I ti 0f" It'\,r.tuYr z-Dj . (J'ee rztle 4) L-+*_**tF 0 II t NOMINATION PAPER A -k Election to the Legi sla tive A ssembly ot ?!.1.2:.1.2*..P. 82.Pf:..U... q\5 .f

s^ OFF PART I OR PART iI BELOW WHICHEVER IS NOT APPLICABLE 0A PART I (Io be used by candidate set up by recognised politicui p*tu) \\o' I nominate as a candidate for eieclion to the Legislative Ass from the ''..'..''.'.''..,A trtuency Candiciate's name......

Father's,/ mother's/husband's namel .

I-iisl her postal address

His/ her name is entered at S.No...... ,. .in Part No...... of rhe electoral roil flor ...... Assembly constiruency.

My name ir..-...... , .and it is entered ar S.No...... ,...... ,

rn Parr r.{o the electoral roli for the .Assembly Constiruenry

Date Signature of the proposer

PART II

We hereby_ nominate as candidate for election to the Legislative Assembly from the

,&*rne4tT CtT) .A ssembly Constiruency

C a n di da t e's N am e . Sf f 1...... 7. e.?.*..,...... 'r:. *:. \-rt t T '-Tzt t-n^ '-7at Father,s/moti1.er,s/husband,sname,..Lr.,,,k.,pr,,..T1.5.?., H,Y* waposral addre,uY(1P.9.+:..fI.9.(1p.r...(.9/*..!.ff.!.fJ..€?:.7..5.??.(.r9...?.:.'.fff 0 Sy v e e Yt*. P.

I

Y''e cieclare that u,e are electors of this Asseri.:.-. :::.:-.-:-:r,: -: -r.-r names are

:he electoral roil for rhis Assembiy constituenc)' as -r-*-:':- .: ,. : we ap signrtures below in token of subscribing to this nominatio:. - Particulars of the ro osers and their Si.no. Elector Roll No, of Proposer Full Name Part No. of S.No, in that part Electoral Roll I Z 3 + I g l- L/7 bo,qr> eeugyts 2. o/ //2 ots 74 b o ykr( Stvgtvt 3. e7 96 t/e 9o 3+.v9a o 4. 3+ 6s- D +cer a+D4 q\ o 5. 1 93 6. ey / 62- 7. a_7 eg4 8. R6 9z- 9. 0J- t6e iU N.B.- There should be ten electors of the constituency as proposers

PART III I, the candidate mentioned in Part l/Part II (Strike out which is not applicable) assenr ro thrs nomination and hereby declare that- (a) I am a citizen of and have not acquired the citizenship of any foreign State; (b) that I have completed.....*2. . .V"ars of ug.; ISTzuKE OUT c(i) oR c(ii) BELOW WHICHEVER IS NOT APPLICABLEI I (c) (i) I am set up at this election .party, which is recognised I National Party/State State and that the symbol reserved for the above party be allotted oR (ii) I am set up at this election by the.Y"47/Ps.a.+p.9*p./ei,rnetrS{{iwhich is a regiqlered unrecognised political partylthat I am contesting this election as an independent candidate. (Strike out which is not applicable) and that the symbois I have chosen, in order ofpreference, are: (i).....4.?-c_fi- ...(ii)...... - ...... (iii). (d) rny name gnl my father's/mother's/husband's name have been correctly spelt out above in..€.y.9!.t{.#. (name of the tanguage); and (e) That to the best of my knowledge and beliei I am qualifieC and not aiso disqualified for being chosen to fill the seat in the Legislative Assembly of this Stlte.

+ I further declare that I am a member of the.. H/ *+emteltribe whieh is a scheduleci **casteitribe of the State of4rs.ry nstal.,.f.*ff# relation to...,*.ttpL*-...... (area) in that State

2

',1\ I also declare that I have not been, and shall not be nominated as a candidate at the present general elqc-tiodthe bye-elections being held simultaneously, to lative qPi.raste(.f6f(Stute) ttom more than two Assembly constituenciis.

oate.&.5./'Pi iQ... of W *+ Score out thc words not applicabte.

N.B.-A "rccogniscd political pafiy" means a political party recognised by the Elcction Commission under the Election Symbols (Rescrvarion

an

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 contravention of any law specified in sub-section (2) of section 8 of the Representation of the People Act, 1 95 I Yes,t t#/ (43 of l95l); or (ii) has been convicted for any other offence(s) for which he has been sentenced to imprisonment for two years or more.

If the answer is "Yes", the candidate shall furnish the following information:

(i) Case/First information report No./Nos. ...., ,Ny.f .,{?t!.',9n8(*.... , (ii) Potice station(s)f .olrtm/t(!.a/.e.Eistrict(s),4/.o.T.l?.?(Kor*State(s).M|9.tr1(.c.1.q.r.e- (iii) Section(s) of the concerned Act(s). and brief description of the offence(s) for which e L c he has been convicted . l1g L+7. +8 ft-*; ......

(iv) Date(s) of conviction(s).4/o.Z *er( r ca. elL (v) Court(s) which convicted the candidate.Ng?.ft?.Pk?4le-...... :...... (vi) Punishment(s) imposed [indicate period of imprisonment(s) and/or quantam of fine(s)l Na.7. ..* 2rhcca /e a (vii) Date(s) of release from prison . ..N.ef. *Pe/r (viii) Was/wei'e any appeal(s)/revision(s) filed against above conviction(s). r7.0... .YesA.lo* (ix) Date and particulars of the appeal(s)/application(s) forrevision filed..No.Z..*e.nhcq -..8./.e--.... (x) Name of the court(s) before which the appeal(s)/applicarion(s) for revision fi led. .A/p.l .. ft p. rl.c a Q /€-..... (xi) Whether the said appeal(s)/application(s) for revision has/have been disposed of or is/are pend ing. No.T..ft.fr. /l.<.+.r*/a- (xii) If the said appeal(s)/application(s) for revision-has/have been disposed of--

(b) Nafure of order(s) passed. .N.ql..ftee!1.?.4/*.--

3

* (2) Whether the candidate is holding any office of profit under the Government of India or

State Government?...Y.0.,. (YesA{o}---

-lf Yes, details of the office held.. ..A/.g'1....t?.tlt.+.*R(*. (3) Whether the candidate has been declared insolvent by any court?...L9. ffesalot' .IfYes,hashebeendischargedfrominsotvency.A/o;I,..'*,adr.e.o4e-*

(4) Whether the candidate is under allegiance or adherence to any foreign country?..,.f9.... (Yes/Nof

(5) Whether the candidate has been disqualified under section 8A of the said Act by an order of

the Presiden tt ... l./9....(Yes/No!-

-lf Yes, the period for which disqualified .,../).1'f .f?..C'cryg/L-*

(6) Whether rhe candidate was dismissed for conuption or for distoyalfy while holding office

under the Govemment of India or the Government of any State?....119.. lVesfN $c-'-'

-tf Yes, the date of such dismissal.4lp/ .tUltgle/e-- (7) Whether the candidate has any subsisting contract(s) with the Government either in individual capacity or by trust or partnership in which the candidate has a share for iupply of any goods / to that Government or for execution of works undertaken by that Governmenl?...,1(q. (YesA'{o) -tf yes, with which Government and details of subsisting contract(s). ilqf. Aty'fgn/,?-

(8) Whether the candidate is a managing agent, or manager or Secretary of any company or

Corporation (other than a cooperative society) in the capital of which the Centrai/ Government

or State Government has not less than twenty-five percent share?....419.- (Yes/nof

-[f Yes, with which Government and the details thereof... Np|. Of..ke{e-....

(9) Whether the candidate has been disqualified by the Commission under section l0A of the said ectly'$. ffesAlo)--- -lf yes, the date of disqualifi catioin..N91..2f.fl::f?e-

i Place'.tqH+ z l/7 Signature of the + PART IV be nomination paper. erial :01 nomination was delivered to > u, + preposer (Name). ",*{!:|lau,.)

€ast is]r^t \

*Score out the word not applicable.

Pradesh 6 €

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8 o,U ? q q+fl SH 01 AA 0951 \ ARUN rrr PARA 4.s(3.1)

FORM 26 (SEE B RULE 4A) Affidavit to be furnished by the candidate before the returning officer for election to the Arunachal E Pradesh State Legislative Assembly (Name of the house) from l0-Seppa (East) (ST) Assembly Constituency (name of the constituency)

B I , Shri Tapuk Taku, son/daughter/wife of Late Takap Taku, aged about 49 years resident of village : Kakukao PO/ PS: Seppa; District: East Kameng, candidate at the above election, do hereby solemnly $ affirm/state on oath as under:-

ls amlam not accused any off-ence (s) punishable with imprisonment for two years or more appending n I of in case(s) in which a charge(s) has ,/have been framed by the court(s) of competent jurisdiction.

B tf*," deponent is accused ofany such offence(s) he shall furnish the following information:

g (i) Case/ First infbrmation report No.,4.,los Special. (vigilance)(T) Case No.03/2012, Special. (vigilance) (T) case No.O7 l2OL2

6 (ii) Police Station(s) Special Vigilance Distlict(s) Papumpare, State Arunachal Pradesh. (iii) Section(s) of the concerned Act(s) and short description of the offence(s) for which the candidate has been charged: Section(s) 120(b), 42O, 468 &471 tPC, R/W Section, 13(1)(c)(d) & 13(2) PC Act. Section(s) 120(b), 420, 468 &47t tPC, R/W Section, 13(1)(c)(d) & 13(2) PC

g Act.

(iv). Court(s) which the charge(s): Special Judge, North Lakhimpur . E

B \,.,, ""K$du"t H t*'"t'*fto\rtttil

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(v) Date(s) on which the charge(s) : 20th March 2017, (vi) Whether all or any of the proceeding(s) have been stayed by any court(s) of competent jurisdiction: No 1. I have beenihave not been convicted ofan offence(s) [ other than any offence(s0 referred to in sub-section(1) or sub-section(2), or covered in sub-section(3), of section 8 of the representation of the people Act, 1951 (43 of 195 1) and sentenced to imprisonment for one year or more-

Ifthe deponent is convicted and punished as aforesaid, he shall furnish the following information:

(i) Case/first information report No./Nos :Nil (ii) Count(s) which punished : (iii) Police station(s) Vigilance District(s) ; Papumpare State(s) : Arunachal Pradesh (iv) Section(s) ofthe concerned Act(s) and short description ofthe oftence(s) for which the candidate has been

charged : 1. Section 120(8)- Punishment for Criminal conspiracy. 2. Section 420- Cheating and dishonestly inducing delivery of property. 3. Section 468 -Forgery for purpose of cheating. 4. Section 471-Using as genuine a forged document or electronic record. 5. Section 13 (fXcXd)-Criminal misconduct by a public servant. G. Section 13 (2)- Punishment for criminal misconduct committed by a public servant. 7. Section 120(8)- Punishment for Criminal conspiracy. 8. Section 420- Cheating and dishonestly inducing delivery of property. 9. Section 468 -Forgery for purpose of cheating. 10. Section 471-Using as genuine a forged document or electronic record. 11. Section f3 (fXcXd)-Criminal misconduct by a public servant. 12. Section 13 (2)- Punishment

(v) Date(s) on which the sentence(s) was/were pronounced :Nil

(vi) Whether the sentence(s) has/ have been stayed by any court(s) ofcompetent

Place :

Date: Deponent

VERIFICATION

I, the above-named deponent, do hereby verily and declare that the contents ofthis affidavit are true and correct to the best of my knowledge and belief, no part of it is t-alse and nothing has been concealed therein.Verifled at This Day of 20...

Note: The columns in this Form which are not applicable to the deponent may be struck off. V ^,*.::iif.+il"'*Pra$es" c;"*i.';11?i5 ruiitio\$"ettuttl -;-Hffiudilq- -''t 76V t1 1

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y+q-t 3r-surFrr ARUNACHAL PRADESH 01 AA 0951 APPENDTX VI-B (CHAPTER rrr, PARA 4.5(3.1) E AFFIDAVITTO BE FURNISHED BY CANDIDATE ALONG WITH NOMINATION PAPER F Before the Returning Officer I For election to Arunachal Pradesh Legislative Assembly (Name of the House) From 10- Seppa (East) (ST) Assembly Constituency $ (Name of the constituency) U I Shri Tapuk Taku son/ daughter/wife of Late Takup Taku aged 49 years, resident of village: Kakukao, PO/PS: Seppa; District: East Kameng, Arunachal Pradesh, candidate at E tnu above election, do hereby solemnly affirm and state on oath as under:- r* (Strike out whichever not applicable) (1) The following cases(s) is/are pending against me in which cognizance has been taken by $ tne court:- (i) Section of the Act and description of the offence for which cognizance taken: (ii) The Court which has taken cognizance: 20th March 2OL7, hr (iii) Case No.: (a). Special. (Vigitance)(T)Case No.03/2012, (b).Special. (Vigilance) (T) case NosO7/2012

, (iv) Date of order of the Court taking cognizance: 20th March 2OL7. :i E w E -'"}.J$ilJs E l* v6 t1 1,L 0b Itl I (v) Details of appeal(s)/ application(s) for revision, etc., if any, filled against above order taking cognizance: NIL (l)That I give herein below the details of the assets (immovable, moveable, bank balance, etc. of myself, my spouses and dependentsx: Yes A. Details of movable assets (Assets in joint name indicating the extent of joint ownership will also have to be given)

S..No Descriptio Self Spouse- Dependent-1 Dependent- 2 Dependent- n 3

Tapuk Fesom Taku Sonam Taku Mama Taku Zom Taku Taku

C

(i) Cash in Rs. 2.9 Rs 3.3 Lakhs Nil Nil Nil hand Lakhs (approx) (approx) \ (ii) Deposits a) Acl a)Ac a)Ac. Nil Nil

in Banks, No.1187657 | no. 1 L876558645,S No.20021960933 I Financial 9431,SBt Bl Seppa branch , SBI Naharlagun I Instituti Seppa Rs.25996/- branch amount I ons and Branch. Rs.8000/- I

Non- Amount- l b)Ac no.3215,A.P. b)A/C No. Banking Rs.15909/-. state Co.op. Apex 47830001000578 Financial b) Ac bank Ltd seppa 70, Punjab Compani no.3008489 Branch amounting National Bank , es 8977, SBt to Rs.5089. Itanagar. Rs. Naharlagun 10,000/- branch c)AC Amount no.31665286618,S Rs.20,000/-. Bl Seppa Branch c) Ac no.- against M/S FT 5311,1.F enterprise, No.35/229, amounting to A.P State Rs,20,000/- Co.op Apex bank Ltd d) .A/C No. seppa 201002927450, Branch lnduslnd Bank, Amount Itanagar against Rs.5223/- M/S FT Enterprise d) Ac. Rs.30000/- No.0150920 e) AC. No. 00000193 6881t4037434, Yes Bank Apex Bank seppa, Itanagar, Amount Rs. balance at 732L4Ol- Rs.10000/- d)Ac. (Approx). No.688114019324 Itr

