FORM 2A L--.-1 (See rule 4) NOMINATION PAPER Election to the House of the PeoPle
I I
STRIKEoFFPARTIoRPARTIIBELowWHICHEVERISNoTAPPLICABLE 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 from rtre.1:")Al!tftarl..8 )!A...(hH!.)...... Par.tisqneqtprr.constituencv'taa df*+,,P*-'**.'s/husband's u;,dii# ;,;F it ;1;r.rrr u;ex n^ . l llr F -L .. ;ALUD!t.+t...... Hispostal lair"r'i.r.tt,:199:Lll.P.Bl.hHr,3/.1r..{14H.f.ALt4"i11crl.6^tulNANI\tm W,*l&u His name is entered at S.No...l.*k-....in Part No....t9...... 1.... of the electoml ,oY for1:}.l!^?A.t.|.4,,,,,,,,,,,,,,,,..D.|g(ied)1t@in)...... Parliammtary Constituencv. " it entered at s.No.. .6-6.....in Part il;: ts....RAlS.Ef.H.....RL.t)l.-u-...... and -is No....t[tr...... of the electoral roll for |-)Fl?.fid ..*..D].U-...Ct.eN)...... '(Assembtrconstitue,rev ..'... ..'..'..... Parliamentary constituency' cospdoe*+vithin)...... fle oo.1919?13':te Signature of I'roposer
PART II (To be used bY candidate NOT set uP gnised political partY)
'election PeoPle from We hereby nominate a.s candidate to the House of the the..... tary Constituency Father's/mother's/husband's Candidate's name...... n4me..,,...... His posml address...
1 I roll for PartNo"-"""""""" ' ...... of the e His name is entered at S No""""""" "'in ..l(AssemblY constltuency com sed within) ..Parl iamentary constituencY
Parliamentary Cons cy and our names are We declare that we are electors of the above Consti tuenc indicated below and we entered in the electoral roll for that Parliamentary subscribing to this n tlon:- append our signatures below in token of
r signatures Particulars of the Proposers and No. of Full Name Signarure Date Sl.no. Name of Elector Roll comPonent Proposer Assembly Part No, of S o. ln Constituency Electoral at part Roll ,) 3/ 4 5 6 7 l. 2. 3. 4. 5. 6. 7. 8. 9. 10. the constituency as proposers' N.B.- There should be ten electors of
PART III (Strike out which is not applicable) assent to I, the candidate mentioned in Part l/Part*l this nomination and hereby dcclare- not acquired the citizenship of any foreign (a) that I am a citizen of India and Lu'". State/country. (b);;;ir,ur..ornpt.,"a.. ..9+-'''vearsofage; BELOW WHICHEVER tS NoT APPLICABLEI ISTRIKE oUT c(i) or c(ii) f,6'dATP' "' (c) (i) that t am set up at this electron Uy tne"BHAB&-t-lyA '-''''nut Party in this Sute and that the r, which is a recognised National Pany/State allotted to mc' symbol resen'ed for the abovc party be
2 0c*4
(c) (ii) that I am set up at this election by party, which is a registered- ognised ;;i,*i ;;;,, i"* .",i|.,t. *,' election as an independent idate. (Strike out which is not applicable) and that the sl,rnbols I have cho ,ln order ofpreference, are:- (0... (,,)...... (,,, (d) that my name and my father's/mother's/husband's name have been correctly spelt out above in...FAr.6.LL!-H...... (name of the language); (e) that to ihe best of my knowledge and Lelief, I am qualified and not also disqualified for being chosen to fill the seat in the House of the People.
+*Casteltribe *l further declare that I am a m of the which is a scheduled **ca of the State of...... in relation to a) in that State I also declare that I have not been, and shall not be nominated as a candidate at the present general electionlthe-byeelections being held simultaneously, to the House of the People from more {han two Parliamentary Constituencies. lScore 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, if not applicable +*Score out the words not applicable. N.B.-A "recognised political party" means a political party recognis.ed by.the Election commission under the Election symbols (Reservation and Allotment) order, 1968 in the state concemed. PART IIIA (To be filled by the candidate) (l) Whether the candidate- (i) has been convicted- (a) ofany offence(s) under sub-section (l); or (b) for contravcntion of any lau' spccified in sub-section (2), ofsection 8 ofthe Representation of the People Act, 1951 (43 of l95l ); or )dr'o (li) has been convicted for any other offence(s) for which he has been sentenced to imprisonment for two years or more 3 f Ifthe answer is "Yes", the candidate shall furnish the following information: (t) Case/first i.nformation report No.A.,tos... N!.7..A.?P.t t.9I.8tF...... (it) Police sraticnG)... . Nq.I_. A.tPf tg.4llf9...... District(s).N02. P.|1.1 gt+..6- 6. ! . State(s). ;ir/OI . . A ?.p l-. I 9*|.1 L6 (iii) Section(s) of rhe concerned Act(s) and brief description ofthe offence(s) for which he has been conv ictea. . ...N 0_-r . . . . 6. P. P.+l.g e B LE (iv)Date(s) of conviction(s) ..l.lr.f..A?.U.l.ctBL€ (u)Courr(s)whichconvictedthecandidate..A.l?f...frp.?t1Cm.L..q...... (vi)Punishment(s) imposed- [indicate period of imprisonment(s) and/or quantum of fine(s)1...... JNO T.. A?.Q !:! Cftb.LE (yii) Date(s) p!.L,. of release from prison.. . N0.'!.. 6 ?fi.o.L.9.. (vlr))Was/were any appeal(s)/revision(s) filed against above conviction(r...... )esn!o ('') Date and particulars of appeal(s)/application(s) for revision fired..rit?r..&tt l!grHE (x) Name of the court(s) before which the appeal(s)/application(s) for revision filed...N.4.I .. . AnP.ql94hL6 (-ti) whe&er the said appeal(s/appricatlon(s) fbr revision has/have been disposed of or iVare pending..N4I. A?PUgARL' (xii) Ifthe said appeal(s/application(s) for. revision has,have been disposed of_ (a) Dare(s) of disposar. .. .N0 .7.. .AL?.1!.lftlrle (D) Nature of order(s) passed.. Np.T..&?p!.l.q.g.BlQ. (2) Whether the candidate is holding any office of profit under the Govemment of India or State Govemment?...... peffNo) -If Yes, detaits of the offl ce held.. N07...A.P.{r.l !9 t.q.!e...... (3) Whether the candidate has been declared insolvent by any Court?...... _ (y€SNo) -If Yes, has he been discharged from insolvency . Nl.j(.. &pl tr c**tt' (4) whether the candidate is under alregiance or adherence to any foreign country?...... (yaSNo) -tf yes, give deta;Is...... N0.T.. 4 DPll gi!B-!.q.. (5) whether the candidate has gA been disqualified under section ofthe said Act by an order of the President?...... (}eGAJo) -tf Yes, the period for which disqualified...N0.7 .aP.pLlgta.taQ.... (6) whether the candidate was dismissed for comrption or for disloyarty while holding office under the Govemment of India or the Govemrn-ent of any State? ...... pcSNo) -lf Yes, the date of such dismissal.