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 9Sa) _,
Cast eL ist fo rEW Ss (o ther
tha nS C. ST and Cen tral
OB C)
State. State State State
Reservation State Caste
Castp Cas-t9
.ID Categoryr Caste
j eode.:
SI
. Qo..de
Sub
.No SI No
I I Catego ry'I *
I I
z -5 *.'
I z d
3 7 I 4 t l.
4 t2 Ba vdndhi
Category I 5
5 l4 Catego ryI 5
6 I6 Cate gory I
e I
- Davari . --. -:-
5 I
7 t8 Category I
k I
8 20 I I
9 4l Nandivala
Catego ryI 6 ee I
IO 43 Moger
Category I 6 oo I
ll 57 Category I 6
Bunde-Besthar
u I Kabbera/Kabber
12 Category [ 6 v I Kharvi4(onkan I(harvi
t3 82 Category I IO I
l4 Killikyata
95 CategoryI l3 a I
l5 96 Category I Devadasi
i3 b I
l6 Basavi
98 Category I I3 d I
l7 99 Category I Bogam
I3 e I
l8 100 Category I Ganika
I3 f I
Kalavant
t9 106 Category I
l5 a I
20 l14 Category I Goniga Mane
17 * I
2t t79 Category I Gurkha
34 a I
22 l8l Category i 34 c I yelegal
23 182 I 35 * il
24 Malaya
186 Category I 36 e I
25. 194 Ca tegory I 41 a I
Pangual
26 I9s Category i 4t b I
27 210 CategoryI Pangusal
49 e I
Jeenagara
28 215 Category I 5l a I
29 216 Tewar
Category I 5t b I
2t7 Kalari
30 Category I 5t c I
Kallar
 i
3l 226 Category I 53 f I Kallu Kutiga Uppara
32 233 Calegory I 53 m I Padi
33 2& Category I 63 I I Deria
34 298 Qategory t 82 * I :Saranta.. .. .

Category I '86
35 3r1 I I Gauli
Category I I Te lugu Gowda
36' 325 86 w
C Dist
'37
326;. Catbgory I 87' a I .Banjari
38 327 I
Category 87. b I Brinjari
39 328 Caregory I 87. c I Vanja.a
40 329 Category:I 87' a I wanjad
4t 330 Catbgory I 87 e t Lambaid
.42 33r Category I a? f - - l_ Gore Or Goria -
-43 338 Category I -88- n
E 1
'.Remoshi
44- .358 Category I 9l * I Paradhis
45 rt25 Category I 86 x I Kadugolla
46 tt26 Category I 86 Y I Hattigolla
47 380 Category II A) I d I Madivala
'

48 387 Category II A) I k I sakajavadu

49 403 Category II A) 4 (,
E I Hala Kshatriya
50 4t4 Category II A) 4 t I Illavan
5l !t9 Category II A) 4 w I Thiyan/Thiyya
52 41t Category II A) 6 h I Kumbar
53 462 Category II A) 8 k I Kshaurika
54 476 Categtrry II A) 8 I Nadig
55 478 Category II A) 9 * I Buddhists
56 480 Category II A) l0 b I Agni Vamsha Kshartri ya
57 482 Category II A) t0 d I Agnikulaksharriya
58 520 Category II A) ll o I Gajjigara
59 553 Category II A) 25 b 2 ' Tamr"an
60 562 Category II A) 31 a I Ghadsi
6l 594 Category II A) 45 * I Bogar
62 596 Category II A) 47 a I Kolayiri
63 597 Category II A) 47 b i Kolyiri

tw-
 3

u 605 CategoryII A) 49 ,t I Kutuma

,,65 634 Category II A) 65 c I Kulawadi Marati
ffi 645 Category.II A) 72 b I PoledavaPoledavaru
67 654 Category II A) 74 h I Miral
68 687 Category II A) 76 q I SwakulaSalilS wakulaliale
69 696 Catpgory.II.A) 78 e I Jyofinagar{yothiNagara Vysya
7A 698 Category.[ A) 80 t I Aneppan
7t 702 Category II A) 83 + I Baandhi
72 703 Category II A) 84 a 1.. Bolahallala
73 704. Ca€gorytrAf 84 b --t-:-: I tsallala -
74 :105 Category II A) 85 a I Bhatial
75 '706 Category II A) 85 b I Irhatha
76 707 Category II A) 86 * I Chakkan
77 708 Category II A) 87 * I Dggra
78 709 Category II A) 88 * I Gulli
79 7tt Category II A) 90 a I Jetti/Jatti
80 712 Category II A) 90 b I Mallaru Malla Kshatriya
8l 713 Category II A) 90 e I Mushtiga
82 716 Categorytr A) 92 a I Kanakan
83 717 Category II A) 92 b I Ksnakar
84 718 Category II A) 92 c I Karunika
85 723 Category II A) 93 e I . Kotteyara
86 724 Category II A) 93 f I Kumara Kshatriya
87 728 Category lI A) 93 J
1 Sarugara (Noth Kanara)
88 729 Category II A) 93 k I Servgar (South Kanara)
89 73t Category ItrA) 94 * I Kshatriya/lGhatri
90 732 Category II A) 95 * I Malawa
9l 733 Category II A) 96 + I Maleya
92 734 Category II A) 97 * I Aryan
93 735 Category II A) 98 a I Raju Kshatriya
94 736 Cntegory II A) 98 b I Raju-Raju
95 737 Cateepry II A) 98 c I Rajuwar/Raj avarlRachevar

