Scribd
Upload
7K views1 page

EWS Application Form

This document is an application form for obtaining an Income Certificate for the Economically Weaker Section for a specified financial year. It requires personal details of the applicant, income information, assets, and supporting documents to be uploaded. The applicant must declare the accuracy of the information provided and confirm that they do not belong to SC, ST, or OBC categories.

Uploaded by

nagipogguaparna
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
7K views1 page

EWS Application Form

This document is an application form for obtaining an Income Certificate for the Economically Weaker Section for a specified financial year. It requires personal details of the applicant, income information, assets, and supporting documents to be uploaded. The applicant must declare the accuracy of the information provided and confirm that they do not belong to SC, ST, or OBC categories.

Uploaded by

nagipogguaparna
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

మ– స లయ

ఆం త
APPLICATION FORM for Economically Weaker Section
Income Certificate for the Financial Year ________
Passport
Applicant Details: - Size
Photo
Applicant Name: - Father Name: -

Gender: - __________________________, Date of Birth: - _______________________


Aadhar Number: - _________________________________________________________
Cate: - ____________________________________, Sub- Cate: - ___________________
Present Address: -
Door No: Locality / Landmark:
State: District: Mandal: Village:
Pin code: Rice Card No: Ph:
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 Agriculture Land and Above: YES - NO


ii. Residential flat of 1000 sq. ft. and above: YES – NO
iii. Residential plot of 1000 sq. yard and above in notified municipalities:
YES – NO
iv. Residential plot of 200 sq. yard and above in areas others 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 the age of 18 years.

Documents to be uploaded

1. Application Form*. 2. Rice card/Epic/Aadhar card*. 3. Affidavit.


4. Copy of IT Returns/Pay Slips (any of other Documents)

NOTE:

 I hereby declare that the above-mentioned information is furnished on the 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

You might also like