$,airsUeto Gh\ol oirtt\a Etr q66 l cb 1,r !f

Apex bank Seppa, Amounting to Rs. 20oo/- (iii) Bonds, Nit Nil Nil Nil Nil Debenture s and Shares in/compan ied (iv) Other a) lnsurance 1. lnsurance in LIC lnsurance in LIC Nil a)lnsurance in financial in LIC vide vide Policy vide policy LIC vide policy institution policy no.442396478 Sum no.442400738 no.442859059 s, NSS, No.4419358 assured Sum assured sum assured Postal 91, sum Rs.300,000/- Rs.100,000/- Rs.100,000/- Savings, assured LIC Rs.500, 2. Aviva life Policies, o0o/-. insurance some etc. assure at b) lnsurance Rs.200000/ in LIC policy vide 3. Mutual fund Rs. no.4428590 sooo/- 55, sum assured 4. Mutual fund I Rs.100,000/ Rs.5000/- \ c) Birla sun s. Ltc sBl life No.53006717109 lnsurance sum assure Rs. vide policy 3lacs. no.0063071 94,sum 6. Mutual fund at Assured Rs. 20 Lacs. Rs.26,00,00 0l- Motor Nil 1 mini Truck L, Ford Figo Nil Nil (v) Vehicles(d bearing bearing etails of registration no.AR- registration make, 01F-3645, year and no.AR01f5630, etc.) of purchase year and date of 26/04/L3 purchase amounting to Rs.7 21./06/201.3. lakhs. amount Rs.5 lakhs 2. Excavator d). Renault bearing Rgn.No. Duster Bearing AR02-4531, Year of No.AR01J-0970, purchased 2016, date of purchase cost Rs 25 2016, cost 9 Lakhs(approx). Lakhs (approx). C) scorpio 3. Fukland AR.05/6023, cost

ku"n*"o ""::.:'s$orcns\ q6e l 6b t 1,r Apex bank Seppa, Amounting to Rs. 20oo/- (iii) Bonds, Nit Nil Nil Nil Nil Debenture s and Shares in/compan ied (iv) Other a) lnsurance 1. lnsurance in LIC lnsurance in LIC Nil a)lnsurance in financial in LIC vide vide Policy vide policy LIC vide policy institution policy no.442396478 Sum no.442400738 no.442859059 s, NSS, No.4419358 assured Sum assured sum assured Postal 91, sum Rs.300,000/- Rs.100,000/- Rs.100,000/- Savings, assured LIC Rs.500, 2. Aviva life Policies, 000/-. insurance some etc. assure at b) lnsurance Rs.200000/ in LIC policy vide 3. Mutual fund Rs. no,4428590 s000/- 55, sum assured 4. Mutual fund I Rs.100,000/ Rs.5000/- \ c) Birla sun 5. LtC SBt life No.53006717109 lnsurance sum assure Rs. vide policy 3lacs. no.0063071 94,sum 6. Mutual fund at Assured Rs. 20 Lacs. Rs.26,00,00 0l- Motor Nil 1 mini Truck 1, Ford Figo Nil Nil (v) Vehicles(d bearing bearing etails of registration no.AR- registration make, 01F-3645, year and no.AR01f5630, etc.) of purchase year and date of 26/04113 purchase amounting to Rs.7 2L/06/201.3. lakhs. amount Rs.6 lakhs 2. Excavator d). Renault bearing Rgn.No. Duster Bearing AR02-4531, Year of No.AR01J-0970, purchased 2016, date of purchase cost Rs 25 201,6, cost 9 Lakhs(approx). Lakhs (approx). C) scorpio 3, Fukland AR.05/6023, cost

ku"n*"o cu":;.,$}i'orsss a 6 ot I og l, excavator,2018, at Rs. 120000/- purchase cost 38,00000/-(bank Loan)

(vi) Jewellery Local Gold- 72 gm, Nil Nil Nil (give Ornament amounting to Rs. 2 details of Rs.6 Lakhs(Approx). weight lakhs(Appro and value) x) Other a)Lrevolver a) M/S Homeo a)M/S Taku a) Trading license for Nil (vii) assets, no.B- drugs house Medico centre purchase, sale/store such as 68212,licens License no.D/L License for sale of food grain values of e no.2003/9. no.TLlSPA t48- license no.EK D/FPS- claims/int No.llllSPA/5 b)trading license 02.(not running 65/2003. (not running erests 62/2001. dt for purchase, sale (wef 2001) wef 2001), Trading 20.09.2001, & store for sale of b) Trading license license for purchase, Rs, 2 lakhs. food grain License for barber license sale and storage of b.) one .22 No.EKD/FPS- No.TLISPA- kerosene by retailer gun bearing BASO/FPS 47 /97 /o2.( not dealers other than e no.1531014 27/95.(not running running wef hawker. License 45 wef 2001) 2001) no.SKO/RO,L- \ at cost of L2/2006.(not running s Rs.90,000/- c)M/S F.T c)Trading license wef 2001) (Approx) enterprise license for fresh No. TLISPA- vegetable so/2012-13128L. license no.TLlSPA- d) Enlistment 337194- contractor 95/32.(not certificate Reg.no. running wef CEAP(CSQ/W. 2001) 48/2017-18/r/1.1.s. d)M/S sonam dry cleaner license no.TLISPA- 129.(not running wef 2001) e)M/S Taku Drug House license no.95178 & ss/78 & 95/79.(not running wef 2001 Note: Value of BondslShares ?Debentures as per the market value in Stock Exchange in respect of listed companies and as per books in the case of non-listed companies should be given. xDependent here means a person substantially depends on the income of the andidate.

B. Details of Immovable assets.

t- "kOsrttrate t"-Hs$s\tril v6 E ( t? ( il- 0l [Note: Propefties in joint ownership indicating the extent of joint ownership will also have to be indicatedl S. Description Self- Spouse- Dependent-1 Dependent-2 Dependent-3 No Tapuk Taku Fesom Taku Sonam Taku Mama Taku Zom Taku

(i) Agricultural Land at Kakukao Horticulture land Horticulture NIL Land Village No. LPC near Nisam land near Nisam -Location(s) Obtained Sonam/Hari Sonam/Hari -Suruey 2.47 acre Bridge, Seppa, Bridge, Seppa, numbers(s) approx Alloment No.- Alloment No.- -Extent (Total LPC/20L3 Dated LM-138/20r,0 measurement 22103/2013, 0.8 Dated ) Acres (approx) Rs 12/Osl2010 Current L2,3O,O0Ol- Horticulture market value. 22 lacs approx (approx) land near Nisam Sonam/Hari Bridge, Seppa, Alloment No.- LM-138/2010 Dated 7210s/2010 Rs 7,30,000/-

(ii) Non ALC Line colony l.Type lll Colony, a) Type lll NIL a) Type lll Agricultural Seppa allotment Seppa. Allotment Colony, Colony, Seppa land no. LR-03/88/89 No. LR-12412000- Seppa Allotment No. -Location(s) 01. Dated- Allotment LM- -Suruey 250.sqmtrs 22.01.2004. No. LM- No.'1.45/20L2- number(s) No.145/201 13. Dated Extent(Total b)LPC No. 2-13. Dated 25.71.2013. measurement DClLM/LPC- 25.L7.2073. 200 sqmtrs Rs 12 ) 058/05, Dated lakhs (approx) Current 12 lacs approx 17 /07 /1.5, at Type-lV colony Type lll colony market value Jollang-03. -67 Seppa allotment (OBT)Seppa, sq.mtrs no. LM- allotment No. LM- -2625sqmtrs- Rs 0t/20t2-13, a) orl2012-73, 20 lakhs (approx) 351Sq.ft, Dated- Rs 18 lakhs b) 265.00 Sq.ft. 26.02.20L3, 200 (approx) -Rs 10 Lakhs sq.ft. Rs 5 Lakhs (approx) -Rs 15 Lakhs

(iv Building ALC line colony a) a). 1 RCC 1 RCC Building NIL ) (commercial seppa oBT Building at Type lll and at Type colony Seppa. residentia ilt Allotment No. .q 67 t a? eb t0l rt Location(s) Colony, LM-145/2Ot2. Survey/door 120 sq ft Seppa. Dated number(s) Allotmen 2sltLl2O!3. Extent (Total t NO. LR- a) 351 Sq.ft. measurement L24/2000 b) 265.00 Sq.ft. ) -01. 1800 sq.ft Current 12 lacs Dated- (approx) Rs 25 market value 22.OL.20 Lakhs (approx) 04. 67 Sq.ft. Rs 27,OO,00 o/_ (approx) Rs 20 Lakhs (approx a))LPC No. DC/LM/LPC- 058/06, Dated t7 /07 /L5, at Jollang-03, Under construction -2625 sqmtrs RS - 18 lakhs (approx) (v) Others such NIL NIL NIL as interest in property (3) I give herein below the details of my liabilities/over dues to public financial institutions and Government dues:- [Note: Please give separate details for each item] S. No Description Name & address of Amount outstanding Bank/Financial Institution(s)/Depa ft ment (i) (i) Loans from Banks NIL NIL (ii) (ii) Loans from financial NIL institution (iii) Government Dues: NIL NIL (a) Dues to depaftments dealing with government accommodation. (b) Dues to departments dealing with NIL NIL supply water (c ) dues to departments NIL NIL dealing with supply of water (c) Dues to departments dealing with NiL NIL government transport(including aircrafts and helicopters) (f) Other dues, if any NIL NIL (i) Income Tax including surcharge NIL NIL [Also indicate the assessment year upto which income Tax Return filed. Give also Permanent Account number PAN)I

o*-fu.* o'Foo*- 4Vo / q 1 T Ite 1, (ii) Wealth Tax [Also indicate the NIL NIL assessment year upto which Wealth Tax Return filed. (iii) Sales Tax fOnly in case of NIL NIL business (iv) Propefty Tax NiL NIL

(4) My educational qualifications are as under:- Education qualification: XIITH Passed.

(GIVE DETAILS OF SCHOOL AND UNIVERSIry EDUCATION) : Govt. Hr. Secondary School Seppa. (Name of SchoofUniversity and the year in which the course was completed should also be given.)

VERIFICATION

I, The deponent above named, do hereby verify and declares that the contents of this affidavit and true and correct to the best of my knowledge and belief; no paft of it is false and nothing material verified at...... this the...... day ...... 2019 /

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STATEM ENT OF S U M MARY OF PARTICU LARS/IN FORMATION FURNISHED IN AFFIDAVITS

ICHAPTER ilr 4.s (3.101

E No. & Name of Constituency 10- Seppa (East) (ST) Assembly Constituency

E S Particulars Description F No

E Taku 6 1 Candidate's Name Tapuk 2 Father's/Mother's/Husba nd Lt. Takap Taku 's/ name E 3 Age 49 Years 4 Education Qualification Xllth p Passed

E 5 Convicted(yes)/(no), No lf yes, then list of section(s) 6 Case pending(Yes)/(No), lf yes, then list of section(s) Yes i Section(s) 120(b), 42O, 468 &47L lPC, R/W Section, 13(1 & 13(2) PC Act. Section(s) 120(b), 420, 468 &471 IPC I Section, 13(rXcXd) & 13(2) PC Act.

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H R A A 7 ASSetS: Moveable- g A). lrevolver no.B-68212, license No.llllSPA/55212001. dt E 20.09.2001.

a B). one. 22gun bearing no.153101445 E

ff

H a lmmoveable- Land at Kakukao Village No. LPC Obtained !l ALC Line colony Seppa allotment no. LR-03/88/89 gEI

t; H 8 Liabilities/over dues of NIL Public Financial lnstitutions b H And Govt. Dues

Date: gnat of Can date Place Jagu G .k** g F '-";;s'o'ud

E E

h E

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I ,

(8) I give herein below the details of liabilities/dues to public financial institutions and government:- (Note: please give separate details of name of bank, institution, entity or individual and amount before each item S. Description Self Spouse HUF Dependent-1 Dependent-2 Dependent-3 No. (i) Loan or dues to Banklfinancial ins(itution(s) Name of the Bank or financial Institution, Amount outstanding, Nature of Loan Loan or dues to any other individuals/entity other than mentioned above Name(s), Amount outstanding, nature of loan

Any other liabilify

Grand total of liabilities

(i i) Government dues: (A) Has the Deponent been in occupation of YESNO Dues to Departments accommodation provided by the Government at (Pl. ttck the dealing with Government any time during the last ten years before the appropriate accommodation date of notification of the currentelection? alternative) (B) lf answer to (A) above is YES, the following declaration may be furnished namely: - (i) The address ofthe Government accommodation: '/o2

A/'o

(ii) There is no dues payable in respect of above Govemment accommodation, towards- [a) rent; (b) electricity charges; (c) water charges; and (d)telephone charges as on (date) I the date should be the last date of the third month prior to the month in which the election is notified or any date thereafter]. Note -- 'No Dues Certificate' from the agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted.

1.1 \- '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- REGISTERED political party.

(See paragraph 13(c), (d) and (e) of the Election Symbols (Reservation and Allotment) Order, 1968)

To 1 . The Chief Electoral Officer-

A@ 1 stetdrunion Territory)

2. The Officer for the v\ (Constituency.

Sub: General Elections to ,w.,.,pfu'* A. ?. (State/ Union Territory) - Allotment of Symbols Authorisation of persons to intimate names ofcandidates.

Sir,

In 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 by the party, which is National Party/State Party in the -state of L\ / Registered Un-recognised Party to intimate the names of the to be set up by the party at the election cited above.

Name of person authorised to Name of office held in the Di strict( s)/area(s) constituency/ send notice pafty constituencies in respect of which he has been authorised.

1 2 J ( t.fi* ftcm kn<+ ,< Sl*t^" 4ro*1,b,; tiX,,b'/r< ghk 2. q N lh-^w^elu) ",hXn.) 4 J [wb/.', /^,lt* '/*^a e4, 4 I I

5

1 inserted by Notification No. 5 6/97/Judl-III, dated I 5 . I 2. I 997 2 The specimen signatures of the above mentioned person (s) so authorised are given below:-

1. Specimen signatures of Shri (i) w_ (ii) (iii) __v

2. Specimen signatures of Shri (i) (ii) (iii)

3. Specimen signatures of Shri (i) (ii) (iii)

Yours faithfully,

Name of the Party -mH$":;r$lffilifl" Place: I " ,f ts ,,4[nfrrt.. '* * o Date: 'zrf trr-,\'>."t € 6 (Seal of the Parly) D

NB. Cfiice'

1. This must be delivered to the Returning Officer and the Chief Electoral Officer not later than 3 p.m. on the last date for making nominations. 1 Form must be signed in ink 'ny the office bearer(s) mcntioned above. No facsimile signature or signaturc by mg.rs of rubber stamp, etc., of any office bearer shall be accepteel.

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,l GO odt^ D11!iII a OFFICI, OIi THE KAIITENG DNSTI]I('I'

.- 'ryt N(r..ruD th6q l) , Dated Seppa the 2g.O?, 07 r rAfll TAKU 'l-his i-s to certifl. that TAPUK LL TAKAP TAKU sl,/c).\vif),sio is pemta.tlent resiclcni t-rf r i!la,g,; KAKUKAO PC SE.PPA l':i SE.PPA Distr:ict Easl Kameng (i\rttttacrhal Plzrclt:slr )

Ilate:- Mfr Piace :- be,( ''-"ff*il*$I:

)

,\ddl. DepLrt'r C':ttr nr i s,;ulr,:; f 6':1 (3ri1L'r1; !)i5,tr i,'1 Sepnr. . l-.*r:i" I lr.. . ,r rl .'l'1'tn.t,tt f.,_, {-

1 Form of oath or affirmation to be made by a candidate for election to the Leeislature of a State.

I, Shri Tapuk Taku son of late Takap Taku resdent of village Kakukoa P.O/P.S Seppa East

Kameng district Arunachal Pradesh ordinarily/presently resided at Type-III colony Seppa, P.O/P.S

Seppa East Kameng district Arunachal Pradesh having been nominated as a candidate to fill a seat in the lO-Seppa East, (ST) Assembly Constituency as Member of Legislative Assembly, do here by Swear in the name of God/solemnly affirm that I will bear true faith and allegiance to the constitution of India as by law established and that I will uphold the sovereignty and integrity of India.

Signature

(SHRI TAPUK TAKU.) L i:

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\ O pATE /F LECJTO POSE R r.'E SU rrTr DECLARATT N BY CAN Qr N Aq ENr/PR9 wH I P M NG THE PHOTOGRAH OF THE CANDIDATE

Subject Election to Legislative Assembly from 10th Seppa East (ST) Constituency election to council of states/legislative council by assembly members.

I Shri Tapuk Taku S/O Lt.Takap Taku, Village Kakukao, PO/PS-Seppa, East Kameng District, Arunachal Pradesh , Pin-790102, nominated as candidate for the above mention election am submitting here with my photograph for the purpose of printing the same of the ballot paper. I declare that the photograph has been taken during the last three months before the date of notification of election.

(Shri Date: A, Sc; /t7 Tapuk Ta u ) (Candidate) Village Kakukao POlPS-Seppa East Kameng District Arunachal Pradesh

Ph no.9436631238 x

- VOTEH'S DETAI LS

1O SEFPA EAST

No. and Name of AC : 1O SEPPA EAST

Fart No : 15

TAPUK TAKU

Name .