^1p7. APf{lcADLE (7) whethcr the candidate has any subsisting cortract(s) with the Govemment either in individual capacity or by trust or partnership in which the candidate has a share for supply 4 0804 of any goods to that Govemment or for execution of works undertaken by that Government?...... gfe'.nvo; -lf Yes, with which Government and details of subsisting contract(s). A(Q7...A.?.?.LlSL?.L+ (8) Whether the candidate is a managing agent, or manager or Secretary ofany company or Corporation (other than a cooperative society) in the capital of which the Central Government or State Govemment has not less than twenty-five percent share) ff{slno) -if Yes, with *hich Govcmment and the details thrr"or..{9f..4 ?PLtcAr\Le (9) Whether the candidate has been disqualified by the Commission under section l0A of the said Act...... (l/sNo) -lf yes, the date of disqualificatio N?.T...d! l!. !?lbLe "... Place,)..RItfl.. Signanrre ofCandidate Date: .2;1/94 Z0lg PART IV (To be fill^ed by the Returning Offrcer) Serial No. of nomination pup", ...A1..1.4f1.m1.1 BO This nomination was delivered to me at my office ^, !!* !i,",t on.39.:9.3: 2fl1..(date) by the *candidate/Fropose+.(name of proposer ) Date 30,03. J*#k*.. PART V Decision of Returning Officer Accepting or Rejecting the Nomination Paper I have examined this nomination paper in accordance with section 36 of the Representation of the People Act, I 95 I (43 of I 95 I ) and decide as follows:- Date.. Retuming Officer (Perforation).. . 5 i eo,t pto ptcs- Danah.- 03/20t9 - t50 i FORM OF OATH OR AFFIRMATION IARTTCLE 84(A) OF THE CONSTTTUTTON OF TNDTAI (To be made by a candidate for election to Parliament) t...fiA.l.t.t-...Tn.RbN.frfr EA)...... L^...... havins been nominated as a candidate to flll a seat in the House of the People do swear in the name of the God /Solemnly affirm that I will bear true faith and allegiance to the constitution of lndia as by law established and that I will uphold the sovereignty and integrity of lndia. Signature...... Name (Block Lettei P.E:t EL...TAI. A l. I tif.l L Sworn in the name of God/Solemn affirmed by Shri/ Shrimati p*7 e L L Rp tt{.th!... $.A 0 !!.e. 8 .. at. ,\." K (Place) a|...... 1.1 ).k... !t-!. (hour) this the 3p_}L- day oi lla4* N.2s.l4 before me )*u (Sandeep Kumar Singh) Returning Officer 1-Daman & Diu Parliamentary Constituency Daman with filing of Nomination Check List of documents in connection Dat"ul, iDN" PC Name of constituencY ...'.'4' - OL"''T Q d' t41116ta4't- Na me or the ca nd id ate . ?-A.! *8'y-!!'* Isq 4t: lro.ou *t, Date and time of filing nomination PaPer mtl RD sr. No of Nominat ,.nruo", ."92'1"!f'?f" Whether filed (Write Yes /No) if Sr. No Documents there is anY defect /shortcoming in the documents, the same should be sPecified t. Affidavit in Form 26 Y 6 ( LrtH^ (a)Whether all columns are filled up tH-./;out (please specify)' ioi rt no,, which are blank column(s) +or"n ) (c)Whether the affidavit is sworn electoral roll 2 certified extract of (when candidate is an elector of a different ltt constituencY ) 0 RM llca ble in the case of candidates set 4 3 FormsAandB(aPP An1 tb l^.4' lova ) up the Political Parties) (if candidates claims to 4 copy of caste ce rtificate the N/4 belong to sc/ on) s (lrla l),.lt' olu) r Depo s t heth e r made Y 5 Secu O1v, 'n) ma d e rolr 6. oath affi rm at o n Whether filed should befiledas The following documents which have not been indicated below:- 4v . cut /ST'-t ' latest bY W.Y1 VOtg . (a) Doax * should be filed Affidavit in Form 26 (b) Above mentioned columns in the havebeenleftur,nr..vo,.,,t,ubmitafreshaff|davitwithcolumnsdulyfilledupbeforeto failing which the nomination paper will be liable the commencement of scrutiny oi r"r*,i"rr, be rejected. W Y1 '* - ?fil c* tsun 4r ' (c) + T K#",u"dratestbv =$i-.t-.{Received (SandeeP ch) Returning Officer 1-Daman & Diu Parliamentary constituency Daman Placed: Daman Dated: go /03/20L9 Time: I 2:o3 h, . AFFIDAVIT of PATEL TARUNABEN LALUBHAI ,- I H, No. 2O6-G, Sabri Kutir, Dungri Falia, Kachigam, Nani Daman, Dist-Daman, I ,i j.,f, i CI 0 u, :--- a=!-.-il ril4r -.;r:/ tit """:. D f1 EEE - 0 0 " RE t j,^iL i'j' i : ;--- < oo] o oo 1 (lo 1 0cr'1 I I o-, oo.r ool oo o -1 o n o 1 o 1 I 1 o { 6)tql. S'h f{ DAMAN AND DIU 183002 ! sefiar H3..**i/.rf.i.z ,-- Dama n $...A.pJ.o. JJ.k lg +z .tj PailicularAtbstaUon t a c !: t TIORM 26 Req INDIA (See Rrile 4Al ,ti t BE FILED BY TTIE CANDIDATE ALOilGUITH NOMINATION fFFIDAVIT TO PAPERBEEIoRETHEREfl,RItntGoFFICERFoRELpcTIoNToTHE l*or", oF THE pEopLE (LOK SABHA) FROM 1 - DA'or^'{ & Dru PARLIAMENTARY CONSTITI'ENCY PART A E BABUBIIAI Aged I. PATEL TARUNABEN LALUBHAI' rvife of PATEL LALUBHAI e' Nani t57 y"rt", resident of H. No. 206-G, Sabri Kutir, Dungri Falia, Kachigam, br-.t, Dist-Daman, a candidate at the above election, do hereby solemnly and state on oath as under:- Ialfrrm ; I E ATTESTED BY E nruNrxexk.reNoeu Advoclte & Notary I ?1llftlYa'i'l,l&i I Serial No. 73298 Daman Treasury, dated 2EMer.zglg Value of Stamps Papers Rupees.loNEHlJNDBEL NAME Of the PUTChASET TARTJNABEN L PATEL Residing at KACHIGAM. DAMAN Son/Wife of Agent MAYUR PATELPurpose Affldavits Name of Parties to the Transaction Sought- - AR o I fr !i (f .! Signature of Purchaser I Signature of Treasurer ( I .- tri\ ,i\ {ft,; ATTESTED BY ty{ RAJNIKANT B. TANDEL Advocate & Notary Oarnan (U.T.) tNDIA rres. Nd. DMN-009 Janata Party' (1) I am a candidate set-up by Bharatiya & Diu Parliamentary Constituency' U'T' of (2) My name is enrolled in I - Daman No' 70' Daman & Diu at Serial No' 128 in Part and are (Ol 0260-2230789 (Ml 9879327272 (3) My contact Telephone Number(s) and My E-mail ID is damanbjpmm@redilfmail'com A NIL' My Social Media account(s) (if any) is/are Tax permanent Number (pAN) and status of frling of Income r( Details of account l\ff.