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Reservation for EWSs: Format of Income & Assets Certificate to be produced by Economically Weaker Sectons | Annexure-I

Reservation for EWSs: Format of Income & Assets Certificate to be produced by Economically Weaker Sectons | Annexure-I

DoPT issued format of Income & Assets Certificate to be produced by Economically Weaker Sections (EWSs) under OM dated 31.02.2019

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Annexure-l
Government of .............
(Name & Address of the authority issuing the certificate)

INCOME & ASSETS CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS 

Certificate No. ______                                                                                        Date: ___________

VALID FOR THE YEAR _______ 

This is to certify that Shri/Smt./Kumari _________________ son/daughter/wife of ______________ permanent resident of ____________ , Village/Street ______________ Post Office District in the State/Union Territory ___________ Pin Code whose photograph is attested below belongs to Economically Weaker Sections, since the gross annual income* of his/her ‘family’** is below Rs. 8
lakh (Rupees Eight Lakh only) for the financial year ________ . His/her family does not own or possess any of the following assets*** :
I. 5 acres of agricultural land and above;
II. Residential flat of 1000 sq. ft. and above;
III. Residential plot of 100 sq. yards and above 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 Caste, Scheduled Tribe and Other Backward Classes (Central List)

Signature with seal of Office _________
Name ________________________
Designation ________________


Recent Passport size attested photograph  of the applicant 



 
____________________________________________________________________________________
*Note:. Income covered all sources i.e. salary, agriculture, business, profession, etc.
**Note 2: The term “Family” for this purpose include the person, who seeks benefit of reservation, his/her parents and siblings below the age of 18 years as also his/her spouse and children below the age of 18 years
***Note 3: The property held by a “Family” in different locations or different places/cities have been clubbed while applying the land or property holding test to determine EWS status.

format-income-assest-certificate


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