Sex : M

EPIC No : JXM0040105

TAKAP TAKU Fathe r's/Mothe r's/

Husband's Name :

Vster Serial No , 21fi . Polling Station 15 SEPPA TOWNSHIP III

No and Name : ,I 5 SEPPA TOWNSHIP . III

Publication Date:04.01 ,201 I a. v'. i. Ln i ': + :::i, -ilrli- l'JO. l\iSSC/ 87,/ *r#q erer$kffi Pqrq{r qN d$effitrffi[ rrf, $ffi cmr& Secom&mrg S&wrmttsn el?ff€T Ha?fiq {frfttrt ry ufarwez rfrwr, t $,s7 ALL thtDtA SfrhfiSR SfrHGSL trEffi',StF!€AyE HHAMitrUd,\yE$t1.i, 1S&7

61+,pilfri?. ibqr qrf,r t fr'lgpUf TAKU Ttlls is to certify tlrat o{T,s-qtqt wrr-rW/Wrcrffr ,& htraJi rd,ir. ?1.093+ Son/DXlg$t(er of Shri TSKUP T,[KU

iir'{,ii .ct"E't tfld tggZ it :$q:lPs-s ;tP€-s lrrrdt?i r&ias-{ w,,x afdfur&-e qtrm sr;ssecl ilie All lndia {ienior School Certificate Examination ef the Board held in March 1987 fEuiir,.{ ft irr'sr 6OVT SR SEC SCH SEPPA .{RUNACI-.IL PRADISH f.r*'r'taqdt rt st{tti +t :* in tfie following subjects :* , I"IIItBI fL*CTIYf, POLITICAL SCIENCE GEOGRAPT{Y HI$IORY SOC USE 1,ff.08 llCIitK lurGi;rli-,ri (u*,';;)

r>'i -J)L- fryk- rd fsr.qt v{tur ftntnr F og ruecv tlelhi Esat K Controller ol Exarninatlons TJC'T . itEi'a !:- n t1a. Nlq qlufq"s fsrffi ?ir* Usted 15-07.-1987 al Eoard e{ Secondary Edrecatior tffi ------.:.6-

,".4t'"g!Eln t

Tapu* Taku

Itanagar, ltaaagBr, PaP,Ilr ParB. lwnadtal Pradesh, 791111 DOB;27lO91Sg

3862 3234 5049 3862 3234 5049 hebeui&tOtrk! w.L*dai4wir 3{It]I{ - 3rrFr 3il8?+ Ar Srftqrq

\

Elv G OVERNME,NT OT Afl.UXAC}IAL PRADE SH ,'. t DIRE CTORT{TE OF HOLrSING + \, IEA]\AGAR i lr* -17 rc?-03)(\-oi-III;:'7 Dated rtanagar,the .Ln.[ll '24i9.

NO DLIES CEITTIFICATE

t$ Celrrtied that Sh5iiSriiti/Viiss . . .. . TSR KU Desigr"ratior: tu= \ .. Deparrm-"r*f-fl.I{d:.f. ..4qfdd S ttanpgai,&laha;lasiili,\;;l ;,^o:..ed,not allotted Gorrf. quat-ter No. ,,,t.. i-_t,pe_ M6 at ..*:...... Secror Itanagar'/Nairarlagun anci goi no dues against hiiliher in tliis cffice.

fi, Techi Gubin) It+,-k) Director Housins 'n"'#:ta' itry r$lit$ n{ r""P', it*fi*r*c-"' Lilvcr"*I- , - ;

Office +09436288357 Email . [email protected]

GOVERNMENT OF ARUNACHAL PRADESH (} FICE OF THE CHIEF ENGINEER (WZ) :: PHE & WS DEPARTMENT q, ITANAGAR

t2013-14t \t-,t"r Dtd, ltanagar the 15th March'2019 U I

NO OBJECTION CERTIFICATE

This to certify that Shri Tapuk Taku, MLA, 1O-Seppa (East) A/C, Arunachal Pradesh.

Itanagar has no outstanding dues against him.

Therefore, "No Objection Certificate" is hereby issued in favour of Shri Tapuk Taku,

IVLA, 1O-Seppa (East) A/C, Arunachal Pradesh, ltanagar.

Following are the dependents;

1. [VIrs. Fesom Taku, wife 2. Shri Sonam Taku, son 3. Shri Sona Taku, son 4. Shri Zom Taku, son

b9 ( Toko Jyoti ) "J Chief *\-l'\ PHE & WS (A.p

t F5$l$

r{n GOVERNMENT OF ARUNACHAL PRAD azg*a * OFFICE OF THE ASSISTANT ENGINEER :: PHE &WS l" :: SEPPA:: .a

N o.AE/PHE ISPA / E- 0 1 /2 0 1. B - le / 3 i{ Dated Seppa the 2}th March'2079,

N O DU ES/OBJ ECTION CERTIFICATE

I/rrs is to certify that SHRI TAPUK TAKU, S/o Lt. Takap Taku of Type-lll Colony, Seppa a permanent resident Village: Kakukuo, PO/PS: Seppa District: East Kameng (A.P.) have no any outstanding/dues against water charges revenue to till date as per record in this office against following depe.ndants L, Smti Fesam Taku, W/o Shri TapukTaku 2. Shri Sonam Taku, S/a Shri Tapuk Taku 3. Shri Sono Taku, S/c Shri Tapuk Taku 4, Shri Zoom Taku, S/o Shri Tapuk Taku

Date:- 20/03/.20L9

Place:- Seppa

I \ \) kilot n t1 neer, PHE Sub-Division, $s Seppa Asurstant Eilgrrresr PHE e yvs Sub - Divlsion Seppa GOVERNMENT OF ARUNACHAL PRADESH OF TH E ASSTSTANT ENGINEER {E) SEPPA ELECTRTCAL SUB-DrVrSrON . (:' DEPARTMENT OF POWER:: ::: :::::::::: : ::::::SEPPA

i lr:

NO OBJECTION CERTIFICATE

This is to certify that, there are no any Electricity

outstanding dues lying against Shri. Tapul< Iaku SIO Lt. Takap Taku Vill- Kakukao P.C- Seppa,

P.S- Seppa regarding in connection with the Electricity consumption bills for tlre consumer index

no:- PWALC/-4S lccated at ALC colony, Seppa, East kameng till Febr-rary'201"9.

Place: Seppa

Date:-1310717A19 I^^, ,g-S bD Assistant Engineer (E) Seppa Electrical kil"'D L ' Sub-Division , .,,,,DoP,:Seppa (Ae). tie l:pa

/6s GOVERNMENI OF ARUNACHAL PRADESH DEPARTMENT OF POWER OFFICE OF THE EXECUTIVE ENGINEER (E) ::: CAPITAL ELECTRICAL DlVlSlON lllffi ffiliiffiffi C-SECTOR:::ITANAGAR :: 791 111

No. CE 5 ig6 Dated. tg {z lantl

TO WHOM IT MAY CONCERN

This is to certify that there is no outstanding electricity bill due against the consumer

whose particulars are mentioned as below:

1, Name: Shri TapukTaku.

2.Dependent:: i.Shri Sonam Taku.Son,No Connection.

ii,Shri Sono Taku-Son,No Connection,

ii.Shri Mama Taku-Son,No Connection.

iii.Shri Zom Taku-Son,No Connection.

3. Location: C-Sector,ltanagar.

4.Address: C-Sector,ltanagar

,/^./ bu \* kt'iJ GOVERNMENT OF ARTINACHAL PRADESH DEPARTMENT OF POWER i OFFICE OF THE EXECUTIVE ENGINEER (E) NAHARLAGUN ELECTRICAL DIVISION: YUPIA-791 1 10

8 0360 2284865, Fax:0360 2284865 No. NED/l'ioClzOtS-t9l ?4 ? t, Dated. 14[o3l zoro

No Dues Certificate

Cefiified that Shri Tapuk Taku, a candidate contesting for Member of Legislative Assembly, from 10 - Seppa (ST) Assembly Constituency, of East Kameng District, has no outstanding Electricity bill or dues under the jurisdiction of this office as per the record.

Round Seai

Engineer (E) '"Nuhat{agun Electrical Di vi sion (Ei , Efrcutrve Engineer Electrical Divisic rr 'ri.n*ttrgrn 6*p*tt*unt of Power' YuPia

kFd,) ffie ss.qf * * il 1;; il.F*&

tiOV[:RN\4EN'l (f F ARU\AC]IAI- PR:\DLStl OFFICE OF THE F-XI'CL,TIVE ENGINEIIR DEPARI"\4L,NT OF I-IRBAN DF,\/ELOI)\IINT & ITOIJSING SF-PPA D]VISIO\

No. l)D,/tiD,rSPA,iNOC-48/101 1-15ru Dated Seppa rhe 10'1'\iiarcli 2019.

I{O OBJECTIOI{ CERTIFICATE -fakap "i'his is to certifl' that Shri Tapuk Taku Sio Late T'aku of Village Kakukao P/0 + P/S Seppa District Lasi Kameng. statc Arunachai Pradesh has no ar.rv kind of duesi liabilities rvith this departnrent so lar departrnent is concern ancl I rvish irirn success and brisht lirture.

J)- i.*\ ttd i \ el -V/1L\' --( !\/rI \' ,6cY (Er. Getri Perme) MT'-J Assistant i;.ngineer llepartrnent of [,ll) & I{r:using" Ssprallbisras5sppa. Assishnt Enginee r rluni ASSJ D€ptt, 0f Ull rt flgsri;1g, Seppa Divn,

(' a!

o CHIEF TE

clvrL JUDGE (SENTOR DrVrSrONl EAST I{AMENG DISTRICT, SEPPA ARUNACHAL PRADESH

TO WHOM IT MAY CONCERN

This is to certify that SHRI TAPUK TAKU, Son of Late Takap Taku of village Kakukao, PO/PS- Seppa, East Kameng District, Arunachal Pradesh has not been convicted in any criminal case in this court as per available records. This is also to certify that no criminai case is pending for Cisposal against Shri Tapuk Taku.

rd\ Date: 13.03.2019 .4 Place: Seppa Chief Judicial Magistrate East Kameng Districtr" Seppa, Arunac h al $g*6b*sh ,--tt"'ff-ots{*\ e#** ,I g$

* POLIOCE STATION SEPPA EAST KAMENG DISTRICT: SEPPA {AP)

POLICE REPORT

This is to certify that I have checked the police station criminal records in respect of Shri Tapuk Taku SIO Lt Takap Taku of Village:- Kakukao PO-Seppa PS-Seppa East Kameng District (AP) but found nothing adverse against him in Police Station criminal records.

No.Seppa/PS-07 12019 Dated-16/03/2019 ffi,* {B.PUSANG) lns'pector +il"h; l Officer lncharge Police Station

AS Seppa .East Kameng District Seppa {AP) -.ffi*-JJffi. m:s:rilx, t of the Chief Judicial Magistrate At Yupia Papumpare District, Arunachal Pradesh

al

No: NOC/CJM-CISD/YP Al 0t-t7 Dated, Yupia the l8th March 2019

NO CONVICTION CERTIFICATE

IT IS HEREBY CERTIFIED THAT Shri Tapuk Taku, S/o Lt. Takap Taku, Address Village: C- Sector, PO/PS Itanagar, District: Papumpare, Arunachal Pradesh as per the records of this Court there has been no conviction in any criminal cases against him.

(Tadu Tamang) Chief Judicial Magistrate Capital Complex Yupia

No: NOC/CJM-CJSD/YPAIOI-L7 Dated, Yupia the l8th March 2019

Copy to:- t 1) Shri Tapuk Taku (Person Concerned) 2) Office order file.

Mt,il C[.^"' I Chief ludicial POLICE STATION NAHARI,AGUN District: Papum Pare [Capital.] Arunacha]. Pradesh I OC I -ffi" ! l i Ncr NLG/?S-3 0 / 79 Daced Naha:iagun rhe 74 Marcr-i' 2Ai 9 .

POLICE VERIFICATION REPORT

i have Iocally and confidentially verified the charactei: and antececients in respect Sh. Tapuk Taku S/O Late Takap Taku a per:nanent resident of village- Kakukao , PO/ PS-Seppa, District- EaSt Kameng, Arunachal Pradesh.

il,iring t.he course of verj-f : cat"lort, F-ou;id raa L trc . s n::esentiy residrng at tl-Seclcr, Itanagar, 2t\ / >\- ::a:tagar , )-s*:*c..- Papun Pare, Arunachal Pradesh.

As per the record available in the Pclice Station Naha rlagun AS r^rel I as on ver-ification on character and antecedeni- t-here in adverse crirnrnal record found against him.

J w), {"'1 tl(" I1 U lll GilI )Qd A:i5', f t esl t\h,-}, Olficer in C hargt Verifyin{ of,f\cer Police Station Naf,gtaeun Police Station Naharlagurr

,-!. -l: ,'' a . ..- i" ' '"',,",fr1**['f# ,,..,, +

TO IVHOM rr MAY CONCERN

Character and antecedent of Mr T[puk Taku S/O. Lt. Thpak Taku Village C Sector Itanagar, PO/PS - Itanagar District Papum Pare State Arunachal Pradesh has been checked and not found any criminal record

against him as par available record of Banderdewa P S so far.

He is a Permanent resident of village Kakukao PO/PS - Seppa District -East Kameng, State Arunachal Pradesh and citizen of India by birth. This is referred to Banderdewa police station R/NO-11/19. DTI).12103119.

^a1l +il,)') , ? r OC Pffidnsdsruaa*s *and*rd*w* Faile* Sati*, : r";il 3isf. F**xe: {+*r+ {Ar.i

] I t Dated t4th March'2019

. i: ,.1

i'+'u: '! $ 1|r.:l!1 * vqRrFrcATrguREPoBT

i u,, ,, ..] , t" ,# to certify that I have personally verified the character and antecedent in respect @ff {l# apuk Taku 5/o. tt. Takap Taku Permanent resident of village Kakukao Po/Ps-Seppa

Dist. Papum Pare Arunachal Pradesh VJho is presentiy residing at C- Sector, ltanagar Po/Ps-

Itanagar Dist. Papum Pare, Arunachal Pradesh have no any adverse records/ remarks against

him criminally and politically as per the available records of police station .

This refers NRJ/PS GDE No.22ltg oated 12lA3.l,s

This only for the purpose for filline nomination to contest assemblv election 2019.

Place: - Nirjuli

c/s

Folise $tatian' &nln**hal

4+,;') OFFICE OF THE OFFICER IN-CHARGE POLICE STAIION: DOIMUKH PAPUM PARE DISTRICT (RURAL) ARUNACHAL PRADESH

No. DMK/PS-11/2019 Dated Doimukh the 13th March'2019

ffirJ?il * POLICE VERIFICATION REPORT f *#t

'ae h fil I have locally and confidentially verified the character and antecedents in respect of Shri Tapuk Taku Slo Shri Takap Taku a permanent resident of Kakukao village,

PO/PS-Seppa, District- East Kameng, Arunachal Pradesh.

During the course of verification, it is found that he is presently residing

at C- Sector, PO/PS- Naharlagun, District- Papum Pare, Arunachal Pradesh.

As per the record available in the Police Station Doimukh as well as on

verification on character and antecedent there in no adverse criminal record found against him.

Place: Doimukh Police Station. Date: 13/B/24L9.

L Y) \" rU\ tl' \i D #t \/ (8. ( Niri Rama

Police Police (}

.,[.[}"*)"/

J E\> rHs *. rt . j t: . \- ..:i) lr POLICE VERIFICATION REPORT

?, Verified the character & antecedents in respect of Shri Tapuk Taku, S/o Late

Takap Taku of Vill- Kakukao, PO/PS- Seppa, D[stt- East Kameng, Arunachal Pradesh and

presently residing at Upper C-Sector, ltanagar, Distt- Papum Pare, AP. As per the records

available in Police Station ltanagar, there is no any adverse criminal record found against

,him, so far,

This refers to ltanagar PS GDE N0.33/19 dated, 121$12A19

lte Countersiqned: (ASl I. John lnvestigation er Police Station I tanagar l(r*. Arunachal Pradesh {ql'YI14, (lnspr. T. Bage) Officer lncharge Police Station ltanagar ArL;nachal Pradesh 444'YU

t

d o 50ppo ,{s 9$&$D t__

E \J "i-

t.f ;( i'' =*p;.i ji*\ $ 4 POIJCE VERIFICATION REPORT tres&GAg r ' f have verified the character/ Antecedents in R/o Shri Topuk Tsku S/o Shri Lt. Tokop Toku of Villoge: Kokukoo PoIPS: Seppo Distt.Eost Komeng. Now presently residing at..i-.:f:)fi.i..*.i....:.(..1.....!t.t,fn.+t.....|t.*t:i..y1tr*:=...... Since.4{,:{..S.... to till

dote. As per record ovoiloble in the Women Police Stotion ftonogor, There is no ony

odverse criminol record agoinst him/her. This refers to Ito WPS 6DE/Port-V, No 61

Dqted 13th Morch 20t9.