\i z. -he Financid Total Income Names PAN Year for which the last shown in )i{ lncome-Tax retum lncome Tax has been filed Return (in Rs.) 8,60,815 ABRPP3609A 20fi-ra L Tarunaben L€fubhai Patel 2016-17 7,36,32s 2015- 16 5,41,068 2014-15 8,07,303 2013-14 to,al,74l 20fi-ra 10,20,398 o Latubhai Babubhai Patel ABRPP3684M 2016-17 11,08,382 2015-16 5t,o9,444 2014-15 13,97,8s3 2013-14 14,49,9A9 20fi-14 9,15,260 3 lalubhai B. Patel HUF AABHL636OD 2016-17 8,54,497 2015- 16 8,06,589 2014-L5 7,47,599 2013-14 6,70,627 20fi-ta t3,11,466 4 Gaurang Lalubhai Patel AQAPP1664R 2016-17 9,48,865 2015- 16 9,79,316 2014-15 t3,27,845 2013-14 t3,21,540 2017-18 3,50,127 5 Shivangini Lalubhai Patel DFPPP64O9R 2016-17 2,52,651 2015- 16 Not Available 2014- 15 Not Available 20t3-14 Not Available ATTESTED ry rb. RA'NIKANTB. TANDEI. Advocate & Notarv Daman (U.T.) INDIA Reg. No. DMN.OOS e at M BY ATTESTED .+**Hssffil (5) Pen.llng crlDl[al Gases peadlag cr{nlaal case agdlnst T e' Itt I declare that there lr ao OR st rne: (lll The followlng Crlntral caaes are pendlng agalT N.A N.A. N.A. (a) FIR No. with name and address of Police Station concerned N.A. N.A. N.A. (b) Case No. witll Name of the Court N.A. N.A N.A. (c) Section(s) of concerned Acts/Codes involved (give No. of the Section, e'g' Section...... of IPC, etc.)' N.A. N.A. N.A. (d) Brief descriPtion of offence t have been framed N.A. N.A. N.A. s. (e) Whether charges (mention YES or NO) N.A. N.A. N.A. (0 ff ans*"r is YES, t-hen give the date of which charges were framed N.A. N.A N.A (e) Whether any Appeal/APPlication for revision has been filed against the proceedings (Mention YES or NO) (6) Casea of coavlctloa offeace' (tt I declare thet I heve ,rot bee[ coavlcted for aay crlolnal OR below : (il1 I have been convlcted for the offences mentioned N.A N.A N.A. (a Case No. N.A. N.A. Name of the Court N.A. -odes N.A. N.A. N.A. (c) Sections of Acts/ involved (give no. of the Section, e'g. Section" " " of IPC, etc.). N.A. N,A. (d) Brief descriPtion of offence for which N.A. convicted N.A. N.A. N.A. e DateS of orderS of conviction N.A. N.A. N.A. (0 Punishrnent im d N.A. N.A. N.A. (e) Whether anY APPeal/Application for revision has been filed against the proceedings (Mention YES or NO) N.A N.A (h) If answer to (g) above is YES, give N.A details and resent status of al political party about ali (6A) I have given full and up-to-date information to my as given in pending crirrinal cases against me and about all cases of conviction paragraphs (5) and (6). NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i) above' ATTESTED BY 9/. EA..i;! 1,.,.r,(', ll. "fANDEL h.,, ,. ,.-.: i, i rol, rv ni'r.r', r't. i ) l1\tn,^ F;a , .r,, n\."\r ^/1,1 & TI 8.1 '.Llll s , IlN ilAli .0N [Dll c, E\ trr BY ATTESTED .u#lr*ssul assets (movable and immovable etc') of (7) That I give hlrein below the detajls of the myself, my spouse and all dependents : A Mo self Bpou3e HUF Dependent Depende s. Descrlptlon I at2 No. Nane: Namc(81: Name: Name: Lalubhal Lalubhai Gaurang htwangini B. Patel HUF 6,520 a,56,230 9,25,630 3,76,970 7 ,56,230 I Cash in hand ll Dcpo.tt h Baal.s' Flne[chl t IliBtrtlo! e.rd IIoa-Barldng \ , Conpanler Fh.scld 7 NIL NIL NIL Goa stste Co-op. Bank Ltd. 9o5 ML ,2O7 NIL NIL NIL NIL Goa State Co-oP' Bank Ltd. - 162 31,301 i1 ML NIL 7 3A,223 NIL I oa State Co-oP. Bank Ltd. - 270 ML NIL 73,015 NIL NIL I Goa State Co-oP. Bank Ltd. - 290 ML ML NIL NlL NIL Goa State Co-oP. Bank Ltd. - 289 3,18,819 NIL NIL NIL NIL The Goa State Co-op. Bank Ltd' - 1556 3,607 NIL NIL 6,43,294 NIL The Goa State Co-oP. Bank Ltd' - 239 NIL 23,444 NIL NIL NIL state Bank of India - 9270 NIL 27,OOO ML NIL NIL Auto Swipc Fixed DePosit - NIL A/c. No' 9270 sBI with Link NIL L,r3,37 4 NIL - 50631 ML NIL I State Bank of India ML NIL NIL NlL ICICI Bank - 3279 2,O4,6A6 NIL NIL NIL NIL The Goa State Co-oP. Bank Ltd' - 288 9t,234 NIL 61,534 NIL The Goa State Co-oP. Bank Ltd - NIL NIL 2268 NIL NIL NIL N1L The Goa State Co-oP. Bank Ltd' 1953 6,316 NIL NIL NIL NIL HDFC Bank - 01301000010758 20,36,709 NIL NIL t2,O4,415 NIL HDFC Bank - O 1301930003505 NIL NIL NIL 1,13,164 NIL HDFC Bank - 50200008283233 NIL NIL NIL 4,95,363 NIL HDFC Bank - 01308620000063 ML NIL NIL NIL 5,804 HDFC Bank - 01301530008210 ML NIL NIL NIL 3,7 r,474 HDFC Bank - 50200021555451 ML ML ML NIL NIL lu Details of irrvestmert rn Bonds, NIL debentures/shares alrd units in companies/ Mutual Funds and others and the smount. NIL NIL NIL ML lv Other Financial instruments NSC ML Postal Saving, LIC, Policies, etc. NIL NIL NIL NIL Personal loaas/advance given to any ML Derson or entitY including firm, .o-prry, Trust etc. and other .eceiuables from debtors ald t}re amount, vl Motor Vehtcles (detalts of oake' etc.l NIL NIL NIL NIL Honda Brio DD-03-AA0027 (Held in 4,25,303 Sabri PolyPack) NIL NIL NIL Maruti Swift DD 03 AC 0027 (Held in NIL 7,OA,997 Sabri Po 3,36, o4 NIL NIL NIL Honda Civic DD 03L 0007 ML in Sabri ATTESTED BY nei,,,xr.,ft1l TANDEL Arr\.or-8^€ 3, Notary Dr,ra' " I l)l}fiii il $$ rl& i r[Al $N, T r[ ?N BY ATTESTED ?j#,qj$ff' 13,53,102 NIL NIL NIL Honda CRV DD-O3 -z-ooo7 NIL (Held in Sabri PolYPaqk) ML NIL NIL NIL ilonda Civic -DD-03M\0007 5,78,204 NIL 20,a7,430 ML NIL NIL Innova Crysta - DD-o3-AJ-0007 NIL ML 89,003 NIL Marlti Alto-DD-03-M-0034 ML ML NIL 83,161 NIL Maruti 800 - DD -03-3132 NIL ML NIL 42,51,543 NIL Fortuner - DD-03-AK-0001 ML ML NIL 12,23,453 NIL Fortuner - DD-03-AD-0O07 ML NIL ML NIL 5,7 6 ,7 13 NIL Gypsy - DD-03-AK-o027 NIL NIL 90,61 1 NIL Tata Tenker -DD-O3-J-9439 ML (Sai Water SuPPliar) : NIL NIL 3,06,739 NIL iata Tenker -DD-o3J-9619 NIL (Sabri Petroleum) NIL NIL 31,355 ML inja bike ML 135 Gms 214 Gms Nil 148 Gms ery - weight 451 Gms & N 3,72,600 5,92,430 Nil 4,39,O75 - Amount in RuPees 13,33,945 IA assets, such as values of i claims/interests 1,27 NiI 6,34,799 Nil Bijal Bar & Restaurant Nil ,229 Nit I Nil 8,35,011 Nil 46,185 I Pragali l 9,56,160 Nil Nil Nil I Sabri Builders 73,53,O42 7,90,722 34,7O,481 NiI Nil Nil l Sabri PolY Pack Nit Nil 20,t7 ,764 Nil I Fancy wine 3A,O7 ,470 Nil Nil Nil Nil Chandan ComPlex (L€nd & building) 17,75,634 ArEs: 22,717 Nil Nil Nil Rifal & Gun Nil 16,227 Nir 18,400 NiI Revolver 12,500 9L,a2,3O9 to,42,415 L,2A,95,327 8,22,873 lx GROSS TOTAL VALI'E 1,57,13,160 ATTESTED BY I ry. i,r &A"'NIIqNT B. TANDET Advocrte & Notarv ffiifiJY;'i,fl?