AFFIDAVIT NARENDRA KUMAR SWAIN, Aged About 76 Years , Son of Late Pranakrushna Swain, Resident of Khari Sahi, Vill

BEFORE THE RETURNING OFFICER FOR ELECTION TO COUNCIL OF STATES FROM ODISHA CONSTITUENCY

FORM 26 (see rule 4A)

AFFIDAVIT NARENDRA KUMAR SWAIN, aged about 76 years , son of Late Pranakrushna Swain, resident of Khari Sahi, Vill. : Tandikana, P.O : Uradha, P.S : Govindpur, Dist : Cuttack, Pin -754010, a candidate at the above election, do hereby solemnly affirm and state on Oath as under :

(1) I am a candidate set up by BIJU JANATA DAL .

(2) My name is enrolled in 92 NIALI(SC) Assembly Constituency of Odisha at Serial No.564 in Part No 111.

(3) My contact telephone number(s) are +91-94370-16636(Mobile) and +91-671-2416636 (residence landline) . and my e-mail id is nkswain2015in©gmail.com and my social media account is https://www.facebook.cominkswain2015. 2

(4) Details of Permanent Account Number PAN) and status of filing of Income Tax ..--... The Financial year for SI.No. Names PAN Total income shown in which the last Income Income Tax Return (in Tax return has been Rs.) filed 2014-2015 209450.00 1 Self EZCPS7441L 2014-2015 260082.00 2 Spouse BNJPD8494C NA NA 3 Dependent-1 NA NA NA 4 Dependent-2 NA NA NA 5 Dependent-3 NA

(5) I am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has been framed by the Court(s) of competent 'jurisdiction. If the depondent is accused of any such offence(s) he shall furnish the following information:- (i) The following case (s) is/are pending against me in which charges have been framed by the Court for an offence punishable with imprisonment for two years or more:-

Cash/ First information Report No./ Nos. NA (a) together with complete details of concerned police Station / District / State.

NA Section(s) of the concerned Act (s) and short (b) description of the offence(s) for which charged.

NA Name of the Court, Case No. and date of order (c) taking cognizance.

NA (d) Court(s) which framed the charge(s)

NA (e) Date(s) on which the charge(s) was/ were framed. NA Whether all or any of the proceeding(s) have (0 been stayed by any Court (s) of competent Jurisdiction.

(ii) The following case(s) is/are pending against me in which cognizance has been taken by the Court [other than the cases mentioned in item(i) above] :- NA Name of the Court, Case No. and date of (a) order taking / cognizance.

NA The details of cases where the Court has taken (b) cognizance, Section(s) of the Act(s) and description of the offence (s) for which cognisance taken. NA Details of Appeal(s)/ Application(s) for revision (if any) filed against the above order(s).

'r•-Kv.,,-y)t...p1,- roy 3

(6) I have not been convicted of an offence(s) [other than any offence(s) referred to in sub- section (1) or sub-section (2), or cover in sub-section (3) of Section 8 of the Representation of the People Act, 1951 (43 of 1951) and sentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, he shall furnish the following information. In the following cases, I have been convicted and sentenced to imprisonment by a Court of Law :

The details of cases, Section(s) of the NA (a) concerned Act(s) and description of the offence(s) for which convicted. Name of the Court(s), Case No. and date(s) NA (b) of order(s). NA (c) Punishment imposed

Whether any appeal was/ has been filed NA (d) against the conviction order. If so, details and the present status of the appeal

(7) That I give herein below the details of the assets (movable and immovable etc.) of my self, my spouse and all dependents :

A. Details of Movable Assets :

SI.No. Description Self Spouse Depe Depe Depe ndent- ndent- ndent 1 2 -3 JI) Cash in hand Rs.10000.00 Rs.5000.00 (II) Details of deposit in, Bank NA NA NA Accounts (FDRs. Term Rs.44,593.00 Rs.73465.00 Deposits and all other types In SB .A/c No.- In SB A/c .No of deposits including Saving 32045315762 — . Accounts). Deposits with of State Bank 1086180244 Financial Institutions, Non- of India, 4 of State Banking,FinancialCompanies Secretariat Bank of and Co-operative Societies Branch, India, and the amount in each such Bhubaneswar. Cuttack deposit: Odisha Branch , Cuttack, Odisha.