Doted: t3/03/19 Ploce: ftanogor.

c/s Verifying officer Women Police Stotion Ito3.ggq,;)i$i6-ii *' ,*r/Bslltrtin"' , iii)::t)11 A$-'\hurigrl 1t .'- . .liiln 1" i,*. f *$tcfl . rt .-.'-t,1"'-* *ito& n-iff-;Eo' tn fJlh:,Sffit*' 44"t-k) ( .t t"""'. .tl t at ( ffi \L riJ.\ I I frt''' It POLICE VERIFICATION REPORT el T*b*Kl&flr l-- Sf',i s/o/Do.. ...1..4,L*.q : : viii Kr^xit{a; Plo ...... P/S ...... $.4?n*...... Distt. - .. Lqn)

I haye ph1'si cal I 1, verifi ed the all available Police Station record {bund r1o any aclr,erse report against hi'i'riiher till date. I-fls/het reputation is tq be good. This is valid only ....

VERIFIYING O CER PoLr{dH[{[ElhpAL TJAN fd!* t*rttcr r{hr nrJ ,(lj,

fs I 0ry

*

s€rGI lY O O B JE CE R TI FICATE L CTIO\'I This is - to cerrifv that Shri/Sffiri. .T.*.P.y.*..1.*X:, ( c'ka-fl Sio, Wi *! )..:k.Kgl2.'. -'*4t t..... o f vi llage....(ffi . ".. p.o.... k.pf*. ps".

Hence, there is no objection from this Police Station.

Re f G. D. Entry No. ..q 5...... , ..Dfi . l .?. . .9. :.. .1.3 . .

o I +il Police Station SqgdSe lffi! Offitcer uag'^ --^"'* Poliee stalion ' P racii;' " lil.,'n*t.'ar

/ls f

GOV PRADESH OFFICE OF THE DEPUTY C NAGAR CAPITAL COMPLEX

NO. DC/LA(G)-346107 {PT)01 s Doted ltonogor, the l9t Morch'2A19.

TO WHOM rT MAY CONCERN

This is to certify thot Shri Topuk Toku, S/o Lote Tokop Toku of Vill- Kokukoo, Po/Ps- Seppo, District- Eost Komeng of Arunochol Prodesh hos not been ollotted ony plot nor to ony of his fomily members within Copitol complex, os per the office records. And there is no ony outstonding due ogoinst him or ony of his fomily members os per fhe records ovoiloble in this office.

Lonchung) DTRSO k+",,L) For Deputy Commissioner Itonogor Copitol Complex Itonogor.

li'r : ;r'rr I i i ; ii' :;l' j L ii ;i"":i'liir * I;'i'ri i l:,iil' i i:r:Lt i,i:rii;r:i il', jri'i' :;t"iilt':r;:';ii j i ii :'' i;:l.ri il''ir' TO WHOM IT MAY CONCERN

Certified that there is no outstanding due, lying pending against Shri Tapuk Taku, HMLA, as a vehicle advance in Legislative Assembly Secretariat, Arunachal Pradesh, ltanagar as on l2lA3/ZOL}.

( S. Bhowmik ) Sr. Finance & Accounts Officer, Legislative Assembly Sectt., p#({ l"hrunachal Pradesh, ttanagar. 4'V\

$r'. Finance & Account Officer Legisiativc AssemblY ftanaga

ffi"')ad ,

ottt Issis* ScPPd eHBSD' + ARUNACHAL PRADESH STATE COUNCIL FOR SCIEI{CE AND TECHNOLOGY (Dept. of Science & Technology) + Govt. of Arunachal Pradesh rjoa! q ITANAGAR _ 791 IlI

No.SC-397/201 8- 1 9 { 38 tq Datecl Itanagar the 4tl'N4arch. 2019

I.IO DUES CERTIFICATE

Tiris is certif,v that tl'rere is no any outstanding dues against Shri Tapuk Taku, 'fechnolog1,. Former Parlianrentarl' Secretary, A. P. State Cor:ncil tbr Science & Deparlment of 'I'echnoiogl,. Science & Govt. of Arunachal Pradesh. Itanagar as per our offlce records.

Dl.r,'.=. Jt,,r:r,rqr' Date: 4'r' Mirch. 1019

(c. D. M Director Deptt. Of Science & Technology, Govt. of Arunachal Pradesh, Itanagar ' -*^r sec{eiary ef D \' " "\",.is#:ti;_:T\.ch*o\osY" SegPa .ii ioi,:::'|..: sur. c o,f, TelNo.:230\4L36 23013844 Fax No. 23013786

GOVERNMENT OF ARUNACHAL PRADESH OFFICE OF THE PRINCIPAL RESIDENT COMMISSIONER ARUNACHAL BHAWAN: KAUTILYA MARG CHANAKYAPURI, NEW DELHI - 110021

No. RCS/NOC-212A17 March 16.2019 .'- :l ':" -

TO WHOM IT MAY CONCERN , '/

With ref'erence to application dated 08-A2-2A19 regarding grant of NOC/ No Dues Certificate. the records of this office reveals that no payment is pending against the individual name of Shri Tapuk Taku, MLA, l0-Seppa (East) AiC, Arunachal Pradesh on account of room rent against Arunachal Bhar,r,an and Arunachal House, New Delhi.

(Sangeet Dubey) kl,*M Deputy Resident Commissionero Govt. of Arunachal Pradesh, Arunachal Bhawan, New Delhi fi Se99a :JANGEET DUBEY p,rl Ljrn, ; ?aeir:eitt.\urr\ Cor rlissionef u,r:vt. of Arunaehei ['radesh New llelhi F.'

B+rTfrdqRffifrts BHARAT SANCHAR NI6AM LIMITED )re( ( A Government of Indio Enterprise )

Blltff AT $ffiC}ltn ilt&fiJll tm, firq1-dqa6tqEtr6, 3rSutrqdtre?Krg(rg(r,,$et;rer{ Olo the 6,1ATD, Arunachol Prodesh SSA, Itonagar

TO WHOM IT MAY CONCERN

This is to certifu that following mobile/landline connection provided by BSNL in the name of Mn TAPUK TAKU, S/o Lt. TAKAP TAKU, UPPER C-SECTOR, ARUNACHAL PRADESH, carries no outstanding dues as on dated 18.03.2019. Also the dependent members (given below) of the customer mentioned above, caries no outstanding dues. Certificate issued as per written request of the customer and as per availabie billing records of this Office. Dependent members: 1. Mrs. Fesom Taku (Spouse) 2. Mr. Sonam Taku (Son) 3. Mr. Sono Taku (Son) 4. Mr. Mama Taku (Son)

Landline : A3787-222267 Mobile : 1) 9436631238 2) 943627 rs39 3) 94360s2146 4) 9436069373 CDMA : A3787-200036 WI-MAX : NTL Dated : 18.03.2019

\6 Accounts 'cer (OPC) O/o the GMTD, BSNL, Itanagar &rrd Tel. No. 0360-2291305. Mob: 9436228999 - t. ont ;,, A 9trBsD' -'I 'r*,i, ,:' r

L

GOVERNMENT OF ARUNACHAL PRADESH OFFICE OF THE DISTRICT TRANSPORT OFFICER EAST KAMENG DISTRICT:: SEPPA No.SPA/Mvl-oLl2ALg-2o Dated Seppa the 18th March,2019

TO WHOM IT MAY CONCERN

This is to Certify that SHRI TAPUK TAKU, S/O. LATE TAKAP TAKU, Village:Kakukao, Po: Seppa, PS :Seppa, District East Kameng, State Arunachal Pradesh has no outstanding dues against him/ her in this office as per records available in this office.

Date z-LSlO3l2019 Place : Seppa

( Kipa Raja )EAc (MV) W'M A District Transport r East ka g) is I

GOVERNMENT OF ARLINACHAL PRADESH DEPARTMENT OF PARLIAMENTARY AFFAIRS CIVIL SECRETARIAT ITANAGAR.

NO OBJECTION CERTIFICATE

Certified that Shri Tapuk Taku, Son of [.t. Takap Taku of

Vili:- I.,aliukao. PO/PS:- Seppa. District:- East Kamens. Arunachal Pradesh has no outstanding dues in the Department of Parliamentary Affairs as on 22.03.2019.

The tenure refers to his holding the charge as Parliamentary

Secretary in the State of Arunachal Pradesh. - sd/- t{>::-'.-irl r . ' . "1il3 'i (B. Pertin) IAS Commissioner (Parl. Affairs) )lt$t, .j !'J_#,;r, ' ''d:--:l/,,-:=:%.Y Govt. of Arunachal Pradesh Itanagar. Round Seal Date:- 22.03.19.

No. Parl. Atfairs-l0112015/ I 0T T Dated ltanagar 22"d March 2019. Copy to :-

1. The CEO. Nirvaclian Bhavan. Itanagar fbr information and necessary action please. 2. The DC/DEO/RO of East Kameng District, Arunachal Pradesh. 3, The PS to Commissioner (Parl. Affairs), Govt. of Arunachal Pradesh, Civil Sectt, ltanagar for information. ---*-*;? 4 Office coo\,.'rto l'/'1-

fuy (Ta-eom , Block n, ,.,. Officer .ioi:rt Secretary, (Parl. Affairs) CD i:;; , i;; ;;grlg ElKanrer,; . :it, (n.F.i Govt. of Arunachal Pradesh Itanagar. { Unit: HOTEL DONYI POLO (A Govt. of Arunachal Pradesh Undertaking) Sector -G, ltanagar - 791 111, Arunachal Pradesh Fhone: +91 -{036S)-2?{ 26?6, 2212s27 Fax: +9't'(0350)-221 261 1 E-mail : heteldonyil [email protected]

Ret-: HDP/GIv1,NOCI20 i 8- 1 9 Date: 19.03.24]9

I'.IO DUE CERTIFICATE

It is to certily that Shri Tapuk Taku, Slo Lt. Takap Taku, Vill. - Kakukao, POIPS - Seppa, District: East Kameng, Amnachai Pradesh have no dues to be paid to Hotel Donyi Polo. A State PSU

rn ,4md-* \1 ?9 Gogoi)

Lrd.

Clffic'er Block Derr. 'i. t.t-' .'- CIJ F' :. (A.PJ r:) ursrt. .."i ii.oi I tvt ,L OFFICE OF THE ADMINISTRATOR ITANAGAR MUNICIPAL COUNCIL rMc NAHARLAGUN

No 18-19 Dated Naharlagun the march'2019 al, *P,!l 'S* :J .: ii tr:-';"'; ::t

NO DUE CERTIFICATE

This is to certify that Shri Tapuk Taku S/o Lt. Takap Taku originally hails from Seppa, PO/PS: Seppa, District East Kameng A.P and presently residing at C-Sector, ltanagar Papum Pare District A.P. as per IMC office records does not establish any kind of out-standing dues against his name.

Hence this No Due Certificate is issued in favour of Shri Tapuk Taku and his dependents (mention as below) for all official purpose.

Dependents:

1. Smti. Fesam Taku wife 2. Shri Sonam Taku son 3. Shri Sono Taku son 4. Shri Mama Taku son 5. Shri Zom Taku son

Date: - 18.03.2019

Place: - Naharlagun

\1 -1#"dJ

(Hengo Basar), AIICS Extra Assista nt Com missioner AS Itanagar Municipal Council ''.,.,.,,,Nah qrla gun'' ("l

GOVERNMENT OF ARUNACHAL PRADESH A.P.CIVIL SECRETARIAT:TRANSPORT DEPARTM ENT

BLOCT( N0. r I I :4rH FLOOR :TpT(C) BRANCH ITANAGAR

NO,TPT(C)-S 9/20L7 ), :a.,, Dated ttanagar, the 7th February' 20L9

rNQ qBiEeTioN CERt iFtCATE/

This is to certify that Shri Tapuk Taku, MLA, 10-Seppa (ST) Assembly Constituency, the then Parliamentary Secretary has returned the

Govt.vehicle bearing registration N0.AR01|(-5234 (lnnova) on 06/02/2Afi in good running condition. And hence, NOC is issued to him. .,". ;::.i.- * : ^nufil u 5,6ffi{,o*ei\ tx/ -,/nq$a\' ' (Kirken Lomi / ,li' ^.A,( Under Secretary (Transport|\" Govt. of Arunachal Pradesh, )#,).) Ita n aga r

fleef SgPPa L I DIRECTORATE OF CIVIL AVIATION ARUNACHAL PRADESH :: NAHARLAGUN

TO WHOM IT MAY CONCERN

This is to certify that there are no dues against Tapuk Ta ku, 10-Se ppa (East) A/C.Arunachal pradesh,in the Depa rtment of Civil A unachal Pradesh, Naharlagun.

\ I I \ l.l ( Asstt.Director of Civil Aviation, Govt. of A.p. Naharlagun No. DCA/ap lz\\/zots *HT:i"H::[ilii,J:1" Dated:- 13.3.2019 t{anarfrgun __v!., 4+".+1

/ssigonr Engfieet "rl1' GOVERNMENT OF ARUNACHAL PRADESH OFFICE OF THE COMMISSIONER TAX & EXCISE ITANAGAR # Lh' NO.TAX (E) -02 / 2014(Pt) I€(p Dated Itanagar, the March'2019 NO OBTECTION/DUE CERTIFICATE

Certified that, as per the official records available in this office till date, Shri Tapuk Taku, a permanent resident of Vill-Kakukao, Pa/PS: Seppa, East Kameng District, Arunachal Pradesh, is not having any due in the Department of Tax and Excise.

Therefore, this department has No Objection to his Nonrinati on f participation in the ensuing Assembly Electior-r-2019.

NB: Please note that, this certificate is issued for nomination/participation in the ensuing State Assembly/Loksabha Election-2019 only. A (Anirudh Singh) l,fr Commissioner (Tax & Excise) "tk{ Itanagar. ifiet anl tltg .> + rr'ilnA ''frfd f Government of tndia Form CST REG-06

i'See Ruie l{)(})J

Registration C ertilicate

Registration \umber : i2AKCPT3 460D2ZI

i l,rgal \ame FESO\,{ TAKU

2. 'I'rade \anre. il'an1' N4iS. F.'I.FNTERPRISE

3 Constitution of Business Proprietorship

?.I Address of Principal Place of T1,pc-IlI Colony, Seppa" Seppa. East Kameng, Arunachal Pradesh, Business 794142

). Date. of l,iabilitl' 01/01,2C17

6 Pcriod of Yaliditl' From 0U07 i20t7 To NA

a i'ypc of Rc,gistration Regular

fi Particulars ol' Approving Authorifv

Signature Signature Not Srifiec Digirally signed by!6 GOODS AND SERVICES+AX NETWORK 1 Date: 201 8.07.281 0:38:00 IST

Naure

Designation

Jurisdictioaal Offrce

9. Date of issue of Certificatc 28t07 t).018

Note: The registration certit'icate is required to tre prorninently displayed at al1 places of business in rhe State.

This is a s]'--stcrn signed, Registration Certificatc issued hased on the dcemed approval of application on 01 07 l2\fi

otr{aef E, {tl' n ,:.:1';-'' Arttterurc B i'rjii .irtii ! :i-r;,

I rr€iq ffid

GSTIN I2AKCPT346OD2ZJ

Legal Name FESOM TAKU

Trade Name, if any \,{15. F.T.ENTERPRISE

Details of Proprietor & I .;t Name Fcsorn Taku '}*-q'B Designation/Status Proprietor Resident of State Arunachai Pradesh

W'')"1 A

so ._

( t( Form GSTR-3B

lsee rule 61(5)l

Year 201 B-19 tr/onth February

1, GSTIN 1 2AKCPT346t) 2. Legal name of the registered person FESOTM TAKLJ

3.1 Tax on outward and reverse charge inward supplies 'ri.l Nature of Supplies Total Taxable lntegrated Central State/UT Cess value Tax Tax Tax (a) Outward taxable supplies (other than zero rated, nil rated and 0.00 0.00 0.00 0.00 0.00 exempted) il (b) Outward taxable supplies (zero rated) 0.00 0 00 0.00 (c) Other outward supplies (Nil rated, exempted) i ,, o.oo (d) lnward supplies (liable to reverse charge) 0.00 0.00 0.00 0.00 0.00 (e) Non-GST outward supplies 0.00

3.2 lnter-state supplies

Nature of Supplies Tota! Taxable value lntegrated Tax f Supplies made to Unregistered Persons 0.00 0.00 YI Supplies made to Composition Taxable Persons 0.00 0.00 se99' Supplies made to UIN holders 0.00 0.00 i I o (

6.1 Payment of tax

Description Totaltax Tax payable pa d through tTc Tax/Cess paid lntegrated in lnterest paid Central State/UT cash in Late fee paid Tax Iax Cess cash in (A) orher Tax cash than reverse cha rge f ntegrated Tax 0.00 0.00 0.00 0.00 0.00 Central Tax 0.00 0 0.00 State/UT Tax 0.00 0.00 0.00 Cess 0.00 0.00 0.00 80.00 0.00 0.00 0.00 Reverse 0.00 80.00 0.00 Integrated 0.00 Tax 0.00

Central Tax 0.00 0.00 state/uT Tax 0.00 0.00 Cess 0.00 0.00 0.00 6.2. TDS/TCS Credit Details ntegrated Tax centra I Tax State/UT TDS Tax wt. 0 0 TCS 0 0 0 0 t Se99 1001 - ,: ht.&.." OFFICE OF THE MANAGING DIRECTOR ARUNACHAL PRADESH STATE CO-OPERATIVE APEX BANK LTD. HEAD OFFICE: NAHARLAGUN.

