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…………………..
This is to certify that Shri/ Smt./ Kumari ......................................................................…..son/ daughter/
wife of …………………………………………permanent resident of Village ….………………………………..
Post Office ..……………..……Police Station……….…….…... 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...................…… .His/her family does not own or posses any of the following assets***.
I. 30 Bigha of agricultural Land and above in rural area.
II. 02 Bigha 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 more than 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…………………………………....
Name…………………………………………….………………..
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.
