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Signature of the Revenue Officer 14/04/2026 FORM No. I (See Rule 3) GOVERNMENT OF ODISHA Office of the Tahasildar JHARSUGUDA Miscellaneous Certificate Case No E-SCO/2021/116351 SCHEDULED CASTE CERTIFICATE This is to certify that Shri NIRASHA MALLICK son of Smt BINA MALLICK and Shri JAYRAM MALLICK , of village/town BABUPADA RAJPUR P.S JHARSUGUDA in the district JHARSUGUDA in the state of Odisha belongs to TELI 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 NIRASHA MALLICK and his family ordinarily reside(s) in village/town BABUPADA RAJPUR of JHARSUGUDA 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/2024/688214 To View: https://edistrict.odisha.gov.in/