To: The [designation of the issuing officer], [office address]

Subject: Request to correct my Income and Asset Certificate for Economically Weaker Sections, Certificate No. [number] dated [date]

Sir or Madam,

I, [your full name], son or daughter or spouse of [name], resident of [address with district and pin code], was issued the above Income and Asset Certificate by your office.

I need it for [name of post and recruiting body], for which the closing date for applications is [date]. Under DoPT office memorandum No. 36039/1/2019-Estt (Res) dated 31 January 2019, the certificate must follow the format at Annexure-I and show income for the financial year before the year of application.

The certificate has these problems:
[ ] The financial year of income is not written (it should be [for example 2025-26]).
[ ] The "Valid for the year" line is blank (it should be [for example 2026-27]).
[ ] The seal, name or designation of the officer is missing.
[ ] [any other error, for example a wrong name or address]

DoPT's FAQ of 19 September 2022 (Q22 and Q23) says these details must be on the certificate. I request you to issue a corrected certificate in the Annexure-I format. Copies of the certificate and my supporting documents are attached.

Place: [place]
Date: [date]
Signature: [your signature]
Mobile: [number]