INCOME & ASSET CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS
Government of ………………………………..
(Name & Address of the authority issuing the certificate)
[This certificate MUST have been issued on or after 1st April 2024 and to be signed by an officer not below the
rank of Tehsildar in the States/UTs]
Certificate No. Date:
1. 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 2023-24. 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
The income and assets of the families as mentioned would be
required to be certified by an officer not below the rank of
Tehsildar in the States/UTs.
Note:
* Income covered all sources i.e. salary, agriculture, business, profession, etc. for the F.Y. 2023-24
** The term 'Family" for this purpose includes 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 I8 years.
*** 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.