
Aay Praman Patra 4 Page Hot Patched -
. This 4-page document is typically required for students applying for scholarships (like the North Overseas Scholarship) or individuals accessing government welfare schemes. SVG Express Services Pvt.Ltd. Form Components
The 4-page application usually consists of the following sections:
आय प्रमाण-पत्र 4 पेज Income 4 Page
The Aay Praman Patra (Income Certificate) 4-page format is the standard comprehensive application used primarily in Rajasthan to verify an individual or family's annual income for government schemes, scholarships, and admissions. Review of the 4-Page Format
This detailed format is often mandatory because it requires multi-level verification from local authorities and responsible witnesses, ensuring high accuracy for financial aid eligibility. Page 1: Personal & Family Details
Requires core identification: Name, father’s name, address, DOB, caste, and Aadhaar/PAN.
Family Table: You must list all family members, their relationship to you, and their specific income sources (e.g., labor, agriculture, pension). Page 2: Detailed Affidavit (Shapath Patra)
A formal declaration where you swear the income details are correct. aay praman patra 4 page hot
Must specify the Financial Year (e.g., 2025-26) to avoid rejection. Page 3: Witness Verification
Requires signatures and seals from two responsible persons (e.g., Gazetted officers, Sarpanch, Ward Member, or Government Doctors) who testify to your financial status. Page 4: Final Certification
The final section must be notarized or verified by a competent authority like a Tehsildar to be legally valid. Quick Process Guide
Download: Get the latest PDF from the official Rajasthan e-Mitra portal or local Tehsil office.
Fill & Attach: Complete all four pages and attach proof of residence (Aadhaar/Voter ID) and income proof.
Verify: Get the required signatures from witnesses and a notary.
Submission: Submit it online through the SSO Rajasthan portal or at an e-Mitra kiosk. Processing usually takes 5 to 10 working days. IMPORTANT INSTRUCTIONS & TERMS (Left Align Text) 1
Key Note: The certificate is generally valid for one financial year or six months depending on the specific government scheme requirement. Rajasthan 4-Page Income Certificate Guide | PDF - Scribd
भाग 2: परिवार का विवरण (Family Details)
| सं. | परिवार के सदस्यों के नाम | आयु | आवेदक से संबंध | व्यवसाय/पेशा | मासिक/वार्षिक आय (₹) | | :---: | :--- | :---: | :---: | :--- | :---: | | 1. | | | | | | | 2. | | | | | | | 3. | | | | | | | 4. | | | | | | | 5. | | | | | |
परिवार की कुल वार्षिक आय (Total Annual Income): ₹ __________________ (अंकों में)
IMPORTANT INSTRUCTIONS & TERMS
(Left Align Text)
1. VALIDITY: This Income Certificate is valid for the period specified on Page 2 or as per the rules of the specific government scheme for which it is being used (usually 6 months to 1 year from the date of issue).
2. LEGAL WARNING: Providing false information or suppressing material information to obtain this certificate is a punishable offense under the Indian Penal Code (IPC) and relevant State Laws.
3. USAGE: This certificate is valid only for the purpose mentioned on Page 2. It should not be used for any other purpose without prior permission. (Right Align) Office of The Tehsildar [District Name]
4. RENEWAL: For renewal of this certificate, the applicant must apply again with updated income proofs.
5. APPEAL: Any person aggrieved by the issuance or non-issuance of this certificate may appeal to the Sub-Divisional Magistrate (SDM) / District Collector within 30 days of the order.
(Right Align) Office of The Tehsildar [District Name]
आय प्रमाण पत्र 4 पेज का कैसे बनवाएं? (How to Get a 4-Page Income Certificate?)
आप ऑफलाइन या ऑनलाइन दोनों तरीकों से बनवा सकते हैं।
AFFIDAVIT / SELF DECLARATION
I, [Name of Applicant], Son/Daughter of [Father's Name], Resident of [Address], do hereby solemnly affirm and declare as under:
- That my annual family income from all sources is Rs. _______________ (Rupees _______________ Only).
- That I am not an income tax payee.
- That I have not applied for or obtained any other Income Certificate from any other authority for this purpose.
- That the facts stated above are true and correct to the best of my knowledge and belief.
I understand that if any part of this declaration is found to be false, the certificate is liable to be cancelled and legal action may be taken against me.
Date: _______________ Place: _______________
(Signature of Applicant) Name: _______________ Mobile No: _______________
