Right Image                  
Signature of the Revenue Officer 16/03/2026 FORM No. I (See Rule 3) GOVERNMENT OF ODISHA Office of the Tahasildar mahendragada Miscellaneous Certificate Case No E-SCO/2021/116351 SCHEDULED CASTE CERTIFICATE This is to certify that Shri KRUPA son of Smt BIRANJINI and Shri KARTIKA , of village/town gajapati P.S mahendragada in the district gajapati in the state of Odisha belongs to bramuhnuna caste which is recognized as Scheduled Caste under the constitution (scheduled Caste / Scheduled Tribe) order 1950 as amended by the scheduled Caste and Scheduled Tribe List (Modification) order 1956 and Scheduled Caste and Scheduled Tribe Order (Amendment) Act, 1976. Shri KRUPA and his family ordinarily reside(s) in village/town gajapati of mahendragada district in the state of Odisha. **** This is a Digitally Signed Document And Does Not Require Signature **** NOTE (i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature. (ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in 2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM. (iii) For any Query or Verification , Agency /Department / Office may visit https://edistrict.odisha.gov.in (iv) Tampering of this Certificate will attract penal action. Reference No: E-SCO/2024/237137 To View: https://edistrict.odisha.gov.in/