GOVERNMENT OF KARNATAKA
REVENUE DEPARTMENT
FORM-F
Office of Tahsildar,
BELAGAVI Taluk,
Date: 23/10/2024
INCOME AND CASTE CERTIFICATE
Certificate No: RD1219286092863 * RD1219286092863*
This is to certify that Kumar. Taha Mohsin Bastwadkar S/O Sri. Mohsin Bastwadkar(Father Name) and Smt.
Uzma Mohsin Bastawadkar (Mother Name) residing at S/O Mohsin Bastwadkar, # 4321 Ghee Galli , Belgaum ,
590001 of Belagavi ( Ward-47 ) Village/Ward, Belagavi Hobli, BELAGAVI Taluk, BELAGAVI District and
his/her family does not come within the purview of creamy layer specified in Government Order No.:Himvaka 304 BCA 2017;
Dt: 14.09.2018.
Either the applicant or his/her/parents/guardian/wife/husband is not class-I or class-II officer in the service of the Government;
OR
Does not hold an equivalent post in Public Sector Undertaking;
OR
Is not an employee under a Private Employer and drawing a salary which is not less than that of a Class-II Officer (initial stage of
the pay scale of Rs.22800-43200/-)
OR
His/Her Father, Mother/Guardians Gross Annual Income does not exceed Rs.8.00 lakhs (Rs. Eight Lakhs)
OR
His/her parents/Guardian/husband/wife is not holding 10 units of Agricultural land or such of those not holding more than 20 acres
of plantation land as specified in the Karnataka Land Reforms Act 1961.
Certified that Kumar. Taha Mohsin Bastwadkar S/O Sri. Mohsin Bastwadkar residing at S/O Mohsin
Bastwadkar , # 4321 Ghee Galli , Belgaum , 590001 of Belagavi ( ) Village/Ward, Belagavi Hobli, BELAGAVI
Taluk, BELAGAVI District belongs to caste Muslim of Category I I (B) of the Backward Classes and certified that
his/her family annual income is Rs. 35000 /- ( Rs. thirty five thousand only. ).
This certificate is valid for fiveyear.
Date: 23/10/2024
Note : This is a digitally signed certificate and does not require manual
signature.
Please, verify authenticity of this certificate by visiting
www.nadakacheri.karnataka.gov.in & entering certificate Number.
Name: SUBHASH DUNDAPPA ASODE
Tahsildar
BELAGAVI Taluk
BELAGAVI District
