\\ \WI5°\Oa ,' Ad• FORM 2B See Ode 4) NOMINATION PAPER

$\\ \WI5°\Oa ,' Ad• FORM 2B See Ode 4) NOMINATION PAPER$

\\ \WI5°\Oa ,' ad• FORM 2B See ode 4) NOMINATION PAPER

Election to the heKtslnhvr A-ssetnhlc nl 9] oiilpm > lnlr IglitP

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 Legislative Assembly from the 81 _ Alingg(rr Million Moluat Jlm Father' s name( Dr rA.ssembly constituency . Candidates tame Dr . f]aghant P S - Manigacchi ^Ihstne ( llarbhanga Nagendm Jha His postal address Village tk P O. His name is entered at S. No 436 in Pert No. 195 of the -),noes) roll for 8892 j. ] ) Xtrnmr Jhu and It is entered at S. No Lc;ranser ) Assembly eonstintcnty_ My nano in 1bmtisl ^constituency. 918 in Part No . lob of the electoral roll for the 81 Alata ar Assemhl 37T°71a/a//^ (Signature or proposer) Date October 5 2010 Y

PART II (To be used by candidate NOT set up by recognised political party)

We hereby nominate as candidate for election to the Legislutive Assembly from the ..__.. _. _...... _,..___- Assembly Constituency S Candidates name ___, .._. _. _...... __ __.... __. Father s / mothers / husbands name...... _.- His postal address

His name is entered at SI. No ...... _ ...... in Part No...... _...... __.of the electoral roll for ...... ,.. Assembly Constituency.

We declare that we are electors of this Assembly Constituency and out naives are entered in the electoral roll for this Assembly Constituency as indicated below and we append our signatures below in token of subscribing to this nomination:-

1 'arficulars of the proposers and Nwu signatures

Electoral Roll No. of proposer Full name Signature Date SI. Pan No. of Si. No. No. electoral Roll in that Constituency Part 2 3

2 3. 4. a. 6. 7. 8. 9. 10

N.B. There should be tin clu Wig of constituency its propose rs_ PART III

I, the candidate mentioned in Part I/Part II (strtke out which is not appllcablel assent to this nomination and hereby declare -

,al that 1 have completed __vears of gr

STRIKE OUT b(i) OR bfii) BELOW WHICHEVER IS NOT APPLICABLE( CONGRESS party, which b) fit that I am set up at this election by the INDIAN NATIONAL is recognized National Parry/State Part}' in this State and that the symbol reserved for the above party be allotted to me. Aoolicable party, which is a registered- (ii) that I am set up at this election by the Not unrecognised political party/that 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 preference, are:- )...... (if ...... (ii)...... (iii (c) that my name and my father's/mother's/husbands name have been correctly spelt (name of the language) out above in De arm (Hindi)

(dl 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 Legislative Assembly of this State.

s is a__.."Caste/tnhe which "I further declare that I am a member nl the l in relation to o. _..__.._...__..... ,scheduled ""caste/tribe of the State i ...... (area) in that State.

I also declare that I have not been, and shall not he, ""nominated as a candidate at the held simultaneously, to the Legislative present general election /the bye-elections being Assembly of ...... (State) from more than two Assembly Constituencies.

t 0.c ail (

(S tgnuht re of Candidalel Date tk'Iober 05, 2010

out this paragraph, if not applicable. the Words not applicable. "Score out by the Election ' means a political parry- recognised N B . A 'recognised political party and Allotmen1t) order, 9b8 in the State under the Election Symbols ( Reservauoo concerned. PART III A ITo be filled by the candidate)

Whether the Candidate -

(il has helm rnnvioted (a) of any otfence(s) under sub-sccuun (III of NO (b) for contravention of any law specified in sub- section (2), of section 8 of the Representation of the People

Act, 1951 (43 of 1951); or (ii) has been convicted for any other offence(s) for, h,ch he has been

'nl fur two A'etu s ar tnorr 6t'ntrii ed lit t tn1 ) tiSorlnlt

If the answer is -Yes", the candidate shed) furnish the fnllmving in (alma. nin

Case First information report No.iNos.

