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

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@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

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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';

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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. SB A/C Ltd. of deposits No. SB Axis Bank, including 4461000401 NC Chandraya saving 0 Bal. No. ngutta accounts), Rs. 10012 Branch, SB Deposis with 5,0t,7721- 00000 A/C No. N/A NIL NIL NIL NIL Financial 02533 915010002 Institutions, 8 312347 Bal Non-Banking SBI Bal. Rs. Financial Parliament Rs. t,00,760/- Companies Annexe, 4098 and Co- New Delhi, operative SB A/C No. societies and 1011536019 the amount in 7 Bal. Rs. each such 38,47,746/- deposit (iii Details of ) investment in Bonds, Debentures I Shares and NIL NIL N/A NIL NIL NIL NIL NIL units in companies / Mutual Funds and others and the amount (iv Details of ) investment in NSS, Postal Bajaj Saving, Allian Insurance z Policies and Insura NIL NIL NIL NIL NIL NIL investment in N/A nce any Financial Sum instruments in Assur Post Office or ed5 Insurance Lakhs Company and the amount

Page 7 of 19 ,/-L (v) Personal loans/advance given to any person or entity including firm, NIL NIL company, N/A NIL NIL NIL NIL NIL Trust etc., and other receivables from debtors and the amount (vi Motor ) Vehicles I Aircrafts I Yachts / Ships (Details of NIL Make, NIL N/A NIL NIL NIL NIL NIL registration number etc. year of purchase and amount) (vi Jewellery, 20 Tolas and D bullion Gold valuable NIL Jewellery thing(s) (give N/A NIL NIL NIL NIL NIL details of Worth Rs. weight and 6.40 lakhs value) (vi Any other Rs. 1.20 ii) assets such as crores values of amount claims/interest. receivable from Mrs. Farheen Owaisi being her liability in cost of construction ofhouse. NIL N/A NIL NIL NIL NIL NIL

One NP Bore .22 Pistol Worth Rs. I lakh

One NP Bore 30-60 Rifle worth Rs. I lakh Total Rs. Rs I,67,49,51 Rs.10,40,7 NIL NIL NIL N/A s,04,0 ML 8l- 60/- ffi 98t- Page 8 of 19 @d^ . B. Details of Immovable assets:

Note: l. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated.

Note: 2. Each land or building or apartment should be mentioned separately in this format.

Note: 3. Details should include the interest in or ownership of offshore assets.

S Descriptio Self Spouse HUF Depe Depe Depe Depe Depe No n nden nden nden ndent ndent t-1 t-2 t-3 -4 -5 (i) Aericultur al Land NIL Location(s) NIL N/A NIL NIL NIL NIL NIL Survey number(s) Area (total NIL NIL measureme N/A NIL NIL NIL NIL NIL nt in acres) Whether inherited NIL NIL NIL NIL NIL NIL NIL property N/A (Yes or No) Date of purchase in ML NIL NIL NIL NIL NIL NIL case of self N/A acquired property Cost of land (in case of NIL NIL N/A NIL NIL NIL NIL NIL purchase at the time of purchase) Any investment on the land by way of NIL NIL N/A NIL NIL NIL NIL NIL developme nt constructio n etc. Approximat e current NIL NIL N/A NIL NIL NIL NIL NIL market value

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Page 9 of 19 4 (iD Non- Aericultur al Land: NIL NIL N/A NIL NIL NIL NIL NIL Location(s) Survey Number(s) Area (total NIL measureme NIL N/A NIL NIL NIL NIL NIL nt in Sq. ft.) Whether inherited NIL NIL N/A NIL NIL NIL ML NIL property (yes or No) Date of purchase in NIL NIL NIL case of self- N/A NIL NIL NIL NIL acquired property Cost of Land (in case of NIL NIL N/A NIL NIL NIL NIL NIL purchase at the time of purchase) Any investment on the land by way of NIL NIL N/A NIL NIL NIL NIL ML developme nt constructio n etc. Approximat e current NIL NIL N/A NIL NIL NIL NIL NIL market value. (iii Commerci ) al Buildinss (including NIL NIL NIL NIL NIL NIL Apartments N/A ML ) Location(s) Survey number(s) Area (total NIL NIL NIL NIL NIL ML NIL measureme N/A nt in sq.ft.) Built-up Area (total NIL NIL NIL N/A NIL NIL ML NIL measureme trl in sq.ft.) --t.

