GS u n/ p,on)f Bo f FORM 2A t* o+fn (See rule 4) dt f NOMINAT]ONPAPER Election to the House of the People hrU-- l?, i 30 7'rw
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STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE
PART I
(To be used by candidate set up by recognised political party)
I, nominate as a candidate for election to the House of the People ftom the 29- ARAMBAGH (SC) Parliamentary constituency. Candidate' name APARUPA PODDAR AFRIN AII Father's/mother's./husband's name MD SIIAKIR AII His postal address 28, GANDIII SARAK, P.O- RISHRA, DIST- HOOGHLY,7r2248(WB) Her name is entered at S.No. 556 in Part No. 173 of the electoral roll for I86/SERAMPORE I(Assembly constituency comprised within) 27ISERAMPORE Parliamentary Constituency.
in Part No. 200 of My name is GUNADIIAR KHANRA and it.(Assembly is entered at S.No. 313 the electoral roll for 200- ARAMBAGH (SC) constituency comprised within). 29- ARAMBAGH (SC) Parliamentary constituency. *^LdAd.l PART II (To be used by candidate NOT set up by recognized political party) We hereby nominate as candidate for election to the House of the People from the...... - Parliamentary Constituency Candidate's narne Father's/mother's/husband's I :l:""'"1:::l"llilil*,-r",,'"1"'ril"' ;;;;;i;;;;; ...... Parliamentary constihrency "llff,H."*';,','nl:; We declare that we are electors of the above Parliamentary Constituency and our names are entered in the electoral roll for that Parliamentary Constituency as indicated below and we append our signatures below in token of subscribing to this nomination: Particulars of the proposers and their signatures Sl.no. Name of Elector Roll No. of Full Name Signature Date component Proposer Assembly Part No, of S.No. in Constituency Electoral that part Roll 2 3 4 5 6 7 1. 2. -)- 4. 5. 6. 8. 9. 10. N.B.- There should be ten electors ofthe constituency as proposers- PART III I, the candidate mentioned in Part I/Part Il (Strike out which is not applicable) assent to this nomination and hereby declare- (a) that I am a citizen of India and have not acquired the citizenship of any foreign State/country. (b) that I have completed 33 years of age; ISTRIKE oUT c(i) or c(ii) BELOW WHICHEVER IS NOT APPLICABLEI (c) (r) that I am set up at this election by the AITC party, which is a recoglrised National Party/State Party in this State and that the symbol reserved for the above party be allotted to me' OR 2 (c) (ii) that I am set up at this election by the party, which is a registered-unrecognized political partJlthat I am contesting this election as an independent candidate. (Strike out which is not applicable) and that the symbols I have chosen, in order of prefersnce, are: (,) (,, (rrr)...... -,...... (d) that my name and my father's/mother's4rusband's name have been correctly spe It out above in ENGLISH (name of the language); (e) that to the best of my knowledge and belief, I am qualified and not also disqualified for being chosen to fill the seat in the House ofthe People. *l further declare that I am a member of the... JALIA KAIBARTA...**Caste/tribe which is a scheduled ++caste/tribe of the State of...WEST BENGAL...in relation to...SERAMPORE...