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12862403222006296981

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, Educationally and Socially Backward Class and
Special Backward Class (A) and its synonyms belong to State of Maharashtra
Documents Verified
1 Domicile
2 Caste Certificate issued by the Local Competent Authority
3 School Leaving Certificate
4 Copy of Ration Card
5 Income Certificate for the last 3 years issued by the Tahsildar

SDO/Non Creamy OBC Reg./Case No /Year: 2023 ­ 2024


Outward No : 42111615372 Dated: 22/03/2024

CASTE CERTIFICATE (PART­A)


This is to certify that Kumar Khodade Saurabh Madhukar Son of Shri Khodade
Madhukar Bhagaji of village Kinhi, taluka Parner, district Ahmednagar of the State of Maharashtra
belongs to the Kunbi ( 83 ) caste which is recognized as Other Backward Class under the
Government Resolution No CBC­1467/M dated 13/10/1967 as amended from time to time.
Kumar Khodade Saurabh Madhukar and/or his family ordinarily reside(s) in village Kinhi,
taluka Parner, district Ahmednagar of the State of Maharashtra.
NON­CREAMY LAYER CERTIFICATE (PART­B)
This is to certify that Kumar Khodade Saurabh Madhukar 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 2026 from the date of issue.

Digitally Signed by
Ganesh Uttam Rathod
Date:2024-03-26 9:12:50 PM

Place : Shrigonda / Parner Sub Divisional Officer


Date : 24/03/2024 (With the seal of Office) Shrigonda­Parner
Printed By ­OMTID :MH021801119 VLE Name :VARSHA PRAMOD GOLE, Date:24/03/2024 1:10PM

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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