(Economically Weaker Section )

Income & Asset Certificate

vkosnd ds ifjokj ds eqf[k;k dk tu vk/kkj dkMZ+ uacj &-----------------------------------------------------------------

vkosnd dk vk/kkj dkMZ+ uacj & ------------------------------------------------------------------------------------------------------ vkosnd

1- vkosnd dk iqjk uke & ----------------------------------------------------------------------------------------------------
dh
( cMs v{kjksa esa )
QksVks
2- tUe frfFk & ---------------------------------- tUe LFkku & -----------------------------------mez &----------- o’kZ
3- fuokl LFkku dk [Link] irk
( d-) orZeku irk & --------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------

( [k-) LFkkbZ irk & ---------------------------------------------------------------------------------------------------------------

------------------------------------------------------------------------------------------------------------------

Qksu uEcj & ------------------------------------------------------- eksckbZy uEcj ---------------------------------------------------------

4- vkosnd dk /keZ & -------------------------------------- tkfr ----------------------------------------- mitkfr ---------------------------------------

5- D;k vkosnd dh tkfr Hkkjr ljdkj@jkT; }kjk vf/klqfpr vuqlqfpr tkfr@vuqlqfpr tutkfr@vU; fiNM+h tkfr
esa ls fdlh Hkh tkfr esa lEefyr gS ;k ugha ( gkW ;k ugh ) ;fn gSa rks dksulh tkfr & tkfr dk uke fy[ksa &---------------
------------------------------------------------
6- fyax & iq:’k@efgyk ---------------------------------------- oSokfgd fLFkrh & fookfgd @vfookfgr -------------------------------------
7- firk dk uke & ----------------------------------------------------------------------------------------------------------
8- ekrk dk uke & ----------------------------------------------------------------------------------------------------------
9- ifr dk uke &---------------------------------------------------------------
10- iRuh dk uke & ---------------------------------------------------------------
11- firk&ekrk&ifr dh izkfLFkrh

firk ekrk iRuh ifr

( d-) loS/kkfud in &

firk ekrk iRuh ifr

( [k-) in uke &

[Link]
( x-) ljdkjh lsok;s &

( 1-) dsUnzh; @jkT;

( v-) in uke ,oa foHkkx dk uke &

( c-) osrueku] oxhZdj.k lfgr] ;fn dksbZ gks
( l-) izFke fu;qfDr dh rkjh[k &
( 2-) varjk’Vªh; laxBu [Link] & la;qDr jk’Vª ] ;qfulsQ] fo”o LokLFk; LkaxBu vkf} esa fu;kstu
( v-) laxBu dk uke
( c-) in dk uke
( l-) osrueku] oxhZdj.k lfgr ] ;fn dksbZ gks
( n-) lsok dh dkykof/k (fnukad --------------------------------------- ls ---------------------------------------- fnukad rd )
( 3-) ifCyd lsDVj ,idze vkf} esa fu;kstu
( v-) laxBu dk uke
( c-) in dk uke
( l-) osrueku] oxhZdj.k lfgr] ;fn dksbZ gks
( n-) izFke fu;qfDr dh rkjh[k &
( 4-) iSjk fefyfVª cyks dks lfEEkfyr djrs gq, l”kL= cy vkfn esa fu;kstu

( v-) laxBu dk uke

( c-) in dk uke
( l-) osrueku] oxhZdj.k lfgr ] ;fn dksbZ gks
( n-) izFke fu;qfDr dh rkjh[k &
( 5-) O;olk; oxZ (mijksDr dks NksMdj) O;kikj] dkjksckj ,oa m|ksx vkfn

( v-) mi&thfodk@o`fr dk fooj.k &

( 6-) vk;@/ku leLr L=ksrks ls dqVqEc dh okf’kZd vk;&

( 1-) d`f’k ]O;olk; o vU; L=ksrkas ls vk;

( 2-) ukSdjh ls vk; &
dqy vk; jkf”k :i;ks esa ( okf’kZd )