(Area) in that State. I also declare that I have not been, and shall not be nominated as a candidate at the present general election/the bye-elections being held simultaneously, to the House of the People from more than two Parliamentary Constituencies- /*aA^ Date...l2l04l19 Signature"Nl"'-l^ of Candidate rscore out the words "assembly constituency comprised within" in the case of Jammu and Kashmir, Andaman and Nicobar Islands, Chandigarh, Dadra and Nagar Haveli, Daman and Diu and Lakshadweep. *Score out this paragraph, ifnot applicable. **Score out the words not applicable. N.B--A "recognised political party" means a political party recognised by the Election Commission under the Election Symbols (Reservation and Allotment) Order, 1968 in the State concerned- PART IIIA (To be filled by the candidate) (l ) Whether the candidate- (i) has been convicted- NO (a) ofany offence(s) under sub-section (l ); or (b) fbr contravention ofany law specified in sub-section (2), of section 8 ofthe Represenration ofthe People Act, l95l (43 of 1951); Yes,No NO (ii)hasbeenconvictedforanyotheroffence(s)forwhichhehasbeen> sentenced to imprisonment for two years ot more' If the answer is "Yes", the candidate shall fumish the following information: (i)Case/firstinformationreportNo.,O{os...-...-.-,.--.N.A...... (ii) Police station(s)...... N.A. .. . -. . District(s)...... N.A...... State(s)...... N.A.... (iii) Section(s) ofthe concerned Act(s) and brief description ofthe offence(s) for which he has been convicted...... NA (,v) Date(s) of conviction(s) ...... N.A...... (v) Court(s) which convicted the candidate...... -...... -....N.A. ' ' . '. ' (vi) Punishment(s) imposed [indicate period of imprisonment(s) and/or quantum of fi ne(s)1...... N.A...... -...... (vii) Date(s) ofrelease f'rom prison...... N.A (viii) Was/were any appeal(s)irevision(s) filed against above conviction(s)...... NO.. ... Yes,i}.lo (ix) Date and particulars of appeal(s)iapplication(s) for revision filed. -..-....N'A (x) Name of the court(s) before which the appeal(s)/application(s) for revision filed. ' 'N'A. -.... (xi) Whether the said appeal(s)/application(s) for revision has/have been disposed ofor isiare pending...... N.A...... (xii) lfthe said appeal(s)iapplication(s) for revision has/have been disposed of- (a) Date(s) of disposal...... N.A. -...... ' (b) Nature of order(s) passed...... N'A...... '.. (2) Whether the candidate is holding any office of pmfit under the Government of India or state Government?,.-NO..(YesA.lo) -lf Yes, details ofthe office held...... N.A.. (3) Whether the candidate has been declared insolvent by any Court?...NO. ...(YesA{o) -lf Yes, has he been discharged from insolvency.,. .. 'N.A...... (4) Whether the candidate is under allegiance or adherence to any foreign country?... NO....(YesA{o) -If Yes. give details...... N.A (5) Whether the candidate has been disqualified under section 8A ofthe said Act by an order of the President?..-.NO.. -.(YesA',lo) -lf Yes, the period for which disqualified... -.... '. '....N.A...... (6) Whether the candidate was dismissed for comrption or for disloyalty while holdingoffice under the Government of India or the Govemment of any State?- " 'NO ' - -'(Yes't'lo) -lf Yes, the date of such dismissal...... '..N.A...... (7) Whether the candidate has any subsisting contract(s) with the Goverflment either in individual capacity or by trust or partnership in which the candidate has a share for supply 4 ofany goods to that Govemment or for execution of works undertaken by that Covemment?.....NO....