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Taluk Co<ie D
Certificate No :

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Village Code
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D 42
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COMMUNITY CERTIFICATE
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Aeetteuai ".'fE.g--q-9- Snyl """s)suLt6trrrilrearan

Guuti , .Sl.L.gIDoS .A>o.vzt
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z$@aa4,aar @,g$gutl--t1 rltt-.r-i:, 1976 s'tttflea+ *^n"""""47 " "L'nq
ytp$4+tl-tt- t. di#lr,w,t& enry$gqn ercs'i srroirpefta'r'r'tt rgfltngt
This is to certify that.............. "' 'Son / Daughter
of Thiru.,. ' "" of'

District of the Slate of Tamil Nadu belongs to

Community, which is recognised as
a Scheduled Caste as per the Scheduled Castes and Scheduled Tribes Orders
(Amendment) Act, 1976, vide Seria{ No.'.. .-....
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2. lt b cstifred'thst Thkuffmt /Eelvanlsebi ard

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tut :

1jg@clnt1 Signz
Seal.

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Name in Capital Letters
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