FORM No.
I
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Balikuda
Miscellaneous Certificate Case No E-SCO/2022/301608
SCHEDULED CASTE CERTIFICATE
This is to certify that Shri BANSHIDHAR SETHY son of Smt SUNDARI SETHY and Shri
MAHESWAR SETHY , of village/town Balisahi P.S in the district JAGATSINGHAPUR in the state of
Odisha belongs to Dhoba caste which is recognized as Scheduled Caste under the constitution
(scheduled Caste / Scheduled Tribe) order 1950 as amended by the scheduled Caste and Scheduled
Tribe List (Modification) order 1956 and Scheduled Caste and Scheduled Tribe Order (Amendment) Act,
1976.
S h r i BANSHIDHAR SETHY and his family ordinarily reside(s) in village/town Balisahi of
JAGATSINGHAPUR district in the state of Odisha.
dgSign2031LocnDyna
Signature of the Revenue Officer
02/09/2022
**** This is a Digitally Signed Document And Does Not Require Signature ****
NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification , Agency /Department / Office may visit [Link]
(iv) Tampering of this Certificate will attract penal action.
Reference No: E-SCO/2022/301608 To View: [Link] Token No: AEA4A844