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GOVERNMENT OF KARNATAKA
REVENUE DEPARTMENT
FORM-D
Scheduled Caste/Scheduled Tribes Certificate
Certificate No: RD0038186129938 *RD0038186129938*
This is to certify that Sri. BISALA BHARATI C/O Sri. GOBIND BHARATI (Father Name)and
D/O Smt. BUDI DEVI GIRI (Mother Name)is a resident of NO-924,LIPKET
APARTMENT ,BMT LAYOUT, BIDHYARANIPURA, in B.B.M.P(Ward-32 )Ward, Bengaluru North
Taluk, Kasaba-1 Hobli, Bengaluru District, in the state of Karnataka, belongs to the Caste / Tribe*
Scheduled Caste(Adi Karnataka) which is recognized as Scheduled Caste/Scheduled Tribe under :-.
* The Constitution (Scheduled Castes) Order, 1950
* The Constitution (Scheduled Tribes) Order, 1950
* As Amended by the Scheduled Caste & Scheduled Tribes lists (Modification) Order, 1956 and The Scheduled Castes &
Scheduled Tribes Orders (Amendment) Act, 1976.
* The Constitution (Scheduled Castes) Order (Amendment) Act, 2019.
Sri. BISALA BHARATI C/O Sri. GOBIND BHARATI and / or his/her family are
ordinary resident (s) in B.B.M.P(Ward-32)Wardof BengaluruDistrict of the State of Karnataka.560097
This certificate is valid for life time
Date:11/09/2034
Note : This is a digitally signed certificate and does not
require manual signature.
Please, verify authenticity of this certificate by visiting Name: MAHENDRA
www.nadakacheri.karnataka.gov.in & entering Tahsildar
certificate Number or by SMSing KA NK <certificate Bengaluru North Taluk
Number> to 161. Bengaluru District
This Certificate can be Verified atwww.nadakacheri.karnataka.gov.in Ver:4.1
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