( ?k-) vU; dksbZ vU;qfDr;k &

12- D;k vkosnd vU; jkT; ls LFkkukUrfjr gksdj jktLFkku jkT; esa LFkk;h :i ls fuokl dj jgk gS& gka@ugha

eSa [Link] djrk@djrh gqW fd mijksDr fof”kf’B;ksa esjs loksZre Kku vkSj fo”okl ds vuqlkj lR; gS fd eSa vkfFkZd
detksj oxZ ds fu/kkZfjr lHkh ekin.M dks iqjk djrk@djrh gwW rFkk vkjf{kr inks ds fy, fopkj fd;s tkus dk ik= gwWaA p;u
ds iqoZ ;k i”pkr fdlh Hkh lqpuk ds feF;k ,oa xyr ik, tkus dh n”kk esa ;k vik=rk dk irk pyus ij ] eS le>rk gw fd
vH;qfDr dh fu;qfDr ,oa izos”k jn~f/kdj.k gksxh] eSa ,slh dk;Zokgh ds fy, Hkh mRrnjk;h gksmaxk tks fof/k ;k fu;eksa ds
mikcaf/kr dh tkosaA

LFkku & Hkonh;

fnukad & vkosnd ds gLrk{kj

[Link]
 ifjf”k’B & vkbZ
vk; dk ?kks’[Link]&i=
¼vkosnu lEcU/kh vko”;d lqpuk oSdfYid fcUnq ls p;u djsa½

1- izkFkhZ dk uke & -----------------------------------------------------------------------------------------------------

2- firk dk uke & ------------------------------------------------------------------------------------------------------- vkosnd
3- fuokl LFkku dk [Link] irk& dh
d- orZeku irk & ----------------------------------------------------------------------------------------------------
QksVks
----------------------------------------------------------------------------------------------------
[k- LFkkbZ irk & ------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------
4- xkao @ “kgj --------------------------------------------- rglhy --------------------------------------- ftyk ----------------------------------
5- tUe fnukad -------------------------------------------- tUe LFkku -------------------------------------- mez --------------------------------------
6- fyax & iq:’k efgyk oSokfgd fLFkrh & fookfgr vfookfgr
7- /keZ ¼vkosnd½ -------------------------------------- tkfr -------------------------------------- mitkfr --------------------------------------
8- D;k vki @vkidk ifjokj jktLFkku ds eqy fuoklh gS & gkW ugha
9- D;k vki vk;dj nkrk gS & gkW ugha
10- eksckbZy uEcj ----------------------------------------------------------------------------
11- isu dkMZ gksus dh n”kk esa iasu dkMZ uEcj ------------------------------------,oa vk;dj foHkkx dh fjVuZ dh v|ru izfr lYkXu
djsaA
12- fVu uEcj gksus fd n”kk esa fVu UkEcj --------------------------------------- ,oa [Link]; dj foHkkx dh fjVuZ dh v|ru izfr lYkXu
djsaA
13- ifjokj ds lnL; o mudh okf’kZd vk; dk fooj.k &

dz- eqf[k;k ls vk;@O;olk; o okf’kZsd vk;

lnL; dk uke mez
l- lEcU/k mldh izd`fr ¼:i;s½
1-
2-
3-
4-
5-

vU; L=ksr ls vk; ¼;Fkk edku fdjk;k] C;kt] isa”ku] “ks;j] E;qpy Q.M+½ ----------------------------------------------------------------

14- mDr rF;ks ds LkR;kiu Lo:i nks mrjnk;h O;fDr;ksa dh lk{; izek.k &i= ,oa Lo;a dk “kiFk&i= Lyxu djs Aa

eSa rLnhd djrk@djrh gqWa fd mijksDr fooj.k esajh tkudkjh ,oa fo”okl ds vuqlkj lgh gSA

fnukad -----------------------

LFkku --------------------------- izkFkhZ ds gLrk{kj

[Link]
 ifjf”k’B & ds

mrjnk;h O;fDr;ksa ds lk{; izek.k&i=

1- *
eS-a -------------------------------------------------------------------------------iq=@iq=h@iRuh Jh--------------------------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------foHkkx dk uke
------------------------------------------------------------------------------------------------------------- in ---------------------------------------------------ij dk;Zjr gqa ,oa “kiFk iqoZd c;ku
djrk gqW fd

izkFkhZ @ izkFkhZ;k --------------------------------------------------------------- iq=@iq=h Jh ---------------------------------------------------------------------------------------------

fuoklh ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dks Hkyh izdkj tkurk gqW budh okf’kZd vk; -----------------------------------------:i;s gS] blds vykok izkFkhZ ds ikl vk; dk dksbZ vU;
L=ksr ugha gSA

gLrk{kj @ mRrjnk;h xokg

uke & -------------------------------------------------------------------------------------

