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

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    MITANSHU WORLIKAR
    This document is a caste certificate issued to Mr. Mitanshu Kishor Worlikar belonging to the Koli caste in Maharashtra. It certifies that Mr. Worlikar and his family reside in Gsouth-400030, Mumbai City. It also confirms that Mr. Worlikar does not belong to the creamy layer category. This certificate is valid until March 31, 2023 and has been extended for an additional period of 3 years. The certificate has been digitally signed and is legally valid as per the Information Technology Act, 2000.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

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

    Uploaded by

    MITANSHU WORLIKAR
    311 views2 pages
    This document is a caste certificate issued to Mr. Mitanshu Kishor Worlikar belonging to the Koli caste in Maharashtra. It certifies that Mr. Worlikar and his family reside in Gsouth-400030, Mumbai City. It also confirms that Mr. Worlikar does not belong to the creamy layer category. This certificate is valid until March 31, 2023 and has been extended for an additional period of 3 years. The certificate has been digitally signed and is legally valid as per the Information Technology Act, 2000.

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    2051990101267600062905

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    This document is a caste certificate issued to Mr. Mitanshu Kishor Worlikar belonging to the Koli caste in Maharashtra. It certifies that Mr. Worlikar and his family reside in Gsouth-400030, Mumbai City. It also confirms that Mr. Worlikar does not belong to the creamy layer category. This certificate is valid until March 31, 2023 and has been extended for an additional period of 3 years. The certificate has been digitally signed and is legally valid as per the Information Technology Act, 2000.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    311 views2 pages

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

    Uploaded by

    MITANSHU WORLIKAR
    This document is a caste certificate issued to Mr. Mitanshu Kishor Worlikar belonging to the Koli caste in Maharashtra. It certifies that Mr. Worlikar and his family reside in Gsouth-400030, Mumbai City. It also confirms that Mr. Worlikar does not belong to the creamy layer category. This certificate is valid until March 31, 2023 and has been extended for an additional period of 3 years. The certificate has been digitally signed and is legally valid as per the Information Technology Act, 2000.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

     

       
    12672012130186430818

    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, Economically and Socially Backward Class and
    Special Backward Class (A) and its synonyms belong to State of Maharashtra

    Part A  
     

    Documents Verified
    1  Photo ID of Applicant    
    2  School Leaving Certificate    
    3  Copy of Caste Certificate Applicant    
    4  Resident Proof of Municipal Corporation    
    5  Income Certificate for the last 3 years issued by the Tahsildar    
    6  Affidavit    
    7  Income proof    
    8  Proof of caste for self    
    9  Aadhaar Card (POI)    
    10 Aadhaar Card (POA)    

    SDO/Non Creamy SBC Reg./Case No Outward No : 90106067465


       
     

    This is to certify that  Mr.  MITANSHU KISHOR WORLIKAR   Son  of  Shri  of village  Gsouth­


    400030, taluka Ward Gsouth, district Mumbai City of the State of Maharashtra belongs to the  Koli
    (4)(1) caste which is recognized as Special Backward Category under the Government Resolution
    no CBC­10/2006/P.No.94/MVC­5 dated 25/05/2006 as amended from time to time.
    Mr.  MITANSHU KISHOR WORLIKAR   and/or  his  family ordinarily reside(s) in village
    Gsouth­400030, taluka Ward Gsouth, district Mumbai City of the State of Maharashtra.
    This is to certify that Mr.  MITANSHU KISHOR WORLIKAR   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 2023 from the date of issue.

    Digitally Signed By Tejas Kiran Samel


    (Collector Office Mumbai City)
       
          Date : 19-Jan-2021 12:07:49 IST

    Place :
    Date : 19/01/2021 Deputy collector  
    (With the seal of Office)

    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.
       

       
    12672012130186430818

     
     

    Part B
     
     
     

    Renewal :
     

    This certificate is further extended for the period of  3.  
     

       

        

         Deputy collector
    Place :
    Date : 19/01/2021

        

    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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