(Yes/No) -If Yes, with which Govemment and details of subsisting contract(s)...... N.A (8) Whether the candidate is a managing agent, or manager or Secretary ofany company or Corporation (other than a cooperative society) in the capital ofwhich the Central Govemment or State Covemment has not less than twenty-five percent share?-....-NO...... (Yesino) -If Yes, with which Govemment and the details thereof ...N.A...... (9) Whether the candidate has been disqualified by the Commission under section i0A ofthe said Act. . ...NO.,...(YesNo) -lf yes, the date of disqualification...... --..--N.A.. /"ad^ Place: ...CHINSURAH.. Signature^il/'-# of Candidate Date:...12104119... PART IV (To be frlled by-the Retumiqg officer) Seriar No. or nomination pap ;H)/ A e/ (*.0..t-il/ k o This nomination was . dclivered to me at my office at, 1-&-r..9.0ro"r) *canhdate/preposerJname .".. t.2--l.O-tt. / t 9.(date) by rhe o f proposer ...... 1 ...... - ...... r D^rc..!kfl.://t" PART V Decision of Returning Officer Accepting or Rejecting the Nomination Paper I have examined this nomination paper in accordance with section 36 ofthe Representation ofthe People Act, 1951(43 of l95l ) and decide as follows:- Date Retuming Officer (Perforation) 5 I q1 'Iffi i ,.'. 1' q --a ={6r,E= a I 7 B iIiIIiJNDRE B RIiJPEES}* I z [r-t oo I o oo1 oo1001 00r oo 1001 oo oo100 1 001 00- 1 E) I o1 oo-l oo.l oo Q'( -t 1 AB 638726 o tu o r [oTAR\i .i, .l 5V' .: I I o k;uM \' OQ (t .(! I .> Affidavit to be filed by the candidate along with nomination paper before the _. I Returning officer for'Election to the Lok- Sabha from ,t- d;;dh 6cfSHl[iil;r.y I PART A I, APARUPA PODDAR AFRIN ALI , wife of MD SHAKIR ALI, aged- 33 years, resident of 28, GANDHI SARAK, P.G.RISHRA,P.S- SERAMPORE, I DIST- HOOGHLY, PIN-712248 (WB), a candidate at the above Election, do hereby solemnly affirm and state on oath as under. I am a candidate set up by ALL INDIA TRINAMOOL CONGRESS o My name is enrolled in 186/ Serampore Assembly Constituency, West 0c2 I v Bengal at Serial Number- 556 in Part No- 173 SERAIIPORE HCpoHLY My contact telephone number is 983001ll47 and my E-mail id is [email protected] and my social media account(s) are ,! (i) Fa€ebook. - aparupa29 @gmail.com (ii) Whats app - 983001 I 147 I I ffazorg,'u,t*o Cont. l,a*" ' I '*M aR- \c\.,\ ;-S\ss- \*ol Ji-ti ,*l**'Nf""{\{tfc^ Fddd.n flJurv. wl &rm6. qtrfi (4) Details of permanent Account Number (PAN) and status of filling of income tax Retum: sL. Names PAN The financial Total Income \o year for which Shown in lncome Tar retum ( in the last Income Rupees) for the las five Financial Ta-r return has years completed ( as on 31"' AN been filed March) il D, NC A i2 i?c)2 v 4i- n I Self (r) Aotl-19 = 14 130,\13 (ii) lal6-tl,r llt,q6,t&L AP/ RUPA Po>>eR (iii) AssPPhs6r F eoll- t8 aots- t6 : l?,75, 635 AFerru Alr (iv) aolq - 15 = 11 ,16, 44o (v) eo tg - lq : P, 15, qOO (i) 2 Spouse AolT-18 = 6,o0,SBT (ii) eol6 -l? = S,al,4Dl MD SH,4KlR (iiD ,qLI AFRPA OID6 P 20rT- t8 aorS- l6 : 3,9,-,36; (iv) Aotq-15.' 