liil Police station lsl -..... --Districtlsl State(s)

tit) Secuon(s) the concerned Act(s) and brief description of the offence(s) for which he has been convicted ...... fiv) Date(s) of conviction(s)

V) Court(s) which convicted the candidate ''--"- I ) p1) Pulu lliment(s) unposed Imd eats pc nod of im Prison men.I sJm )d/nr 4uuntum of (toe(s)

...... (vii) Date(s) of release from prison _..._..-

(viii) Was/were any appeal(s)/revision(s) filed against above conviction(sL..Yes/No

(ix) Date and particulars of appeal(s)/application(s) for revision filed

(s) Name of the court(s) before which the appeal(s) /applicoUan Is) fur revision filed

(SI) Whether the said appeal(s) / apphcunon (s( for revision has/hive been disposed of of is/are pending. -"

(>oi) If the said appeal(s)/aPPltcauon(s) for revision has/ have been disposed of -

(a) Date(s) of disposal

(b) Nature of order(s) passed __.....,. _..--

Place: QenW ur

ignature of the candidates Date : October OS 201o a

PART IV U(h

4 C _(hart1 Senal No of nomination paper at m niGcc`^

This nomination was delivered to. me on `candi¢arel PVopdser. ----„^,1%p-', G...Idatel by the

Score out the word not aPPI'cz'bl°

------

Pnper PART V No,ntrtahen or ReleetnfI the Anvpring nrmurg ()jfcer of the Reprtsen^annn (^curnn of he d accordancea per ^^^th veruonf^lo n^. T °`I r 1 ° ^. nominaU°n m 1t^h P' l^ ows' d`\ r m pl • have examine d e a q F u rr` (-kN)l9^S.': ,` People Act 151 apddeei 44 , he , p C i..1lJA ?»11ov+Ak 1hra m r 2 Qtvrd A i _. ^r-1z`. i Date ...... (perloranon) .... FORM 26 Zt "^*- eft 'T noev

(Sec rule 4Al to be furnished by the candidate. before the returning officer for el a iikry to e Assemb(u (name of the House) from 81-,A6rtngnr coil stituencc( name of

uencv)

I. Dr. Madan Mohan Jha , son of D.r_N

(Bfhorjcandidate at the above election- do hereby solemn!y efhrm; state oil oath as under:- l. I am/am not accused of any offence(s) punishable with imprisonment for

two "ears or more in a pending case(s) in which a charge(s) has/have been framed by the court(s) of comp-, ent l u risdictIon .

If the deponent is accused of any such otlence(sl he shall titrnish the Iollowlne into nnunun

(i) Case/ First Information report No./ Nos. Not Applicable

(ii) Police station(s) Not Applicable District (s) Not Applicable State(s) Not

Applicable (iii) Section(s) of the concerned Act(s) and short description of the

offence(s) for which the candidate has been charged Not Applicable

(iv) Court(s) which framed the ('harge(s) Not Atlph•

(v) Date(s) on which the charge( s) was /were framed Not Apphcuhle

(vi) Whether all or any of the proceeding(s) have been stayed by an)

court(s) of competent jurisdiction Not Applicable

2. 1 have been/have not been convicted of an offence(s) [other than any

offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-

section (3), of section R of the Hepr'osenta l inn 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:

(i) Case/First information report No./Nos_ Not Applicable

(ii) Court(s) which punished Not Annhcable

(iii) Police station(s) .NOI )LwOrablc I)islri( I I') Not Apphrohly

State(s) Not Applicable

(iv) Section(s) of the concerned Act(s) and short description of the

offence(s) for which the candidate has ever been charged Not

Applicable Iv) Date(s) on" hich the sentence (s) was/were pronouncjQ / Aupi cable ^^ A A.^ , Ia0f r2 vi) Whether the sentence(s) has/have been slaved by any of competent juri sdicti on Not Aopl cpble

