CASTE , INCOME & OBC APPLICATION FORM ok rugs Sagem: (CY te Gasio Cierra win saps Ome soa mee L494 6 os ees Sud | soenag even ang be a ae ay neo0 dog IgG elo apg Bee c ss OR [age dé egJozNaaS i 208 Sond | wig, Son’ | B08 330! eT eT ee o2 sa Re sy cee aie Soteo | sun. cd & Ose Osc Ost Bc Occ | leasiks Bipb? HoBw,S emmctbo Ge . St 2g 1000) a BY SFLU Sommw ceca douse Ne Dovmntoad From -[Link]Addiess Ana aT ta Sa 5g Aeon Oba Kayes tone sas BA 008. 8 -0H aE soda nde __ S957 saps $092 eerddharaghrin’,. OOAAG0144574 GOVERNMENT OF ANDHRA PRADESH REVENUE DEPARTMENT Application Ko ne reroz274260 ate 1 20/10/2022 INCOME CERTIFICATE FOR FEE REIMBURSEMENT : (Gor Post Metre Shelershp Foe ro burseeaest) {G.0.Rt0r 1307, Reverse Dept Sony s.18 68.2010) : ([Link], Revenne Deph(SerABp €1.03.11.2010) “This is to certify that the ennual income from all Seuress of Sri/Srimathi/kuman LOWESWARA RAG So /Olo /W/e JF/a io /G/o DI8BA. KALYAN. waar of vilege/Town BOBBILY Oto 25-84/58 Les (DIBBA VEEDHI Mandai Bobbi District Vixianteersm of the State Andhes Pradesh is Rs. S8000.00 oo Words). ‘thirty ight Thausand 8s perrecords « This sertincate i iesued for the purpose of filing apoticetion. for sancten of Schetarentp/fiee reimbursement, a5: requested by the spplicant. This certificate will o¢ valkd unto 28/08/2933. : aria : RR. KRISHNA RAO ‘ ¢ q Designation : TAHSILDAR Mandal : Bobbi sr this caricae can be verified at the eentifidsio. ‘Note: This ds 4 Digitelly Signed Certificate, dessnot require physical siznorare. bitp:[Link] by furnisiiag the sppiication nurober nesi amewaoe teat Semreraie menemmontle voces,inet eecors7o1503359 Pate +06 /96/2017 OTHER BACKWARD CLASSES (OBC) CERTIFICATE (Usper OL1E42016, DirectorBeckrord Cases Wellare Departmen Goveramtat af Andra Prades, DO2L72016) ‘This & to certify thet sésrmethyMinat §=6DIBBA URKMITHA BANL = S/o /OV> (i/o Jo Mio i/o oF ‘SrifSrimathi/Master/Kumeri DISRA LOKESWARA RAO of SOBBTLI Villege/Werd/Tewn of BOBBILT Manday/Municipaiity of Parvathipemm Revenue Division of VIZIAMAGARAM. Distrirt in tse Andhes Predesh State belongs Is Whe THRUEU APU {OBC} community which is mcogcieed as a Backward class under Government of Sa eh ei See Srisrimath/Macternomar BBA UWEIMA saML ara hiner Family erinarie reset) i AOSaRLZ \VitagefWerdffown of BOBELLE andal/Munidoality of Parvathigeram Rerrerve Division of WIETAMAGARAM District ‘of Andee Pradesh State, “This ic aloo to ceri that ghe does not belong to persons /sections (Crasmy Layer) mertianed in the coluran 0.3 ‘of the schedule to the Government of India, Deportment af Fersontel & trvining, [Link], 360%2/22/93- EAMSCTI¢ated:C8/09/93, which fe madieg vide [Link],S6093/3/2005, Este (Res), dix 09/05/2050 and O.M, to. 35033/3/2008-Estd. (Res) dated: tah Cetaber 2008. Certified By ‘Dotes06/06/2017 ‘Name: 5 SURYANASCYANA ‘The authedity uing the carbcabe may hive to mertion the date of Rasoulion af Geveranient of fas in whch tha cate ol the candidate i munoned ax O86. =A. pa wmanded Fem tine to Se, sow = 4h Tho ter "Orda used fea nit hare the sama earing ash Section 20 ofthe Representation of the pce 2. Taf lg signad Cesena. deen nat rqure pen wgnatire. And tig eres canbe vara st ‘eeu meaeavnccouy by Krieg the aperin mamber martonad ie the Certata,