NIL NIL N/A NIL NIL NIL NIL NIL {,ffiii.r t\sl Page 10 of 19 c O,M5 IL Date of purchase in NIL NIL NIL case ofself N/A NIL NIL NIL NIL - acquired property. Cost of property (in case of NIL NIL NIL NIL NIL NIL NIL purchase) N/A at the time of purchase Any Investrnent on the property by NIL way of NIL N/A NIL NIL NIL NIL NIL developme nt, constructio n etc. Approximat e current NIL NIL N/A NIL NIL NIL NIL NIL market value (iv Residential 1) D.No. 8- ) Buildines l5- (including 130/AS/1, l) D.No. 8-15- apartments) Shastripura 130/AS/t, m, Shastripuram, Location(s) Mailardevp Mailardevpally, - Survey ally, Rajendemagar, number(s) Rajendema RR District. TS gar, RR (3/4m Share District. therein) TS. (1/4th Share therein) N/A NIL NIL NIL NIL ML 2) H.NO. l9-2- 2515B&C Misrigunj, Hyd.

3) Flat No. 254, 5h Floor, Nav Sansad Vihar, Dwarka, New Delhi. - (2/86 share therein)

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s s Page 11 of 19 d,Jl\ Area (Total l) 1,30,680 sft lneasureme nt in sq. ft.) 2) 3,843 sft (427 Sq yds) 43,560 sft N/A ML NIL NIL NIL NIL

3) 2/8th share about 400 sft Built up Total ro Area (Total [)ro,u,ru,rro 36,250 sft measureme [Jointly owned (Jointly lvith spouse to an nt in sq. ft.) owned with extent of3/4m spouse to share) an extent of ll4h N/A NIL NIL NIL NIL NIL Share) )3843 sft (427 vds)

)2/8n share out 400 sft Whether l) No inherited property 2) Acquired by NO N/A NIL NIL NIL NIL NIL (Yes or way of Gift No) ]) YES Date of I ) 20-tt-20t3 & purchase 0J tt-2013 in case of 03-l l-2013 N/A NIL NIL NIL NIL NIL self- 2) t2-06-06 acquired property r)N/A Cost of Rs. property ) ,53,91,200t- (in case of Rs. purchase) N/A NIL NIL NIL NIL ML Received Gift 51,30,000/- at the time ) of )N/A Any Investment Rs. 8.25 crores Rs.2.75 on the land ) crores by way of N/A NIL NIL NIL NIL NIL developme )No nt, constructio )NO n etc.

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Page 12 of 19 /4 Approxima l) 75% share te current Approx Rs. I 1.25 market crores 25o/o Share value NIL NIL Approx Rs. NiA NIL NIL NIL 2) 60lakhs 3.75 crores l) 2/8ft Share Rs. 37,50,000/- (v) Others Paid Rs. 10 (such as lakhs to Indira interest in Legislative ML N/A NIL NIL NIL NIL NIL property) Society towards advance for land (vD Total of current Rs. market Rs.12,32,50,000 NIL 3,75,00,00 N/A NIL NIL NIL NIL value of (i) 0/- to (v) above

(8) I give herein below the details of liabilities/dues to public financial institutions and govemment:- s Description Self Spouse HUF Depe Depe Depe Depe Depe No. ndent ndent ndent ndent ndent -l -2 -3 -4 -5 (i) Loan or dues to Bank / Financial Institution(s) Name of the Bank NIL NIL NIL NIL NIL NIL NIL or Financial N/A Institution, Amount outstanding nafure of loan Loan or dues to any other Rs.2.75 Rs. 9.30 individuals/entit crores as crores as y other than Detailed Detailed NIL NIL NIL NIL NIL mentioned in N/A in separate above. Name(s), separate sheet Amount sheet enclosed outstanding, enclosed nature of loan Any other NIL NIL N/A NIL NIL NIL NIL NIL liabilify Rs. 9.30 Rs. 2.75 NIL NIL Grand total of N/A NIL NIL NIL liabilities crores crores I R4a G