And

Rs.1,00,000. 00 in shape of Fixed Deposit vide STDR- 3225608193 5 at State I'M- • Bank of India, Cuttack Branch, t... f. t"..-t',11c1"■ la tsar f ,-;.#: Cuttack, t. Odisha. S.. 1(41). k l , ;'4'1( 4

(III) Nil Nil NA NA NA Details of investment in Bonds Debentures/Shares and units in Companies/ Mutual Funds and others and the amount.

(IV) Details of investment in NSS, Nil Nil NA NA NA Postal Savings, Insurance Policies and Investiment in any Financial instruments in Post Office or Insurance Company and the amount. (V) Personal loans/ advance Nil Nil NA NA NA given to any person or entity including Firm, Company, Trust etc. and other receivables from debtors and the amount. (VI) Motor Vehicles /Aircrafts/ NH Nil NA NA NA Yachta/Ships (Details of Make, Registration Number etc. year of purchase and amount) (VII) Nil Gold NA NA NA Jewellery, bullion and ewewl lery of valuable thing(s) (give 1 eight 30 gms details of weight and value) worth Rs.75,000.00 (VIII) Nil Nil NA NA NA Any other assets such as value of claims / interest

(IX) Gross Total Value Rs.54593.00 Rs.271465.00 NA NA NA

B.Details of Immovable Assets :

sz; 5 SI.No Description Self Spouse Dependent- Dependent- Dependent- 1 2 3 (i) (a) Mouza- (a) Mouza-Uradha NA NA NA Agricultural Land Arisol,Khata No - Location(s) 207,208,242,61 Regd.Sale Deed Survey Number(s) (b )Mouza- No-2267 Arisol,Regd.Sale Deed No.211 (b) Mouza-Uradha (c) Mouza-Uradha .Plot No-5864 Regd.Sale Deed ,Khata No-642 No-2270 (d) Mouza- Adaspur.Khata No- 651.Plot No-3647 (e) Mouza-Narua .Plot No-699,700, 701 (f)Mouza —Uradha .Khata No-729,970 . (g)Mouza-Uradha. Regd.Sale Deed No-2933 Area(total (a)Ac 0.47 Dec (a)Ac.0.05 Dec NA NA NA measurement in (b) Ac1.38 Dec (b)Ac.0.03 Dec Acres) (c)Ac 0.47Dec (d) Ac0.33 Dec (e) Ac 0.16 Dec (f) Ac.0.27 Dec (g) Ac.0.02 Dec Whether inherited (a)Yes (a) No NA NA NA Property (yes/No) (b) No (b) No (c)Yes (d) Yes (e) Yes (f) Yes (g)No Date of Purchase (a)NA (a)29.09.2000 NA NA NA in case of Self (b) 22.01.2001 (b)29.09.2000 Acquired Property (c) NA (d) NA (e) NA (D NA (g) 05.08.1991 Cost of Land (in (a)NA (a)Rs.3000/- NA NA NA case of Purchase) (b) Rs.35,000/- (b)Rs.1800/- at the time of (c) NA purchase (d) NA (e) NA (f) NA (g) Rs.500/- Any investment on (a) Nil (a)Rs.20,27,000/- the land by way of (b) Rs.1,00,000/- (b)Rs.16,81,600/- development (c) Nil ,construction etc. (d) Nil (e) Nil (f) Nil (g) Nil NA NA NA NA Approximate (a)Rs 1,88,000/- (a)Rs. 20,67,000/- NA NA current market (b) Rs.6,52,000/- (b)Rs. 17,11,600/- value (c) Rs.3,76,000/- (d) Rs.9,90,000/- (e) Rs.48,000/- _e. Mir i (D Rs.2,16,000/- neibs. (q) Rs.16000/- ct, cie Mere IF ratan %Rant /CY ‘Z, A 1:.; WA. 40) liPtilkOti —41 SI.No. Description Self Spouse Dependent-1 Dependent-2 Dependent-3

(ii) (a).Mouza-Uradha Nil NA NA NA .Regd.Sale Deed Non-Agricultural No-132 Land Location(s) (b)Mouza-Uradha Survey Number(s) .Khata No-5987.