Place Laheriasarm Signature of deponent

Date: October05 2010

------

VERIFICATION

1, the above-named deponent, do hereby verifit and declare that the contents of this affidavit are true and correct to the best of my knowledge and

belief, no part of it is false and nothing material has been concealed therein

'veri(i

t ^v d^AL^

Signature of deponent 2 c^ ^ ^i ^I tie c_ 1Dc e ^ ( ^C Iti 'Al t( rr`'

^1oie: The columns in this Form which are n,,1 + pphca ble In the rlepnnnm muy be struck off.' o c,

IF" Y KbWled by M - 1 - - 4v N vclar.a h.f,4-. I

A. K. Sin Annexure- I

VIT TO BE FURNISHED BY CANDIDATE ALONG NOMINATION PAPER

for election to Legislative Assembly ( name of the House) from 81- Atinanyar constituency ( name of the constituency )

I, Dr. Madan Mohan Jha, son/ of Dr. Naoendra Jhu, aged 52 years, resident of village & P.0- Baghont P S - Man gacchi District Da bhanga candidate at the above election,

do hereby solemnly affirm and state on oath as under:-

(Stri7ce out whichever not applicable)

(1) The following case (s) is/are pending against me in which cognizance has

been taken by the court:-

(i) Section of the Act and description of the offence for which cognizance

taken : 341 , 323, 379, 504 IPC

(ii) The Court which has taken cognizance : Sub-Divisional Judicial IMvaoistrate Darbhanoa

(iii) Case No. : C. R. No. 1133/2009 T.R. No.. 4225/2070

(iv) Date of order of the Court taking cognizance : Q /O0/2070

(v) Details of appeal(s) / application(s) for revision, etc., if any, filed

against above order taking cognizance : Criminal quashing No

2247112010 Anil Kr, Sharma Versus State of Bihar at Patna Hiah

Court Patna iuu^,or ulrle. iuov^ibiq Ir,tnl l'i That I give hercuthc1011 the details al ,he ;,sseis balance. etc) of ntcsell, nla spouse Intl dependents'.

A. Details of movable assets.

!Assets in joint name md,caung the extent 01loint ownership w,ll a!sdp a yq J{,-

Dependent-I Dependen Self Spouse( s)Dpendent I e Name(s):1 - 2 ! 3. Rekha Name: Name: etc Name Jha 65.000/ 9, 000/ - NA vA Nn

(ii) Deposits in 20 25,149.35 2,62,200/-^- Banks, Details as Details as N.A. Financial per per Institutions Annexure- Annextue and A -Al Non- Banking Financial Companies (iii) : Bonds, .N.A. Debentures Nil Nil V.A. N.A and Shares in companies ' (iv) Other Financial Nil Nil N, A, instruments NSS. Postal Savings, '., LIC, Policies, etc. )v) Motor Mahindra Nil N. A. Vehicles Scorpio N.A (details of Model 2010 make, etc.)

(vi) ii Jeweller 10 gms Gold 144 gms (give details of Rs. Gold of Rs. NA. N.A. of 20,000/- 2.88.000/-! weight and

(vu) Other .., assets. Nil Nit N A such as values of claims j interests

latest market uulue in Stock Note : Value of Bonds / Shares / Debentures as per the books in the case of non Exchange in respect of listed companies and as per listed companies should bell-wen,