"i, No. APSCABLICR/NDC/20I }-tgt {, ir, i,, Dated: lSl03n019

NO DUE CERTIFICATE

As per record maintained with Arunachal Pradesh State Co-op. Apex Bank Ltd.Head Office,Naharlagun it appears that, Sri/Smti/Miss, TAPUK TAKU, S/o Dlo W/o, Lt. Takap Taku, of Kakukao Village, P.O:- Seppa, P.S:- Seppa District:- East Kameng, State:-Arunachal. Pradesh and presently residing at Upper "C" Sector, Itanagar, P.O:- Itanagar, P.S:- itanagar, District:- Papum Pare, State:- Arunachal Pradesh does not have any loan with any Branch of the A.P. State Co-op. Apex Bank Ltd. as on date.

This No Due Certificate is valid for 6(Six) months from date of issue. 4w r For Managing Director nt ;,.." ,ti,*l tl:r*:*,g i: A ssislo SePPe g't+B ..i i : i','ii ;ri F;-ili.iesl'l *tei0 i.i)"t,,11, &p*X ffit[*, &"Sd L

,i '"

To Whcmsoever lt Mav Colcern

-r'i:l= i" tc ceriiry tliat shri rapul< Taku, slo - Lt Tal

,-,::ioLrr are tiie follorring dependerlfs of tr,e :;aid App{icani

:: ifiii's;:e:t,Ti l,'i..,.-; ivy::ii: .i'lr-r dle,:, \rr:iih i-.-. .,-l ii'::'i 5rn*rii Talii;{5*n} - irj,-i r.lu*-s r*i;i: *s -ial

,,:,:, ictle r is issued without any liability towards the Banl< or i"lre urrcie islgile il

1 Ltci

irancli tulanager thnagar" ,,,^_L*r[ !"* +w)

/.ls SgPPa t- t

GANGA BRANCH AKASHDEEP SHOPPING COMPLEX P.O: R.K. MISSION, ITANAGAR DISTRICT: PAPUMPARE STATE: ARUNACHAL PRADESH PIN: 791 113 PHONE: 0360-229L696 STATL,BANKOF{NDIA

Dated>l4103l19

NC DUES CERTIFI CATE

This is to certify thot Mr Topuk Toku, s/o lt Tokop Toku resident of Upper C sector

Vihor P.O/P.S - ltonogor. Popum Pore district, Arunochol Prodesh hos no ,l4.03.,l9 occount ond dues with SBI Gongo bronch os per record ovoiloble on

Dependents of the oppliconts ore-

l. Mrs Fesom Toku 2. Sonom Toku 3. Sono Toku 4. Momo Toku

5. Zom Toku

This certificote is issued of the written request of Mr Topuk Toku,,without Prejudice

& Liobillty of lhe Bonk or ony of its officiols

f

Ars Ganga

"'ri'"; \r' ITANAGAR BRANCH.O6O9I ITANAGAR _ 791111 sBl ARUNACHAL PRADESH

Tel Nos.0360-2211432,2290271,2212261,2217545 Fax:0360-2292248lP:600547 e-mail: _s!i-Q6!91@SblSS=1n

No Dues Certificate

This is to certify that, Shri TAPUK TAKU s/o Late TAKAP TAKU having Alc no 33885991259 does not have any outstanding dues with our branch as on date 18/03/2019. i)

il

I{+AJ r

SgPPa State Bank Of lndia Seppa (0s73e) Dist -East Kameng (Arunachal Pradesh) Pin No-790102 Phone-037 87 -222245. Fax 037 87 -223065

Dated 1410312019

TO WHOM IT MAY CONCERN

NO DUES CERTIFICATE

From the preliminary verification of our books and systems, we certify that Shri Tapuk Taku SIO Late Takap Taku,Village Kakukao, PO/PS Seppa , East Kameng District, Arunachal Pradesh has No Dues with this Branch.

This certificate has been issued at the request of Shri Tapuk Taku

*il"-D

/ssis, ofit

?'anch .L

i { *

To msoever It Mav tt!

-:-iiis i; t,: certir.y ti'rat shri iapukTaku, s/a- LtTal

,j'.:io,ru are tlre following denendent:s of l-,r: :;aid Applicant

.. j ll;': ;:t::;t,,'i : ,,iii.r ,ilii::r,.i . idd du*:. tr,.,iti-l i.:i .,-', :i-::'i !ln::in Tal;i:iS*nl - i,i,-,. r*ui: i:,",i:h us -i':rku :; jh,"i ionc tsoni- trlo dr.les witir us .:.i :11::-i i'lama Taku {Son)- No dues with us : : :i^ri"i Zam Taku (Son)- No dues with irs

: ,:,:, i,:tiei: is issued without any liability towards the Banl< or the undersigneii

Ltc,

iiranch Manager

€+i+€"i' No-\-o.r1 O3^." 8>"t " ^uL ' 'fi,, l''ru' 5'-\-;fct-)'t'1 t Jt o"r -1f* ?o.n \na"'e- "rl \.,Lq /_) Apl\'..-"'"r- ^cl- tA{"a}aotl *f" Gv G-1 c'-\ ' jr:i -Jr\Al^oA "^,I "d')

o{ \nd\a rl.)\ Wfrrn For' $tate

Hranch i SOgPA agun t l{ BSD' L

To wh It rvt AV

-i-irr: i" ie ce i-tiiy tlrat shri 'rapuk Taku, s/c Lt rakap rar

-i''-r;s iet,;er is issued without any liability towards the Bank or the r-rncrei-sigirecr

-F*or msmrxfna sr Sastk Ltd' lja. I ) 0 *w*ah'r#ad .LLL*l*n

Branch Manager l'i- I LCM- cli:r^ -^.- d t H+*LJ

/s SsFS* \-

HOhIOUR }:GUR TRUST (A Govt oflndra Undertakrng) visits us 4f r,, i,, ii. 1.11,.1!-r;;r1!. ggln -ULO Bank Itanagar Branch Phone: $6A-2212306

TT Marg,Bank Tinai i,itanagar E-lviaii: i1,rt:,t1 r'' t rr. o f\tn l. t t,. i i t Arurrachai Pradesh IFSC: UCBA0001482

Dated:14.03.201 I

Tcr wh*m It l\lav Concern

This is to certify that Mr.Tapuk Taku of Upper C Sector, Itanagar,Dist:papumpare,Arunachal Pradesli does not have anlr dues with UCO Bank. Itanagar Branch

This certficate is issued at the request of Mr.Tapuk Taku fbr participating in the cornming Assembly Election 2019

;l;i*

ti- ulu

tt Assi Sc99d tI -' il .i 'i ,!

i+-t\i

To Whomsoever lt Mav Conggg

'l-;ri; -Iapuk :, r; cei-tify that Shri Taku, s/a - Lt Takap Tai

:.r- :.'ri i:oi:: tnir Accor"tnt itr our Branch and does not have any dues wiilr urs.

;:-,i*v'", are tire following dependents of the said Applicant

..i I,Jii's i:esom Tal

'i ,':i:, ietier is issued without any liability towards the Banl< or the lindei"sigr'ecl

I r--: LLU 'J .

Bi'anclr [Vlanager ita nagar ffi #41 nt r{ssi $ePgA (._ . G ,), *

To Whcnrsoever It MaV Concern

';",i;; ;, ir cerilly tlrat shri iapul

;::,,i;',v ar'c tiie follor,,\rin,q denendeitfs L:l :.r::: :,eid Applkl,l:i

,'ri..,r .i,Jr.i .'.; ,. " i'tii:.' ;ral..r.',i i','ti:ti'i t.i ;:l rrr,ii:i .. I j-:;^i -i^el;,.t!Sf, * l:r;t-iiiiii 'l - i.iii r{U:: ,v,l !l ,,r; : , -,;':;"i :,i:i-tc'iaku iSuril- t\o dries wttn us , ,i-,ii i./ln:rna Tai

,;, , ,;,,1".r-tl" i:; issured without any li,,rbility tc,wards the Banl< or"tlie ui'rciel':;;;i,i,,:,i

G \ I s a hp h- .P."-. ffi\,

jra nclr [Via nager .=itffit?F eLe1Aqn' N "I\*--\

-H+"t t, o SePPa I

To Whcnrsoever lt May Concern

";-i:;: 'i-apul< ;: le certiry tliat Shri Tal

'f;;!!;r,,'i:.,ii ,,:,';,ql'r.'.r ;.ii-r: tire '.ii,.i.';i:de:ttS u:- t ittr SAti', ,,',:-.,.:li:;,r:,. -[ai

. : -.,i^','i 7-r;i^rr Tal

,;,r. i,.,:t'.cl'is issued without any li;rbilitytowards the Banl< r:rthe iiil,iei"siiri'i.rci

C n"r4^d , \t"r \ JJ ri L* a\' t""-1 J4 CP ir" .*A ,j .f b.,. ,''.'I,L ' f l* '."'l , c, JL, '\llircL...... 1td rr]t I b tt-t.tt r,\ lr* .€6 t)tp ':i'anch [Vlanager r:of tl + .t li.i:iragar ,, .iI-,,' ! ,-, 'a t l' 1

) 4+# ''-.

Aisi *4n, t' 4eso' T

f' a.

To Whomsoever lt lVlav Concern

';-iiis 'fapuk i: i:r certify tlrat Shri Taku, s/a - Lt Takap Tai

,juio'vr-r are tiiefollowing dependents of the said Applicant

r.i ir.4i's i:esom Taku (Wife)- No dues with us

., 1 :1.:l'i Scriarn Tal

,..':,:; ietiei" is issued without any liability towards the Bank or the rinrjei'siSnecl ffi rixrr **ur a-*ql i"

Branclr Manager l.:--,,^^--. )L,_1 i tciicl A+t1 r rtEt /s SoPPI (_ t- )e,

' ,:.1,. 1

,1:

To \ffhomsoever It Mai,r Concern

-1,,;: -1'api;it ,:. i: ce i"iiiy ii'r;' jiiii l'ai

r,i:,o',,,i;rc tire following depende:rts of the said Applicant

-, ) i""4, s i:esom Tal

r,':,:, irtlg"is issurecr ,,ritlrout any li;rriiity t.owards ihe Ba;'ii< oi-the undersigned

aaPtr . LIO ,. -) -tranclr {Vianager Ii.:rnrrrir ,

+ild) ef SePPa i*

,*+:i $s" ti

Io Whomsoevel lt MaV Conceryt

';-i:i: i; ta cei",ii1: tirat Shri Tapuk Taku, sla - Lt Takap Tal

:i :-:';'i i:oi.: anir Account in our Branch and does not have any dues with r-rs.

'Jrio',,rr are the following dependents of the said Applicant

:.i ir4rs i:esom Taku {Wife} * No dues with us ..-: ' 5i::'i Scrias: Taku{Son}- No ciues witl'r us : j ih,"i Soiro Tai

i'*i:: ie'ccer is issued without any liability towards the Bank or the r-indersigned

-a. :'

41bp 4 .lv.ct.6q.L...,.r-tri

*8 Branch Manager,n". I Se99' Itanagar tt\W, .\ rt ls iil*nci: {vi*r+a<+{:r' ,/fU\'\\ ' Itanar.ra: Uri:aI {j1-:;3tl':i{.e ' Trift & Orueiii $ociety i-ici. I dr?ff"fle#sddw#,ffi

Ig_kt/h Arrysq eyel_l!_l/l a v Co n Ee L[

-i-his is to certify that Shri Tapul< Tak t, s,/o - Lt Tal

!lr:i;w are'ihe following dependents of the said Applicant

-."; i;lir:; Fesorn Tai

-i-iris iettsr is issued without any liatiilitv tr:wards the *anl< or the

- . i,-,.;i'S;;ii3[l

N44 )

r1 f ''il#l;:t:;;: in dus j]il;l;.; i?,j ,J llunacha i pia irer , , ,ndra, ,, ._ Ter; rrr;,1:iJi;;i.Jil:,i#1j,1r i",,, :1il,1l ?"?l,l[r,i1,",,, ,.r, i

t I ().,n50eve r r^j:rFl

',-i:;., 'i-apul

,:,i.i:o'.,\1 ;lre 'liie following dependerrts of the said Applicant

j ) [r,4i:; iesom Tat

, ,-:,:, i:ti,.:1" is issued without any lii,rbility tcwards the Banl< or ti're urdli":,ii.lx:,--l

ti-o-lo' *trlca. t]',:t: unjab National Bank

/,cnier Manager 1. t ( 3Ioq., \/l+,ana'::r 1 ', ..rro h'ro* il^oi ?nt)

Eranch IVIanager li'.ry'171rr.,.."','"lr*, ^

Ary\"il I itttt Engt SeP{JA 1 L

Itanagar * 791111 *

l-o W soeuer lt Ml nEief {i

'iirr; i:, i*,ce'i';ii'y tlrat Shri iapul< Tal

,..,,,,:.:i.;:-.i,. ani,',,].cc,:t-ttit lti our Eranch and does not have any clues,u,rii:li i_r:.

..r:,c,'ru ;t'c ti^re I'ollowing dependeirrs of the said Applicant

-i) iiti;'s resorn Tal

, ,.r,: ir.:l."cr i:; issued without any lia[:ility tcwards the Banl< or tlre iinlle i:,i3,', r'l dfh:ifl.oA1'*9 Arn,Ll w Fro AJ\ o$r

*PXx v fiils 't qlqq ' tl;}' 1i(

Br er lin naga r

,^.

I ' ; l "1.'1 €.lerj t'l :-' -: r::..:1, A!:l ia ..9" i\ :,:: ri il.[{ ii ;{ i .it ix],

\ i our Own Bonk) ITAi ;AR ERANCH, E-SECIOR OPP CIVIL SECREIER'AI NH- 5 2 A, IT AN AG AR, ARUN ACH ALPRADESH Tel- 0360-22 I 6065 PtN-79 n u EA4A'T-'IAN,4GAR@'ND'AN8AT'/K.CO,'N Ref-lB/ITA/NO Dues/2An /21

Dote: lSttt Morch 20,l9

NO DUES CERTIFICATE

This is io certify thot Shri Topuk Toku S/o Lote Tokop Toku, residing of C-Sector Itonogor Dist. Popumpore, Arunochol Prodesh does not hove any kind of outstonding dues with our Bronch.

Moreover This is to certify thot following fomily members of Shri Topuk Toku, residing of C-Secfor lfonogor Dist. Popumpore, Arunqchol Prodesh does not hove ony kind of outstonding dues with our Brcnch. The Fcmily members ore os listed below:

I Smt. Fesom Toku - Wife of Shri Topuk Toku 2. Slrri Sononr Toku - S/o Shri Topuk Toku 3. Shri Sono Toku - S/o Shri Topuk Toku 4. Shri Alomo Toku * S/o Shri Topuk Toku 5. Shri Zom Toku - S/o Shri Topuk Toku

Lf.lstAl'i BANK Wqfgqq

' Bra '{BB1-sf

$h./d I c

,- J o ft

To Whomsoever lt May ConcerB

'iiii: 'Iapuk i: tc cer:iiry that Shri Taku, slc - Lt Takap Tai

:,i;. ;-:'iri iro!': an\r Account in our Brancl"r and does not have any dues vui'Ih r-rs.

