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D. D. OVAHA OciIfInR/AlldM/OrElc.Pn!senIed~8A(HONS.), M.S.. LB~/Olnr'L"""""""~. ByADVOCATE TARY ••.•••.•_...,. ••.• , IGOVT. OF !.NOlA. PUNt: .2 9 MAR 2016

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0.9. OVA AI..A.(:;ibNS.), M .W.L.LBADVOCATE NOTARY. -'ov1'. OF INOlA, PUNE

Jb.jvisional om e/!!bj)il(iRiMaf 0

, ~ NilangaSETU ID : RG0772

TOKEN ID : IF5222

BARCOD

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Place: NilangaDate2,O''y 2010 /.

IrTo, :Shri Jadhav Balaji ,.At Post Baspur, Tal. Nih,, ,. \.

ANNEXURE -'B'Form Of Certificate to be Produced by a candidate belonging to a Scheduled

Cast in support of his ClaimFORM OF CASJ:E CERTIFICATE

This is to certify that Shri Jadhav llalaji son of Shri Khandu of To,W'n1Villagellaspur, TaulkaNilanga in District Latu[ o.f.the State Maharashtra belongs to the MAHAR SR NO. ~aste which isrecognized as a Schedul&f Caste under: (.~ Constitution (Scheduled Cast) Orde; 1950.

TI,e Constitution (Scheduled Tribes) Order 1950.Un(tonstitution (Scheduled Caste) CUnion Territories) Order, 1951.

.......-The Constitution (Scheduled Tribes) (Union Territories) Order, 1951.(As Amended by the Scheduled Castes and Scheduled Tribes Lists (MOditicatiotOrder. 1956 The Bombay Reorganization Act, 1960 The Punjab ReorganizationAct, 1966, the State of Himachal Pradesh Act, 1976 the North Eastern Areas(Reorganization) Act, 1971 and the Scheduled Caste and Scheduled TribesOrder (Amendment) Act, 1976.The Constitution (Jammu & Kashmir) Scheduled C:.stes O.-dei. 1956The Constitution (Andman and Nicohar lslands)Scheduled Castes Order, 1959 as amended by theScheduled Castes and Scheduled Tribes Order(Amendment) Act, J 976.The Constitution (Dadra & Nagar Haveli) Scheduled Caste Order, 1962.The Constitution (Dadra & Nagar Haveli) Scheduled Tribes Order, 1962.The Constitution (Pondicherry) Scheduled Caste Order, 1964.The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967.The Constitution (Goa, Daman & Diu) Scheduled Caste Order, 1968.The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, J 968.The Constitution (Nagai and) Scheduled Tribes Order, 1970.The Constitution (Sikkim) Scheduled Caste Order, 1978.The Constilution (Sikkim) Scheduled Tribes Order, 1978.

Shri Jadhav Balaji and his family ordinarily resides in village Baspur Taluka Nilanga of LaturDislrict of the Maharashtra.

Rea,l: GoV!.Resolution Social Welfare Cultural affairs and Sports No. CflC 1096/C.D"oillnlents Verificd:-I) Application ofBalaji Khandu Jadhav dated 28/06120102) Enquiry Report and Certificate issued by village officer of 13aspur3) Affidavit made by Applicant Balaji Khandu Jadhav on

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