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Ghatak Moloy I / TEN RUPrEES .10 Rs.10 WE:ST RENGAL • l~ 45AA 639183 -- ANNEXURE-I 1 ~. , .. A· -.I't,"~ ~Lr:'"'1 " /. \ ~ ..'~;' '" ....' Affidavit to be furnished by the candidate along with Nomination Paper '1./~ ' ,'before the Returning Officer for election to Legislative Assembly from 281, . ..r..,J.,~"~ Asansol Uttar Assembly Constituency 13 APR 2011' a I, MOLOY GHATAK, son of Shri. PHANI BHUSHAN GHATAK, aged about 55 years resident of Upper Chelidanga, P.O. Asansol-4 , P.S. "A',,,nsol (South), District Burdwan , West Bengal, Pin code - 713304, a '~l'il:. r' rlidate at the above Election, do hereby solemnly affirm and state on ........... as under:­ I am the candidate set up by A.I.T.C. Page 1 of 8 (2) Details of PAN and status of filing Income tax return . SL Names Permanent The financial year Total income No. Account for which the last shown in Income Number (PAN) Income Tax Tax Return (in return has been Rupees) filed 01. Moloy AHGPG­ 2009-2010 ~2,62 , 530 . 00 Ghatak 16450 02. Sudeshna ASXPG­ 2009-2010 ~1 ,88,462.00 Ghatak 7778G 03 . Avik AKAPG­ 2009-2010 ~2,09 , 570.00 Ghatak 2394P (3) The following cases are pending against me in which nce has been taken court :­ L Offence Description No. 01. The details of the cases where (i) Jamuria P.S. Case No. the court has taken (G.R. Case No. 565/98) uls cognizance, Section of the Act 147,148,149,325,326,307 of IP.C. and description of the offence (ii) Asansol (South) P.S. Case No. for which cognizance taken 23/2000 (G .R. Case No. 85/2000) uls 341,323,379,506,34 of LP.C. (iii) Asansol RPF Post Case No. 315/06 (RCT Case No. 1305/06) u/s 179,147, 174 of LR. Act (iv) Salanpur P.S. Case No. 61/05, u/s 147,148,1 49,186,353 & 357 of LP.C. , 3 & 4 of POPP Act, and 9 of MPO Act. (v) Andal PS. Case No . 164/2008 (GR No. 1110/2008) dtd. 12.12.2008, uls 143,341,342, 363,427,506 of LPC (vi) NTS P.S. Case No. 50/2009 (GR Case No. 392/09) dtd . 22.04.2009, u/s 147,149,349,323,379,353,506 of LP . and 133 of RP.Act. Name of the court, Case No. (i) Ld . A.C.J.M. at ria and Date of order taking P.S. Case No. 92/98 and cognizance cognizance taken on 22.12.1998. (ii) Ld. J.M. 6th Court at Asansoi, Asansol (South) P.S. Case No. 23/2000 and cognizance taken on 02.01.2001 . (iii) Ld .•LM. 6th Court at Asansol, Asansol RP.F. Case No. 315/06 and cognizance taken on 09.10.2006 (iv) Ld . A.C.J.M. at Asansol, Salanpur P.S. Case No. 61/05 and cognizance taken on 14.09.2006. Ld . 6th J.M. at Du , Andal 2 of: I P.S. Case No. 164/2008 and l J cognizance taken on 15.06.2009 . (vi) Ld . AC.J.M. at Durgapur, NTS P.S. Case No. 50/2009 and cognizance taken on 10.06.2009. 03. Details of Appeal(s)/Application(s) for - NIL­ revision (if any) filed against the above order(s) 04. Cases in which I have been convicted by a court of law (other than referred in Form 26) (a) The details of cases, Sections of the Act and description - NIL­ of the offence for which convicted lb) Name of the Court(s), Case No. and Date(s) of order(s) - NIL­ (c) Punishment imposed Not Applicable That I give herein below the details of the assets (movable and immovable etc.) of myself my spouse and all dependents: A. Details of movable assets ( Note: Assets in joint name indicating the extent of joint ownership will also have to be given.ln case of deposit/Investment, the details including serial number, amount, date of deposit, the scheme, name of bank/institution and branch are to be given.Value of bond/share/debentures as per the current market value in stock exchange in respect of listed companies and as per books in case of non-listed companies. Dependent, here means a person, substantially dependent on the income of the candidate. Details including amount IS to be given separatelyI .In respect 0 f eac h Investment) SI. Description Self Spouse Dependent-1 l-No' \' to . Cash in hand ~42,350.00 05,500 .00 ~14,900.00 (ii) . Details of Deposits in Bank F.D.R. (1) S.B.1. Corporation accounts (FDRs, Term Deposits Syndicate Asansol Bank, and all other types of Deposits bank and ors. moo Asansol. including saving accounts), ~3 , 99 , 528 . 00 (2) Syndicate ~1 ,06,000.00 Deposits with Financial (1 ) Bank Institutions, Non Banking Corporation ~3743.85 Financial Companies and Bank, Asansol Cooperative societies and the ~54,930.54 amount in each such deposit (2) Syndicate Bank, L1CI Branch, Asansol. ~1, 12,033.67 (3) lOBI Bank, Asansol ~48 , 469 . 00 (4) Syndicate Bank, Asansol Branch ~6 , 066 . 37 I (5) lOB, / Asansol Branch ~4 , 921 . 