Area(total (a)3484.8 Sft NA NA NA NA measurement in (b) 5227.2 Sft SqFt) (c) 2313.6 Sft

Whether inherited (a)No NA NA NA NA Property (yes/No) (b) Yes (c) No Date of Purchase in (a) 24.01.2005 NA NA NA NA case of Self (b) NA Acquired Property (c) 22.06.2004

Cost of Land (in (a)Rs.49400/- NA NA NA NA case of Purchase) (b) NA at the time of (c) Rs.44500/- purchase Any investment on (a)Nil NA NA NA NA the land by way of (b) Nil development (c) Nil ,construction etc. Approximate current (a)Rs 1,10,000/- NA NA NA NA market value (b) Rs.1,65,000/- (c) Rs.82,500/-

40! ;rt. L.OilliV4 2111 at a wan *1 us 41110 / C itletsitel Aft4

ti) ,261S.- • 3 . 7

SI.No. Description. Self Spouse Dependent-1 Dependent-2 Dependent-3

(iii) Nil Nil NA NA NA

Commercial Buildings (including apartments) location (s)

Survey Number(s)

Area(total NA NA NA NA NA measurement in SqFt)

Whether inherited NA NA NA NA NA Property (yes/No)

Date of Purchase in NA NA NA NA NA case of Self Acquired Property

Cost of Land (in NA NA NA NA NA case of Purchase) at the time of purchase Any investment on NA NA , NA NA NA the land by way of development ,construction etc. Approximate NA/- NA NA NA NA current market value 8

SI.No. Description Self Spouse Dependent-1 Dependent-2 Dependent-3

(iv) Nil • Nil NA NA NA

Residential Buildings (including apartments)

location (s)

Survey Number(s)

Area(total NA NA NA NA NA measurement in SqFt)

Whether inherited NA NA NA NA NA Property (yes/No)

Date of Purchase in NA NA NA NA NA case of Self Acquired Property

Cost of Land (in NA NA NA NA NA case of Purchase ) at the time of purchase Any investment on NA NA NA NA NA the land by way of development ,construction etc. Approximate NA/- NA NA NA NA current market value

SI.No. Description Self Spouse Dependent-1 Dependent-2 Dependent-3

(v) Nil Nil NA NA NA

Others (such as interest in property).

Sl.No Description Self Spouse Dependent-1 Dependent-2 Dependent-3

(vii) Total of currentmarket Rs.28,43,500.00 Rs.37,78, NA NA NA value of (i) to 600.00 (v)

0.4X- ' ) q fjc-4- <:,2 9

(8) I, give herein below the details of liabilities / dues to Public Financial Institutions and Government :- Dependent-2 Dependent-3 SI.No. Description Self Spouse Dependent-1 Nil NA NA NA (i) Loan or dues to Bank/ Nil Financial Institution(s) Name of the Bank or Financial Institution, Amount outstanding, Nature of Loan.

NA Loan or dues to any other Nil Nil NA NA individuals/entity other than mentioned above Name(s) Amount outstanding, nature of loan.

Any other liability Nil Nil NA NA NA

Grand total of liabilities Nil Nil NA NA NA

NA Government dues : Dues Nil Nil NA NA (ii) to departments dealing with Government accommodation. Dues to department dealing NA with supply of water. Nil Nil NA NA Dues to department dealing with supply of electricity. Nil Nil NA NA NA Dues to department dealing NA with supply of Nil Nil NA NA telephones/mobiles. Dues to department dealing with Government transport Nil Nil NA NA NA (including aircrafts and helicopters) Income tax dues Nil Nil NA NA NA Wealth tax dues Nil Nil NA NA NA Service tax dues Nil Nil NA NA NA Municipal/Property tax dues Nil Nil NA NA NA Sales Tax Dues Nil Nil NA NA NA Any Other Dues Nil Nil NA NA NA Grand total of all NA NA (iii) Government dues. Nil Nil NA

Whether any other liabilities NA NA (iv) are in dispute, if so, Nil Nil NA mention the amount involved and the authority M- pr,--e:- . ..before which it is pending.

■ 10

(9) Details of profession or occupation : (a) Self : Social Service . (b) Spouse : Retired Government Employee.

