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1^G (Name of the Province) it NOMINATION FORM-I (See rule 3) ELELCTION TO THE GENERAL SEATS ar Election to the constituency /Yg - 37 .of *National Assembly/ Provincial Assembly of /ree?'1^g (Name of the Province) (To be filled in by the proposer) (1) I (name of the proposer) having National Identity Card No. Z/S C/,5 8667930 registered as an elector at serial number 55 in the electoral ro'I for ./Y;41— 37 electoral area in 725Vdefi(ertd(liTelisil/Taluka in /, 7 District/Political Agency do hereby propose the name of 5 41.0i v4/ctea,z,-1/ 42/Ye, whose address is s a c to for election 4o general seat from .601- 3 7 constituency. (2) I hereby certify that I rave not subscribed to any other nomination paper either as oroposer or seconder. Date 2 F— o 3 — 20/3 Signature of Proposer (To be fiasd in by the seconder) (I) I S: leer (name of the seconder) Irving National Identity Card No ,,Z1 eg- rG g ZrZof6 re:istered as an elector at serial number /4' 7 in the electoral roll .Y.4.-37 for electoral area in 1.7'fr-4/./rier7e14V TehsilfTaluka in .. ofp District/Politicz! Agency do ..zreby second the nomination of 1.14 ,4,01.00"/ /e-1-4"6 vtliose address is ree/re /i‘viriee.4,k4 as a candidate for election to general seat from .. Constituency. (2) I hereby certify that I *: avc not subscribed to any other nomination paper either proposer or seconder. Date. 2S 0/3 Signature of Seconder c--- Note: Please fill in the Form in capital lettere.. *Strike off the words not applicable 2 DECLARATION AND OATH BY THE PERSON NOMLNATFn 1. I, the above mentioned candidate, hereby declar: on oath that.— (i) I have consented to the above nomination and that I fulfill the qualifications specific I in Article 62 of the Constitution and I am not subject to any of the dis-qualifications specified in Article 63 of the Constitution et any other law for the time being in force for being elected as a member of the National Assembly/Provincial Assembly. *(ii) I belong to (,?,de/,e,"? a certificate from (Name of political party) that political party showing that I am a party candidate from the above said constituency is attached. OR I do not belong to any poll, ical party. 2. I, the above mentioned candidate, solemnly swear that,— **(i) I believe in the absolute and unqualified finality of the PrOphethood of Muhammad (Peace be upon him), the last of the prophets and that 1 am not the f011ower of any one who claims to be a Prophet in any sense of the word or of any description whatsoever after Prophet Muhammad (Peace be upon him), and that I do not recognize such a claimant to be Prophet or a religious reformer, nor do I belong to the Qadiani group or the Latp-ri group or call myself an Ahmadi. (ii) I will be faithful to the declaration made by the Founder of Pakistan Quaid-e-Azam Muhammad Ali Jinnah, that Pakistan would be a democratic state based on Islamic principles of social justice. I will bear true faith and allegiance to Pakistan and uphold the sovereignty and integrity of Pakistan and that I will strive to preserve the Islamic Ideology which i: the basis for the creation of Pakistan. 3. I hereby solemnly declare to the best of my knowledge and belief that,— (i) no loan for an amount of two million rupees or more obtained from any bank, financial institution, cooperative society or corporate body in my own name or in the name of my spouse or any of my dependents, or any business concern mainly owned by me or the aforesaid, stands unpaid for more than one year from the due date, or has got such loan written off; and I, my spouse or any of my dependents or a business concern mainly owned by me or the aforesaid, is not in default in payment of government dues or utility charges, inch:ding telephone, electricity, gas and water clurgcs of an amount in excess of ten thousand rupees, for over six months, at the time of filing of nomination paper. Note: *Strike off the words not applicable. **For Muslim candidates only. P tr, Ayr clr Par= 3 4. I, hereby solemnly affirm that ✓ (i) The list containing the names of my spouse(s) and dependents is correct and no name has been left out. (List attached) oerloc/Overtero; (ii) Neither I nor my spouse(s) nor any of my dependents mainly owns any company except the following: /0? Explanation.