4,00, tBL ( ) AotS - lq = &,7 5,614 3 HUF ( If candidate is Karta (i) /Coparcener) NIL (ii) NIL (iiD Nt t- NIt- NIr- NIL (iv) NIL (v) NIL 4. Dependent I (D NIL (ii) NIL (ii, Mb K,BI( AIr NiL NiL NIL (iv) NIL ( ) Nl L- (.2) ,*f*,1"- (tal"^ SE GFIE * T,IOOGFfLY 4.esr 1! APB 20rc 5 Dependent 2 (i) NIL (ir) NIL AFstr A At-r NIL Ni t- (iiD NIL (iv) NIL (") NIL 6 Dependent 3 (i) NIL (ii) NIL (iiD N1 N1L NIL NIL (iv) NIL o ( ) >-4 NIL Gj.,i Y * T Note: It is mandatory for PAN holder to mention PAN and in case of no PAN. It should be clearly stated " No Pan allatted" (5) Pending criminal cases:- (i) I declare that there is no pending criminal case against me. ( Tick this alternative if there is no criminal case pending against the candidate and write NOT APPLICABLE against altemative (ii) below). OR (ii) The following criminal cases are pending against me: (ifthere are pending crimiaal cases against the candidate, their tick this altemative and Score off altsrnative (i) above, and give details ofall pending cases in the Table below) Table (a) FIR No. with name and address of police station U) R c otoaDry A0ot o concemed cBt/AcB/ rotuArA NO- UI, ECIR \ REGD No 7 A * SE Fi * Padz.^ (3) 'Vt'** &T "l I APR 2019 (b) Case No. with Name of the Court Bc Ttoaowfi\ot6 HoNBt6 HIIH coupT, CALLUTTA Section(s) of concerned (c) Acts i Codes involved ofs- tzoB IFc anil v,,3[r) "h (give no. of rhe rcO@ qn,l t3()(d) P. c. Art Section, e.g- Section. of IFC, etc.). (d) Brief description of A BOUT bO NATIO offence ( ) Whether charges have been &amed No (mention YES or No) lf answer against (e) (0 Above is YES, then NO Give the date on which charges were framed Whether any (g) Appeal Application For revlsron has been Filed against the ND proceedings (Mention YES or No) c,HAR h W * o s ,!a 7B PN 2I,B (6) Cases of conviction:- I declare that I have not been convicted for any criminal offence. (Tick this ,z(i| ts cH if tk caEdidate has not been convicted and l}Tite NOT s( + against altemative (ii) belorv) o 2 OR t (ii) I have been convicted for the offences mentioned belorn-: + I eEN\t (lf the candidate has been coavicted. then tick this altemative and score offal (i) above, and give detaits in the Table below) Tabie (a) Case No- N.A. N.A, N.t , (b) Name ofthe Coun N.A. N,A. N,A. (c) Sections of Acts / Codes invohed (give no. of the N, , Section, e-g A, N,A, N.A Section ...... of IFC, etc-I (d) Brief description of Offence for which convicted N.A. r..l,A. N.A. (e) Dates of orders of conviction N. A. N.A, N.A, (0 Punishment imposed N.A. N,A. NA (e) Whether any Appeal has been f,rled against conviction NO NO NO order (Mention YES or NO A,\i (s) w-- P.Aa"^ e 7.o' E -.t * n \ * I I aPR 2019 If answer to (g) (h) Above is YES, give Details and present N,A, Status of appeal N./, N,/ (6,4.) I have given full and upto-date information to my political prty about all p€rding Criminal cases agaiffit me and about all cases ofconviction as given in paragraphs ( (6). CH;r i\ 4/ [Candidates to whom this Item is not applicable should clearly write NOT ;i '.\ "EPPLICABLE IN YIEW OF ENTRJES IN 5(i) and 6{i), abovel 4 o Z Note: o o ) l. Details sbould be entered clearly and legibly in BOLD letters. + 2. Details ro be given separately for each case rmder different columns \, 3. Details should be given in reverse chronological order, i.e., the lalest case to be mentioned first and kkwards in the order of dales fnr tk other cases- 4. Additional sheet may be added if required. 