'Dependent here means a person sic hstan t, ally dependents on it... income of the candidate. [Note : Properties in joint ownership indicating t will also have to be indicated] i ---- -vrr- -- - .. -_.. S. Description Self Spouse(s) pendenDe erlcjALhh T D ependen t No. Name(s): F 1 2 3, etc. Rekha Jha Name: Name: Name: - _ 71,1 AgriculturalRs . Land 5,00,250/- Nil Nil Nil Nil - Location(s) as per - Survey Annexure- number(s) B - Extent (Total measurement) current market value liq Non- ^. Rs. . Rs Agricultural 9,00,000/ - ! 8,00,000/- I Nil Land at Raliv 'F of Mourn - Location(s) Nagar, I Raje, - Survey Patna total Khata no .- numbers) measuring 446, Extent (Total an area of 3 Khesra measurement) Katha 2670 area - current 6 Katha market valr InU Buildings Rs (commercial F 17,83.33 Nil Nil Nil N:'I, and (As per residential ) Annexure F - Location(s) C) Survey / I 11 door number(s) - Extent (Total measurement) - current market value 1-.-- __. _.... livl Houses / ! Rs. Apartments , 27,00,000 Nil Nil Nil Nil F etc. Apartmcri - Location(s) Flat No.- - Survey / 006, Plot door No.- F number(s) Sector- 22 1 Extent (Total 1 at Dwarika measurement) New Delhi - current market value Others --- such as Nil Nil Nil interest in property) Idl gwe hereinbelow the details of my lia brlrii s '/ ^l L^-It overdue to - d ` p^^ln'c nanaal insntunons and government dues k [Note: Please glue se f,4 a l 4[;ib2 parate details for each

S. Descrip ti on - `----Na No. Name and address of-- s °t outstanding Bank / Financial I a / as on 04! ]0; 20 i 0 Institution ( s ) Department(s) Ial hl Loans from Banks - - - Rs. 4,50,000 from Union

Hank of India, Patna i'•i Loans from financial - rl institutions

^tU : Govemment dues --

Nil

Ill dues to departments ------____ dealing with government

accommodation Ihl dues

dealing with supply of water

dealing with supply of Nil ----^ elec[riciri Nil

(d) dues to ddepartments i dealing with telephones 70,000/- pees -'I-- Telephone Bill Bihar ^iil Legislative AssembIt-, Patna !e) dues to de artments

dealing with govemment I I - - Nil i N51 transport ( including aircrafts and

helicopters)

ill other dues, if am Rs 05,000 -- 1luior Cnr- I Advanrr (turn Hih:v

Legislative Assemb}s-, Patna Description N ame a nd Bank / Fi anciai df Amount outstanding I lh. aslon 01/10 2010 Institution ( s) % a Ipl - _ P r ment(s;De a t . (il Income Tax meluding 7Rs- 14 99 i! Assessme surcharge ( A lso idi ncate Year 201 0- 1 i 'the Nil

assessment rear upto which

income Tax Return filed Give also Permanent I AAL PJ I CO3R Account

Number (PAN)T

(ii) Wealth Tax (Also indicate the Nil assessment year "pt' Which

Wealth Tax retury filed

Sales Tax rOnly in

case of proprietar-. Nu business) N i;

Nil HI Mr educational qualilica tions are as under .-

(GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCAT ION) Marne of School should al so be give / University and th n .) e year in Which the course Was corn oleted M AT RIC- ML. ACADE%J^. M.Sc. - 1972 P.HD.- PATNA UNIVERSITY . PATNA RA MAGADH UNIVERSITY, PATNA- I )48

C ^ )iCtLLitc E ( a c DEPONENT

VERIFICATION I, the deponent above natn ed, contents do hereby verify anU . ,.,.lure that the of this affidavit are true and correct to the best of ]TIN know,,,, no part of it is false and nothing material has been concealed therefrom Vent- led at Lahenasa rat this d of pctober? 010-

'll ttioCate , Solesstd^_ ------DLI'ONENT

lames c.e.

S ^ lu^ i^x ANNEXURE 'A'

1. .Allahabad Bank Bio BD Evening College, Patna 227328. SC S B A; c No - 100035 2 Allahabad Bank 403846.24 Bi 0 BD Evening College. Parna PF Account No.- 96 $ State Bank of India 008174.31 Bin Patna Secretariat, Patna PPF A/c No - 10839576431 4 Stare Bank of India 119300.00 B.. o Patna Secretariat. Patna A/c No.- 108394582 15 Bank of India, 1500.00 B, o Birch & Patel Marg, Patna S B A/ c No-- 1380 6 Bank of Baroda Bi n Darbhanga 5000.00 S, B A/c No-- 12100100010448 Fixed deposit in Bank of India 360000.00 B/o Binchand Patel Marg, Patna Total. 2025149.35