$ D a. r l * r. ATTESTED BY W RA"'NIIGNT B. TANDEL Advocrte & Notarv Daman (U.T.) tNDth Reg. Nri. DMN-OOg E DEr n, o! rIIov^ElE rllltlt: &u EUr e. lo. r.tuDhd LtrDbrl E. El,r lad.trlfrr Llr ' L.idot .l ' ldchlaaE - susnunhcrlst ' tOlzLAl2 _ - era Ootat nasuttEcnt) 55m !q Mtta - lvhcthcr inherlted ProP.rtY ' No ' Datc of PurchaB. 15.06 2006 Cost of Land at thc timc of purchalc ' 7,ll'945 I ' _ -eni invcatment on una uv ;6y of DeveloPmcnt'conltflr'tion Etc llo NIL 57.75,000 NIL NIL NIL I - Appororim.tc Cuftnt markct vsluc i u - Location(6) ' kachi8.,n l . surEJ, nubbcr{!) ' 321t fToial oca.ullocn0 ' l2oolq Mtrs I '&ta _ - Whcthd lnhcritcd PrIPGTV tlo i -&tcofPuEhas ' 7205.2@6 - C..t of tdd at thc tltnc ot purchas ' 2,40,000 -A,ly lNceat on hnd bv P.y of DcvEloPncnt'consmrction Etc - No NIL NIL r2,60,000 NIL NIL - Apporuimate curEnt mErket v.luc Il -t.ador{6, - k chlsam - sureq, nunbe{s! ' 8ll - At!. Gotal EasutE6.ntl _ l5o0.q Mtta - whlol.r inhEritcd PilP.nY _ No -d.ta.ofhrthesc'25.12.1992 - Cdi- d rrnd at drc dDG of purthac - 3'm,ooo *av of Oc"ctopocnt,c""ttnrcoon Erc _No :.tV hrltdfl ttqrbrd by NIL NIL C\Etnl ra.*ct Yaluc NIL ML r5,75,OOO sl - kachigljn - 813 Fotal neasur€Ecntl _ l3oosq Mtrs inhcritGd pEFrry ' No - 25-12.19E2 Co.t ot Land at th. tihc ot Purchale , 2,60,000 _ inEltm€nt oia lsnd by way of Dcvclophcnt,constluction Etc No NIL NIL r3,65,000 NIL NIL - Appo.o nate Cuftnt ma*.t valuc - Ir6tion{sl ' kechiSah - SurycynutDb.r{!) - l0O B - (Iotal -Fo'ElDcnt) . 467!q Mtr! - whcthc.^t!a inrrditcd propcrty - No - dAt of hlrcha* - - CodofLnd althc dEc ofpurchaE"2.05.2@6 ' 93,/t0O -Ary tnvle@t on hfll by try of DesdoPEcnLcoirdruction Etc' ' No NIL ML 4.90.350 ML NIL - AppomodEaL currEnt E rlct tEluc d ' LocadonlJ ' lochiSam . Suracy nulDbcrlo - 74 ' AJlr flotsl ncaB'rrE nsntl . 66003q MIIS - Whcthd inhcritcd pFP.nY ' No - dat. of Purche$ ' 17.11.2005 - Cost of Llnd at thc trm. of purches ' I3,20'OOO .Any invcsttnent on land by tav of Dcv.lopn.nt'constoction Etc _ No NIL 69,30,000 NIL NIL - Appororhat Cuffit matkct valuc ML dr - r@tion(sl _ kechigan - survlr, nu6bcr{E) - 7912 . ArEa Oote.l trlcasurcn.ntl - l3oolq Mlrs - wh.thcr inlcritcd ProPGttY . No - datcofPurchEs€ '22O52W -kotlsndatthctimcofpurcha-'3'OO'00O -Any lnftdrnent otr land by vsy ol Dcvclopmcnt,@n8ttuction Etc. ' I'lo 13,65,000 NIL NIL . Appomsimatc CuIIlnt ma*ct valuc ML NIL rltt - teationls) ' kachigam - sun?nu'nqd - 9l2B ' Arta Ootar rhcalurchcnt) ' losoq Mt!3 - Whcthcr inhc.itld ProPcrB - No - datc oflurches. - 22.05-2O(j6 - CoBt of L€rd at thc timc ofPurcha!. ' 2'IO'0OO -Any inrcsElcnt on hnd by eay of DcacloPEent'cotsEucticm Etc _ No ML 11,02.500 t{lL NIL - Apporosi@te CurrEnt nari{et vrtu. ML -t.!tion(s) - kachiSaft - SuNcy numbcr(s) ' 3212 . Ar.d Oot l n@suEnmt) - 4000!q Mtrl - Whcthcr inhaitcd PmPcrty _ No - datcoaPurchas - 22.052006 _ - Cosr of Land at thc time of Purchas. a,oO,oOO -Any inv.stmeflt on lerd ty way of DelcloPhcnt,constNction Etc. _ No 42,O0,000 NIL NIL . ApporoEmtc Currcnt mdkct valu. ML NIL AIIEPTED BY ^flti^#ft*,#" ( * ATTESTED BY *r,,, k'r.r *o., advoclte & Notary ?"#:ftJ:,'J^ll8Jf - Ldldontd _ techigsE -Suncynull1D.r(3) ' 79ll -An (Iot l Ec.luftncnt) ' s6OOq Mtt! - Whcthc! lnhcrltcd prop.rv _ No ' dar.ofl\lrchedc ' 22.05.2006 - Colt ofl,end at lhc dmc ofpurch.E ' r l'20,(x)O -Any Lnlllndrt dt Lnd by *ry of Dcclopment'consEuctton Etc ' t{o NIL ML 5a,80.000 ML NIL - Appoidtrat! Currcnr Ead(Et vdu. - lddon(!) ' kachiS@ - sur"rynumbc(!) ' 9 . Arla Oot l mdBurEncnt) _ 79OO.q Ml' - Whcthd inhent d ProPcrty ' No , datc ofPurchas. - 17 II.2OO5 - coll of l-3nd at thc roc 6f purcha* I 5,80,0oo .&!y lnv.lun.nt on lsnd bv way of DcElopD.nt,@nstru'tion Etc - No a2,95,OOO NIL NIL NIL NIL - AFDorcdrute Cullut mMkc! valu. dt - Lo.ation(.| ' kachigM - s'rm,y numb.ft) ' 30 - ArtA Golar tncasuEmcntl 'ToosqMtB ' whcthd inncdt d PropcrtY - No - rtAtlofPufthas. ' O9.O2.2OIO - C6t of L.nd at lhc dm. of Purcha.. . 1,05,0@ -4ry iDraErcnt on t nd by ?ay of Dcecbpacnt'conlttuction Etc _ No crrrn Eartcr ealue NIL 7.35,O0O NIL NIL NIL 4rt/t 566.66 dq Mtrs (l/6th Sh.Jc ol940o sq mtr!,l lnhBltdd proPcrty - Ycs - Nil L.nd at thc timc of Purchasc - Nil on hnd by *ay of Dcvclopomt,conlt uction Etc _ No NIL Cirtlat rDarlct valu. NIL NIL l6,45,OOO NIL -8ulrcynulnb.(tl - 491/24 Sq mtls - rca Ootet mcaorcmentl' 254 33 .q Mtrs (r /6th ShaE or IS50 ) - W}|cthcr inhcrltcd prcP.rty _ Y.3 -datcofPurchG _ Nil _ - c6r ot l-.nd at thc timc of Pufthalc Nil -Ant tnvllthcnt on land bt Pcly of Da'.loPDmt,constnrction Etc _ No 2.7 \,250 NIL NIL 1lir@matc CuEEnt marl -Ls{ttonlll _ kachiBam . sufty nurnbcrl!) ' 372 - ,rra frotat mrasuraDcnt) - 2tuq Mtrs (l/sth shaJ! or loo Sq ntF ) - wh€thcr lDhcrit€d pmpctv ' Yc. ' &tc ol PurEhsi ' NII - Coct of Latrd at the tiDc of Frrchlc ' Nil No 'Any lnycdrDcnt on lrrd by e.y of DcsclopEcat,con.t ucdd Etc ' 2 r.000 ML ML - Apporadrnatc cxrrcnt h6rkct Yalu. NIL ML 10(! IllL i@4lrldltfirl Lnd I - LdttonlB) ' kachiSM -Sunqnu6b.t{s) ' 342/a - Atla flolll Ecesurcmcntl ' 45osq MtB - Whcthcr lnh.ritcd ProPGrtY _ No - datc of Purchas. .23.0E.1985 - Co.t of Lsnd at thc time of purEhas. ' I,80,000 .Any lnvc.trncnt on Isnd bv way of Ddelopment,conltruction Etc - No NIL 6,30,000 NIL NIL NIL - Appordmatc CurrEnt mark t vsluc ll - L€don(!) - kachisEE - surv? nu'nb.(B) - 3731A - [totd ln.aluEcert) - loooq Mt ! - ^taWrdhcr tihattcd ProFrtY - No - dat. ofPurEbee ' 06.03.1996 - colt of Land qt thc dm. of Purchae - a,oo,ooo lnvc.trncnt on IErd hry Eay ot Dc!,lloPmcnt'coD ltnrclbn Etc. - No 'Any NIL l4,cto,ooo NIL NIL - ApporcFnatc Curtcnt Earket vatuc ML I gt - latdonl4 _ kechisai - suflly nunbcrisl ' 347 - AE! (Total m.!