5. Candidate is responsible for srpplying all information in compliance of Honble Sup,reme Court's jrdment in SI. P (C)No- 536 of 201l. (7) That I give krein below the details of the assets (movable and immorable etc.) of myself, my spouse ard all dependents: A. Dotdls of moveblc assets: Note: I . Assers in joint mme idicating the extent of joint ownenhip will also have to be gl.en. Note: 2. In case of deposit/hvesment, tho details including Serial Number' .Amolmt' date of deposit, th€ scheme, Name ofBaokflnstitution and Branch are to he given' Norc: J.Value of BondslsharE Debentures as pet the current market value in Stock Exchange in rcspect of listed comlnnies and as per books in case of non-listed companies should be given Note: 4. Dependent' means parents, surs). dqughteds) of tho cadidate or spouse atrd any otkr person related to the cdidate utether by blood or marriage, who have no sep*d" mms of income ad who re dependent on the candidate for rheir livelihmd- Note: 5- Details including amount is to be given separately in respect ofeach investment Note: 6. Details should incfude the interesc in m ownenhip of offshce asses. l,.RAA,/ (6) ,NW -4 .> 4 \ * T ,l I APR 2019 Explanation:- Forthe purpose of this Form, the expression "ofishore assets' includes, details of all deposits or investments in Foreip honks and any other body or institution abmd, and details of all assets and liabilities in foreign countries': SL.No. Derription Self Spouse HUF Dependenr DepGnd€tri Dependent- -t -2 1= ::\ (i) Cash in hand Rs- to Rs- 5 NiL NIL i (ii) Details of deposit in Tfrrrn t be+osa { fultrr 0qrosi { Bank r,vu SBI ;* n U"Latr.l i,{' ( accounts (FDRs' al 500 ooo gs,,^lz- Term ) rii) ??eT9t - Uw L^kL Ileposits and all "Hi lir') tostrtl otlEr types Fefqti{! ; 5a"in of deposits inchding (-/c. !n7oci? l7r T 3 lorvL'r.6 NIL saving accormts), 't)b.,l. rl gawk HhFe- Deposits - 6s21' gn,^lA with Financial oir 1.16o- 9513 - l6ooo Institutioms, set ulfi Non-Banking X'ri) go,raaD - 3a8062 FinailciaI t'v t Ser, Raet Companies and - lo6q78 ^a Cooperarive societies tv I A t(r-fu,8+J and '€o^r<- 6{r9 the amormt in each yi/ HDFc such &o". & - e6ASo d€posit (ii0 Details of investment NIL N1L NIL NiL NiL Nt t- ftetails of investment u (i") [qr*t^tt-o'nc-c NSS, Postat Saving ?t z"*.tt * Insurance Policies and investment in any NIL NIL NIL NIL Financial instrurnerfr.s in Post 'i office ms+ThtF or Insurance Company and drc amormt ARAN ('1) &E &P4^ /tld"- --t \){] t R z 1",OC E \ 'iFfl-Y {- T .l I APR 2019 (v) Personal loans/advance given to any person or entity furcluding firn, cmnoany, Trust etc. and NIL NIL NIL N'L NIL olfter receivables fiom deb{ors and the amount- (ri) MotorVehicH lf.> M <.or.7io "' (viii) Any other assets srch /u^a witL trr.-o witL. L r'c e.na as a ;,6 - tJ aan q- ,\!O - value of chimsJinterest 1t111 / sR? tsPt/ERP NIL N/L NIL vo,tr"r.'- ?{ rt a s I(- NIL rt'Ei7jry;qo \Ja.l,ut - 5{?eo (i") Grocs Total value hs ae rzt 6 0t 864 NIL 666aD 376aD NIL B- Dcirik of lDmovrbh rs.tt: Note: I . Properties in joint ownership indicating the exent ofjoint ownenhip will also have to be indicated Note: 2- Ea:i land or buiHing u aportment slrculd be mentioned *pararety in this formar Nce: 3. frerails should imlude dre interest in or ownership of offshce asse8. SL.No Description Self Spouse HUF D€pendent- DependenG Dependent 1 2 ) (i) Asricultu ral Letrd Nlt NIL NIL lvl L NiL Location( s) NIL Survey number(s) Arca (total m@surE nent NIL NIL N}L NIL Ni t- NIL in acres) t{ ARAA/ :io (8) ,tlf^4^ /rat^ o * { o D J I APR 2019 HARA f c Whether inherited prop€rty NO &c^ (Yes or No) $Pa o NO NO {. ;r,.'