ANNEXURE -'Al' Spouse s) Rekha Jha tate Bank of India B /o Patna Secretariat, Patna 3700000 S/B A/C No.- 1021722493 State Bank of India B /o Raj Bhawan, Patna 125200 . 00 S/B A/c No--01100015754

Tota1- 262000.00 ANNEXURE - B

Share of H.U.F. Propertc at Village Baghant under Nhata No. 1034 iv. 1035 hearing Its

Plot Nos, 262, 783, 815, 830, 1648, 1659, 1710, 1770, 1825, 2461, 2463, 2476,

8368/12787, 6635, 6423, 6489, 6634, 6636, 6769, 7155, 7171 7697 7650 7750

8224, 8260, 8262, 8270, 8300, 8243, 8333, 8356, 8429, 8823, 2259. 1696, 1864 & 38.

Total Measuring about 28 Acre of land out of which my share ''/.th of 1/3'(1 equivalent to

2 Acres 33 decimal current market value of Rs . 5,00,250/-

ANNEXURE - C

Description Total Market Value My share 1. Two old building at village Baghant 4,00,000.00 My share is 1/4th of 1/3rd 3 3,332 Share of y U F Propert a t Town 2. at 127 Kautilya Nagar, Patna ¼th 45,()0,000 00 3. At L.axmisagar , Darbhanga 'ath 25 00 000.00

70,00,000.00 My Share of H.U.F. is/.th 17.50 000 00

Total - 17,83 , 332.00 REQUEST FORM

For contact of candidates standing in Assembly Election. 2010

No. and Name of Assembly 81 - Alinagar Constituency

2. Full Name of Candidate Dr, Marian Mohan Jha

Male

4. Age n2 years---- 5. i Party ------Indian National Congress (mention independent if not set-

up by political partvi

6_ City/area of native place Village - Baghant, District- Darbhanga Full address Village & P.O.- Baghant, P.S.- Manigacchi. District- Darbhanga

847 422 8. Landline phone no. (0612) 2223234 Mobile phone No. 0 } +91 99319221 10, +91 9431019240

10. !Email address (if any) 1 N.A.

7 Website address if amp NA A a*t 3A W7 * 3, 't JIB 3fV'^, cl t i NP ,r^(.1 ^r1 yrf(7, ;r4FT t---TI `p ut r;,C pfrlfll'f ..I (I TifQi 8€Vr 9J Tr,)- ^^ .Ai dlf^ikt J(Nf/f1 1+4t+ !fl ^I(IrJ Date of application for c('i3 Date of delivery of the Date on which the cony Date of making over thv /`l, the copy. Date feed for notifying requisite stamps and was ready for delivery. the requisite number of copy to the appfcant. A folios, stamps and folios. ay 9 11 ^^) ci H lo

1)O/O o /, c> 1. ^,,i

7.. `^^ O__

1, f x:' >rr r 5 T

^^ry3 diTi/J/,-^2

77 "rt,c / s/' r r) (; / . <, i arq etc ^1 ^ „a(^ afk(a a1 n fLm tai? "Ift, kk i Date of t4 Q a#* application for c,igl Date of delivery of the the copy. Date fixed for notifying Date on which the copy requisite stamps and Date of making over the the requisite number of was ready for delivery. copy to the applicant. stamps and folios. folios. FORM A

COMMUNICATION WITH REGARD TO AUTHORISED PERSONS TO OF CANDIDATES SET UP BY RECOGNISED INTIMATE NAME (See Para 13 (c) and (d) and ( NATIONAL. PARTY e) of the Election Symbols'( Reservation and Adotmenti Order. 1968) To

The Chief Electoral Officer Bihar

2 The Returning Officer for the 81-AIinag3r ensthien cy Sub General Elections to the Legislative Assembly from Bihar - Allotment of symbols Authorisation of person to intimate the names of candidates

In pursuance of Paragraph 13 (c) and (d) and (e) of the Election symbols (Reservon and hereby communicate Indian eNatioonalr. Congrress, intm person which osi a National Party following ati proposed to be set up by the party at the election cited above the hnamesnofutthe Icanndidathe

