ANNEXURE -C

Government of West Bengalcestiicat)

iSsUny te
(Name & Adaress of the

WEAKER SEC TIONS

BE PRODUCED BY ECONOMICALLY
INCOME & ASSET CLRTIFICATE TO
CERTIFICATE NÞ
/DGP/202( DATE

Recent Passpon
size attested
photograph of the
.2021.
VALID FOR THE YEAR: applicant

son.daughter/ wit
that Shri/Smt./
Kunnari village/E
.ais is to certify resident of
a pormanent
District
Post (Office attested t
West Rengal whose photograph is
in the state of below Rs &
income of his/her family * is
Code
Sections, since the
gross annual or possess any
economicaily Weaker 20-2020. Hisher family does not own
belongs to
financial year
only) for the
(Rupees Eight Lakh
tolowing assets "
land and above
Sucres agricultural 1000 sq. f and above urnplii s nunicipalities
Residential flat.of 0l Uific
!0 sq vargs snd nh vE areas other than the notifiçd
Kesiucntial piut0! above in belongs
sq. yards and
Residential plot of 200
1V. scheduled Tr
recognized as a
Shr/Smt./ Kumari Casue which is no

(Cenral List) of Office

Cl .ses
and other
Backward Signature with seal
Name

Designation

profssion, etc
ericulture, business, reservation, his/her pa
sdie,
all suurces ie. bcnefit o yere
Incon.e covereð who seeks tnqage of 18
Nolel. include the person, and children below
, s i i his/her spouse clubbed'
places/cities have becn
e 1"Family as also
age of 18 years
siblings below the locations or different
"Farrnuly"indifferent determine 2W:
held by a or
Note 3: The
property property holding test
applying the land or