FAMILY INCOME CERTIFICATE

This Certificate is issued for the financial year ​…………………………

This is to certify that Mr./Ms. (candidate name) ……………………...…………………………………………

whose Father/Mother/Spouse is Mr./Mrs..……………………………...………………………………..,

is a resident of Village/Town …………..……………………… P.O/P.S………...………………………………..

Mouja/Taluk/Mandal ...……………...…………….……...... District………………………...……….………... State

………………….…………...……….................… and his/her family’s annual income from all sources is Rs.

……………………………………. (Rupees in words ………………………………………………………

………………………………..……………………………………..…………………….………...)

Income (Fill whichever is Profession Amount (Rs.)

applicable) (Per Annum)

a Candidate’s Income

b Father’s Income

c Mother’s Income

d Spouse Income

e Any Other Source (Siblings

or Children < 18 years age)

Gross Total Income = a+b+c+d+e Rs.

Date: ………………………………. Place: ……………………………….

(Signature with Seal)

The Family Income Certificate should be issued by the local District Authorities such as District Magistrate /
Revenue Officer / S.D.O. / B.D.O. / Mandal Revenue Officer (M.R.O.) / TAHSILDAR
__________________________________________________________________________________
Note on the definition of family income​: The term family income includes the income of the candidate, the
income of his/her parents and siblings below the age of 18, also the income of his/her spouse and the children
below the age of 18 years.
Note​: Income covers all sources i.e. salary, agricultural, business, profession, etc.