;;=io',rr are tire following dependents of the said Applicant

-i.i itJi;-s i:esom Taku (Wifei - No riues with us ":i !i:ri Scnem Taku{Son}- No ciues with us .r1 5h.ii Scii'lc Taku {Son}- IiJo dr.res wit}r us .1,.) Si''ii'i IVlama Tal

,,il

$ r!

itr:

Branch Manager Itanagar l4+t st$an t Engineer fttBsDr ja

To Whomsoever lt Mav Concern

-i iiis :. tc certirv that Shri Tapuk Taku, sf* - Lt Takap Taku, residing a1 Li,:,,r,e| C Sectoi'. P.G./P.S. ltanagar, District: papurn pare, Arunachal pr-actesh, '-ii :';i hoi} ani,',{ccount in our Branch and does not have any dues urith us. 'ilrioi,rr are the following dependents of the said Appticant

..; i,,4,-s i:esom Taku (Wife)- No dues with us .:i 5l':,-; Scnarn Taku(Son)- No dues with us :i Shii Sons Taku ison)- hlo dues with us .::.i Siri-i lrlama Taku (Son)- No dues r;'.rith us :,i Sh,-l Zorn Taku (Son)- No dues with us

i-iis ie'icer is issued without any liability towards Bank or the r-rndersigned ss ! t.j )

.Ltd

Branch Manager Itanagar ,j ii i 1

: -,': i'l

To Whornsoever It Mav Concern

-.-,:;;,-. "i-ap:..ii< ii "..1,':i:",i i,;cll :ili : 1",:l

,-,,:,1';,,,, ui'e Lire following dependeltts of the said Applicant

-ij rMis i:esorn Tal

' ,':,-'. lr;t;ci^ is !sstiuu ,;:Lliui;a irri'i ii;i:ii:ri' i.lwargs iiie iiari,,:ii [iie uiiir.reisigireci

gt$ ,rl\lV' 2ul'1' t b.0j 'orrf^ N[,tr Ltd f- t-rr:" ',,] u O,^.,, iii er "1- . sr5tl' \r*' ii."riragar il .-i rY 'i \ !! r -i:

To Whomsoever lt May_Co_ncern

-ii:is i-: tc ceitiry tl'rat Shri Tapul< Taku, slc - Lt Tal

;ie io',r.r are the following dependents of the said Applicant

-i.i i'lrs i:escm Ta[

i',^r;: iet'.er is issued without any liability towards the Bank orthe r:ndersigned

i1 ,Lrd tj,)J Branch M anager f nt f ianagar .4sst seP94 P 6gSDr ( I" &6.rdr*s Canara Bank

A Govt ofIndia undertrking IIQ Bengoluru

NO DUES CERTIFIEATE Date: 15-03-2019

This is to certify that Shri Tapuk Taku S/o Lt Takap Taku of C sector, Papum Pare and his

dependents nanrely Mrs l-esom Taku(spouse), Sonam Taku(son), Sono Taku(son). Mama

Taku(son), Zom Taku (son) has No Dues with Canara Bank Itanagar as on 15'r' March 201,9.

This certificate is issued at the request of fapuk'Iaku for contesting in Assembly Election

,\ ii: rtr-\/V

Canara bank Itanagar '-4flil)

tl sisla Eng /s SpgP4 PTTESD'

'Canara Bank, ITANAGAR BRANCH, LEGI CONIPLEX,BANK'fINALI, rr^Nt1-aI}-7011rl npcf)D['.-3d35:TELEPHONE-0360-2291815;[email protected];\YEB- L.

''' .. i",,.

To Whomsoever lt MaV Concern

'ii:rs i; to cefiify that shri iapuk Taku, s/o - Lt Tal

;:iolv are t'i'ie following denendent.s cf rr,r: ssid Applicant

.iir,r -'l il;-s i:e:c,n : liiiiilll -i'lc due:. iir'itit, t...: .,.\ I;':r'i 5*ri;iiri: Talii.:{5*r:i -- hir: rJr;*: i,:iiih us -ial

,l':. tctiei' is issued without any lialtility tcwards the Banl< or the ui^iciet".,,i1.,:ir:i;

..-N)CIbu-e, d-. c'Y\' d-&- | L 'a ''.at 1r' LttJ' Afli( h Axir' un Ertt Na$ar uah blrt>lzat\ a{ ad Pa$ I \.\e 1t'gd1 Etti" 4nu llranch lVlanager .l I ir ir aga r ,rVn *L *{au il f v :fl n{ fi,; Seg94 L

11LI{ACAB

-:-iri: i: ic cei-tiiv tf,at Shri Tapuk Taku, s/c - Lt Takap Tai

r-ii-, ::iii i:oi: anv Account !n our Branch and does nct have any dues with r-rs.

;riow are tire following dependents of the said Applicant

-:.i iVirs Fesom Tal

-i',",;.: iet'ier is issued without any liability towards the Bank or the undersignecl

Bo'*!' tat 'hl,Jno**u '

ii:ai:agar

I /r 'r,i'q s, .; '"{ f 7 T- t'5 -!trgurr S' f : e!. o Brrorb 119.

To Whc,rnsoever lt Mai/ Concern

;i,;; ,:. i; ,;e i"i.i:'r7 il:ai'Sirri lapuk Tal

. :: i"i i.t , i-l i"i^rc ir:llowing depende rts of th,: said Applicant

-iai

,,,,: ic1:"cl'i:; issued without any liability tcwards the Banl< or the undersignerr-i

.BrmS,

,: i) i'a nc Ita+agar NA*l"Vt'--t I

* i:'

To Whcmsoever lt MAy Concern

-ii:is i; te certii'y tliat shri Tapuk Taku, s/a - Lt Takap Taku, residing ai L '-,.:,:::'C 5e;toi', P.C./P.s. ltanagar, District: Papr-im Pare, Arunachal PraCesl'r, '-: -,.-i; i:ii:. anir Account iri our Eranch and does not have any dues with us.

irij;ow are tire following dependeilts of tnri said Applicant

i';i;'s i:esc,r'l l',.'riir, i"rvi:c.i .,\* duel, vr,ith i.-. jl-::'i Scnai-n Ta!

, ,-:,:, rrtiel- is issr-red without any liilL:ility towa e Banl< or the II ei'signec!

PUNJAB NATIO BO:N

Fed# \ \1 t\) Lti

riranclr IVI anager Ita naga r ffi"ul (-

I *' u G R I E"r{rAr Y' :*x [ ?:.:"oJ Xar'tarfigun Market -' ''' ? 3 r#lfjl""l x,.:xi:[ 1i1i

To Whomsoever lt Mav CoEcern

-:-i::: i, t,: certii'r,r that Shri Iapul< Taku, s/c - Lt Takap Taku, residing at i',,.:,1;'C 3e;toi', P.C./P.S. itanager, Distrirt: Papum Pare, Arunachai PraCesl'r,

-:,-: ;";Gf i:ri-,i ;nvAccount ir: our Eranch and does not have any dires with us.

r---,riow are tire following denendeitts *{ tr'r soid Applicant-

-ij iMi's i:esc;r f ,rii,i.i i'r1,tiej''i'Jr.i dues tr.'ith t..: .-l :i'r:'i Scna'r-* Tal<.;{Sci-r} * idt ilur': i:vi:i.l li-c -iaku .:i :;rii ici'tc isoni- irlo drres with us .:) Sl-ri'i lillama Tal

i,':,:. iet';er is issuecl without any liability tawards the Bank or the undersigneci

..... Ltcl

t)l!-1 . ager _ ! --t NtN

AJ

I \ L

t.3 rit

'ist ;"- 1. 'i1 'l 'l

To Whamsoever lt MaV Concern

-i-;:;; i; t.: ce:'iiiy tl^rat Shri i-apul< Talcu, s/o - Lt Tal

'-:,- .-.ui i-r';::. .ii-:il ll.ccouilt it-: our E1'anch and does not have any dr-res with r,rs.

,,liow ars 'tire following dependenfs of ir-',r siici Applicani-

-t.i i,.lii's ie:t,1 1,:iii.i i#i:,.'r 'i.Jc dii*t rr,'iih i.,= ,,-' :l';:"; 5tnni:r TeliuiScn: * U'l rlui': r"';,:il us -ial

r,i,:, ie'iier is issued without any liability towards the Bank or the urrcieisii-{tle ii

Ltci

l-irairch [Vlanager ht)lu riluq3t" a--{ ri, ql I 0\ I \ HDFC Bank Limited. Ground Floor, iry'e understand your world Basar Commercial Bldg Barapani, D-Sector Naharlagun, Papumpare-79 1 I 10

Dated:13lO3lzOL9

TO WHOM IT MAY CONCERN

This is to certify that JOM TAKU,FESOM TAKU,SONO TAKU,MAMA TAKU,SONOM TAKU, KITH AND KtN OF SHR| TAPUK TAKU ,VILL-KAKUKAO,PO/PS,SEPPA,DISTR|CT-EAST KAMENG , ARUNACHAL PRADESH has No credit facility/dues with us as on date.This certificate is issued at the request of SHR| TAPUK TAKU , SEPPA.

This cerlificate must be taken as a private & confidential report given by the Bank without prejudice and on the express condition HDFC Bank Ltd. & its officials are held free by you from any liability in connection with it.

Thanking You

,-a- Your's Fai l

Branch M) HDFC Naharlagun

Srf AS Se90&

Regd'Office : HDFC Bank Limited, HDFC parel Bank House, Senapati Bapat l\.{arg, I-oser (W'est), }{umbai.400 013. CIN: L65920MH 1994PI"C0806 I 8 Website: www.hdfcbank.corn *'\ *' &m t rffi?#ilfl#f ffidF ffip Mmfmm mury$ Itanagar- Legi Commercial Complex, 1tt Floor, Bank Tinali District- Papumpare, ltanagar Arunachal Pradesh-7 91 1 1 1 Email- [email protected] Phone-O360-2291 887 Date: 15-03-2019

TO WHOMSOVER IT MAY CONCERN

This is to cerlity that Shri Tapuk Taku S/O Lt, Takap Taku. cunently Residing at Upper C

Sector. P/o P/s ltanagar. Dist Papumpare. Permanent Resident of Village Kakukao, P/o-P/S

Seppa. Dist. East Kanreng. has No Dues r,vith lJnion Bank of India Itanagar Branch as on 15th

Marci"r 2019.

This certificate is issued at the request of Shri Tapuk Taku for contesting in Assembly Election,

r,vithout any risk and responsibility olbank or any of its employees.

:''*d\, illiol: :g ;: ii -..,*t Manager,

Union Bank Of India Itanagar +M+)

,$eet f,ttgi 2 i"*-"-*-r nE?T 6rqta-q'/ QrRil ltanagar E Sector. Opposite A P Secretariat. ltanagar Arunachal

Pradesh-791'l 11 ($ azi e&i 6 9! ( rji1, iiliiit# (rAi Aiit lSqtmlTELE : 0360-2291661 S-+s ------rzm siim /FAx : 6 1ffi i"{affr+a i $-*a/e-mait : [email protected] AL6l/NDC 12018-19t Date: I {-l t7

NO DUES C IFICA'I Il

This is to certify that Shri/Smt ( (q\q S/o or W/o Jt A.\L+l Tq(fesident of e- Amnachal Pradesh has ncr clues ri,'ith our Bank

4441 .l,i

trlsl SoPPo I c a4s H cb

$ INDIA

I N

ytfl ARUNACHAL PRADESH 01 AA 09

E .SEP?A rN,Tr-!E qouRT or.cHrEr JUprctAl MAGTqTRATE EAST KAMENG,ptSTRtCI ARUNACHAI PRA.pESH Et! g AFI!DAVIT H .,,1 Shri Topuk Toku (49 yrs) S/O Lt. Tokop Toku , permonent resident of Koku,koo, PO/PS- Seppo, District Eost Komeng, Presently residing of Type-lll H Colony seppo, PO/PS-Seppo, Arunochol Prodesh, do hereby solemnly offirm on &tfr ond stote os follows: l6 Thot the deponent 's oge shown ogoinst his nome entered in port no.l5 of seriol no.210 in the Electorol Roll for 1O-Seppo Eost 5 * (Sf)Assembly Constituency ond in some other documents hos E been wrongly entered ond reflected os 42yeors. 2. Thot the deponent stoies ond declqres thqt the octuol dqte of [i birth is 27 /05/1959 os per officiol record ond oged obout 49 yeors. 3.8 Thot this offidovit is being sworn for the purpose of decloring the octuol ond reol oge of the deponent. I -'fur* F lLt

I INDIA

\.}t{.\u Iq e'l tr+tT 4qRLllqA@i'{FIEdpRADETS frzu doy of mor{:!pAe gg4/39 I " seppo.

r5 VER!FICATION

ii Thot the stotement mode in Porogroph 1 to 3 of this offidovit is true to my p kndwledge ond belief qnd no port of it is folse ond nothing moteriol hos been coqceoled there from.

E lden DEPONENT. Ep

arli t"' :l} Chlct Juoiciel I " Q,U.\\ Citri SePPa, E/xirtie'rg iJigt' Arunadtd Praoesn Chief Judiciol Mogistrote 3 Seppo

B shrerJud$*'*l E er* r'frcns ustu

E

B

E E -

I To,

The State President -', *r.', *,{', Elf,crlori srftEot N:;;;;^lii, I Esld.:?0i3 Arunachal Pradesh * t a 0' Itanagar.

Dated;-

Sub;- Letter of information as required under Serial no. 6A of form 26 (rule 4rii of Nomination to Assembly Election.

Respected Sir,

With regard under sign would like to mention the required information to be furnish to your end as required in afore said subject categorically, that sir under sign is having two cases pending with trial, and here below are the information.

Special. (vigilance) (T) case Special. (vigilance)(T) Case No.07/2012. No.03/2012.

Special Judge, North SpecialJudge, North Lakhimpur Assam. Lakhimpur Assam.

Section(s) 120(b), 420,468 &4lt Section(s) 120(b), 42O,468 &471 lPC, lPC, R/W Section,13(rXcXd) & R/W Section,13(l)(c)(d) & 13{2) PC Act. 13(2) PC Act.

And sir under sign also enclosing the declaration/ affidavit copy pertaining to afore said information for your end as required by afore said subject.

Yours sincerely

U

(TAPUK TAKU) Contesting candidate From Ar(f *&, L0 East, Seppa (ST) Assembly Constituency 5or q 0,s

E INDIA

I N

3Ts'UTIq-f, gEfl ARUNACHAL PRADESH 11 AA 09488

H

g FORM 25 (See Rule 4A)

H AFFIDAVIT

Affidavit$to be filled by the candidate atong with nomination paper before the Returning Officer fgr election to the Legislative Assembly of Arunachal Pradesh from the t0th -Seppa East (ST)xAssembly Constituency. $ Pnnr -a

t, Sh$ Tapuk Taku son of Lt. Takap Taku 49 years, resident of village Kakukao, PO/PS-Seppa, East Kameng District, Arunachal Pradesh ,790t02, a candidate at the above election, do hereby solemnly&affirm and state on oath as under;- (1) I am a candidate set up by National People's Party (NPP). (2) lvfy name is enrolled in 1-0-Seppa East (ST) Assembly Constituency in the state of Arunachal Pradesh, at serial No 210. ln part No. 1-5. H.N.341. and Epic no.JXM0040105. (3) t\H contact telephone number(s) isfare, 9436631238, 94036052146, 0360-229L948, 03787-222267 and my e-mail id (if any) is [email protected] and My social media aftounts(if any) are, (10th East Seppa (Facebook) & Tapuk Taku (Facebook), (Whatsapp- 943663L238)

(+) '#etails of permanent account Number(PAN) and status of filling of lncome tax return : t \L-, BI Cnrct Judicral#t''t: :" I gd ttt5to Uilrl H -l bte { B (1

I

INDIA

<\ r q+{r ARU I\ACHAL PRADESI-i O'tr AA CI?49 "] li IT sl. Names PAN The financial Total income Shown i6 In6a&re No. year for which tax return(in Rupees) for the DS H H the last lncome five financia! years completed (as tax return has on 31't March) H been filed

1. Sefr-Shri Tapuk Taku AJSPT359BF Not Applicable (i) Not Applicable

tt F (ii) Not Applicable

( ilt H ) Not Applicable

B (iv) Not Applicable

(v) Not Applicable B

2 Sppuse- Mrs Fesom AKCPT346OD Not Applicable (i) Not applicable Taku (ii) Not applicable

(iii) Not applicable il fl

(iv) Not applicable f, /1

H MagituaB Chirl g SopPa F udt'tt Eg$vlmt{tg

H il 6rE t1 pb t1

il INDIA

I N

3r6nfu.q*{r ARUNACHAL PRADESH O1AA O

(v) Not applicable

3 HUF(lf candidate is Not Applicable Not Applicable (i) Not applicable Karta/coparcener) E t{ (ii) Not applicable

H (i ii) Not Applicable g (iv) Not Applicable (v) Not Applicable 4 De$endent no. 1 AOIPT3885N Not Applicable (i) Not Applicable (ii) Not Applicable MfsonamTaku (iii) Not Applicable H (iv) Not Applicable (v) Not Applicable 5 Dependent no.2 No PAN Not applicable (i) Not Applicable allotted (ii) Not Applicable Mrplvlama Taku(son) (iii) Not Applicable (iv) Not Applicable R (v) Not Applicable

d I

fr Judhi alMaqirUats Chiel gcppa H Ditutd Eest fimoflg

a 6zo I I t

INDIA

3{FTI]qM qqY' AR U I''IACHAL PRAD ESH 01 AA 094 6. De$endent no.3 No PAN Not applicable (i) Not Applicable allotted (ii) Not Applicable Mrpom Taku (Son) (iii) Not Applicable

r$ (iv) Not Applicable (v) Not Applicable

Note: lt S mandatory for PAN holder to mention PAN and in case of no PAN it should be clearly stated "No PAN allotted" (5) Pending Criminat cases: (i) lheclare that there is no pending criminal case against me. (Tjck this alternative if there is no criminal case pending against the candidate and write NOT APPBICABLE against alter native (ii) below).