$urtmcntl - 2500sq Mtrs . Whcthcr inhc.it.d PrcpcrB _ No - d6tc of Purchas€ _ 06.03 1996 _ - Cost ot Land Et the time of Purcha$ I0,OO,O0O -Any inE.tncnt on land b, w.y of D.v.loPm@t,cotutructlon Etc. ' No 35,0O,000 NIL NIL N]L - Apporoxihatc Currcnl Earket valuc NIL ATTESTED BY Tx#,m*._r_rrran (U.T.I tffOy'F I'ic.g. l(r ,MN_00., A t' f I '1,.s9 " i NN. u BY ATTE9TED .+ffiisssul it - lddon{.) ' kEchlam -sur€nunbcdsl ' 10117 . la frotat racaurcncot, ' ITOO{ Mlt! - Whcthc. tnh.dtcd PrqgItY ' No - alatc of Putchalc ' 18.05 1984 - co* ofuna at ttrc time ofpurttrarc ' 5,E0,0oo on r."a uv ;ry of Deeclopncnt,construcdm Erc ' No NIL -,rir"-i"-i"t-int NIL NIL 23,aO.000 I{IL - A!,porodrnat! Cxrrmt n.tl(?t eeluc - lrcationlll ' kachiEam . survly nuEbc,(3| ' 39913 - Atti Oot r masurcmcno ' 525.q MEs - whcthd inhcrit.d ProP.rtY _ No - of ' 02.06-2006 &tc Purchas. _ - Co.r of L€nd at the timc of purchas. 2'10,000 -A; inv..tnent on ,snd bv;qy ot Dcvclopncnt,construction Etc - No NIL NIL 7,35,0OO NIL NIL - Apporuirnatc C\rE€nt nEk l v.tue vt - r4cldonl.l ' kachisan - SuRq, nutnbe(sl ' 31217 u342la - Ar.. Oot l masurEEmt) _ lsoooq Mtls 'whcthcr lnhcrlt d proPcltY - No - d6ta of Purcha.c _ 13.08.2002 a -donoflandatdrctineotPurchai -6'00,000 -rny m ta'a tv e.y of Da'eloPEcnt'clDttflciion Eic ' No I Inrcaa,t 2t.00,000 NIL NIL ML NIL - ADlordortc C!ftflt a.tk l edu. - latlont.) ' lachiaBE - suft], numH.l ' 37112 - ArEa (Iotol nrcairtlhcntl ' 535.q Mtrl Wllrthc! Inhcritdd ProFrV _ No t - 30.10.2007 -tuof L.rid et orc - 2,14,m0 -Any lnvlittsncnt 6l l6nd by way of Ddclopm.nt'construction Etc. - No ML NIL NIL 7.49,@O NIL ' Apporldmatc CurEnt mdket vEtuc - lr.a!ion(.| - kechigam u - survq, numbc(s) - 3s0/A _?oOBqMtB - fotsl hcesurEncnt) - ^Ilawhcthcl lnicrlttd Propcrty ' No -drt of Purchan ' 24.6.20oa - Cost of L.nd at thc timc of Purchalc ' 2,aO,O@ -tuV hvGlhcnt.m l[.!d nv t{v of Dd.loPmcnLc,n'rtction Etc _ No ML ML 9.a0,000 NIL NIL - Appondrnatc CuIrtnt Eert(et valuc Ir - l,o.atlon(d 'f'echiSan - suF€y nulnberis) - 32128 . Arca Oot.l EcaorEmcnt) - l550sq MEE - Whcthcr lnlcritcd proFrv ' No - dat of Purcha* ' 22.05.2006 - C6t of knd at thc tiEG of Purch!.s. ' 3.E7,50O -Any inycltE nr on land by rev ot DcvclopoaLconlEuction Erc' - No NIL 21.70,000 ML NIL - Apporoxinat€ Curot mltkct valu. ML - l,ocetlon(sl . KrachiSam - suFcy nunbc(s) - 59 ' rtEa (Iot tn.asuEmcnt) '4600 3q. ME! - Vhahct inhcritcd ProP.rtY ' No - dat. of Purchas. ' 12 09 2004 - Colt of L.nd at thc timc of Purchas - I I,50,00O -Anv invatment on tEnd try eav ofDdclopmcn!,con3truction Etc -No N]L 1.44.90.000 NIL NIL NIL i - Appomrimstc Curr€rt markct value - Lc.atlon(.| ' KachisEh - suFs), numbc4sl ' 23613 - Atta (rotd tDcalulBcntl ' 4o() !q. Mtts - Whcthd inhcitcd PrcP.rty ' No - d.t of turthA* ' 15.09.2009 - Co6t ol Land et thc tiEc of purchai t,m'00o -Any iny6bcnt on L0nd by tqv of t GvclopEcat,conltdctton Etc. ' No ML 5,60,000 NIL NIL NIL ' Apporodmat. CuEEnt I d<.t valuc dt . tdadon(s) - KachkaE -Su cy nulttbc(s) - 2E7/t - tuta Ootal Ecasullmcntl - lCnO .q MEa - Whcrher inhcrit d proFrty _ tto - datc oI Purcha!. 10.08.2011 -Cdtoflndatth.timcofpurcha* _2,50,000 -rtny inv?stmcnt on lsnd by way of Dcvclopment,consttuction Etc ' No NIL I4,00,000 N]L NIL NIL - Appomrimatc currcnt Earkct valuc dll - L.atlont5) . Thfa Psdi - suPcy numb.r{s} - 2213 - A.!a Gotal mcasum"nt, ' 9OO 3q- MttB - whcthcr inhcrit d proFny ' No - datc 24 O3.2o12 ofPurEhes. ' _ - co.t of Lend at thc timc of Purcha.c r35,ooo/_ -Any lnvc.Etnt on lrnd by tey of DcvctopEcnt,consEuction Etc. ' No 9,45,000 NIL NIL NIL - ApporEdhetc cutEnt rmrkct veluc NTL ATTESTED BY an\rka.IANDEL - .- ,q :4!q & Notary r... ., . rJ.I) tNDtA ..,. i ij l\,ii! -".u! R I x .,.t * .).)., \ F {.t') Ie BT ATTESTED ."#ih,usffi' - LGdor{r} _ Thsra hrdi -surtry"uab.rl4 -rz2ltlt - Alr. Fot l ElaaEoani ' 2:,0O q. Lltrs - whcthdinn€dEd proFrty' o - darc of Puchar - 24.O3-ml2 _ - Co3t of Land at th€ titnc of purchas. 315'ooo/- -Arry invEstncnt on hnd by eay of DcvcloPmcnt,construcuon Etc ' No NIL 23.1O,000 ML NIL NIL - Apporlrimatc currcn! m.rket valuc - Ir.ationld ' K,achisem - surftr.uab.rlsl ' 29912 - tuta (Total tnca.uEmcntl ' 7075 .q. Mtr! - Whcthcr inhcritld ProFrtY ' No - datc - La.t2.2ol4 ofPurchr!. _ - Co6t of Lrlld et thc tlrnc of purEhasE 3i]'o4'85o -Aiy invcdDmt on Lnd try wEv of krclopm.nt,construction Etc _ No NIL 99,O5.OOO NIL NIL NIL - Apporoxinatc Currht matlct taluc -lrcation(.| - lhsns Pardi . SuYly numDctl.) - 108/l ca . (Iotar ltcaarEncatl ' 3300 sq. Mlrr : ^tr.Mdh.r inhcdt d PrcPcl.Y _ No I - dar.ofl,|,Icha!" - r?.oa.2olo - Cost of Land et thc ttEc of PrlEs. ' 3,30,0@ -rlrtirldncnt dl t nd bytavof DdclopEcnt,conlEuction Etc -No 34,65,0q) NIL NIL ML NIL - ADroftdEatc ctrcD! mlll(ct Eluc t .ation(!) - xachisM 8urvc, numhc(.I - 24215 b26513 .AJta 6otal rnca.trrcncntl . 1300 lq. MtE Whcthcr lnhcrttcd ProPcrtY _ No - atat otPurchalc l7 08 mlo . Co€t of L.nd at the tltn. of purtn.s ' I,38,510 -tury lnvcstunt dn Isnd by Ev of fv€bPmmt,con.truction Etc - No NIL NIL ML NIL - ApprEimatc CurEnt mtrkct valuc 40,95,0OO - Locadon{sl - rhchi8am - survcy numb.(s) ' 2641r,2&,2671t'2 - Arca (Iotel mcalurcmentl ' SOOO sq. MtB - Whcth€r inh.rlt.d PropcrtY ' No - dst! of PurEha!. - r7.OA.2OlO _ - c6t ot lrnd at thc tlmc otputchesc 5,32,560 -An,InrllEncrrt on land by try of D"vdopa.nL.onltruction Etc - No r.57.50,0OO NIL NIL NIL NIL - ADPrtdmat Cuitnt Ea*ct ,Elue - lddon(.| - t(acn&aE - sra!,, nurnb<.