fnukad & ---------------------------------------

2- *
eSa ----------------------------------------------------------------------------------------------------------- iq=@iq=h Jh ------------------------------------------------------------
fuoklh -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------foHkkx dk uke
---------------------------------------------------------------------------------------------------------- in ---------------------------------------------------ij dk;Zjr gqa ,oa “kiFk iqoZd c;ku
djrk gqW fd

izkFkhZ @ izkFkhZ;k --------------------------------------------------------------- iq=@iq=h Jh ---------------------------------------------------------------------------------------------

fuoklh ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
dks Hkyh izdkj tkurk gqW budh okf’kZd vk; -----------------------------------------:i;s gS] blds vykok izkFkhZ ds ikl vk; dk dksbZ vU;
L=ksr ugh gSA

gLrk{kj @ mRrjnk;h xokg

uke & -------------------------------------------------------------------------------------

fnukad & -----------------------------------------

-uksV & vkosnd dh uohure QksVks ftls vkosnu i= esa fn;s x;s LFkku ij fpidk, ¼ LVsiy ugh djuk gS ½ rFkk mls vfHk”k’kak djus
okys mRRkjnk;h O;fDr ls lR;kfir djkosaA

mRrjnk;h O;fDr ;Fkk & laln lnL;@fo/kkulHkk lnL;@jktif=r vf/ksdkjh@ftyk izeq[k@iz/kku@iz/kku ftyk ifj’kn lnL;@xzke
lsod@iVokjh@egkikSj@uxj fuxe lnL;@uxj ikfydk lnL;@Ldqy ds gsMekLVj@lEcaf/kr ih-,p-lh-@lh-,p-lh- fpfdRld@ch-
Mh-vks-@lgk;d vfHk;UrkA

[Link]
 Ikfjf”k’B & ts

izkFkhZ
dh
QksVks

eSa----------------------------------------------------------------------------- iq=@iq=h@iRuh Jh--------------------------------------------------------------------

mez----------------------fuoklh----------------------------------------------------------------------------------------------------------------------------------------------------------------------
rglhy-------------------------------------------- ftyk --------------------------------------- jktLFkku “kiFk iqoZd fuEu c;ku djrk @
djrh gWaq fd &
1- ;g fd eq>s o esjs ifjokj dh okf’kZd vk; ( o’kZ………..........….) ds izek.k Lo:i ;g mn?kks’[Link] djuh gSA
2- ;g fd eq>s o esjs ifjokj dh okf’kZd vk; ( o’kZ………..........….) ds lEcU/k esa rF;kRed tkudkjh
fuEukuqlkj gS&
dz- okf’kZsd vk;
ifjokj ds lnL; dk uke mez izkFkhZ ls lEcU/k O;olk;
l- ¼:i;s es½
1-
2-
3-
4-
5-
;ksx

3- ;g fd esjs ifjokj ds lnL;ks +}kjk /kkfjr Hkqfe@o uks”kuy “ks;j ds /kkjhr dqy Hkqfe dk fooj.k bZl
izdkj gS&
xko dk uke rglhy [kljk uECkj jdCkk flafpr@vflafpr okf’kZd vk; :-

4- ;g fd esjs ifjokj esa vU; L=ksrks ls vk; fuEu izdkj gS&

dz-la- vk; ds vU; L=ksr ¼;Fkk Hkou lEifr] fdjk;k] C;kt] okf’kZd vk; ¼:i;s es½
isa”ku] “ks;j E;qpqvy Q.M vkfn ls vk;½

dqy@leLr pj.k iSjk la[;k 2]3]4 dk ;ksx

okf’kZd vk;

[Link]
 5- ;g gS fd eSa “kiFk iqoZd c;ku djrk@djrh gqW fd mijksDrkuqlkj esjs ifjokj dh dqy @leLr
okf’kZd vk; --------------------------------------- : v{kjs --------------------------------------------------------------------------------------------:- gSA

6- eSa “kiFk iqod

Z dFku djrk@djrh gqW fd esjs o esjs ifjokj ds fdlh lnL; us foxr es mDr vafdr
okf’kZd vk; ls fHkUu vk; fdlh iz;kstukFkZ ugha n”kkZ;h gS rFkk u gh bl ckcr dksbZ vk; izek.k&i=
izkIr fd;k gSA

