Government of Assam
(Name & Address of the authority issuing the Certificate)
INCOME & ASSEST CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS (For seat in
Educational Institutes and posts under Govt. of Assam)
Certificate No. …………………………… Date. …………………………………..
VALID FOR THE YEAR 2022-2023
This is to certify that Shri/ Smt./ Kumari ........................................................................................... son/
daughter/ wife of ……………………………………………………………………………… permanent resident of
……………………………..………………….. Village/ Street…………………………………………..……….. Post Office
………………....……………………... District ……………………..……...…………..in the State of Assam, 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
2021-2022. His/ her family does not own or posses any of the following assets***.
I. 30 Bigha(4,32,000 Sq. ft.) of agricultural Land and above in rural area.
II. 2 Bigha(28,800 Sq. ft.) of residential land and above in rural area.
III. 8640 Sq.ft. of land in notified Municipal Corporation/ Municipal Board/ Town Committee
Area.
IV. House of built up area 2000 Sq.ft. and above in notified Municipal Corporation
/Municipal Board/ Town Committee area.
Shri/ Smt./ Kumari ……………………….…………………………… belongs to the ......................................... ………caste
which is not recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (in the state of
Assam).
Signature with seal of Office…………………………………..
Recent Passport size
attested Name………………………………………….…………….
photograph of the
applicant Designation………………..………………..
*Note 1: Income covered all sources i.e. salary, agriculture, business, profession, etc.
**Note 2: 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 18 years.
***Note 3: The property held by 'Family' in different locations or different places / cities have been clubbed while applying
the land or property holding test to determine EWS status.
Government of Assam
(Name & Address of the authority issuing the Certificate)
INCOME & ASSEST CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS (For seat in
Educational Institutes and posts under Govt. of Assam)
Certificate No. …………………………… Date. ……………xxxx………………..
VALID FOR THE YEAR 2022-2023
This is to certify that Shri/ Smt./ Kumari………………………………….. xxxxxxxxx……………………………….son/
daughter/ wife of ……………………… xxxxxxxxx……………………………………. permanent resident of
………………… xxxxxxxxx…………………. Village/ Street……………… xxxxxxxxx………..……….. Post Office
………… xxxxxxxxx……... District …………… xxxxxxxxx………..in the State of Assam, Pin Code
………… xxxxx….. 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 2021-
2022. His/ her family does not own or posses any of the following assets***.
I. 30 Bigha(4,32,000 Sq. ft.) of agricultural Land and above in rural area.
II. 2 Bigha(28,800 Sq. ft.) of residential land and above in rural area.
III. 8640 Sq.ft. of land in notified Municipal Corporation/ Municipal Board/ Town Committee
Area.
IV. House of built up area 2000 Sq.ft. and above in notified Municipal Corporation
/Municipal Board/ Town Committee area.
Shri/ Smt./ Kumari …………………… xxxxxxxxx……………… belongs to the …………………..xxxxxxxxx………caste
which is not recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (in the state of
Assam).
Signature with seal of Office…………………………………..
Recent Passport size
attested photograph Name………………………………………….…………….
of the applicant
Designation………………..………………..
*Note 1: Income covered all sources i.e. salary, agriculture, business, profession, etc.
**Note 2: 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 18 years.
***Note 3: The property held by 'Family' in different locations or different places / cities have been clubbed while applying
the land or property holding test to determine EWS status.