| ' 37ol2lal - AtEa (Iotal mc.ltrrtlhcntl _ 3OO9 4 Mtrl - Whcthcr inheritcd ProFcrV _ No - date,ofPurchaE - 23.06.2010 . Codottand at thc tlmc otpurchas ' 16,40,000 -Any invcltm.nt on land by Ey of Dcvclopmcnt,constnrction Etc - No NIL NIL NIL NIL - Appodimate Curlnt msrkct value 94,78,3s0 - Lcation{s) _ Maaan*ada - Su,rcy nuhb.r{!) - 916/6 - tula frobr mealurcment) _ 5OO sq. Mtrr - Whcthcr inh.dtcd proFny - No - datc ofPlrlcha€c 15.02.2005 - Cosr of Lsnd at lhc timc ot purchasc _ r'25,ooo -Any inv.lttrcnt on land by way o{ DcvcloPmcnt,conltruction Etc. ' No NIL NIL NIL NlL - AppoMlmar. CurrEnt ffik€t Bluc 5,25,000 - leltLonlJ - Dcvka - Sun!,, numqd ' 4slr3(r) - ,ltrEa Ootal ErcaluEd.nt) - 600 .q. Mtrs . wllethcr tnhcrlt d ptopcrg - No - det of PurEha.c - l6.W-ml2 - Colt of l-and at thc tlrDc ofPurchasc ' 3,m'oOO -Any inv€dnent on bDd by ey of rtveloPEcnt,conltflrction Etc- ' No NIL NIL ML - Appdmrdnatc Currcnt Mtkct valuc 6.30,000 NIL - r.etion(sl ' D.vka - Survly nuhbc(!) - 4sl r3l2l - Area (Iobl m€a.ur.h€nt) _ 5OO sq. Mtrs - whcthcr inh.ritcd pmpcrty _ No - alatc ofPurchas 'L6 W.2ol2 of - 2'OO'0OO ) - Cost ot tand et th. timc Purchas. -Any invcatncnt on lEnd by vsy ot DeeeloPEmt,constluction Etc. ' No NIL NIL NIL NIL I - Appoffiimatc Cufrnt narkct valuc 52s,@O I I - LGtionlBl - Dcvka 'sunqnunbcrls) - 4s/13(31 l - Ar€{ flotd mcasuEmcnt) '5oosq Mb:s - iDhcrtt€d - No I lvhcthcr ProFrV l - datc ot Purcha!. - 16.07.2012 - Ccar ofrand at th. tlnl. ofpurEha- _ 2,0o'ooo -ArIy hlc.tmcttt on tlnd ty oEy of Dcvclopm.nt,consEucdon Etc. - No 5,25,000 NIL ML NIL NIL I ' ApFloxirDetc Cuftnt raE*.t valuc I I l ATTESTED BY fu. RA.JNIKANT B, TANDEL Notary I Advocrte & Dat)an (U.l) lt{OlA L Rert t.l" i . --iv' I I I s i[ t ! BY ATTESTED ru,lT*u,**rf;' _ ' Lddd .l D'!ra - sunsvni:ottr{sl ' 4sll3l4l - AEr liotd ,rcaarrEmcntl ' 5oo q MEr - w}laier lnhcrld PmFrS ' No _ - dar€ of Purchase 14 ll.2oll ' 2'0o'ooo - iiiiiGl ., ir'" t-. a p,*t or"* Dcrcropmcnt'condruction Etc ' No ML NIL NIL 'i'Jl-*il-i- r"a W;ev 5.25,0OO TIL . A;Forqinlat crrftnt malkcl va'luc . L@tionld _ Fon ArEa - suffi number{sl ' 7414-A Mtrs - arta 6out mcasurtmcntl '9o0 sq . wh.th.r inhcritd pmp.ftv _ No 2013 , detc of hrrchas.\ - 17.04 - 26'62'stut' . Ei-i'r.i"i'Jit *"" orpurct'"* or ocveropmcnt'constructi6n Etc ' No ML NIL ;1#;;i ;-fi t iav 37,27,570 NIL ML - AEpltsiE tc Cul'tnt mad(et valuc - bcadon(ol - r.achiSam - 3OAl2 - Mtr6 Att Gotsl acalurtmc1ltl 235Oq. 'No - 23.O{.mlo 15,a4,6701 oI Lnd al thc UmG of PutEh.l. DctchpmcnqcnntEuchon Etc. - No NIL on lard by ?ey of NIL NIL NIL 32.90,OOO CurEnt ma*d valuc Mtrs Ootal Erssurcrncntl ' a95 sq. -No - t7.04-2013 - 26,62,s5O1- Colt ot t rd at thc timc ol Purcha* wav of Dev'loPment'con NIL -Any lnvclthcnt on hnd bv NIL NIL NIL 37,27.570 ' Apporodmstc CurrEnt ma*'t varue -rlll .l,atbnld _ kachiSgm - SuF!ilnunbcrllt ' 4l4l L - erta nout racanrrcacnt) ' ImOO sq MEr ' wrrcrira inhcritd propcnv ' no _ - derc of PurEhasc 29 04.2003 -i ii'r.iiJ otp,.t'"* ' 2o'40'ooo ",ir,",rrn" rav or oerctopmcnt'construction Etc - No NIL -i?L-*"*-."i";-fi tv NIL NIL r,07,10,000 NIL - Aploftmrnalc Cunlnt Eatkct valuc ' tddonld ' kachiSBE - survanumbcr{.| ' 2st 13 - tura {iotal mcasurEmaltl ' as&q ME ' whcticr inhdit€d PmPctry' No - 29-12.1992 _ 85,ooo - Colt ol Ilnd at the timc of turchas€ Etc _ No -Ary invctiEc'tt on land bY ,ay of Dev.loPmcnl,constflrctim NIL a 7't o rE iii Edr(t4t - Lcltionl6l ' kschiEam -s"ffinuobcrlsl ' 34217 b342/a - Artr lTotel masure$cntl _ ADDror3920 $ mtr'- - BuIi of^tEa -ADPro'( l97O d htr3' -Whdhcr lnhcritcd ' No . d^tc ofPurchas - r3o820o2 - iiii-w t c of Purch'.- ' 3'9o'0oo/' ",,r'" *"v Etc ' r3'8s'634/' NIL :ffH;'#;;'o."fi oio"'rop"n"'""t""ction 54.8a.0O0 NIL NIL NIL - Ap@ronmatc CurEnt m.rkct"i va'Iuc ll _ - r.@tionls) kechisaE ' Surr., numbcrlsl ' 39913 - Arla Ootal mcasrmcntl _ ADDTDx mO e mrl. -Au t of^rEa ' ADDE:e5 $ mtr'- .rvh.th.r lnhcritcd - No - d.!c of ttrrchas€ ' 02.06-2006 52'5oo I - 6lut ii **"w ,n" ,tmc of Purcha$ ' ' ", wav or DcveroPmcnt'constluction Etc 'I'27's0ol- NIL -^1?i.-J."i'i*i r""a uv 4,20.000 4,20.000 NIL ML - A;poronnate currcnt"' matkct €ru' lx - to.stlon{s) _ kachisam - Surs.v numtErlsl ' 37112 - A,!a frobt m€asuEmcno _ ADprox 850 s4 mtrg - Built of asa _ ADDrox 3 I 5 sq mtB -wlcthctlnheritcd _ No - dlt ofPurha.. ' 30 10.2007 - d"t ii Proo.f.".t t" ti'"c of Putche- ' ao2fll' uv ."v or o"'"top'-r'*"o"ction Etc - 6s's$/- NIL -iii,ii""iiii .ir,"a NIL NIL NIL 1l,90,ooo - peranate Currtnt marla vatuc ATTESTED BY -'ii'#Iiifl,qi^* i "iN'009 A I ","J' ( t I i i i I I I I I I I I BV ATTESTED I -+*ffiu***Hi' - te{tionlsl ' Chsla vaoi -A shoD No t24 - iuloir.u'r"r ' 373 sioahrrc - Afta motal EcasurEmcntl ' ADDmx 51 47 so mtc . Built ofAEa - APPmx 51 47 sq mtrs -Wh.thcr Inherit€d ' No - dat ofPurchas. _ 10 09.2018 43546751' - .".t ii p-o".."'." ., ,rr. ,i,oc of PuEhas' ' uv wav of D.vclopncnt,@stmctjon Etc' ' No 43,9,675 .^i'i"-*'"iii-i r.ra I{IL NIL ML ML - cufrnt httkct vstuc ^;pooxidat. L..atioal6t - Ch6.Ia" VaDl ' shoeNo 12a - su-rrcv.....-_ iuob.rf ef - 373. sislaturc 'A - tuta lTot l trca.urlmcnll _ Aporu 25'50 ta tntB _ mtrs . Built oI^rto ApDrox 25 50 so -Whcthcr lnhcritcd _No ' lo 09 20la -&tcofPurcheB. 2t6327st' - dliiit o.'w t. trrnc or purchc* ' "t rr"a tv ?av of Dc'clopment'conltrucdon Etc - No 21,65.275 -i." i"-#-i NIL NIL rnL NIL - ADDorcnrratc CurEnt"r m6rkct vsluc rt No 123 - Sulrw nurnHd - 3?3. Sl,maturc'A ShoP mtrs ' . i Afta (Tota.I mcalurcmcno - ApDrox 45.67 { - -rBullt oflrea - ADDM 45.67 so mtrs aa -Wiicthcr Inhditcd _No -,dataofpurEha!. . 10.09.2018 R - J ii nop"'w at trrc tl,'c or Purchast - 3a6a23o1' tv wav or Dcvclopnmt'construction Etc -No .,rii-i"*ttt-r * r-a NIL NIL NIL ML 3a.64,230 - ADpottldbEtc Currcnt martct valuc k 69.O!.O@ 4.2O,OOO XIl. rt,gd.ooo l.o3,8E.1AO ! - 40417 .tri€r mot r meairrcmatl ' 3500 !o mtE \\'r 'J Bulr of Arl.a - 1EOO So mt!. -WficthcI Inhclit O _No - dstc ofPurEhas. - 18-05 l9a4 Co* ot rropcrv at oc ttrc or nrtclasc - 3 40 0O0/_ ' - rav or Devcropmcnt,conatncdon Etc 2a'ro'mo/' NIL ;il-;;;;i;b"it t NIL 49.OO,OOO ML NIL . ApFrEtuatc Ct.r! rt mark t Yaluc llll [email protected] ru! rE f,IL tluch a! inttrcst ln PmDcrM t - t..stiontd - kachirEm - SurYcY numb.rld ' 36612? Plot No3a ' AIla notsr ncasrrEmcntl - l25O so MIF - Builtof _ 634 so mtrs -Whcthc. ^Italnhcritcd _ No - 25091997 ' daic of PuEhasc _ - nopc.w at rttc ti-c ofPurchas' 126800/_ Coit ot - 200/- .iii"-*"iil"-ii";il uv eav or Dcvcropmcnr'construction Etc 13'73 NIL I9,68,750 19,6a.7s0 NIL NIL J - AppoEimet Curcnt mdk l valuc tsabri FohDackl tl - l@tiontst - kechimm - Sutaanumbcrl€l - 387 .ltr! lTotal m.4sur€tn.nt) - 35OO so mlrl ,Builtot^E - l0OO !a mns -Wh.lhcJ Inhsitcd -No . dat ofPucha* ' 06.031996 - Coa it noertv at rrrc time of PurEhas ' 5 00'ooo/' .;ft;;;i;;;ir wav of Dcvcropmcnt,onetn'ction Etc - ro'oo0oo/- t NIL 49,00,000 NIL NIL ML - ApporoxiEat€ CurEnt markct valuc 50 68,64,76{} Itll XE lfE t.