Name of person authorised to Name of Office hold in the Distnct/Area/Constituencies in send notice party respect of which he has been _I authorised

SHRI MEHBOOB ALI KAISER PRESIDENT BIHAR PRADESH CONGRESS I All Assembly constituencies of COMMITTEE, PATNA Bihar

The specimen signatures of the above mentioned person so authorised are given below

Specimen si natures of Shri Mehboob All Kaiser

1. 1 1 -4 . LUrGC'

Yours faithfully,

;^.rtio na) 0 N Ile, C, t PV Rr\UL WASNIK ( 24, Akbar (3eneral Secretary i

1 This must be delivered to the Returning Officer and the Chief Electoral Of:1er not later than 3 p.m on the last date for making nominations 2 Form must be signed in ink by the office bearer mentioned above No signature or signature by means of rubber stamp, etc farsimi:e 3 No form tran of any office bearer shall oe accepted . smitted by fax shall be accepted V.c .E--I0 20 =,^Lr esq. 9L2oIe

FORM'B' OTICE AS TO NAME OF CANDIDATE SET UP BY THE POLITICAL PARTY [See paragraphs 13(b),(c) and 13A of the Election Symbols(Reservation and allotment) Order 1968] To The Returning Officer for the 81-Alinagar Assembly Constituency. Subject:- General Election to Vidhan Sabha from 81-Ahnpg (Name of the Constituency in Bihar (State/ UnionTerritory) - setting up of candidate. c;r, In pursuance of paragraphs 13(b), (c) and (e) and 134 of the election symbols (Reservation and Allotment) order 1968 , I hereby give notice on behalf of INDIAN NATIONAL CONGRESS (Party). (i) that the person whose particulars are furnished in colurfins (2) to (4) below Is the approved candidate of the party above named, and (ii) the person whose particulars are mentioned in columns (5) to (7) below is the substitute candidate of the party, who will step-in on the approved candidate's nomination being rejected on scrutiny or on withdravr!ng from the contest, if the substitute candidate is still a contesting candidate, at the ensuing general election to vidhan sabha from this constituency: 1. Name of the Constituency 81-Alinagar 2. Name of the approved candidate Dr. Madan Mchan Jha 3. Father's/Mother's/Husband's name of approved candidate Dr. Nagendra Jha 4. Postal address of apprtwed candidate Vi!l.+ P.O.-Baghant Via- Manigachhi, Distt.-Darbhanga. 5. Name of the substitute candidate who will _n the a^rrnvo. oanrlid9tec nrrnH- ir.. oeing rejected on scrutiny or on his withdrawing from the contest if substitute candidate is still a contesting candidate. 6. Father's/Mother's/Husband's name of substitute Candidate.: X 7. Postal address of substitute candidate X 1. Inserted by notification No.56/97/.Judl-III, dated-15.12.1997. 2. The notice in Form "B" given earlier In favour of Shrl/Smt./Sushi,..,...... As party's approved candidate/Shri/Smt/Sushri . As party's substitute candidate is hereby rescinded 1. Inserted by notification No.56/97/Jud!-III, dated-15.12.1997. 2. The notice in Form "B " given earlier In favour of Shri /Smt./Sushi ...... As party's approved candidate/Shri/Smt/Sushri . As party's substitute candidate is hereby rescinded. 3. It is certified that each of the candidates whose name is mentioned above is a member of this Political pall" and his name is duly borne on the rolls of members of this party. Yours faijhfully,

