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FORM 2!"+U**-T I (See Rule 44)

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FORM 2! I qTreI \ E F )tr E I RUPEES I h.. ; ! INDIA UT I I @ero rr"sc fuirrrqr rELANGANA 6 .),ol\! qJ\l 0ate......',.1..6.'MAB"201 slrlo-,,.......,;*.. .......... s. & &-0r'^+1d s -t[cL .( t trj-.- sdd {1, ["*.8l^-[€''^ t.-llln ow^is Eor Villfilr...... '. 'Ir,^ o r^.2a.'A i q:J,..ot\'^ FORM 2!"+U**-t I (See rule 44) paper before the Retuming Offrcer for affidavitBto be filed by the candidate along with nomination (Name House) electi on to House of Peonle-Lok Sabha of E (name of ConstituencY) From derabad Pa entary ConstituencY E PART.A E *+son Late Sultan Satahuddin Owaisi aged 49 I uddin Owaisi / aaughter++\tif€ of m Red years, resident of 8- 1 Sh at the above election' do hereby solemnly affirm 500052 (lnention fulI postal address)' a candidate and state Pn oath as under:- (1)lflnacandidatesetupbyAlllndiaMailis:E:IttehadulMusllmeeg(4.I,M.I.M)(**nameof thEpoliticalpu,ty1lJ-.(**strikeoutlvhicheveris nq aPPlicable) C nsti en Te n (Name (2) name is enrolled in 5 d Na in Part No. the ConstituencY and the state), at Serial No. l!! S r P '^'(l =i::c'- GAI..i & NOTARY .YASH A NILAYAM' i'..2-1 A7 51 6, Bagh Amberp.;r !J\rL\ F R.r.\EIAD-i:1, ii .i.!.?, @ H (3) My contact telephone number(s) k / are 09848013569 / 09868180569 and my e-mail id (if any) is [email protected] and my social media account(s) (if any) is/are (D @asadowaisi (Twitter Account) (ii) https://www.facebook.com/Asaduddinowaisi/ (FacebookAccount) (iii) NrL (4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return: The financial Total income shown in year for which (in sl. Income-Tax Retum Names PAN the last Income- Rupees) for the last No. five tax refum has Financial years completed been filed (as on 3l't March) 2017-18 (i) Rs. 10,01,080/- Self 2016-17 (ii) Rs. 13,33,250/- I (Asaduddin Owaisi) AAFPO3453L 2015-t6 (iii) Rs. 9,48,460/- 2014-15 (iv) Rs. 10,17,560/- 2013-14 (v) Rs. 10,00,950/- 2017-18 (i) Not Assessed Spouse 2016-17 (ii) Not Assessed 2 (Farheen Owaisi) ACBPO9363K 2015-16 (iii) Not Assessed 20t4-15 (iv) Not Assessed 2013-r4 (v) Rs. 10,92,700/- (D Not Applicable (ii) Not Applicable HUF (If Candidate is 3 Not Applicable Not Applicable (iii) Not Applicable Karta/Coparcener) (iv) Not Applicable (v) Not Applicable (i) Not Applicable (ii) Not Applicable Dependent-l No PAN Not Applicable 4 (iii) Not Applicable (Yasmeen Owaisi) Allotted (iv) Not Applicable (v) Not Applicable (i) Not Applicable (ii) Not Applicable Dependent-2 No PAN Not Applicable 5 (iii) Not Applicable ( Amena Owaisi Allotted ) (iv) Not Applicable (v) Not Applicable (i) Not Applicable (ii) Not Applicable Dependent-3 No PAN Not Applicable 6 (iii) Not Applicable (Maheen Owaisi) Allotted (iv) Not Applicable (v) Not Applicable (i) Not Applicable (ii) Not Applicable Dependent-4 No PAN Not Applicable 7. (iii) Not Applicable (Aatika Owaisi) Allotted (iv) Not Applicable (v) Not Applicable (i) Not Applicable Dependent-5 (ii) Not Applicable No PAN ble 8. (Mohamned Sultan (iii) Not Applicable Allotted Salahuddin Owaisi) (iv) Not Applicable (v) Not Applicable Page 2 of @ ...5. dL (5) Pending criminal cases- (i) I declare that there is no pending cri al case against me: (Tick this alternative if there is no criminal case pending against the Candidate and write NOT APPLICABLE against tive (ii) below) Not Apnlicable OR (ii) The following criminal cases are pending against me: (If there are pending criminal cases against the candidate, then tick this alternative and score olT alternative (i) above, and give details of all pending cases in the Table below) Table Criminal M.A No. 150/2016 FIRNo. With FIRNo. l4l16 FIRNo.86/2010 U/s 156 (III) of Cr. P.C is FIR No. 7012010 P.S. Itwara, Charminar Police name and address Mir Chowk Police FIR No. 175/2015, Baisee converted into RCC No. Md Ali Road, Station, of Police Station Station, Hyderabad Police Station, Pumea, Bihar (a) 255/2018 by order of JMFC Nanded Hyderabad concemed Telangana Shirpur, Dhule, Maharashtra Telangana RCC No. 255/2018 CC No. 2212018 CC No. 20/2018 Case No. with 2 - Jt. Civil Judge J.D. Spl Metropolitan 501l/15 in the Court of A.C. R.C.C. No. 53212011 Spl Metropolitan (b) Name of the Court JFMC, Shirpur, Dhule, Session Judge, J.M - II, Pumea Vth Jr. J.M.F.C. Nanded Session Judge, Maharashna Nampally, Hyd Nampally, Hyd Section(s) of concemed e Acts/Codes U/s 143,341,427, l7l, 188, 505, 425, 426, 433 Uls 143,149 & involved (give no. 323,506,188,109 I88IPC ofIPC, S.13l, 33,36,134 I88IPC 153 (B) and 34 ofIPC of (c) of the Section , R/w