E c P -oo , It ,A Page 13 of 19 o (ii) Government (A) Has the Deponent been occupation 'Dues: in of ss/No accommodation provided by the Government at any (Pl. tick the Dues to time during the last ten years before the date of appropriate departments notification of the current election ? altemative) dealing with (B)If answer to (A) above is YES, the following Govemment declaration may be furnished namely:- accommodation (i) The address of the Govemment accommodation: Not Ap licable N/A

(ii) There is no dues payable in respect of above Govemment accommodation, towards- (a) rent; N/A (b) electricity charges; (c) water charges; and (d) telephone charges as on (date)

[the date should be the last date of the third month prior to the month in which the election is notified or any date thereafterl.

Note:- 'No Dues Certificate' from the agencies concemed in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted. (iii) Dues of department dealing with Govemment Not Applicable N/A transport (including aircraft and helicopters)

Self Spouse HUF Depe Depe Depe Depe Depe ndent ndent ndent ndent ndent -l _) -J -4 -5

(iv) Income Tax dues NIL NIL N/A NIL NIL NIL NIL NIL

(v) GST dues NIL NIL N/A NIL NIL NIL NIL NIL (vi) Municipal,/Property NIL NIL N/A NIL NIL NIL NIL NIL Tax Dues (vii) Any other dues NIL NIL N/A ML NIL NIL NIL NIL (viii) Grand total of all NIL NIL N/A NIL NIL NIL NIL NIL Govemment dues R4a

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Page 14 of 19 @ (ix) Whether any other Income tax liabilities are in ofRs. dispute, if so, 95,850/- is mention the shows as amount involved and the authority due for AY before which it is 2012-t3, pending. which is not correct as credit for payment of self assessment tax ofRs. 1,24,979t- NIL NIL NIL NIL NIL NIL Not N/A accorded and rectificatio n petition u/s 154 made on 46 Jan 2016 and on 3d Mar2019 are awaiting disposal before IT Dept.

(9) Details of profession or occupation:

(a) Self Politician (b) Spouse Home Maker (9A) Details of source(s) of income: ,IL (a) Self Salary (b) Spouse NIL (c) Source of income, ifany, of dependents, NIL

Page 15 of 19 (9B) Contracts with appropriate Govemment and any public company or companies Not Apolicable (a) details of contracts entered by the candidate Not Applicable (b) details ofcontracts entered into by spouse Not Applicable (c) details of contracts entered into by dependents Not ADplicable (d) details of contracts entered into by Hindi Undivided Family or trust in which the candidate or spouse or dependents have interest Not Apnlicable (e) details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners Not Aoplicable (f) details of contracts, entered into by private companies in which candidate or spouse or dependents have share Not Apolicable

(10) My educational qualification is as under:

Bar-At-Law, L.L.B Lincolns Inn, London 1989 - 94

(Give details of highest School / University education mentioning the full form of the certificate / diploma / degree course, name of the SchooVCollegeAJniversity and the year in which the course was completed.)

PART-B

(ll). ABSTRACT OF THE DETATLS GMN IN (1) TO (10) pART_A:

I Name of the candidate Asaduddin Owaisi 2 Full postal address H.No. 8-15-130/AS/1, Shastripuram,Mailardevpally, Rangareddv District - 500052 3 Number and name of the 09 - Hyderabad Parliamentary Constituency, constituency and State Telanqana 4 Name of the political party which set up the candidate All India Majlis-E-Ittehadul (A.I.M.I.M) (otherwise write Muslimeen 'Independent') 5 Total number of pending 5 (Five) criminal cases 6. Total Number of cases in which convicted NIL

7. PAN of Year for which Total Income last Income Tax Shown Retum filed (a) Candidate AAFPO3453L 2017-18 Rs. 10,01,080/- (b) Spouse ACBPO9363K Not Assessed Not Assessed (c) HUF Not Applicable Not Applicable Not Applicable (d) Dependent NIL NIL NIL ,rL'L

Page 16 of 19 8, Details of Assets and Liabilities (including offshore assets) in rupees

Self Spouse HUF Depe Depe Depe Depe Depe ndent ndent ndent ndent ndent -l -2 -3 -4 -5

