GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Issue of Income Certificate by Revenue Authorities for grant of Post Matric
Scholarships and fee reimbursement to students – Recommendation of
Group of Ministers – Redesigned Income Declaration Form – Orders –
Issued.
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REVENUE (SER.II) DEPARTMENT
G.O.Rt.No. 1307 Dated:13.09.2010
Read the following:
1. G.O.Ms.No. 2509, G.A. (Cabinet) Dept., dt. 21.5.2010.
2. U.O.No.179/2010, G.A.(Cabinet) Dept.,dt. 5.8.2010.
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ORDER:
In the G.O. 1st read above Government have constituted a Group of
Ministers (GOM)to hold discussions with the managements, students and
officers on the subject of streamlining grant of Post Matric Scholarships and
to suggest guidelines to be followed for reimbursement of student fees to the
Colleges . One of the important observations of the Group of Ministers is
regarding the issue of Income Certificates to the Student Community.
2. The Group of Ministers, after detailed deliberations, has recommended
for submission of a revised Income Declaration Form by the students while
applying for issue of Income Certificate (of parents). The revised format is
given below:
INCOME DECLARATION FORM
Name of the Student:
1. (i) Name of the Father
(ii) Whether Employed
(iii) if employed, Designation
(iv) Salary per month
2. (i) Name of the Mother
(ii) Whether employed
(iii) if employed, Designation
(iv) Approx salary per month
3. Agricultural holding of the
parents mention extent
(i) In the name of the Father
(ii) In the name of the Mother
(a) Crops Grown in land
(b) Whether Dry or Wet land
© Annual income from
Agricultural Land
4. Business mention the
trade/name of business
Income derived from the
venture
5. (i) No. of Vehicles owned by
the Family
(ii)Whether used for
personal/private use only
(iii) Mention type of Regd.No.
vehicles(two wheeler/
three wheeler/four
wheeler)
(iv) Vehicle registered on
whose name
6. (i)Type of House: Mention
whether RCC, thatched/
Tiled roofed
(ii) Mention whether
Indiramma House
(iii) Cost of Construction
of House
(iv) whether constructed with
loan, if so amount and
Bank Branch
(v) Any other type of house
7 (i) Whether living in own
house or rented house
(ii) if rented, mention rent
amount
8. Telephone/Mobile Number
9. Total Family income from all
sources
Name & Signature of the
Name & Signature of the Student Parent
Date:- Date:-
Place:- Place:-
NOTE:
• Declaration shall be given jointly by the parent and the student
• Tahsildar shall issue the Income Certificate by strictly observing all the
above components
• Income Declaration Form should be Notarized on Rs.10/- Non-Judicial
Stamp Paper.
• Any false declaration shall entail disciplinary
action/prosecution/recovery of the scholarship amount already paid
with penal interest under RR Act.
3. Government have accepted the above recommendation of the Group
of Ministers. The Spl. C.S. & Chief Commissioner of Land Administration A.P.
Hyderabad /All Collectors shall issue instructions to all the designated
Revenue Authorities in the State to hence forth issue Income Certificates
after obtaining Declaration Form, as mentioned above, from the concerned
students for issue of Income Certificate for the purpose of grant of Post
Matric Scholarships and/or fee reimbursement to them. The Income
certificate must contain the name of the Tahsildar with his Employee Code,
office seal and date legibly written/stamped on the Certificate.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
ASUTOSH MISHRA
PRINCIPAL SECRETARY TO GOVERNMENT
To
The Spl. C.S. & Chief Commissioner of Land Administration,
A.P. Hyderabad.
All District Collectors
Copy to:,
Social Welfare (Edn.2)Department.
S.F/S.C
//FORWARDED BY ORDER//
SECTION OFFICER
