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AFFIDAVIT FOR ECONOMICALLY WEAKER SECTIONS (EWS) CERTIFICATE
I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, do hereby solemnly affirm and declare as under:
That I belong to a family ordinarily resident in __________, which is not covered under the existing reservation schemes for the Scheduled Castes, the Scheduled Tribes or the Other Backward Classes (non-creamy layer), and that neither I nor any member of my family holds, or is relying on, a certificate under any of those categories for the same benefit as this affidavit.
That the gross annual income of my family — myself, my parents and my minor siblings — from all sources, namely salary, agriculture, business, profession and any other source, for the financial year __________, is __________, which is less than Rs 8,00,000 (Rupees Eight Lakh only), the income limit prescribed for the Economically Weaker Sections reservation under the Government of India's Office Memoranda dated 17 January 2019 and 31 January 2019, as adopted for this purpose.
That my family's occupation is: __________.
That my family does not own or possess any of the following, which would disqualify it from the Economically Weaker Sections category:
(a) 5 acres of agricultural land or more; (b) a residential flat of 1000 square feet or more; (c) a residential plot of 100 square yards or more in a municipality or a notified municipal area; (d) a residential plot of 200 square yards or more in an area other than a municipality or a notified municipal area.
That this affidavit is sworn for the purpose of __________, and I undertake to inform the issuing authority if my family's income or asset position changes so as to no longer meet the criteria above.
That the contents of this affidavit are true to the best of my knowledge and belief, and I have concealed nothing material.
VERIFICATION
Verified at __________ on __________ that the above is true and correct.
DEPONENT __________
Signature: ______________________________
Sworn/Attested before me this __________ at __________.
NOTARY PUBLIC / OATH COMMISSIONER / ATTESTING OFFICER Name: ______________________________ Seal and Signature: ______________________________
AFFIDAVIT FOR ECONOMICALLY WEAKER SECTIONS (EWS) CERTIFICATE
I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, do hereby solemnly affirm and declare as under:
That I belong to a family ordinarily resident in __________, which is not covered under the existing reservation schemes for the Scheduled Castes, the Scheduled Tribes or the Other Backward Classes (non-creamy layer), and that neither I nor any member of my family holds, or is relying on, a certificate under any of those categories for the same benefit as this affidavit.
That the gross annual income of my family — myself, my parents and my minor siblings — from all sources, namely salary, agriculture, business, profession and any other source, for the financial year __________, is __________, which is less than Rs 8,00,000 (Rupees Eight Lakh only), the income limit prescribed for the Economically Weaker Sections reservation under the Government of India's Office Memoranda dated 17 January 2019 and 31 January 2019, as adopted for this purpose.
That my family's occupation is: __________.
That my family does not own or possess any of the following, which would disqualify it from the Economically Weaker Sections category:
(a) 5 acres of agricultural land or more; (b) a residential flat of 1000 square feet or more; (c) a residential plot of 100 square yards or more in a municipality or a notified municipal area; (d) a residential plot of 200 square yards or more in an area other than a municipality or a notified municipal area.
That this affidavit is sworn for the purpose of __________, and I undertake to inform the issuing authority if my family's income or asset position changes so as to no longer meet the criteria above.
That the contents of this affidavit are true to the best of my knowledge and belief, and I have concealed nothing material.
VERIFICATION
Verified at __________ on __________ that the above is true and correct.
DEPONENT __________
Signature: ______________________________
Sworn/Attested before me this __________ at __________.
NOTARY PUBLIC / OATH COMMISSIONER / ATTESTING OFFICER Name: ______________________________ Seal and Signature: ______________________________
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