GCP-374-7-13,35,000 Cps.
09-02-2010 [Hci-4]
[Link].36S3./20 L0 Dated..IJ.-.S...20lo
BC District Code
Taluk Code
Certificate No.
3983668 Village Code
Ad MMUNITY CERTIFIÇATE,
....orOLLO....
eeesesees
FANS SIDD, FTGT 19-7-1994 ourflens GTGisT..[Link]...Ju4 LijnLL LrflolesnETE
This is to certify that.. ....Son /Daughter of
Thiru. . ......of.........
Village / Town. .Taluk..
District of the State of Tamil Nadu belongs to...
.Community, which is recog. rise as a
Backward Class as per Government Order (Ms.) No. 28, Backward Classes
and Most Backward Classes Welfare, dated 19th July 1994
vide Serial No.
2
LoTOILLSs).
2. It is certified that Thiru/Tmt./Selvan/Selvi... and
his/her family ordinarily reside(s) at .Village/Town
.Taluk .District of
Seal.
Signature
Date
Name (in Capital Letters)
(onrosjast )
Designation