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Form of Caste CertificaL~ to be produced by a candidate belonging to

to a Scheduled Caste and Scheduled Tribe in support of his claim

CASTE CERTIFICAr=

Documents Verified -:-1 SchoolLeavingCertificateof Self2 SchoolLeavingCertificateof Father3 Ration card Xerox4 Affidavit of Applicant5 Wedding card6 After MarriageName(Shrimati Bansode Sharada Raju )

This is to certifiy that Shrimati Gavai Sharada Gulabrao

Daughter of Gavai Gulabrao Vitthal of Town Chinchwad

District Pune of the State Maharashtra belongs to the NAVBAUDHA

_~ which is recognised as Scheduled Caste ( at Serial No. 37 ) under:

The Constitution (Scheduled Castes) Order, 1950.

2. Shrimati Gavai 5harada Gulabrao and of

her family ordinarily resides in Town Chinchwad

of Pune District of the State of Maharashtra

Citizen Facility Center

'g"wre, I ~ IDepu y 0 I-e-c-.'-to-r-~

Name - (C. F. C •• Pune)Designation:

BALASA, 8 T. THOPATE~OTARY, GOvr OF IND',5

8HOSAR'. PUNE. 39

Case No.: 070419610

Place: Pune

Date: 11/09/2007

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