.12or, o Date of purchase in case of self - acquired property 5 NO -r NO NA + Cost ofl^and (in case af \ puthase) at the time of Y purchase NO NO NO ND NO Any ftrve$rent on the land by way of dcvelopment, construction NO etc- NO NO NO NO NO Approximate Current market value NO NO NO NO NO NO (ii) Non-Aericultural Lend Location(s) ?ISHRA RI SHR/4 NiL NiL Sun'ey numbe(s) 115'( t? s7 Nrt N}L Area (total nreasuremem Stto gt.{l in sq. ft.) 9uo Wherber inherited property YES YES No NO Nal NO (Yes or No) Dale ofpurchase in case of self- acquired property NIL NIL NIL NIL N'L NTL Cosd of t-an Any Itrvestsrcflt on the land by way of development, constructinn NIL NII. NIL NIL N,L NIL etc. Approximate current o-oo market value 7 lo 7 5o rtz NIL NIL Nlt NIL (iii) Commercial Buildinps (irrcluding aparmemts) RisuRl NIL NIL NIL NiL -Locatim(s) N/L -Survey number(s) ARA G$ W,1.^ /"dtu- (e) ,t a C o i' I h D Dl I APR 2019 Area (total measurement -4 in sq. ft.) N{cv"! N,L N/L NIL N,L Buik-up 4p" 11oo1 measurement in sq.ft-) N/L NIL Nrt, NIL Whether inherited i, pmp€rty (Yes m No) N.I L NIL NIL N]L Date ofpurchase in case of self - acquired pmpeny Arl L aolS NIL NIL NIL NIL Cost ofproperty (in case of prchase) af the time of N,L I Q- oo oto purcluse NIL NiL NIL NIL Any Inveshert on the property by way of development, con*uction NJL z20o tnn NIL NIL NTL NJ I- 6tc. Approxirnate current market value NIL 6o oo aoo NiL NiL NlL Nl L (iv) Residential Buildines Rtsue.A Rtsttq4 (including apartnents): N'L NIL NIL N'L -l,ocation (s) l75Y I ?5.T -Survey number(s) ArEa (Total measurement in sq. ft) 8uo, Buih up Arca (Toal mea$rement in sq. ft-) Buo t11,fi Stlo,Ly{( Nlt NIL NiL NTL r#hefter inherited pmPerty (Yes u No) YES YES NlL NIL NiL N'L Date ofpurchase in case of self - acquired property N!L NiL NIL NIL NIL NIL Cosd of p,ryerty (in case of purchase) at the time of prnchase Gr F res Gtrrea NIL NIL NiL NIL Any lnYestsnent on the land by way of l- developmenr, constructim NO Nt) Nl NiL NIL NIL ctc- Approximate current market r.alue V So or-o | 5o o-oo NIL NIL NfL NIL (10) A AN W/"d,a^. .\a ii:,. L TB I I APR 20t9 ( ) Others (such as interest in N.lr- NIL property) NiL NIL NIL NIL (vi) Total of current market value of(i) to (v) above 7 5o Ftz 6/50 ooa N'r NIL NIL Nl r- (8) I gine herein below the details of liabilitiesrdues to public financial govemmeflt- (Note: Please give separate details of name of bank. institution, entity and amormt before each item) SI Description Self Spouse HUF Dependent- DeplffiP fependent- No. I 2 Loan or dues to (D Bank/Financial Institution(s) 4qooo Name of Bank or C,o,n Loan N'L NIL NIL N'L Financial Institution. .froro SBr Amount oulstanding, Nature of loan Loan or dues to any other individuals/ Entil-v other than mentioned above. Name(s). Amount NIL NI L NIL NIL NIL NIL outstanding. nature of loan Any other liability NIL NIL NIL NIL NIL N'L Grand total of liabilities h4ooo \aoo r-oa NIL NIL NIL NIL (l l) A7"^,7--/ea*". z --1 * n * r/vEbT lt| I APR 2OI9 (iD Government Dues: YES/NO (A) (PI. tick rhe Dues to departments appropriate Dealing urith Has the Deponent been in occupation of alternati ve) Government accommodation proviM by the accommodation Gov€rtrment at any time during the last ten 'les years before the date of notification ofrie cunent el€ction? (B) If answer to (A) above is YES, the cHA declardion may be fumished namely- {i) The address ofthe Govemment .,.