Rajasthan Income Certificate Form - Summary
Rajasthan income certificate form is the official 4-page application issued under the Revenue Department, Government of Rajasthan, to declare and verify annual family income. Citizens need this certificate to apply for state scholarships, government welfare schemes, fee concessions, and category certificates like EWS or a caste certificate in Rajasthan.
This PDF contains 4 pages in Hindi. Page 1 covers the applicant’s personal details and family income breakdown. Page 2 and Page 3 contain the detailed affidavit with land records and property earnings, verified by an executive magistrate or notary public. Page 4 carries witness attestations from two authorized persons.
How to fill and submit Rajasthan income certificate form
Follow these steps to complete the offline application:
STEP 1 – Print all 4 pages on plain paper and paste recent passport-size photographs in the designated photo boxes on page 1 and page 2.
STEP 2 – Fill in your name, father’s or husband’s name, permanent address, contact number, and the annual earnings of each working family member on page 1.
STEP 3 – Fill the property and agricultural land details on page 2, write the total annual income from all sources, and sign the declaration.
STEP 4 – Get the affidavit attested on page 3 by an executive magistrate or a notary public with their official seal and signature.
STEP 5 – Take page 4 to two responsible persons, such as a patwari, gram sevak, municipal councillor, or government school headmaster, to sign and seal the witness reports.
STEP 6 – Submit the completed form along with supporting identity documents at the nearest e-Mitra center or tehsil office for digital processing.
Documents to attach with the form
Attach self-attested copies of the following documents before submitting the application:
- Jan Aadhaar card or Aadhaar card of the applicant
- Proof of residence, such as a ration card or a Rajasthan domicile certificate
- Salary slips or income tax returns if any family member is employed or a taxpayer
- Land revenue records (jamabandi) if the family owns agricultural land
Applicants can track their certificate status or apply online through the official portal emitra.rajasthan.gov.in.
