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Issuance of income asset certificate for economically weaker sections(ews)application form (1)

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siva kumar
siva kumar

This document is an application form for an economically weaker section income certificate. It requests applicant details like name, gender, address, contact information, annual income, and asset ownership. Required documents to upload include the application form, ID proof like ration card or Aadhaar, income documents like tax returns or pay slips, and an affidavit. The applicant must declare that all information provided is true to their knowledge and that they do not belong to scheduled castes, scheduled tribes, or other backward castes.

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Application Form *Affix Your For Passport Economically Weaker Section Income Certificate Size Photo For the Financial year _____ Here Applicant Details: Applicant Name*: Father Name*: Gender*: Date of Birth: Aadhaar Number (optional): Caste Category*: Sub Caste Category*: Present Address: Door No*: Locality/Landmark: State*: District*: Mandal*: Village*: Pincode*: Postal Address is same as Permanent Address: Door No*: Locality/Landmark: State*: District*: Mandal*: Village*: Pincode*: Mobile Number*: Mail Id: Ration Card Number: Income Details*: Gross Annual Income includes Salary, Agriculture, Business, Profession etc., for the financial year prior to the year of application (Applicant/His/Her Family*):_______________ (In Rupees) Assets Information (Applicant/ His/Her/Family*): i) 5 Acres of agricultural Land and above : Yes/No ii) Residential flat of 1000 sq. ft. and above: Yes/No iii) Residential plot of 100 sq. yards and above in notified municipalities: Yes/No iv) Residential plot of 200 sq. yards and above in areas other than the notified municipalities: Yes/No
Note : The term “Family “ for this purpose will 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. Documents to be uploaded: i) Application Form* ii) Ration Card/Epic Card/Aadhaar Card* iii) Copy of IT Returns/Pay Slips (Any of other Documents) iv) Affidavit Note: *I hereby declare that the above mentioned information is furnished on best of my knowledge. If information & declaration is found false, I am liable for prosecution. I don’t belong to SC, ST and OBC Caste. * Represents all the fields are mandatory. Date: Signature of the Applicant

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Issuance of income asset certificate for economically weaker sections(ews)application form (1)

  • 1. Application Form *Affix Your For Passport Economically Weaker Section Income Certificate Size Photo For the Financial year _____ Here Applicant Details: Applicant Name*: Father Name*: Gender*: Date of Birth: Aadhaar Number (optional): Caste Category*: Sub Caste Category*: Present Address: Door No*: Locality/Landmark: State*: District*: Mandal*: Village*: Pincode*: Postal Address is same as Permanent Address: Door No*: Locality/Landmark: State*: District*: Mandal*: Village*: Pincode*: Mobile Number*: Mail Id: Ration Card Number: Income Details*: Gross Annual Income includes Salary, Agriculture, Business, Profession etc., for the financial year prior to the year of application (Applicant/His/Her Family*):_______________ (In Rupees) Assets Information (Applicant/ His/Her/Family*): i) 5 Acres of agricultural Land and above : Yes/No ii) Residential flat of 1000 sq. ft. and above: Yes/No iii) Residential plot of 100 sq. yards and above in notified municipalities: Yes/No iv) Residential plot of 200 sq. yards and above in areas other than the notified municipalities: Yes/No
  • 2. Note : The term “Family “ for this purpose will 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. Documents to be uploaded: i) Application Form* ii) Ration Card/Epic Card/Aadhaar Card* iii) Copy of IT Returns/Pay Slips (Any of other Documents) iv) Affidavit Note: *I hereby declare that the above mentioned information is furnished on best of my knowledge. If information & declaration is found false, I am liable for prosecution. I don’t belong to SC, ST and OBC Caste. * Represents all the fields are mandatory. Date: Signature of the Applicant