l49IPC Bombay Police Act. S.133 of e.g. Section Cr.P.C. .......of IPC, etc.) Page 3 of 19 U,t,L Member of unlawful assembly Accused persons conducted Wrongful restraint election meeting for Member of Mischief causing Imputation, assertions candidate from MIM Party unlawful damage Disobedience to order Brief description prejudicial to national duly from Ward No. 40 &79 assembly voluntarily causing promulgated (d) of offence integration. by public without obtaining permission unlawful hurt Common Intention servant. of P.S. and other offrces assembly criminal intimidation concerned and breached law Disobedience to Disobedience to order ofCode ofConduct of order. Abetment Elections Common object. Whether charges have been framed NO (mention YES NO NO NO YES (e) or NO) If answer against (e) above is YES, (0 then give the date Not Applicable Not Applicable Not Applicable Not Applicable 18.08.2017 o on which charges were framed Whether any Appeal/ Application for revision has been NO NO (e) filed against the NO NO NO proceedings (Mention YES or NO) B}, 0. i3 Page 4 of 19 .i, q dL c s (6) Cases of conviction (i) I declare that I have not been convicted for any criminal offence. (Tick this alternative, if the candidate has not been convicted and write NOT APPLICABLE against altemative (ii) below) YES OR (ii) I have been convicted for the offences mentioned below: NOT APPLICABLE (If the candidate has been convicted, then tick this alternative and score off alternative (i) above, and give details in the Table below) Table (a) Case No. Not Applicable Not Applicable Not Applicable (b) Name of the Court Not Applicable Not Applicable Not Applicable (c) Sections of Acts/Codes involved (give no. of the Section, e.g. Section......of Not Applicable Not Applicable Not Applicable IPC, etc.) (d) Brief description of offence for which convicted Not Applicable Not Applicable Not Applicable (e) Dates of orders of conviction Not Applicable Not Applicable Not Applicable (0 Punishment imposed Not Applicable Not Applicable Not Applicable (e) Whether any Appeal has been filed against conviction Not Applicable Not Applicable Not Applicable order (Mention YES or NO) (h) If answer to (g) above is YES, give details and Not Applicable Not Applicable Not Applicable present status of appeal B , ,3 s Page 5 of 19 o (6,{) I have given full and up-to-date information to my political party about all pending criminal ' cases against me and about all cases of conviction as given in paragraphs (5) and (6). [candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i), abovel Note: 1. Details should be entered clearly and legibly in BOLD letters. 2. Details to be given separately for each case under different columns against each item. 3, Details should be given in reverse chronological order, i.e., the latest case to be mentioned first and backwards in the order ofdates for the other cases. 4. Additional sheet may be added if required. 5. Candidate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W. P (C) No. 536 of 2011. (7) That I give herein below the details of the assets (movable and immovable etc.) of myself , my spouse and all dependents: A. Details of movable assets: Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given. Note:2. In case of deposit/Investment, the details including Serial Number, Amount, date of deposit, the scheme, Name of Bank{nstitution and Branch are to be given. Note: 3. Value of Bonds/Share Debentures as per the current market value in Stock Exchange in respect of listed companies and as per books in case ofnonJisted companies should be given. Note: 4. 'Dependent' means parents, son(s), daughter(s) of the candidate or spouse and any other person related to the candidate whether by blood or marriage, who have no separate means of income and who are dependent on the candidate for their livelihood. Note: 5. Details including amount is to be given separately in respect of each investment. Note: 6. Details should include the interest in or ownership of offshore assets. Explanation- For the purpose of this Form, the expression "offshore assets" includes, details of all deposits or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabilities in foreign counties'; P G D zrz o s. 't Page 6 of 19 @ S. Description Self Spouse HUF Depe Depe Depe Depe Depe No ndent ndent ndent ndent ndent -l -2 -3 -4 -5 (i) Cash in hand Rs 3 Rs. 2 lakhs N/A NIL NIL NIL NIL NIL Lakhs (ii) Details of Darus deposit in Standard salam Bank accounts Chartered Co-op (FDRs, Term Bank, Urban Deposits and Somajiguda Bank all other types Br.
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