EWS ORDER 14278 - 13 - March - 2019

Annexure-1
Government of Rajasthan
(Name & Address of the authority issuing the certificate)
INCOME & ASSEST CERT IFICATE 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
...................................................Post Office.......................District.................................... in the State/Union
Territory..................................................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(Rupees Eight Lakh only) for the financial year.............................................
His/her family does not own orpossess any of the following assets***:
l. 5 acres of agricultural land and above;

1. Residential flat of 1000 sq. ft. and above;
Il. 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.
2. Shri/Smt./Kumari....................................................................... belongs to the............................. caste
which is not
recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (Central List)
This certificate is recognizedfor Centre.
Recent
Passport size
attested
photograph of
the applicant
Signature with seal of

Office..................................
Name....................................................................
..........
Designation..........................................................
.......
"Note1. Income covered all sourcesi.e. salary,agriculture, business, profession, etc

Note2.The term "Family" for this purpose include the person, who seeks benefit of reservation, his/her
parents and siblings below the ageof 18 years as also his/her spouse and children below the ageof
18years
Note 3:The property held by a “Family” in different locations or different places cities have been clubbed
while applying the land or property holding test to determine EWS status.
Note 4: This certificate is in relation to office memorandum number 36039/1/2019&ESTT(RES) date
31-01-2019 & F No:12-4/2019 U1 date 17-01-2019 issued by department of personnel and Training,
Ministry of personnel, public grievances and pensions, and Department of Higher Education,
Ministryof Human ResourceDevelopment.
Annexure-2
Government of Rajasthan
(Name & Address of the authority issuing the certificate)
INCOME & ASSEST CERT IFICATE 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
...............................................................................Post Office.......................District....................................
in the State/Union Territory......................................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(Rupees Eight Lakh only) for the financial
year................................................ His/her family does not own orpossess any of the following assets*** :
l. 5 acres of agricultural land and above;
1. Residential flat of 1000 sq. ft. and above;
Il. 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.
2. Shri/Smt./Kumari....................................................................... belongs to the............................. caste

which is not
recognized as a Scheduled Caste, Scheduled Tribe and Other Backward Classes (Central /State List).
This certificate is recognizedfor both Centre /State of Rajasthan.
Recent
Passport size
attested
photograph of
the applicant
Signature with seal of

Office..................................
Name..............................................................
Designation......................................................
"Note1. Income covered all sourcesi.e. salary,agriculture, business, profession, etc

Note2.The term "Family" for this purpose include the person, who seeks benefit of reservation, his/her
parents and siblings below the ageof 18 years as also his/her spouse and children below the ageof
18years
Note 3:The property held by a “Family” in different locations or different places cities have been clubbed
while applying the land or property holding test to determine EWS status.
Note 4: This certificate is in relation both (a) office memorandum number 36039/1/2019&ESTT(RES)
date31-01-2019& F No:12-4/2019 U1 date 17-01-2019 issued by department of personnel and Training,
Ministry of personnel, public grievances and pensions, and Department of Higher Education, Ministry of
Human Resource Development. (b) F 7/1/DOP/A-II/2019 date 19-02-19 and F 7/1/DOP/A-II/2019 dated
22-02-2019 issued by Department Of personnel, Government of Rajasthan.

EWS ORDER 14278 - 13 - March - 2019

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EWS ORDER 14278 - 13 - March - 2019

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Annexure-1

VALID FOR THE YEAR

l. 5 acres of agricultural land and above;

Signature with seal of

"Note1. Income covered all sourcesi.e. salary,agriculture, business, profession, etc

VALID FOR THE YEAR

l. 5 acres of agricultural land and above;

1. Residential flat of 1000 sq. ft. and above;

2. Shri/Smt./Kumari....................................................................... belongs to the............................. caste

Signature with seal of

"Note1. Income covered all sourcesi.e. salary,agriculture, business, profession, etc

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