(xl,aa,1ao 5,7tt,17 ,67t) 6r4.8t.7?,o 4.t3,72.6@ a9,E5,57q ATTESTED BY tu N I,JNIKANT B. TANOEL A. ,]cale & Notary I r:r 'U T.) ll"lDlA ,1. ," ,. r: iMN+iO0 Pr z * IrBr ATTESTED BY W. RilNtKANT B. TAI{DEL Arhrocde & llotaay Damar lu.T) lffO{A Res- ]*i. Dft,4l8sog to public financial institutions (8) I give herein below the details of liabilities/dues and government: - Self Spouse IIUT' Dependeat Deperdent s. I DescrlPtlou 1 2 llo. ![ame: Ialubhat Name: Name: Lalubhal Babubhal Gaurang Shtvargtrt Patel EUF Nil Nit rtA Loaa or dues to Baak/ Nil Nit Nil L} {laaaclal tastltuttoa(s) Nil ame of Bank or Nil Nil Nit Nil cial lnstitution , N nt outstarding of Loan t,. \ Nil 261,201 Nil ,.t: Biank, Commercial Nil Nil cIe Iloan d"t, Nil Nil 2,1o9,416 Nil B , Vetr-icle Loan Nil Et Nil Nil Nil Nil !i The Goe State Co. Op. 896,735 Bank, . Vehicle Loan Nit 3,351,081 3,351,081 HDFC Blnk, Shop Loan Nil Nil Iroar or dues to anY other fuidlvlduals/eutltY other thas rrentioned above. Nil NiI Nil N"me(s) Amount Nil Nil outstanding, nature of loan Nil Nil othet llabllltY Nil Nil Nil Aay 5 72L 698 3 351 oE1 card totd of Itabilttte3 896 735 Nil Nil occuPat ion of accommodation No (ii) ment (A) Has the Deponent been in at abY time during the last ten Duesi Dues to provided by the Government of notification of the current election ? departments years before the date may N.A. dealing with (B) lf answer to (A) above is YES, the following declaration accommodation be furnished namelYi N.A (i) The address of the Government accomodation: N.A (ii) There is no dues payable in respect of above Government accommodation, towards- (a) rent; (b) electricity charges; (c) water charges; and (d) telephone charges as on -----(date) prior to the [the date should be the last date of the third month in which the election is notified or any date thereafterl' Note- 'No Dues Certificate' from the aBencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Goviernment accommodation should be submitted NIL NIL (iii) Dues to NIL NIL NIL department dealinB with Government transport (including aircrafts and hellco ATTESTEO BY A), *trJ6itlE,.la}&* ni,,'.-rn {tl.T.) INDIA iieii *o nMN-oos t ? tr{r Z i ATTESTED BY W RA'NII(ANTB. TAI{DEL Advocalp & Notarv Daman (U,T.l tr{DfA Reg. No. DMit{0O Self Spouse HUF Dependent - I Dependent - 2 ML NIL NIL NIL (iv) lncome Tax dues NIL NIL NIL NIL NIL (9 GST dues ML ML NIL NIL NIL (vi) MuniciPal/ProPertY tax dues ML NIL NIL NIL NIL -(vfi| Any other dues NIL NIL NIL total of all Government NIL ML NIL dues I NIL NIL NIL er any other liabilities are in NIL NIL te if So me11tion the afil0unt iinvolved and the authonty before $ it is pending (9) of ot occupetlon: rC.\ Dctalt Profelslor Business e.r. (a) Sclf Asiculhrrist / (b) SPouse Aericulturist (9A) Detatls of soutce(s) of Income: (a) SeH Aericulturist / Business income come (b) Spouse lture and m Par ent in (c) Son Busine Ss lncome (d) Daughter Business income public company or companies: ((98) contract with appropriate Government and any NIL (a) Details of contracts entered by the candidate (b) Details of contracts entered into by the spouse (c) Detaits of contracts entered into by the dependents-l[L-' into contract with - One of the dependent, Shri Gaurang Patel' has entered petroleum Hindustan Petroleum Corporation Ltd. For trading of products. Family or trust in (d) Details of contracts entered into .by Hindu Undivided NIL which the candidates or spouse or dependents have interest frrms in which candidates or (e) Details of contracts entered into by partnership spouse or dePendents are L candidates or (f) Details of contracts entered into by private comp€my in which spouse or dependents have share NIL (10)My educatlonal quallflcatlon ls as unddr: Qualifcation Higher Secondary School Certifrcate SchoOUUatverstty SawajanikVidyalayaHighSchool Year ofPasslng 1980 *#,#' 1 R ! 2 P,,' z I l: T q,ss { ATTESTED BT na.rNrxki- e. raNoel Advocata & Notary Daman (U.T.) INDIA Reg. Nd. DMN-009 PART -B rN To (1o) oF PART - A: (11) ABSTRACT OF THt DEfArLa GrvEN lu Patel Tarunaben Lalubhai 1 Nahre of the candidate aa House No. 206 G, Sabri Kutir, l fufl postal address Dungri Falia, Kachigam Narri Damarl - 396 23O S] 1-Daman&D1U $ umber and Name oi the constituenry d Parliamentary ConstituencY, t. and state s, U.T. of Daman & Diu tlte BharatiYa Janata Party I Name of the Political PartY which set uP candidate cases Nil 5 Total Number ofpending criminal cted Nil 6 Total Number of caseS rn which convl income PAN of Year for which Total 7 last income Tax shown return frled ABRPPS609A 2017-LA 8,60,815 (a) Candidate ABRPP3684M 2017-ta 10,20,398 (b) Spouse 20t7-18 9,15,260 (c) HUF AABHI.536OD L3,Lr,466 (d) Dependent- 1 Gaurang Patel AQAPP1664R 20L7-la 2017-la 3,50,r27 (e) DePendent-2 Shivangini Patel DFPPP64O9R (including ollshore assets) in Rupees 8 etails of assets and liabilities HUF Dependent-1 Dependent- 2 Description SeU Spouse 91,82,30 70,42,415 t,28,95,327 8,22,873 A Moveable Assets (Tota.l Value) 1,57,13,160 Immovable Asset B 5,24,38,750 ,53,72,600 89,s6,s70 1,03,88,180 I Purchase Price of self-a 5,75,17 ,670 immovable property 45,60,350 NIL 65,550 Nil II DeveloPment/ construction c-ost 2,735,984 of immovable ProPerty after purchase (if aPPlicable) III. Approximate Current market t orice of- 89,56,570 1,03,88,180 ia) self-acquired assets (Total 5,75,r7,670 5,24,38,750 ,34,35,350 Va.lue) NIL t9,37 ,250 NIL NIL (b) inherited assets (Total Value) NIL ^r1IJwsY Hffi,lffi" R s * $ t $e,\' rt N 11 ATTESTED BY w- *#l$lllE*'$)B=' H:UYat,UAe 3 Nil NiI Nir Nil Nil (1) Government dues (Totat) NiI Nil 