GOVERNMENT OF ANDHRA PRADESH

INCOME& ASSET CERTIFICATE FOR ECONOMICALLY WEAKER SECIONS

Application No

EWS22091407 5443
Date: 17/09/2022

VALID FOR THE YEAR 2022-2023

This is to certify that Shri/Smt./Kumari PATAN ALFISHA Son/daughter/wife of PAZAM THULLAKHAN pemanent
resident of 1-172 village/Street AMADAGUR Post office AMADAGUR Dstrict SRISATHYA SAI in the State/
Union Temitory ANDHRA PRADESH Pin Code 515556 Whose photograph is attested below belongs to
Economicaly Weaker Sections, Since the gross annual income* of his/her family'** is below Rs.8 Lakh (Rupees
Eight Lakh Only) for the financial year 2021-2022 His/her family does not own or possess any of the following
assets***:

I. 5 acres of agricultural land and above;

II. Residential flat of 1000sq.ft. and above;
II. Residential plot of 100sq.yards and above in notified municipalities;
IV. Residential plot of 200sq.yards and above in areas other than the notified municipalities.

Shri/Smt./Kumari PATAN ALEISHA belongs to the Oc(PATAN) caste which is not recognized as a Scheduled
Caste, Scheduled Tribe and Other Bac kward Classes (Central List).

Signature with seal of Office

Name: V Reddy Sekhar

Designation: Tahsildar
Recent Passport size photo Mandal:Amadagur
attached photograph of

the applicant

Note: Income covered al the sources i.e salary, agriculture, bussiness, profession,etc.
**Note: The term "Family" for the purpose include the person, who seeks bene fits of reservation, his/her parents and
slblings below the age of 18 years also his/her spouse and children below the age of 18 years.
**Note: The property held by a "Famly" in different loca tions or diferent place/ities have been cubbed by appying
the land or property holding test to determine EWS status.

Digitally Signed. .
Name: VELAGA REDDY Page 1 of 1

SEKHAR
Date: 17-Sep-2022 16:27:25