(a) FIR $lO. With name and Address Not Applicable Not Applicable Not Applicable of Police station concerned. (b) Cas$ No. With name of The Not Applicable Not Applicable Not Applicable Court (c) Section(s) of concerned Not Applicable Not Applicable Not Applicable Actg/codes involved (give no. of the sections, e.g. section...... of lPC,petc.). (d) Brief description of offence Not Applicable Not Applicable Not Applicable

$

E

Er Magisuatc F Chicl Juticiat - Sotpa UslrlGr H EsstYs'tdlg b H 11 6Ll 11 E 0b

|\-.1 Ir, INDIA

qwiqe qtrT ARUI\ACHAL PRADESrI 01 AA 094 (e) Whether charge have been Not Applicable Not Applicable Not Applica\ framed (mention YES or NO)

':, (f) lf answer against (e)above is Not Applicable Not Applicable Not Applicable YES, then give date on which

charge were framed (e) Wfi etherany Appeal/Application Not Applicable Not Applicable Not Applicable for revision has been filed ag{inst the proceedings (mention YES or NO) f;on (ii) The following criminal cases are pending against me; f tf there are pending criminal cases against the candidate, then tick this alternative and Score off alternative (i) above, and give details of all pending cases in the table below)

,.1 (a) FIR NO. With name and Special. (vigilance)(T) Special. (vigilance) (T) case AdFress of Police station Case No.03l2OL2 No.O7/2Ot2 concerned E

(b) Case No. With name of The Specia!. (vigilance)(T) Special. (vigilance) (T) case CoErt Case No.03lzOtz. No.O7l2Ot2.

H

B ...fu p

E ts E 6z> trl B

.T

INDIA

I N eli qgi stvr ARUNAcHAL PRADESH O1AA O

H SpecialJudge, North SpecialJudge, North Lakhimpur Assam. Lakhimpur Assam.

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(c) Sebtion(s) of concerned Acts/ Section(s) Lz0lbl, 42O, Section(s) 120(b), 420, 468 codes involved (give no. of the 468&47t tPC, R/W &47t lPC, R/W Section, sections, e.g. section...... of lPC, Section, rg(rXcXd) & r3(rXcXd) & 13(2) PC Act. et6.). 13(2) PC Act. (d) Brief description of offence 1. Section 120(Bl- 1. Section 120(B)- rl H Punishment for Punishment for Criminal Criminal conspiracy. conspiracy. F 2. Section 420- Cheating 2. Section 420- and dishonestly Cheating and A 4 inducing delivery of dishonestly property. inducing delivery H 3. Section 468 -Forgery of property. for purpose of 3. Section 468 -Forgery for H cheating. purpose of cheating. 4. Section 471-Using as 4. Section 471-Using as E q genuine a forged genuine a forged document document or or electronic record. € electronic record. s. Section 13 (rXcXd)- s. Section 13 (lXcXd)- Criminal misconduct by a H E Criminal misconduct public servant. by a public servant. 6. Section 13 (2)- Punishment

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rlu 2 7 qqaT r ARUNIACHAL PRADESH CI1 AA 09 9 a 6. Section 13 (2)- for criminal misconduct Punishment for committed by a public H criminal misconduct servant public servant. committed by a E public servant.

(e) WFether charge have been Yes Yes fr'amed (mention YES or NQ)

(f) lf &rswer against (e)above is 20th March 2017 20th March 2017 YES, then give date on which chHrge were framed (e) Whether any Appeal/ NO NO Ap$lication for revision has begn filed against the prdceedings (mention YES or No) (6) of Conviction: (i) I declare that I have not been convicted for any criminal offence. 1ti.t tf,ir alternative, if the candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below) Eon (ii) I have been convicted for the offences mention below: ($ tne candidate has been convicted, then tick this alternative and score off alternative (i) above, and give details in the table below). ,u; \r

x chirl Julicid Ma{israt0 E S.ppa \' Eert r'tntig Udtld E 5L9I t7

s IY INDIA

tl., sTWTTE-M TK{T ARUhIACHAL PRADESH 01 AA 09 9 F 6. Section 13 (2)- for criminal misconduct

E Punishment for committed by a public F criminal misconduct servant public servant. committed by a E public servant.

(e) her charge have been Yes Yes fr'amed (mention YES or NO)

(f) tf r against (e)above is 20th March 20L7 March 2017 YES, then give date on which chdrge were framed (e) Whether any Appeal/ NO NO Ap'plication for revision has been filed against the prdceedings (mention YES or NO (5) of Conviction: (i) I {eclare that I have not been convicted for any criminal offence. lfict ttris alternative, if the candidate has not been convicted and write NoT AppLtcABLE against alternative (ii) &on below) (ii) I have been convicted for the offences mention below: ($tne candidate has been convicted, then tick this alternative and score off alternative (i)above, and give details in the table below).

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Chirf Juticirl Megidrab 3s99a { Earr fsnng Ustct I a 6 2Lf I 8 rl

fl INDIA

3TF g+YT ARUNACHAL PRADESH 01 AA 0?4 (a) Case no. Not Applicable Not Applicable Not ApplicaQe-\ (b) NaQe of the court Not Applicable Not Applicable Not Applicable-\

(c) Sec$ons of Acts/ Codes Not Applicable Not Applicable Not Applicable involved (give no. of the sect{on e.g. Section... of lPC, etc.). (d) Brief description of offence for Not Applicable Not Applicable Not Applicable whidh convicted (e) Dates of orders of conviction Not Applicable Not Applicable Not Applicable (f) Punishment imposed Not Applicable Not Applicable Not Applicable (e) Wh6,ther any Appeal has been Not Applicable Not Applicable Not Applicable filed against conviction ord$t(mention YES or NO) (h) lf answer to (g) above is YES, Not Applicable Not Applicable Not Applicable give$etails and present status of appeal (6A) I hage given full and up-to-dated 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)- YES. (Candidat& to whom this item is not applicable should clearly write NOT APPLICABLE lN VIEW OF ENTRIES lN 5(i) and 6(i), above) ): H (7) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and alkdeoendents:+' A. Details of Movable assets: h IJ h *.il:Hffi

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t; F staT ARUIIACHAL PRADESH 01 AA 094 2 SI DeyriRtion Self Spouse HUF Dependent Depend oeS No. Tapuk Taku FesomTaku -1. Sonam ent-3. nt-4. Jofr\

E1 Taku Mama Taku Taku (i) Cash in hand Rs. 2.9 Lakhs Rs. 3.3 Not Nil Nil Nil H (approx) lakhs Appli (Approx) cable (ii) Pe&ils of deposit a) Ac Not a)Ac. in Bank accounts No.1187657943 a)Ac Appli No.200219 Nil Nil (FDRs, term L,SBl Seppa no.118765 cable 60933, SBt Deposits and all Branch. 68645,S8t Naharlagu other types of Amount- Seppa n branch deppsits including Rs.15909/-. branch amount savifig accounts), b) Ac Rs.25996/- Rs.8000/- Deppsits with no.3008489897 b)n/c No. fina$cial 7, SBI b)Ac 478300010 lnstitution, non Naharlagun no.3215,A. 0057870, ban&ing Financial branch Amount P. state Punjab companies and Rs.20,000/-. Co.op. National

Coderative c) Ac no.- Apex bank Bank , societies and the 5311,1.F Ltd seppa Ita naga r. amqunt in each No.35/229,A.P Branch Rs. such deposit State Co.op amounting 1.0,ooo/- a Apex bank Ltd to Rs.5089. E seppa Branch

B Amount c)AC E Rs.5223/- no.316652 :r 86618,S8t \ 6LG r4 s

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I N qtqT 3R''{QT-{rT ARUNACHAL PRADESH 01 AA 4949 I d) Ac. Seppa \ B No.0150920000 Branch 00193 Yes Bank against

B Ita naga r, M/S FT balance at enterprise, Rs.10000/- amounting E (Approx). to Rs.20,000/- H

d) .A/C No. B 201,002927 450, $ lnduslnd Bank, Ita naga r q e against A M/S FT

E Enterprise t" Rs.30000/- e) AC. No. B 688L1_4037 434, Apex E Bank seppa, E Amount Rs. 732140/- B E' d)Ac. No.688114 \ c E

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c.l !.{q Y :l AA 094940 019324, q Apex bank E Seppa, Amounting to Rs. 2000/- (iii) oe&ils of investment in sof;ds, Not debentures/Share Nit Nil appli Nil Nil Nil s $nd Units in cable companies/mutua I frEds and others and the amount. (iv) De$ils of 1. Not lnsurance a)lnsuran inv6stment in NSS, a) lnsurance in lnsurance Appli in LIC vide NIL ce in LIC Postal Saving, LIC vide policy in LIC vide cable policy vide lnsgrance policies No.441935891, Policy no.442400 policy and investment in sum assured no.442396 n: 738 Sum no.44285 any Financial Rs.500,000/-. 478 Sum assured 9059 ins&uments in assured Rs.100,000 sum post office or b) lnsurance in Rs.300,000 t- assured ins{rance LIC policy vide t- Rs.100,0 company and the no.442859055, o0/- ampunt. sum assured 2. Aviva Rs.100,000/-. life insura nce c) Birla sun life some I ii F

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U (" yt{r ARUI\ACHAL PRADEST-I 01 AA 0949 lnsurance vide assure at B policy \S I Rs.200000/ no.006307194,s Assured Mutual B um 3. Rs.26,00,000/- fund Rs. so0o/-

4. Mutual CI EI fu nd Rs.5000/-

H s. Llc sBt I No.530067 17109 sum assure Rs. H 3lacs.

B 6. Mutual fund at Rs. 20 Lacs.

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(v) Per{onal Not loans/advance appli giv$ to any cable person or entity Nil Nil Nil Nit Nil inclpding firm, company, trust \n

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ors-'Ifu qt{T ARUI\IACHAL pRADESH O1AA O etc., and other \ receivable from debtors and the amount.

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(vi) r 1 mini 1,. Ford vehicles/Aircrafts/ Truck Figo yac$s/ships Nil bearing Not bearing (Details of make, registration appli registratio Nil Nit regiEtration no.AR-01F- cable n number etc. year 3645, year no.AR01f5 of purchase and and of 630, year amo1rnt) purchase and date of 26l04lt3 purchase E amounting 21_/06/2O1. to Rs.7 3. amount la khs. Rs.6 lakhs d). Renault 2. Duster Excavator Bearing bearing No.AR01J- B Rgn.No. 0970, date E AR02-4531, of Ig Year of purchase purchased 20L6, cost 20L6, cost 9 Lakhs $ Rs 25 approx). \

B Ghrel gsrsd vat""nq Sast B i. €zc / 14

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q+{T ARUNACHAL PRADESH 01 AA Lakhs(appr ox). C) scorpio \ AR.0s/602 3. Fukland 3, cost at excavator,2 Rs. B 018, 120OOO/- pu rchase H cost 38,00000/- E (bank Loan) g f;

a E

(vii Jew$lery, bullion Local Ornament Gold- 12 Not Nil Nil Nil

) and valuable Rs.6 gm, Appli thinq(s) (give lakhs(Approx) amounting cable details of weight to Rs. 2 and galue) I Lakhs(Appr ox). (viii Any *other assets a)1-revolver a) M/s a)M/S raku a) Nil ) suche as value of no.B- Homeo Not Medico Trading claims/interest 68212,license drugs Appli centre license No.tttlSPA/5621 house cable License for $ 2001 dt License no.TLlSPA purchas 20.o9.2001, Rs, no.D/L 1.48- e, B 2 lakhs. no.2003/9. 02.(not sale/sto \

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Grcrrrkf, s+{T ARuI{ACHAL pRADESrI 01 AA 09 5

B running re for b.) one .22 gun b)trading (wef 200L) sale of E bearing license for E b) Trading food no.153 101445 purchase, license for grain at cost of sale & barber license Rs.90,000/- store for license no.EK H (Approx) sale of No.TL/SPA- D/FPS- food grain 47ls7lo2.{ 6s/2003 E License not . (not No.EKD/FP running running H EI S- wef 2001) wef BASO/FPS 2001). 27 H /95.(not c)Trading Trading running license for license

H wef 2001) fresh for vegetable purchas c)M/S F.r license e, sale E enterprise no.TLlSPA- and license No. 331/94- storage H TLlSPA- 95/32.(not of so/2012- running kerosen H 1,3/281. wef 2001) eby reta iler c E d) d)M/s dealers Enlistment sonam dry other contractor clea ner than certificate license hawker. R no no PA- License

$

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3IG'UilHf, qqfl ARUNACHAL PRADESI.I 01 AA 09 9

cEAP(CSQ) 129.(not no.SKO/ lw- running RO,L- 48/2OL7- wef 2001) L2/2006 18lrlt7s. e)M/s .(not Taku Drug running e , House wef license 2001) no.95/78 & & E ssl78 95/79.lnot running fi wef 2001)

B

(ix) GroBs Total value Rs.4431L32/- Rs.1295522 Not Rs.281800 Nil Rs.1,00,0 s/- Appli o/- 001- cable B. Details lmmovable Note: 1". Properties in joint ownership indicating the extent of joint ownership will also have to be indicated. H Note: 2. Each land or apartment should be mentioned separately in this format. Note: 3. OBtaits should include the interest in or ownership of offshore assets.

S Desc5iRtion Tapuk Spouse Fesom HUF Dependent- Depende Dependent No Taku Taku t. Sonam nt- 3. -4. Jom Taku Mama Taku Et Taku

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qtvr ARUNACHAL PRADESH 01 AA 094 Aefficultufpl Land at Horticulture Not Horticulture Nil Nit \ (i) ---'-_-'Ertand Kakukao land near applicab land near Loclltio ns(s)su r Village Nisam le Nisam vey number(s) No. LPC Sonam/Hari Sonam/Hari Obtained Bridge, Seppa, Bridge, Alloment No.- Seppa, LPCl201.3 Alloment H Dated No.- LM- 22/0312013 L38/20L0 tlE Dated L2lOs/2010 B Area (Total 2.47 0.8 Acres Not 3.46 Acres Not Not measurement Acres (approx) applicab (approx) applicabl applicable in aEres) (approx) le e

Wh$ther Yes No Not No Not Not inherited applicab applicabl applicable prof;erty (Yes le e or No)

z Date' of Not 14107.1996 Not 1_4.O7.1996 Not Not purqhased of applicable applicab applicabl applicable selfJ acquired le e propBerty

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$ L =t 63 ? /? 18 I

E INDIA

Elc'l l,l(l '! a9 49 Cos[ of Land(in Not Rs 30,000/- Not Rs 30,000/- Not Not case of applicable applicab applicabl applicable\ pur$hase)at le e the time of pur6hase

AnyB Not No Not No Not Not investment on applicable applicab applicabl applicable the E way of le e development, conEtruction etc.