A. Movable Assets Rs. Rs. I,67,49,5 I Rs. (Total value) N/A 5,04, NIL NIL NIL NIL 8t- 10,40,760t- 098/- B. Immovable Assets

I Purchase Price of self- Rs. Rs. acquired N/A NIL NIL NIL NIL NIL 1,53,91,200/- 5l,30,000/- immovable property II Developmen tl construction cost of Rs. 8.25 Rs.2.75 immovable N/A NIL NIL NIL NIL NIL crores Crores property after purchase (if applicable) III Approximate Current Market Price- a) Rs. I 1.25 a) Rs. 3.75 (a) Self- crores crores acquired N/A NIL NIL NIL NIL NIL assets (Total Value) b) Rs. (b) Inherited 97,50,000/- b) NrL assets (Total Value) 9 Liabilities (i) Govemment NIL NIL N/A NIL NIL NIL NIL NIL dues (Total) (ii Loans from Bank, ) Rs. Financial Rs. 2,75,00,0001 N/A NIL NIL NIL NIL NIL Institutions 9,30,00,000/- and others (Total)

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Page 17 of 19 @ 1,0 Liabilities that are under dispute (i) Govemment Income tax of dues (Total) Rs. 95,850/- is shows as due for AY 2012-13, which is not correct as credit for payment of self assessment tax of Rs. NIL N/A NIL NIL NIL ML NIL 1,24,9791-Not accorded and rectification petition u/s 154 made on 4n tar2}l6 and on 3d Mar 2019 are awaiting disposal before IT Dept. (ii Loans from ) Bank, Financial NIL NIL N/A NIL NIL NIL NIL NIL Institutions and others (Total)

11. Highest educational qualifi cation:

Bar-At-Law, L.L.B Lincolns Inn, London 1989 -94

(Give details of highest School / University education mentioning the full from the certificate / diploma ldegree course, name of the School / College / University and the year in which the course was completed.)

,rL',E

Page 18 of 19 @ VERIFICATION

I, the deponent, above named, do hereby verifu and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there from. I further declare that:-

(a) there is no case of conviction or pending case against me other than those mentioned in item 5 and 6 ofPart A and B above; (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and l0 of Part B above. Verified at Hvderabad this the 18ft day of March, 2019. !4k Note:l Allidavit should be filed latest by 3.00 PM on the last day of filing nominations.

Note: 2. Aflidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public.

Note: 3. All Columns should be filled up and no column to be left blank. If there is no information to furnish in respect of any item, either "Nil" or "Not applicable", as the case may be, should be mentioned,

Note: 4. The affidavit should be either typed or written legibly and neatly.

Note: 5. Each page ofthe Aflidavit should be signed b the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is sworn.

B I +'Jj;::- iUWITALIf \PRAB HI'L[NGA!. I ADVodATE s NoTARY 0 c YASTIODA NILAYAM' i :1.i4-1 f..:Bt ? 075/6, Bagh Am!:erper ld,a :{\.L1tsRAEIAD. i:Uij (i.r ?. ^ t.:I S

Page 19 of 19 @ Loans / Dues Statement of Asaduddin Owaisi (Candidate)

Names Amount outstanding Rs. Nature of Loan M.A Suboor 30,00,000 Hand Loan Taher Cine Tekniq 10,00,000 Hand Loan Majid Khan 5,00,000 Hand Loan Akbaruddin Owaisi s,00,00,000 Hand Loan MM Constructions 3,85,00,000 Outstanding liability towards construction of House 9,30,00,000

Loans / Dues Statement of Farheen Owaisi (Candidate Soouse)

Names Amount outstanding Rs. Nature of Loan Abdul Rab Owais 40 00 000 Hand Loan Abdul Aziz 20,00,000 Hand Loan Abdul Suboor 25,00,000 Hand Loan Abdul Quddus 20,00,000 Hand Loan Zubair Khan 50,00,000 Hand Loan Asaduddin Owaisi 1,20,00,000 Amount payable towards her share in cost of construction of house 2,75,00,000 dL

i-iii : r.'- ?. GAI.i A E & NOTARY .YASHODA NILAYAM' ir-2-': 075/6, Bagh AmbetPet 9\.DFRAErAi, {Uli .i'l ?.