GOVERNMENT OF KARNATAKA
REVENUE DEPARTMENT
FORM-F
Office of Tahsildar,
MUDALAGI Taluk,
Date: 16/11/2024
INCOME AND CASTE CERTIFICATE
Certificate No: RD1219297071519 * RD1219297071519*
This is to certify that Sri. Hanamant Dyamappa Bhangi S/O S ri. Dyamappa(Father Name) and Smt.
Laxmavva (Mother Name) residing at Kallolli , Mudalagi , Belagavi , 591224 of Kalloli ( ) Village/Ward, Arabhavi
Hobli, MUDALAGI 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 Sri. Hanamant Dyamappa Bhangi S/O Sri. Dyamappa residing at Kallolli , Mudalagi , Belagavi
, 591224 of Kalloli ( ) Village/Ward, Arabhavi Hobli, MUDALAGI Taluk, BELAGAVI District belongs to caste
Kuruba of Category I I (A) of the Backward Classes and certified that his/her family annual income is Rs. 25000 /- ( Rs.
twenty five thousand only. ).
This certificate is valid for fiveyear.
Date: 16/11/2024
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: SHIVANAND APPAYYA BABALI
Tahsildar
MUDALAGI Taluk
BELAGAVI District