00 (6) Allahabad Bank, Apcar Garden , Asansol ~624.06 (7) S.B.I Bidhan Sabha Extn . Counter, Kolkata ~5 974.99 ~8,OOO.00 - NIL ­ - NIL - 13 APR of investment in NSS, Postal Savings, Insurance Policies and investment in any L.IC. LlC. - NIL ­ Financial Instrument in Post ~5,52,454.00 n2,OOO.00 Office or Insurance Company and t amount Personal loans/advance given to any person or entity including firm, Company, Trust, etc. and - NIL ­ - NIL ­ - NIL ­ other receivables from debtors and the amount. (vi) Motor TA MARUTI­ Vehicles/Aircrafts/Yachts/Ships WB38U/8519 WAGON R SCORPIO (details of Make, Registration No. 2008 WB38N/2888 WB38Y/9888 etc, Year of Purchase and N,90,OOO.00 2004 30.04.2010 nOD (vii) ,and valuable thing (give details of weight and ~46,800.00 ~2 , 88,OOO.00 - NIL­ 40 gms 240 gms va (viii) Any other assets such as value - NIL ­ - NIL­ - NIL­ of Claim i B. Details of Immovable Property : Properties in joint ownership indicating the extent of joint ownership will also have to be indicated. (Each land or building or apartment should be mentioned separately in this format) SI Description Self Spouse Dependent-1 No. -- (i) Agricultural Land Location(s) - NIL - - NIL - - NIL - Surv~ numberis) Area (Total measurement in - NIL - - NIL - - NIL ­ acres) Whether inherited property , 1 WI "" '" ./' 40[8 ­ t" - Yes or No) Date of purchase in case of - NIL - - NIL - / - NIL ­ self acquired [Jr~er:.t1'.- Cost of Land (in case of purchase) at the time of - NIL - - NIL - - NIL ­ -..£urchase Any investment on the land by way of development, - NIL - - NIL - - NIL ­ construction, etc. Approximate Current market - NIL - - NIL -- NIL ­ value (ii) Non-Agricultural Land Location(s) Apcar Garden - NIL - - NIL ­ Survey number(s) R.S. Plot No. 408 Area (Total measurement in - NIL - 2160 - NIL ­ ~. ft) Whether inherited property - NIL - NO - NIL ­ (Yes or No) Date of purchase in case of I - NIL - 21 .11 .1997 - NIL ­ self acquired~~er:.t1'.- Cost of Land (in case of purchase) at the time of - NIL - ~1 ,20,000.00 - NIL ­ -..£urchase Any investment on the land by way of development, - NIL - - NIL - - NIL ­ construction, etc. Approximate Current market - NIL - - NIL ­ value ~2,40 , 000.00 ,..- (iii) Commercial Buildings ­ (including apartments) - NIL - - NIL - - NIL ­ ~ Location(s) • ~urv~ Numbe!1s) 0° (\/lUilt up area (Total amount in - NIL - - NIL -- NIL ­ & -- .~ RY ~. ft) * MD", Itv.Y.hether inherited property fo-n - NIL - - NIL - - NIL ­ "1 U Yes or Not &ega Ii e, ~:te of purchase in case of •~ 11.11. - NIL - - NIL - - NIL ­ .. ko~ self a~iredj)!o..Qe~ Q~l 'YI Cost of property (in case of purchase) at the time of - NIL - - NIL - - NIL ­ ~ .BJ.lrchase - Any investment on the • 13 APr. property by way of I ~Ol - NIL - - NIL - - NIL ­ • development, construction, etc. Approximate cu rrent market - NIL - - NIL - - NIL ­ value (iv) Residential Buildings (including apartments) Apcar Garden - NIL ­ Location(s) Apcar Garden House No. 72,A 1155(N) Survey number{~ Area (Total measurement in 3240 2160 - NIL ­ I /" 5 of8 sq. ft.) Bu ilt up area (Total 2280 1720/ · NIL· measurement in SQ . ft.) Whether inherited property NO NO · NIL· jYes or No) Date of purchase in case of 09061988 0508.1991 · NIL· self acquired property Cost of property (in case of Leased purchase) at the time of ~1 ,25,000.00 · NIL· purchase ~ 20,000 . 00 Any investment on the land by way of development, ~4,00 , 000 . 00 ~5,50 , 000.00 · NIL· construction , etc. Approximate current market · NIL· value ~1 3,2 5 , 000.00 ~12 , 50,000 . 00 (v) Others (such as interest in . NIL ­ - NIL ­ - NIL· property) (vi) Total of Current Market Value Not ~14 , 90 , 000 . 00 of10 to (v) above ~1 3 ,45 , 000.00 Applicable (6) I give herein below of liabilities/dues to public financial institutions and government:­ (Note: Please give separate details of name of Banks, institution, entity or individual and amount for each item) I. Description Self Spouse Dependent-1 No. (i) (1) State Bank Syndicate Institution(s) Bank Of India Bank Name of the Bank or FI ~2 ,3 7 , 564.4 3 ~2 , 0 6 ,084.62 ~6 , 24 , 660.91 Outstanding Car-loan Car-loan Car-loan r ure of Loan (2) Synd icate Bank ~3 , 84 , 154.32 Personal Loan or dues to any viduals/Entity other than in (i) above. - NIL - - NIL - · NIL· I 13 I\r 2 201 (ii) - NIL ­ - NIL­ - NIL­ - NIL ­ - NIL­ - NIL­ - NIL­ - NIL ­ - NIL­ - NIL­ - NIL­ - NIL­ government transport (including aircrafts and helico ters Income Tax Dues - NIL- - NIL - - NIL- Wealth Tax Dues - NIL- - NIL- - NIL- Service Tax Dues - NIL- - NIL - - NIL- Tax Dues - NIL- - NIL - - NIL- Sales Tax Dues - NIL- - NIL- - NIL- An other Dues - NIL- - NIL- - NIL- Grand total of all Govt.
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