4IND5552878M53827391849627 1 . Self Declaration 2 . Family Tree 3 . School Living Certificate Copy of Applicant 4 . Applicant Adhar Card Copy 5 . Copy of Adhar Card Father 6 . old 7a 12 utara copy 7 . k d e patrak 8 . Gav namuna 14 register copy modi script 9 . Modi Translation Stamp For Modi Translater Affadavit 10 . old 7a 12 utara copy1 11 . hakkache patrak Copy Outward No : 4IND5552878M53827391849627 Rev Case No : Application Date : 2025-09-18 13:02:03 MRC : B608027 Place : Palghar Date : 2025-09-18 13:02:03 Sub Divisional Officer Palghar FORM  8 [Rule No. 5 (6)] Form of Caste Certificate for DeNotified Tribe (ST)/Nomadic Tribe/Other Backward Class/Special Backward Category person belonging to the State of Maharashtra Documents Verified CASTE CERTIFICATE This is to certify that Shri विशाल दत्तू पुंजारेSon of Shri DATTU RAJARAM PUNJARE of Village कासा, Tehsil 1994-07-18, in the District Palghar of the State of Maharashtra belongs to the ST Caste which is recognised as Other Backward Class at Sr No.83 under Government Resolution CBC1467/M dated 13/10/1967 as amended from time to time. Shri विशाल दत्तू पुंजारेand/ or his family ordinarily resides in Village Palghar, Tehsil 1994-07-18, in the District Palghar of the State of Maharashtra. (With the seal of Office) Printed By OMTID : VLE Name :SAMBHAJI BABAN KAKADE, Date:2025-09-18 13:02:03 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. ★ S u b D i v i s i o n a l O f f i c e r ★ P a t h a r d i