Receipt No.: Application Number: Applicant's Name: Transaction Ref: Transaction Date/Time: Receiver Bank Name: Mode of Payment: Transaction Status

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DISTRICT CASTE CERTIFICATE SCRUTINY COMMITTEE DISTRICT CASTE CERTIFICATE SCRUTINY COMMITTEE

DISTRICT THANE DISTRICT THANE

Online Payment Receipt Application with supporting documents Receipt

Receipt No. : 22-23-THA-766445 Dear Mr. SATYAM ARUN KHARUK


Application Number: ED-2022-00663279 Your hard copy of online submitted application with supporting documents for Caste Certificate Verification
has been received to District Caste Certificate Scrutiny Committee, Thane as per below details.
Applicant's Name: Mr. SATYAM ARUN KHARUK

Transaction Ref: 69962963 Application Number: ED-2022-00663279

Transaction Date/Time: 23-08-2022 07:55:10 PM Receipt No. : 22-23-THA-766445

Receiver Bank Name: IDBI Bank Applicant's Name: Mr. SATYAM ARUN KHARUK

Mode of Payment: UPI Transaction Ref 69962963

Transaction Status: Success Transaction Date/Time 23-08-2022 07:55:10 PM

Received Application fee of Rs.100 /- through online. Application Fee Rs.100

Rupees in words One Hundred Rupees Only. Transaction Status Success


Mode of Payment: UPI Application with supporting
documents Received on

Committee Seal
Committee Seal Signature of Authorized Person
Important Note : Important Note :
Please bring Payment receipt,Original and photo copy of requried documents with application form at respective Please bring Payment receipt,Original and photo copy of requried documents with application form at respective
District Caste Certificate Scrutiny Committee in working hours only. District Caste Certificate Scrutiny Committee in working hours only.
Request you to submit application form with all neccesary documents within 30 days from the online Application Request you to submit application form with all neccesary documents within 30 days from the online Application
Submission Date. Submission Date.

Print Date: 23 Aug 2022 19:55:10 PM Print Date: 23 Aug 2022 19:55:10 PM

This is computer generated receipt, hence does not required signature. This is computer generated receipt, hence does not required signature.

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