H F

E Apptoximate Rs Rs L2,30,000/- Not Rs Nil Nil currFnt market 22,OO,O0O (approx) applicab 7,3O,OOO/- valuE. le (Approx) (Approx)

H (ii) Non- a) Type lll a) Type lll aeriE-ultural ALC Line l.Type lll Not Colony, Not Colony, Iand: colony Colony, Seppa. applicab Seppa applicabl Seppa Loc$ions and Seppa Allotment No. le Allotme e $llotm

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q+{T ARUI\ACHAL PRADESH 01 AA 094 surrEy allotment LR-L2412000- nt No. ent No. number(s) no. LR- 01. Dated- LM. LM- 03/88/89 22.OL.2004. No.145l No.145 2012- 12012- E b)LPC No. 13. 13. DC/LM/LPC- Dated Dated E 058/06, Dated 25.LL.2 25.lL.2 171O7 /1.5, at 013. 013. a Jollang-03. b) Type-lV

B colony E Seppa allotme E nt no. LM- u E ot/2oL2 -13.

Area' (Total zso Not a) 3s1 Not 200 sqmtrs meaEurement sqmtrs -67 sq.mtrs applicab Sq.ft. applicabl ins&.)) -2625sqmtrs le b) 26s.00 e Sq.ft. Whefher No No Not No No No inherjted applicab property (Yes le or No) !l ,:. I I F

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t1 r q+fl ARUI\ACHAL PRADESH 01 AA 09 Datd of Not Nil Not No No No purc$ased of applicable applicab self-r;acquired le property Costfof Land(in Not Not applicable Not Not Not Not case of applicable applicab applicable applicabl applicable purcliase)at le e the time of purc$ase

Any Not Rs 23 lakhs Not a) Yes Not Nil inve$ment on applicable (approx) under applicab 1 applicabl " the way of construction le RCC e deveppment, Buil consfiuction ding etc b) No E

Appr$ximate Rs 12 -Rs 20 lakhs Not -Rs L0 Lakhs Not Rs 12 lakhs current market la khs (approx) applicab (approx) applicabl (approx) value6 (approx) Rs 18 lakhs le -Rs 15 Lakhs e (approx) (approx) (iii Comruercial Nil a). 1 RCC Not 1 RCC Nil Nit ) b*td,H*- Building at applicab Building at Locatipns(s)sur Type lll Colony, le Type lll vey nfimber(s) Seppa. colony \

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gIqI ARUNACHAL PRADESH 01 AA 09487 Allotment No. Seppa. LR-124/2OOO- Allotment H 01. Dated- No. LM- 22.01.2004. 1.4s/2012. E Dated 2slLL|2O1.3. H Area* (Total Not 67 Sq.ft. Not a) 351 Not Not meaSrrement applicable applicab Sq.ft. applicabl applicable in sq.ft.) le b) 26s.00 e Sq.ft.

f, Built-up area Not No Not 1800 sq.ft Not Not (rot{ applicable applicab (approx) applicabl applicable measurement le e in sq{t.)

Whe$er Not No Not No Not Not inherlted applicable applicab applicabl applicable property (Yes le e or rud

Date E of Not Not Not Not Not purchased of applicable applicab applicable applicabl applicable self- f acquired le e property

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q+qT ARUNACHAL PRADESH 01 AA 094878 Cost of Not Rs 15 lakhs Not Not Not Not proBerty (in applicabl- applicab applicable- applicabl- applicable- case of e -le e pur$rased) at the " time of purqfiased a

AnvH Not a) 1 RCC Not Yes t Not Not investment on applicable Buildin applicab grocery applicabl applicable the $ way of gat le shop e development, Type lll construction con$ruction colony at type lll etc Seppa, colony, allotm Seppa. [l ent No. LR- H 124/20 0.01.03

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qiYI ARUNACHAL PRADESH 01 AA 094879 Approximate Nil a) Rs Not Rs 25 Lakhs Nil Nil cur[f]nt market 27,OO,O applicab (approx) valJb. 001- le (appro x) b) Rs 20 Lakhs B (appro H x)

E

IV Residential Buildines ALC a))LPC No. Type lll GFr-*(r)r* colony DC/LM/LPC- Not colony veypumber(s) Seppa(OB 058/06, Dated applicab Nil Nil (OBT)Seppa d r). 17 /07 /1.5, at le , allotment Allotment Jollang-03. No. LM- E No. LR- Under 01./2012- o3l88-89. construction 13, Dated- B 26.O2.20\3

H Area (Total 250 sq.ft. -2625 sqmtrs Not Not Not 200 sq.ft. meffurement applicab applicable applicabl in sq.ft.) le e

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3rsuH-qf, q+{T ARUNACHAL PRADESH 01 AA 094880

Built-up area 120 sq.ft Not applicable Not Not Not Not (Total (approx) applicab applicable applicabl applicable measurement le e in sq.ft.)

k WhEther No Not applicable Not Not Not No inherited applicab applicable applicabl proiierty (Yes le e or \o)

Date of Not Not applicable Not Not Not Not pur{irased of applicable applicab applicable applicabl applicable self- acquired le e profierty

cost of Not Not applicable Not Not Not Not property (in applicable applicab applicable applicabl applicable CilSQr of le e purc%ased) at the * time of purdlased

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k\U Elod q( P ESH 01 AA 09488 Any Yes Under Not Not Not No t invqstment on boundary construction applicab applicable applicabl developme theB way of construct le e nt development, ed conBtruction etc

Approximate Rs -18 la khs Not Nil Nil Rs 5 Lakhs cur*nt market 9,00,000/ (approx) applicab value. le

E (v) OthErs (Such Nil Nil Not Nil Nil Nil as finterest in applicab proferty) le

(vi TotS of Rs Rs 15360,000/- Not Rs Nil Rs 17 Lakhs

) current market 43,00,000 applicab 5730000/- valu$ of (i) to / le (v) (8) I give herein below the details of liabilities/dues to public financial institutions and government:- (Note: plgase give separate details of name of bank, institution, entity or individual and amount before each item) .i'9, H .*,d,".h$:s. B g4v'trs'' H 6 l") t 26

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3i6lTfu-f, q+.fl ARUNACHAL PRADESH 01 AA A9487 S Description Self- Spouse- Fesom HU Dependent Nol--Sonam Depende No Tapuk Taku F Taku ntNo3 Ta H Taku Mama Taku (i) dues Nil Loan for one fuk Not Nil Nil Nil to land excavator app Ban$/financial amounting to Rs.38 lica ingtitution(s lacs a nd ble Narge of the installment are Bank or paying at Rs. insti$ution, 105000/- and amotrnt outstanding at Rs. outstanding, 1.s1.2463/- nat#'e of loan)

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Loarfi or dues Nil Nil Not Nit Nil Nil to any other app indii{id ua lslent Iica ity other than ble mentioned aboyp -Nanie(s), Amoqnt outstanding,

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3{Fr]ITH-f, gi{l. ARUNACHAL PRADESH 01 AA 0951

E E

5 E

Any other Nil Nil Not Nil Nil Nil applicable $iabilitv Grand total of Nil 1s72463/- Not Nil Nil Nil liabilities applicable :]

(ii) nGovernment (A) Has the Deponent been in occupation of YES ''dues: accommodation provided by the Government at any to time during the last ten years before the date of ", Dues ifuepartments notification of the current election? dealing (B) lf answer to (A) above is YES, the following declaration $ruittr may be furnished namely: - Government (i) The address of the Govt. accommodation:- paccommodatio n (a)Quarter No. 5 Type- V-6 at C- Sector, ltanagar,

E (a) There shall be dues payable in respect of above Government accommodation, towards - Rent; H (b) Electricity (c) Water charges: and g (d) Telephone charges as on, L8lO3lL9, L8lO3, Lglo3lL9 andL5lo3lt9, (The date should be the last of the third month prior to the month in which the V election is notified or any date thereafter) 0i\cl *sffi L I € / I

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sTlsgT]tr-f, q+{T ARUNACHAL PRADESH 01 AA 09487 Note - 'No Dues Certificate' from the agencies concerned in B respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be

H submitted. (iii) Dues to NIL depiirtments dealing with GovQrnment tra nspo rt (inclgding aircrafts and helipnte rs)

tr (iv) lncome Tax Nil Nil Not Nil Nil Nil applicable

E

q Self- Tapuk Spouse- HUF Dependent No Depended No Dependent Taku Fesom Taku L-Sonam Taku 2- Mama Taku No.-3 Zom

I Taku H

(v) GST Nil Nil Not Nil Nil Nil applicable (vi) Municipal/Pro Nil Nil Not Nil Nil Nil pertfl Tax dues applicable \

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.rwTfuH qeYr ARUNACHAL PRADESH O1AA O

(vii) Anf other Nit Nil Not Nil Nil Nit dues applicable (viii) Gra nt total of Nil Nil Not Nil I Nil Nil all t applicable Government dueE

(ix) WhSher any Nil Nil Not Nil Nil Nil other liabilities applicable are in dispute, if SO, men$ioned the amoilnt invo[yed and the R authority before which it is fiending. (9) Details of profession or occupation: (a)helf- Tapuk Taku: - Politician (b) spouse- Fesom Taku: - House wife/Business (9A) Details of sources of income: s. Self - Tapuk Taku Spouse- Fesom HUF Dependent Dependent Dependent No. Taku No. 1- Sonam No.2- Mama No. 3- Zom Taku Taku Taku

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3l6rTrqf, gi{T ARUNACHAL PRADESH 01 AA 09

a) S Salary Rs 50,000/- Business Not Nil Nil Nil 2'.Pension Rs.15909/- (business) applicable I E

(9B) con$acts with appropriate government and any public company or companies

S. No. Descriptions Self Tapuk Spouse- Fesom HUF Dependent Dependent Dependent Taku Taku No. 1- No.2- No. 3- Zom Sonam Mama Taku Taku Taku a) Details of Nil M/S FT Not Nil Nil Nil $contracts Enterprise - 1. applicable entered by EE PWD, ,Ethe Seppa, c/o RCC candidate, Bridge -2018. f pouse and 2. EE PWD, dependents Seppa, clo improvement lt & maintenances of various I & Roads, bridges and building

E under Bana Sub Division, Seppa, E ( PHED 3. EE N ./ l-

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gAYr ARUNACHAL PRADESH 01 AA CI9 water supply 2017. H 4. EE PWD Seppa, CIO E Expansion of RCC bridge at B seppa township near g DC's Bunglow. 5. EE PWD seppa, C/O cC step lron Hand

F Railling. 6. EE PWD

H Seppa c/o Steel suspension bridge at pacha E morang, seppa. 7. EE PWD Seppa , CIO H seppa town road widening. g 8.EE,PWD Seppa, CIO Raod H construction at Modelvillage. fi

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ersurtqo q+{T ARUNACHAL PRADESH 01 AA 09 b) Details of Not applicable Not applicable Not Not Not Bontracts applicable applicable applicable *,I entered into I bv Hindu I Undivided hamily or trust in fthicn the candidate gr spouse or dependents Iave ihterest c) Qetails of Nil Nit Not Nil Nil Nil Sontracts, applicable entered into by prtnership Firms in rghich candidate or wouse or d'ependents ale partners d) details of Nil Nil Not Nit Nil Nil contracts applicable fhtered into by private Au

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ETSUTtrO qiYI ARUNACHAL PRADESH 01 AA 09 0 Qompanies iii which N candidate or dfuouse or dependents libve share

(10) My e$ucation qualification is as under;-

Clgss Xll Standard passed Name of the School: Govt. Higher Secondary School Seppa. Ymrs of passing: L5lO7lLe87. E (Give details of highest school/ University education mentioning the full form of the certificate/ diploma/degree course, name of the School /University and the year in which the course was completed.

PART.B (11) ABTRACT oF THE DETATLS G|VEN rN (1) TO (10) OF PART-A:

1 Name of the candidate Tapuk Taku 2 Full pBstal Address Kakukao Village, PO/PS-Seppa, East Kameng District, Arunachal Pradesh, Pin no.790102. 3 Num6er and name of the constituency and 10- Seppa East (ST) Assembly Constituency Arunachal state Pradesh. t 4. Namd of the political party Which set up the National People's Party (NPP) candidate(otherwise write'lndependent') I

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\J (' qt{T ARUNACHAL PRADESrI C1AA O 5. Total number of ndi criminal cases 6. number of cases in which convicted Nil 7 Years for which last Total income shown ri{ PAN of income tax return filed

Self- Tapuk (a) Taku AJSPT3598F Not Applicable Not applicable

AKCPT3460 Not Applicable Not applicable (b) Spouse- Fesom Taku

Not Not applicable Not applicable (c) HUF Applicable

) Dependents 1. Dependent 1- AOIPT3885N Nil Nil B Sonam Taku

H 2. Dependent-2- Mama Taku Nit Nil NIL

B

ga Dependent-3- Zom Nil Nil Nil Taku

8 oetaHs of Assets and tiabilities (incruding offshore assets ) in rupees

H

B c"r"\ osds s e$ 6sr rf

INDIA

arsuTfq-f, vtfl ARUNACHAL PRADESH 01 AA 09

Description Tapuk Taku Fesom Taku HUF Sonam Taku Mama Zom Tahri H Taku

A Mo$able Rs.4431132 Rs. Not Rs.2818000/- Rs.L,00,0 Assets(Total value) L29ss22s/- Applicable NIL 00/- H B lmmovable assets s Not Not Rs.30,000/- Not Rs.30,000/- Not Applicabl applicable applicable Applica e I Purchase orice of ble [elf -acquired immovable htop"rty

H Development/co lt pstruction cost of NIL NIL Not NIL NIL NIL immovable Applicable f roperty after purchase(if

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q-qTI 315.OTTTT AR U T{AC HAL P RAD ES I.I 01 AA 0948 c\ \ ilr F Approximate Current market Rs.9,00,000 Rs.86,30,000 Not Rs.78,30,000/ NIL price- t- t- Applicable ool-

(a) Self- acquired assets(to tal valued)

(b) lnherited Rs.19,00,00 NIL Not Nil Nil Nit assets o/- Applicable (total value)

9. tiaBilities

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err;wrlqo q-+qT AR u r.{AC HAL P RAD ES t-l 01 AA 0948

Government NIL NIL Not NIL NIL NIL Dues(Total) applicable

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Loan B {-oans from bank, NIL obtained for Not NIL NIL NIL ll Financial purchase of applicable Hnstitutions and Fukland from others(Total) SBI seppa at rt H Rs.38,00,000 /- out standing Rs. B L51.2463/- and EMI is 6 regular.

10 Liabilities that are under dispute t

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2 e q+{t ARUNACHAL PRADESH OiAA O 94 \ povernment (i) Dues(Total) NIL NIL Not NIL NIL NIL applicable

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(ii toans From Bank ) ,Financial and fhstitution NIL NIL Not NIL NIL NIL others (Total) applicable

B

LT I gisrrer Xllth Pass Vth Pass Not Becholar in Studyin I educational from Central from applicable Business I gat I gualification : Board of Government administration NIL class (Give details School Moddle (BBA) Vll,Arm qf highest certificate School Symbiosis y public fthool/ (CBSE), from Seibibo year University, dugsia university Government of passing Bangalore, Himach &ucation Higher not known Karnataka al mentioning Secondary Pardesh the full from of school l the seppa in ht , certificate / the year of Qjploma/degree L987, ,l

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srsqHf, stqr ARUNACHAL PRADESrI 01 AA 4949 course, name of the School Arunachal \ fi/collage/univers Pradesh ity gand the year in which the ..course ' was ocompleted.) l, the deponent, above named, do here by verify and declare that the contents of this affidavit are true to the best of my knowledge and belief and no part of it is false and nothing materials has beentoncealed there from. I further declare that:- (q) There is no case of conviction or pending case against me other than those mention in itesm F 5 and 6 of part A and B above; ([) t mV spouse or my dependent do not have any asset or liabilities, other than those mention in the items 7 and 8 of part A and items 8, 9 and 10 of part B above.

Veriried AO/frf*.....this .....?**day or tx "... DEPONENT

11 Chief Judicial strate Judkliet i[?ristirte ChLt Seppa Gourt SsPPa, E/ltirtreng Dlrt Arun dld Bed6h lfDgrrUC' Chlct Jud'lcraf B Dt# Ed fttr'rto rt B

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