5,72t,698 3,351,081 (ii) Loans from Bank, Financial 896,735 institutions and others (Total) * Ltabllltlaa that are under illcPutc lr Nil Nil Nil Nil Nil I (i) Govemment dues (Total) Nil Nil Ni1 Nil (ii) Loans from Bant<, Financial Nil Institutions and others (Total) Higlrer Secondary School Certificate 11 educational H Schoo ighest (HSc Exam from sarvaJ anik Vidyalaya igh Daman ln 1I 80 VERIFICATION I,TARI,NABENLALI,BEAIPATEL,thedeponent,abovenamed,doherebyverifyanddeclare t}ratthecontentsofthisalfidavitaretrueandcorrecttothebestofmylalowledgeandbelief andnopaftofitisfalseandnothingmaterialhasbeenconcealedtlrerefrom.Ifurtherdeclare that:- me other than those mentioned (a) there is no case of conviction or pending case against in items 5 and 6 of Part A arrd B above; or tiability' other tJlan those (b) I, my spouse, or my dependents do not have any asset 8' 9 and 10 of Part B above' mentioned in items 7 and 8 of Part A and items Verified at Daman, this the 28'd, day of March' 2019 DEPONENT So nly afflrm B &tt NM FORM'A' COMMUNICATION WITH REGARD TO AUTHORISED PERSONS TO INTIMATE NAMES OF CANDIDATES SET UP BY RECOGNISED NATIONAL OR STATE POLITICAL PARTY or REGISTERED UN-RECOGNISED POLITICAL PARTY. [See parogroph t3(c), (d) and (e) of the Election Symbols (Reservotion ond Allotment) Order, 19681 To, 1 The Chief Electoral Officer, U.11 of rAIYl^f'l 4 ) ru (Slate/Union Territory) \.- 2. The Returning Officer for the 1 -. 2.B$Bf, ..*. .D.t.p. (.0. €il.PA8.Ll.4.ryedrt.Sonstituency Subject: General/8ye Elections to .."1.**.g.s.4 i.y ..fu.!i.*y c+tfHJLrLneY^r* from cl,.-,r G^\ rt{ (State/Union Territory)- Allotment of Symbols-Authorisation of persons to intimate names of candidates. Sir, ln pursuance of paragraph 13(c), (d) and (e) of the Election Symbols (Reservation and Allotment) order, 1968, I hereby communicate that the following person(s) has/have been authorised by the Party, which is National Party/5tate--*arty in the State of ..U.:.I..(.."4ft::6.x..a...t.i.u.... the names of the candidates proposed to be set up by the party at the election cited above District(s)/area(s) constituency/ Name of person a uthorised Name of office held constituencies in respect of to send notice in the Party which he has been authorised 1 z 3 T E }IU R rAN-DEL gr|fe PRest) I-DRM}N t t.6o?ALR+/ht k DAr.tA^l { UU PR xtepl . rNl7l-ruENcY RZ q PARLTAMEN (oR6) f --A*nr^* )'U 2 YIVEK ?.DADI/ARAR C7 eN.S ecxer*nY a U,.1711-tU ErVeI 3 Contd. on poqe 2 2- given :- 2. The specimen signatures of the above mentioned person(s) so authorised are below 1. specimen sisnatures ot sn ri ..6.Q.fl 8.LFfr. f.l'.'.K.:..7..0.N.?.€* q:V... r--/r"'\'f (i)... -k { .h'J ... t,'r .... .'. ,' ../ riiir .-Q:1.{..*S DhDHARFK 2. Specimen signatu res of Shri ..V t.v..c-!*...?.:.. tr) ... NV''wr- (ii) (iii) .. 3. Specimen signatures of Shri (i) . (ii) ...... (iii) Yours faithfully, f Place : New Delhi (AMIT ANILC RA SHAH) ona lPresident ,.," dtf.o.lf* cl1 a ratiya Janata Party $ Cenkaj Ofiice TeJr 23500000 (Seal o rty N.B. not later than 1 This must be delivered to the Returning Officer and the Chief Electoral Officer 3 p.m. on the last date for making nominations. signature 2 Form must be signed in ink by the office bearer(s) mentioned above. No facsimile or signature by means of rubber stamp, etc., of any office bearer shall be accepted. 3. No form transmitted by fax shall be accepted FORM 'B' NOTICE AS TO NAME OF CANDIDATE SET UP BY THE POLITICAL PARW lsEE PARAGRAPHS 13(B), (CIAND (E) AND 13A OF THE ETECilON SYMBOLS (RESERVATION AND ALLOTMENT) ORDER 19681 To, The Returning Officer for the 1 :,D..9*rFo..3.'4iL..hll*.* %.1.k y...... constituency. Subject: Generar / aye- Erection t" -tf.e..fJp.!+.{*...fi..t/.]*..f.*.tfl.+...... troml.:)4$ft0. *9.'X.?.C.-r!.i*x*{.X7..%!.fu.!.!!(.ltName or the constituency) in ..U.:.li:...{1..D.61*I&..5..Ai.1/.... (stare / Unton Territory)--sening up of candidate. Sir, ln pursuance of paragraphs 13(b), (c) and (e) and 13A of the Election Symbols (Reservation and Allotment) Order, 1968, I hereby give notice on behalf of Bharatiya Janata party- (i) that the person whose particulars are furnished in cotumns (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 reiected on scrutiny or on his withdrawing from the contest, if the substitute candidate is still a contesting candidate, at the ensuing General /!6-election from this constituency : Name of the Name of the Father's/ Postal Name of the substitute +!tlrG?tl Postal constltuency approved rfcth.r'sl address of candidate who wlll step-in Itaea{rer's/ address of candidate tlssbaed's approved (i) on the approved Husband's substitute name of candidate candidate's nomination name of candidate approved belng r€lected on scrutlny, substltute candidate or candidate (ii) on his (approved €andidate) withdrawing from the contest if, however, the nomination paper of substitute candidate is accepted on scrutiny as an independent candidate and, he ts still a contesting candidate 1 2 3 4 5 6 7 .L 1,DAi4AN PArrl PAreL PATGL ? TEL 1>tu LALUBilAI BRI ' BhBuDiltt' TART'^,RB€'V LU PARLl,ln?E BADUBHA, I.UTIR. TnRy 6Atlomntt LJ,LURflfrI Afl,uDilAt )uNrf,dl LoNtfllue^ FAue, FALIA ) Ncy l *2. The notice in Form'B'given er tn favour of Shri/Smt./S u as party's approved candid ate Shri/Smt./ Sushri as Party's su ute candidate is hereby re ed. It is certified that each of the candidates whose name is mentioned above is a member of this political party and his name is duly borne on the rolls of members of this party. Yours faithf ully, G-t-l & o^A-/ (6orrunn*t ,<'TH'rbeL) (Name and Signature of the Authorised person of the Party) Place )Amnr'l ,,," *fl.elf.*e.tt.. ,V& (Seal o t e Pa rty) * Score off, if not opplicoble. N.B.: 1 This must be delivered to the Returning officer not later than 3 p.m. on the last date for making nominations. 2 Form must be signed in ink by the office bearer(s) mentioned above. No facsimile signature or signature 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 properly filled, if applica ble.