FORMAT FOR INCOME CERTIFICATE

File No:____________ Date:________________

1. Name of candidate :

2. Father’s / Mother’s Name :

3. Occupation of Father / Mother :

4. Domicile State :

5. Residential Address :

6. Annual Family Income : Rs. ________________

(Financial Year 2022-23) : (in
words______________________________________)

7. Date of issue :

This Income Certificate has been issued on the report of the Patwari of the area of
candidate’s residence.

Round stamp of officer of Signature of Tehsildar/Issuing

Authority Tehsildar/Issuing Authority With date stamp

Note- The Income Certificate must be issued by the Revenue Officer not below the
rank of Tehsildar from area of residence of the candidate. The Income Certificate must
include Income from all sources of the family for the Financial Year 2022-23 and must
have been issued on or after April 01, 2023.