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EWS Application Form

This is a sample copy to understand basic structure of EWS application

Uploaded by

Beasty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
0% found this document useful (0 votes)
23 views2 pages

EWS Application Form

This is a sample copy to understand basic structure of EWS application

Uploaded by

Beasty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Application Form Recent

For passport size


Economically Weaker Section Income attested
Certificate for the Financial Year………………… photograph of
the applicant

Applicant Details:
Applicant Name*:
Father Name*:
Gender*: Date of Birth:
Aadhar Number (optional):
Caste Category*: Sub Caste Category*:

Present Address:

Door No*: Locality/Landmark:

Vill. / Town: P.O*: Dist*: Pincode*:

State*:

Postal Address is same as Permanent Address:

Door No.*: Locality/Landmark:

Vill. / Town*: P.O*: Dist.*: Pincode*:

State*:

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/Aadhar 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 and 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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