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
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
Read also :  7th CPC CCS (RP) Rules, 2016: Applicability to Person, Ex-servicemen re-employed in Govt Service after retirement - DoPT Order
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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