(10) My educational qualification is as under : - Bachelor of Laws (LLB) from Madhu Sudan Law College, Cuttack in the year 1967 under Utkal University.

PART —B

(11) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART - A :

1. Name of the Candidate NARENDRA KUMAR SWAIN 2. Full Postal address AT : KHARI SAHI, VILL- TANDIKANA, P.0: URADHA, P.S. : GOVINDPUR, DIST : CUTTACK , PIN : 754010

3. Number and name of the 92 , Niali (SC) Assembly Constituency of Odisha Constituency and State 4. Name of the political party which Biju Janata Dal. set up the candidate

5. (i) Total number of pending cases where charges have been NIL framed by the Court for offences punishable with imprisonment for two years or more. ii) Total number of pending cases where the Court(s) have NIL taken cognizance [other than the cases mentioned in item(i) above] 6. Total number of cases in which convicted and sentenced to imprisonment for one year or NIL more[except for offences referred to in sub-section(1),(2) or (3) of Section 8 of Representation of the People Act, 1951]

7 PAN of Year for which last Total Income Shown Income Tax return filed (a)Candidate EZCPS7441L 2015-2016 Rs.209450.00 (b)Spouse BNJPD8494C 2015-2016 Rs.260082.00 (c)Dependents NA NA NA

/2)...ttenr„ fvu- • -,— /py--“ " 1 ).) "-") (9 lb- Oat evoi

3. (2- 11

8.Details of Asssets and liabilities in Rupees:

Description Self Spouse Depend Depend Depend Depen ent-1 ent-2 ent-3 dent-4 A.Movable Assets Rs.54593.00 Rs.271465.00 (Total Value) NA NA NA NA

B.Immovable Assets

Purchase Price of NA NA NA NA i self acquired Rs.129400.00 Rs.4800.00 immovable property. ii Development/ NA NA NA NA construction cost Rs.100000.00 Rs.3708600.00 of immovable property after purchase (if applicable)

III Approximate NA NA NA NA Current market price of - ---

(a) self-acquired (Total Rs.860500.00 Rs.3778600.00 NA NA NA NA assets value). (b)Inherited assets Rs.1818000.0 Rs.00.00 (Total value) 0

9. Liabilities:

i Government Nil Nil NA NA NA NA Dues (Total) ii Loan from Bank, Nil Nil NA NA NA NA Financial Institutions and others (Total)

10. Liabilities that are under dispute :

i Government Nil Nil NA NA NA NA Dues (Total) ii Loan from Bank, Nil Nil NA NA NA NA Financial Institutions and others (Total)

hest Educational Qualification Bachelor of Laws (LLB) from Madhu Sudan Law Cuttack in the year 1967 under Utkal University.

■ 12

VERIFICATION I,Narendra Kumar Swain ,do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed therefrom. I further declare that : - (a) there is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of Part A and B above; and (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of part A and items 8,9, and 10 of Part B above. Verified at Bhubaneswar this 11.00 am time the 3" day of December 2015.

Identified by

/- C.. I-^ Advocate Deponent

The above named deponent being identified by Gopal Krishna t/lishra, Advocate, Cuttack solemnly affirms and states before me that the facts stated above are true to the best of his knowledge and belief of (g.t_Strs-e--) Cuttack ccth a pC1C.1! 3. 12-. 2,c, Date : rj-; - b-1; °, '"2-• Notary Public,CuttackG,1Cc1-1-, No , 4 e6-14 Iy a - < • b14;c4--6 Ad vac Lr:IC4erk-.4e4tec-■ f • , -.o -',1-015 R. L. BOSE •1 2 Netcry, 0.:i1zack Ittygc. N.2.01/19S8 ADvocAli: ,,, tEGN. No.-1/19'E8 CERTIFICATE . It is certified that due to non-availability of cartridge paper this affidavit has been typed on thick blue paper. • Cuttack Date :t Advocate

114_C flow 1.11.4.-P1-ifSkpletcL2'1 Akit'st 3. /)- . It 1 SE a. ta now 112,..tack (33: v.:41. imam VIII /1,1‘,8 1.0 tritt r.c• a huA

3. /2- , 26(5-