— For the purpose of these declarations, the expression— (i) "loan" shall mean any loan, advance, credit or finance obtained or written off on or after the 31st day of December, 1985, bi4 shall not include the loan the recovery of which has been stayed or suspended by any order of a court or tribunal, including the High Court and the Supreme Court; (ii) "mainly owned" shall mean holding or controlling a majority interest in a business concern; (iii) "taxes" include all taxes levied by Federal Government. ?rovincial Government or a Local Government, but shall not include taxes the recovery of which has been stayed or suspended by any order of a court or tribunal; (iv) "government dues and utility charges" shall, inter alia, include rent, charges of rest houses or lodges owned by the Federal Government. Provincial Gevemments, local governmerts or corporations, established or controlled by such governhnents, but shall not include the government dues and utilities charges the recovery of whidh has been stayed or suspended by any order of a court or tribunal. 5. I, the above mentioned candidate hereby declare on oath that.---4 ,,Infr- (i) I have opened Account No. 0/0 — with CJRZ e ,e1,24••••-• %-- (Name and Branch of scheduled bank) and have eposited therein an amount of Rs./rtrtecci/- (amount in words) eetw d".:,tte 4-4.4441or the purpose of election expenses. (ii) I shall make all election expenditures out of the money deposited in the aforesaid account (iii) I shall not make any transaction towards the election expenses through an account other than _ _ _ the above account. tyA *6. I hereby declare on oath that no case of criminal offences was pending against me, six months prior to filing of this nomination. OR I hereby declare on oath that following cases of criminal offences were pending against me, six months prior to filing of this nomination: Number of case Name of the Court 7. My educational qualification is 4#Yaelcedhati 8. My present occupation is Cerroakt?4,- Y/(441/-41.(..‘ Attested copies 9. My National Identity Card No. is 02/30 3 - 799 6 716-'7 to be annexed 10. My National Tax Number, if any is ; r89- 4 11. The statement of assets and liabilities of my own, spouse (s), dependents as on 30th June, is enclosed. Atgfe%40 12. The income tax paid by me during the last three years is given hereunder.- Total Income *Source of Incomt. Tax Year l Total Income Tax Paid Note I: Attach copies of income tax returns of the years mentioned above./ e,,,Ziol) **If more than one sources of income, attach detail. ‘s ✓ 13. How many times traveled abroad during last three years and cost incurred thereon. (Attach copy of the passport and detail of expenditure). (fre7,14,0 ,.1.1(?_5.s pirK1,/ditiZ e0 0 eeSid) Pi A .,14. The agricultural income tax paid by ma during the last three years is given below: Agricultural Total Agricultural Tax Year Land Holding Income Income Tax Paid Note II: Attach copies of agricultural tax returns of the last three years mentioned above. C Ar7i) 15. If you have been elected Member of National Assembly/Provincial ASsembly what according to you was the single most important contribution you have made for th benefit of your constituency (attach detail, if any). a Ay",‘"ci • NA 16. Whether you have paid any sum by way of contribution or otherwise to the political party which has awarded you party ticket for this election, and if so how much (attach detail, if any). A/A .17. Whether you have received any sum from the party which has awarded you ticket, if so how much (attach detail, if any). Note hereby solemnly affirm that the iFformaion given at serial No. 13, 15, 16 and 17 is true and correct and nothing has been concealet 18. I hereby assure that I shall abide by the Code of Conduct issued by the Election Commission. Date..2-1F-0 .1.0)3 Signature f *Strike off the words not applicable FOR:\ I-XXI ( See rule 28A) STATEMENT OF ASSETS AND LIABILITES I. Sajid Hussain Turi, a candidate for election to general scat from constituency No. NA.37 hereby declare on solemn affirmation that no immovable and movable property. including bonds. shares. certificates. securities. insurance policies and jewellery, other than cpccified herein below. is held by me. my spouse(s) and dependents on 30''' day of June. 2012:- ASSETS 1. NET ASSETS AS ON 3011 .1LNE Cost of Assets Present value Remarks OF CURRENT FINANCIAL YEAR. of Property NET ASSETS AS ON 30111 JUNE OF PREVIOUS FINANCIAL YEAR. INCREASE/DECREASE (1-2). IMMOVABLE 1>B0III.11try Open plots. houses. apartments. commercial buildings. under construction properties. agricultural property etc. (a) Held within Pakistan I. 2000 Kanal joint rwricultural land Inherited in various villages of Parachinar. II. Joint agricultural land in villiites Inherited of Bilyw-nin.
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