-\; z ecommod.ation: tg * --t ( LL'.-'- .}' 4.Q.8.".#.o.r(T H.. . Ly -ex.u.e... F t n NE.ht..D.F:lfl I...J...... Y l} There is no dues payable in TB respect of above Government accommodation, towards- (a) rent NJL (b) electricity charges; N'L (c) water charges; and N'L (d) telephone charges as on NlL ,0.0.1,.,r-?, (dare) [The dare should be tre last date of the third mo*rth prior to the month in which ?t. o3. 11 the election ts notified m any date thefsafterl . Note- No Dues Certificale'Ilom the agerrcies concerned in rEspect of r€nt eleckicity chargeg water charges and telephone charges for the above Government accommodation $ould be submitted. (iii) Dues to department dealing with Government transport (including aircrafts and NO helicopters) N ?ua*^ - (12) Q+W z C -1 < T * E * I APR 2019 Self Spouse HUF Dependent- Dependent- Dependent 1 2 (iv) Income Tax dues NIL N?L NIL NIL N?L NIL (v) GST Dues NIL NIL NIL NIL NIL NIL (vi) Municipal/Property tax dues NIL NIL NTL NTL NTL NTL (vii) Any other dues Nit- NIL NIL NfL NIL NIL (viii) Grand total of all Govemment dues NIL NIL N'L NIL N?L NTL (ix) r#hether any other liabililies are in dispute, if so, rnenticn rhe amount involved and the Nlt- NTL NfL NiL NIL NIL authority before which it is perding. m;_\ (9) Details of profession or occupation: '+).\ 4 7,'r-\ (a) ser.....PAa Ei ssIoN (b) Spouse ..BU SIN ES + (9A) Details ofsource(s) of income rB (a) Self P Esslo (b) spouse...B!1.$ IN sl (c) Source of incorne, if any, ofdependents, IL (9B) Coflracts with ryropride Gor.ernment and any public compdly or compfldes (a) delails ofccntracts etrtffed by the candiddes, IL (b) details ofcontracts entered into by spouse- IL (c) details ofcontracts entered into by depcndena NIL (d)details of cffi enttrd into by Hidu Undivid€d Family or lrusf in whir:h tk"'-"'N'lk"-- gf*-/^- Pe-"/"L-. (13) 7-o t -1 * x * .tl APR 20t9 oHARA ? o -{ ) Candidate or spouse or dependents I have interest...... N + (e) details ofcontracts, cntered into by Partnership Firms in which candidate or T spouse or dependents are partners 1 (f) details of contracts, entered into by private companies in which candidate or spouse or dependents have share IL (10) My educational qualifrcation is as under: ..2....:....Le.5.C.....0.e.r-H.i....Bp.lx.D-. \EAR- 2ooA, ..fi ...=...W.a.c.HJ.F-.,.... taJ.E sf_..8.8.N 8.A.8,.:..3.9.e.h ...... a.AL. "....:t 5.ll.Ly,4tti.N..-...qj[r#il.:clc.r,.pm.::eA.,i.eai..,.a.liniii..ii^r ERstry .. .!el&-2@o7 ..(.i.F_...;....Mi-.ri.$.i.^1...... o*.i_4.E..;..HAaaHiV..;..:.lg.uxrn.N;.^r_. trNtvERstry ,rrlx- aot3 ..M,4..rx..Erufi.L].S.H...:r....MANU.tl-.e..H.Y.DP-.RA.B.rtD..,'..Y.Ef,.( .:.EQt2- ..Lt-nn u.R9.u.rN.a,..[Ro"M....B.u.RD.A] l4t-v....U.N.I.Y.E.Rs.f..Ty. (Give details of highest School / University education mentioning t}te full form of the Certificate / diploma / degree course, name ofthe School /College/ University and the year in rvhich the course nas completed.) ARAfu (14) 0 + --t .