r
 _t1

96 738 99
S oma v arnsha
97 739 Catcgory II(A) * a
100 I
98 Stanika
II(A) l0r: a I
99 741 c II l0l' b
742 Catggory I(A) t02 * Tuluta
.10 Ushtam a (Dharawad,
B e gaum B uaPura and
101- 752 Gada Dist
210 I
J02 755 Cat ?13 m I
r03 lll4 C A l 103 *
I A.RA S UruRS
Category rr(B)
Musl m ( Cutc hj MemorL
Na vaya\ Bohra or B h orq
B orah, Sayyi( sh eik
PatharL-Mugfuif, Meh afi v lar
Mahaav I, Kodrani o r
I tos. 759 c ati MuSlims
m I c
r06 760 c m I d I
107 761 Hal Iker vokkal I
Cate tII I e I Namadhari Vo
108 762
109 763
Cate I f I G Vokk
Cate A I o
u0 I Das vokkal
764 Ca A I h I
llt 76s Ca I I I
tt2 768 Marasu Vokk al a
I I I
u3 Tt0 Kunchiti
Itr A I n I
l14 771 Cate ru I o I
l15 772 Cate m I I
lt6 773 Cate mA I q
Kamma
I
tI7 775 A I s I Namadari Go wda
l18 777 C II 2 {'
I
rt9 787 C A J
t20 J I Redd ali
790 C mA J
a
m I
t2t 791 C ru I
q
a I Veerasha va L
122 792 Cate m t
3 b I
t23 793 Ca III ata Helav3,
I b 2 L
124 794 ata Amb
Ca m ) I b 3
t25 79s L ah Bh
Ca m I b 4 L
t26 80r C ilI ata Gan a
I b l0
t27 803 Li Bandari'
Cate m I b t2

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-5
 5

.128 804 Category-Itr(B) I b l3 ata Nav Navi

129 813 CategoryItr@) I b 22 ata Panchala
r30 814 Category Itr@) I b 21 L ingayat/Veerashaiva-
Veerashaiva Panahaniasa
,)
r3l 815 Category'Itr@) a I Maratlm
Ivrar.a*
132 El6 Categoly III@) 2 b I Are kshati, Are Maratha"
Maratha
133 :8lr' .Category I[I(B) 2 o t \
134 818 Categary III(B) 2 d I Konkan Maratha
..135 819 Category III(B) 2 e I Kshatri a Maratha
136 82r Category Itr(B) J * t Christian
t3T PZ- CategoryI[(Bf 4-- a I Bunt/Baflr
138 tzt CategoryIE(B). 4 b I Parivara Bant
139 824 Category.I[@) 5 * I Jains baras
140 Brahmin
t4t aval a
t42 Jain
143 N
IM -T Madaliar

lt
(<,*:'
(oFr.o6f.dood.9)
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0ooded drlrrld o' qqoaj.
dero.eo
 Airncxurel
GOVERNMENTOF
(Nama & Address of th9 a-uthdrity issuing the certificatb)

INCOME.& AS$F.STS.CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKEB,

SECTIONS :,

Certificate No. Date: -i---:-.......__

.VALID.FO
RTIIEYEAR
.Thiq is tb certiry . tfidt Shri/Smtlftimari --rJ+- son/darig[ter.lwife of
pffman€Nrt resident' of village/Steet
Post Office District in the Stae/Union
Terdtory Pir qod3. -'- .
whrcse photegraph is attested [rclow
belongs to Bbnomierilly weaker' sections, since &9 gloss annual iricomer -of .his/ha

Hidhbi famifi rloes not orim of posseis ant of the folloivirig assetsr+*; .

L 5 acres of agricultural land and above;

II. Residential flat of 1000 sq. ft. and above;
III. Residential plot of l0t0 sq. yards and abovc in notified municipalities;
IV. Residential. plot of 200 sq. yards and above in areas other than the notified
municipalities.

2. Shri/Smt"/Kumari belongs to the

caste which is not
recognized as a scheduled cast€, Scheduled rribe and other Backward classe.s (central
LGO.

3. The PAI.I card, Form-l6 aod Incomc Tax Returns arb verified or Affidayit submitted.
The dethils are as follows

and frmily income is below Rs. t.00 laldr.

Signature with seal of Office

Narne.

R€c€nt Patsport
sale.ri6tcd
photolraph of
thc applk nt

rNotc l: Incorne covered all sources i-e. sala-y, rgrio$utrg busincss, profeisior, eti.
rrNolc 2: Tlrc tctm'Farnily' for thb p4oeeiiJudc rhc person, who sedrs.barcf,r.of
r,cserv-*ion, his/h€, por€nts
and siblirgs bcl,ow thc age of I t ytars as also hisrEr sporrsc and chil&al bdov thc age of I t ycas.
rftn'o(t 3: The property held by a'Famif in differgrt lmtiors or ditrerEnt placcircitiG havc been clubbcd whilc
applying Oc land or property holding teg b da. fE EWS $sArs.

l^. -