Form B 2 (Amended) RULE 5 (5) (4) (IV) : Caste Certificate (Part A)
Form B 2 (Amended) RULE 5 (5) (4) (IV) : Caste Certificate (Part A)
12861901125004480196
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 School Leaving Certificate issued by Pr. Sindhu. Edu. Society Adhyapak Vidyalaya Tondavali Ta.
Kankavali Dist. Sindhudurg Reg. No. 135 Date / / Patil Vinod Ananda of Applicant
2 Copy of Caste Certificate of Applicant issued by Sub Divisional Officer Ajara Bhudargad sr. No.
1053/2014 Date 24/09/2014 Patil Vinod Ananda of Applicant
3 Income Certificate for the last 3 years issued by the Tahsildar Bhudargad Sr. No. 42915077062 Date
10/01/2019 Patil Ananda Baburao Father of Applicant
4 Self Declaration Swaghoshnapatra of Aapplicant Date 11/01/2019
5 Copy of Ration Card Ration Card No. PN 015716
6 Residence Proof by Gram Panchayat Gramsevak Grampanchayat Admapur Tal. Bhudargad
7 Photo ID of Applicant Aadhar Card of Applicant
CASTE CERTIFICATE (PARTA)
This is to certify that Shri Patil Vinod Ananda Son of Shri Patil Ananda Baburao of village
Admapur, taluka Bhudargad, district Kolhapur of the State of Maharashtra belongs to the
Maratha caste which is recognized as Educationally and Socially Backward Class under the
Government Resolution no CBC10/2013/PK35/MVK dated 15/07/2014 as amended from time to
time.
Shri Patil Vinod Ananda and/or his family ordinarily reside(s) in village Admapur, taluka
Bhudargad, district Kolhapur of the State of Maharashtra.
NONCREAMY LAYER CERTIFICATE (PARTB)
This is to certify that Shri Patil Vinod Ananda 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. CBC
10/2001/Pra.Kra.120/Mavak5, dated 1st November 2001, CBC1094/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 2021 from the date of issue.
Digitally Signed by
sampat Khilari
PM
Date:18-01-2019 5:06:24
Place : Gargoti Sub Divisional Officer
Date : 18/01/2019 (With the seal of Office) AjaraBhudargad
Printed By OMTID :MH033300903 VLE Name :Reshma Amar Indulkar, Date:18/01/2019 1:06PM
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.