( * -l I APR 2019 ^W l"AA"" C,P,AR4 PAR _B 4 ABSTRACT OF Tr{E DETAILS GIVEN rN (r) TO (10) oF L,t --j (1) Name of the candidate Sh-/Smt./kum. .b Y APARUpA Poo>nR A I (2) Full postal address 28, GdNDHt s/4RAK, p.olW DT- HooqHLT, Prrv -+rrzqg Cw.e,) ( t ) Number and name ofthe constituency and state 2? \^EsT - ARAMtslS G.cl. BEruqnr- (4 ) Name of the political party which Set up the candidate ( otherwise rruotA Write ' lndependent') It-t- TRtNAMooL coNq(Ess ( 5 ) Total number of pending criminal cases ONE (6) Total number of cases in which convicted NIL (7) PAN of Year for which last Total lncome Shown Income Tax Retum filed (a) Candidate Asspp4s6f F aotT - t8 11,30,\13 (b) Spouse AFRPA ot06 P aotY-t8 6,o0,594 (c) HUF NIL NIL NIL (d) Dependent NIL N}L N,L ( 8) Details ofAssets and liabilities (including offshore assets) in rupees Description Self Spouse HUF Dependent Dependent Dependent -1 :2 3 A Moveable Assets 9co r.pd o Moh( BE{ I Purchase price of self- acquired immovatrle NIL l2 0o oDa NIL NiL N]L NJL property U Development / construction cost of immovable NIL 30 oo tto NIL NIL NIL Nl t- property after BY LOAXI purchase ( if applicable) =\ A'ad-, (1s) &f-* I<- !: 7?.t?00?_ SEFl.ri/FORE n ",{ HOOGT{LY * J1 APR 2019 c\{AR4 TII Approximate :7 I Liabilities (D Govemment dues (Total) NIt- Nlt- NIL NIL N,t NIL (iD Loans fiom Bank, Financial lnsitutions and othen (Total fiq ooo AT,oo ooa NIL N'L NIL NIL 10 Liabilitics that are under dispute (D Govemnrent dues (Total NIL Nl t- NIL NIL NlL NIL (iD Loans from Bank. Financid Institutions and N'L NIL NIL NIL NIL NIL othen (Total) 11. Eighcat cdnc.tion I qrrlificatior: (Give details of highest School funiversiry* education mentioning the full form of the certificatel Diplomai degree course, nanre of the School lCol/ege; University and the year in which the course was complaed,) Lr., MAsre(s {N eNqLtsK FRoU MANUU , H^tbERABfib 1eAR - ao12- 1ir, tr-e fRo^.1 coLLE7E HooqHLf UNtyERstrT- ^,loHsr^, , BuRbAu,)AN eltg p'ti) Pur.sutNq LLM fAbM BU(DAw4N uNrvERSrTT --z-..- 7-o --{ /"a2"^-. h "( (r6) I I APR 20ls ri^tr r' 4 VERIFICATION + *to .L I, tlrc deponent above namd do }rereby veri$ and declare that rhe -b affidayit are true ad corrcct to rhe bes of my hrowledge and beliefand no pol nothing material has been concealed tlrcre from. I further declare that- B Ct (a) there is no case ofconviction or p€nding case against me other than those mentioned in items 5 atrd 6 ofPet A atrd B above; (b) I, my spouse, or my dependents do not have any ass€t or liability, other than lhose mentioned in iterrs 7 atrd E of Part A and items 8. 9 and 10 of Prrt B above. r?01 Verified at this dr. I dar &fi-*/*-/eAa*. DEo 3J Note l. Affrdavit slxJuld be filed latcst by 3.00 PM rm the last day of frling nominatiots. @ul Note 2- Affidavit $ould be sworn before an Oath Coryrmissioner or Magistrate of the Fim Class u beforc s Notary Public. Notc' 3. All cohrmns should be filled up and no cohrrm to be left blank. If there is no infmmation to firmish in respect of any iteru. either "Nil" or "Not applicable", as tte case may be, should be mentioned. Note: 4. The affi&vit shauld be either typed or written legibly and rreatly. Note: 5. Ecch pags of the Affidavit slrould be signed by the deponent md the Affidavit furH bmr or each page dre mp of the Nolary- or Gth Cmmissio €r or Magis{rate befue wfiorn the Affidavit is srsom. 71 ME SOI.EMINLY AFFIRMED & OECI ARED BEFORE ON IDENTIFICIffION OF AT'VOCAIE A.C W/,a*,- h!'ltary Govt. of Eefiga ia) gourt R.ud. n\io. 7212A)2, Serarnpore - SeramPore, Hooghly I 1 APR 2019