This document is an OBC (Other Backward Classes) certificate issued by the Government of Odisha for Dipitiranjan Samantaray. The certificate states that Dipitiranjan Samantaray belongs to the Teli community, which is a recognized backward class under the government. It also confirms that Dipitiranjan and his family reside in Khordha District, Odisha and that he does not belong to the "Creamy Layer" category. The certificate was issued on April 15, 2017 and is digitally signed.

1. Kiosk Operator: Ganesh Ranjan Pattanaik, 5, Begunia
GOVERNMENT OF ODISHA
Office of the Tahasildar, Begunia. Miscellaneous Certificate Case No: e-OBC/268 of 2017
ANNEXURE-'B'
FORM OF CERTIFICATE TO BE PRODUCED BY
OTHER BACKWARD CLASSES
APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA
OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBCC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATEOBC CERTIFICATE OBC CERTIFICATEOBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATEOBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE OBC CERTIFICATE
This is to certify that Shri DIPTIRANJAN SAMANTARAY Son of Shri BICHITRANANDA SAMANTARAY of
village/town BALIBERANI in District Khordha in the State Odisha belongs to the Teli community which is
recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment's
Resolution No.12011/9/94-BCC dated :19/10/1994.
Shri DIPTIRANJAN SAMANTARAY and he/his family ordinarily reside(s) in the Khordha District of the Odisha
State.
This is also to certify that he does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of
the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT)
dated 08.09.1993**.
Signature of the Applicant
Signature of the Revenue Officer
Date : 15-04-2017
NOTE :
- It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
- This certificate is issued as per section 4, 5&6 of Information Technology Act 2000, and its subsequent amendments in
2008 and as per S.T & S.C Development, Minorities & Backward Classes Welfare Department notification number
1388/OBC(MW)-71/2012,dated 12.09.2012.
- For any query or verification, Agency/Department/Office may visit http://www.edistrictodisha.gov.in.
- Tampering of this certificate will attract penal action.
**-.As amended from time to time
DALEI
JAYADEV
Digitally signed by DALEI
JAYADEV
Date: 2017.04.15 09:25:38
+05:30
Reason: e-District Orissa Portal
Location: Orissa