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ANNEXURE-IV Format of EWS Certificate

This document is an Income & Asset Certificate for individuals from Economically Weaker Sections, certifying that their family's gross annual income is below Rs. 8 lakh. It outlines the criteria for asset ownership that disqualifies individuals from this status, including limits on agricultural land and residential properties. The certificate must be signed and sealed by the issuing authority and includes personal details of the applicant.

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prasad dadasaheb tupake
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528 views2 pages

ANNEXURE-IV Format of EWS Certificate

This document is an Income & Asset Certificate for individuals from Economically Weaker Sections, certifying that their family's gross annual income is below Rs. 8 lakh. It outlines the criteria for asset ownership that disqualifies individuals from this status, including limits on agricultural land and residential properties. The certificate must be signed and sealed by the issuing authority and includes personal details of the applicant.

Uploaded by

prasad dadasaheb tupake
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE IV

Government of ……………………….
(Name & Address of the authority issuing the certificate)
INCOME & ASSET 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____________ 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.

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 _____________


Recent Passport
size attested Name _______________________
photograph of
Designation ___________________
the applicant

*Note1 : 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 of different places/cities have been clubbed
while applying the land or property holding test to determine EWS status.

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