7- eSa “kiFkiqoZd dFku djrk@djrh gqW fd ;g rF; esjh tkudkjh es gS fd bl “kiFk i= esa vafdr
rF; ,ao “kiFkiwoZd mn~?kksf’kr okf’kZd vk; dk xyr vFkok feF;k gksuk Hkkjrh; n.M+ lafgrk ds
vUrxZr [Link]; vujk/k gSA
gLrk{kj “kiFk xzfgrk

eSa “kiFkiqoZd dFku djrk@djrh gqW fd mijksDr “kiFk i= dh pj.k l[;k 1 ls 7 esjh futh tkudkjh ls
fy[kk;k x;k gS tks lgh gSA blesa dksbZ rF; ugha Nqik;k x;k gS vkSj u gh vlR; gSA bZ”oj lk{kh gSA

gLrk{kj “kiFk xzfgrk

eksckbZy u- fy[ks o QksVks ;wDr vkbZMh dh izfr layXu djs

gLrk{kj igpkudrkZ
1 ------------------------------------------------------------------------------
2 ------------------------------------------------------------------------------

mijksDr “kiFkdrkZ dk uke---------------------------------------------------------------- ekrk@firk@ifr dk uke ---------------------------------------

------------------ tkfr--------------------------- mez ----------------------- fuoklh -----------------------------------------------------------------------------------------------
-------------------------------------------------------- us esjs le{k mifLFkr gksdj “kiFkiwoZd mDrkuqlkj vfHkdFku fd;k gS] ftls
[Link]`r fd;k tkrk gSA izkFkhZ dh igpku -------------------------------------------------------- ds }kjk dh xbZ gSA

gLrk{kj
[Link].k vf/kdkjh ¼dk;kZy; eftLVsV uksVsjh ifCyd½
dk uke o in e; lhy
LFkku ----------------------------
fnukad ------------------------------

[Link]
 izkFkhZ
dh
QksVks

eSa ---------------------------------------------------------------------- iq=@iq=h@iRuh Jh ------------------------------------------------------ tkrh ----------------------

--------------------mez -----------
--------- fuoklh okMZ u- --------------------------------------- --------------------------------------- ---------------------------------------
ftyk jktLFkku dk@dh ewy fuoklh gwaA

1- vkosnu drkZ dh dqy okf’kZd vk; lHkh L=ksrks ls ----------------------------------------------- :i;s gSA
2- vkosnudrkZ ds ekrk dh dqy okf’kZd vk; “kqU; gS rFkk firk dh dqy okf’kZd vk; lHkh L=ksrks ls ------
--------------------------------------------- :i;s gSA
3- vkosnu drkZ ds ifr dh dqy okf’kZd vk; --------------------------------------------------------- :i;s gSA ¼ykxq gksus ij½
mijksDr fcUnq la-03 vkosnu drkZ vfookfgr gksus ds dkj.k oa”k ykxq ugh gSA
4- vkosnu drkZ ds ifjokj dh dqy okf’kZd vk; o’kZ 2023&2024 leLr L=ksrks ls -----------------------------------------
------- :i;s v[kjs ------------------------------------------------------- ek= gSA blds vfrfjDr vk; dk dksbZ vU; L=ksr
ugh gSA
5- vkosnu drkZ ds ifjokj esa Loa;@firk@ekrk@ifr vk;dj nkrk gS@ dksbZ vk;dj nkrk ugh gSA

eSa “kiFk iqoZd c;ku djrk@djrh gqa fd mijksDr fof”kf’V;ka esjs loksZRre Kku vkSj fo”okl ds
vuqlkj lR; gS fd eSa vkfFkZd detksj oxZ ds fu/kkZfjr lHkh [Link] dks iqjk djrk gqa rFkk vkjf{kr inks ds
fy;s fopkj fd;s tkus dk@dh ik= gqaA p;u ds iqoZ ;k i”pkr fdlh Hkh lqpuk ds feF;k ,oa xyr ik;s
tkus dh n”kk esa ;k vik=rk dk irk dk irk pyus ij eSa le>rk@le>rh gq fd vH;qfDr dh fu;qfDr ,oa
izos”k jn~f/kdj.k gksxk] eSa ,slh dk;Zokgh ds fy;s mrjnk;h gksmxk@gksmxh tks fo/kh ;k fu;eksa ds mikcaf/kr
dh tkosA

gLrk{kj “kiFkxzfgrk
vk/kkj l[;k -------------------------------------------------------------------------
eSa lR;kfir djrk@djrh gqa fd mijksDr fof”kf’V;ka esjs lokRsZre Kku vkSj fo”okl ds vuqlkj lgh
o lR; gS bZ”oj esjk lk{kh gSA
gLrk{kj “kiFkxzfgrk

[Link]