! Leaving Certificate issued by Head Master of SHRI GAJANAN VIDYALAYA.NAGPUR. eg 3 |
| 3. Affidavit before Executive Magistrate . |
| 4, Ration Card
|< 5.1) Application Form 2) Affidavit 3) Leaving Cer*“icate of Candidate 4) Leaving Certificate of Parent/Guradian 5) Proof of |
caste Before 1967 for OBG.6) Last 3-Year Income Certificate issued by NT 7) Resident Proof of Sarpanch/Talathi/Police
PatilNNagar Sevak
This isto certify that
Nagpur Taluka
ra belongs tothe
ised as
Other Backward
: tm time to time
2 /E a e ide[s] in
Vilage Nagpur 5 ie
of the State of
| 3. This is to certify that es not belong to the
Persons! Sections (Creamy Layel 29-01-2004,
& Instructions & Guidlines aid
in the Government Resolution Social juste, A lo.
CBC.1094/CR-85/BCW-V Dated 16/06/1994) 11 {/BCW-V Dated 29/05/2003 &
3
3
a
a
5
&
5
8
:
&
3
4, This Certificate is Valid Upto 31/3/2014
|, Dy.Coll OBC RegiCaseNo — 732630130042013 /Year 02-05-2013
Outward No Rev.Case No. 730630130042013 /MRC-81/20122013 Dated 02-05-2013
| Place Nagpur
Date: 02-05-2013
A
iret 1. ATS )
vas sé =H OCUMENTS VERIFIED
ahr 1 oq Verified by
Sign.
7365IN THE COURT OF DY. COLLECTOR,NAGPUR €
y
$ Rev.Case No. 730630130042013 / MRC-81/2012-2013
Kumar SURAJ DEEPAK WANVE
5. This certificate is further extended for the period upto 31/3! 15 —_ from the date of issue.
‘Outward No
Fo Dy. Collector |
bee Nagpur
6. This certificate is further extended for the period «oto 31/3/ 1 & from the date of issue.
Outward No:
es Dy. Collector. ————_|
Dae: aa iulaavdy . = . 5. MESHRAM |
ty “ i Dy. Collector |
é gan. Nagpur |
7. This certicate is fut eur
outward No /
| Collector
Place: =~
a . Nagpur
|
| Piece : Dy. Collector
} ae s Nagpur