,rti^ =rv Stehbnob All Kaiser) : Thar PJC (Name and signature f the authorized person of the Party) (Seal of the Party) Place -Sadaquat Ashram, Patna Date - 29-09-2010 * Score off, if not applicable. NB:- 1. This must be delivered to the Returning Officer not L'nr than. 3 p.m or tie last date for making nominations. 2. Form must be signed in ink by the Office beare.,E) mentioned ct .e.. No facsimile signature or sign,-; ce by means of rubber stamp, etc. of any office bearer shall be accepted. 3. No Form transmitted by fax shall be accepted. 4. Para 2 of the Form must be scored off, if not applicable, or must be pro,erl% filed, if applicable. L"U" No - v, s, I- • [°lad hA.d - 9q-q,2oto FORM 'B' OTICE AS TO NAME OF CANDIDATE SETUP BY THE POLITICAL PART Y [See paragraphs 13(b),(c ) and 13." c ! the Election To 1968]Symbols(Resenatlon and allotment) Order The Returning Officer for the 81-Alinaaa Assembly Constituency, Subject;- General Election to Vidhan Sabha from $1 Alinaaar ( Name of the Constituency In Bihar ( UnlonTerritory) - setting up of candidate. State/

,n pursuance of paragraphs 13(b), (c) and (e) and 131 of the election symbols (Reservation and Allotment) order 1968, I hereby give notice on behalf of INDIAN NATIONAL CONGRESS (Pa rty). (i) that the person whose particulars are furnished in columns (2) to (4) below is the approved candidate of the party above named, and

(ii) the person whose particulars are mentioned in columns (5) to (7) below Is the substitute candidate of the party, who will step-in on the approved candidate's nomination being rejected on scrutiny or on n- withdrawing' from the contest, if the substitute candidate is still a contesting candidate, at the en,uing denerai election to vidhan sabha from this constituenrv Nama of the Constituency 81-Alinagar Name of the approved candidate Dr. Madan Mohan Jha Father's/Mother's/Husband ' s name of approved candidate Dr. Nagendra Jha Postal address of approved candidate Vill.+ P.O.-Baghant Via- Manigachhi, Distt.-Darbhanga, Name of the substitute candidate who will ctnn-in on the aoorov, a candidates nominatinr X baing rejected o: ccrut:,.y or on his withdrawing from the contest if substitute candidat3 is stl, a contesting candidate. Father's/Mother's/Husband's name of substitute Candidate.; X Postal address of substitute candidate 1. Inserted by notification No.56/97/Judl-III dot d-I X 2. The notice in Form "B" given earlier In favour of Shrl/Sm 9/Sushri ...... As party's approved candidate/Shri/Smt/Sushri .. As party's substitute candidate is hereby rescinded 1. Inserted by notification No.56/97/Judl-III, dated-15,12,1997. 2. The notice in Form "B" given earlier in favour of Shri/Smt./Sus':rt ...... As party's approved candidate/ShriySmt/Sushri .. As party's substitute candidate is hereby rescinded. 3. it is certified that each of the candidates whose name is mcr. c c6 e,Lovc io a member of this Political and his name is duly borne on the rolls of members of this p=;2;, Party `fours f4it hfully,

!C'^•ni;3(:ary Mehboob Ali Kaiser) esident, iiii gar Fa. (Name end signature of the authorized person c.f the ,arty) (Seal of the Po-•) Place -Sadaquat Ashram, Patna Date - 29-09-2010 *Score off if not app licabl e NB:- i. This must be delivered to the Returning Officer not L-:er than 3 p.ni on ,he last date for making nominations. 2. Form must be signed of rubber stamp in ink by the Office beare: c) mentioned above. Nc' facsimile signature or signature by , etc, of any office bearer shall be cccepted. meant 3. No Form transmitted by fax shall be accepted. 4. Para 2 of the Forin must be scored off, if not applicable, or must be properly filed, if applicable. Government of India

o^. i "''I Nit

f 2c I'D !A -e Na q - het 0 .y L /FI (Jill F a-. clr 5 O il S Stale I^/k! fl ^^ ^I

", sold `) circle- Re or 96

55 total ir000 - c ^_-9 / ^' 8f

3a . ic^9 i

. ana aa'/a':.c

laxlLl Z,TOlal Fnnga-el.. cL < 2 Total inlerss per'; ao' _ ^ z -, t 3 Total tax and !o'.eresl paya?le ^ z ^ z < u '.4 Taxes pain _ - = A.Jvanoe Tux Self Fs0C'. s nnl Tax n . 14`.%1 To z - n (14a '.5 ^.,_es ?aYabte 14cj

051005021