Shri Mansukhbhai Dhanjibhai Vasava
livaeR711. Itoot :6 rya • •• -Rad iost AN,...m.9444w• MAHENDRA M. KANSAPLA NOTARY (Govt. ut WW1) 27AA 69U835 REG $o.438 ea. oi doui VA/R./R.01 X SR. NO. ( c.cre RO/— X0o0/— . O vla. mac., tel gaifail icrla I 41 5 jUt. 2014 a anal )1..sci6a) gni aose, C-II.ai. eke aonei 0-(-A0-1A‘ YHAZ1,11.-11,0-1,zt, ale! eluisee else, N ea3.44 ttit''ic"11 evisi 0.crilea, biaastcle. ejecrii Magi etillttt, z,i,1 3kcR,m(1-tt gig el '7-..... AFFIDAVIT I, MANSUKHBHAI VASAVA s/ o. DHANJIBHAI KHATARIABHAI VASAVA, Age: 56 years, Resident of: RAJENDRANAGAR SOCIETY, RAJPIPLA, DIST. NARMADA, GUJARAT STATE, INDIA - candidate of aforesaid election, do hereby solemnly state and affirm as follows that: • 2 1. I am candidate promoted by the BHARATIYA JANATA PARTY (Name of the political party). 2. My name is registered in the Voters list of 21-Chhota Udepur (S.T.) Loksabha Election constituency, (S.T.) Vidhansabha Election Constituency, Gujarat (Name of the constituency and State), Part 152/289 Sr. No. 424. 3. My contact No. is (R) (02640) 224300 and my e-mail ID (if any) is mansukhbhaidhanjibhaivasava©gmail.com and my Social Media Account (if any) is with on Facebook. 4. My Permanent Account Number (PAN) and details of payment of Income Tax Return: Sr. Name PAN No. Accounting Total Income No. year of last as shown in payment of Income-Tax Income Tax Return Return (Rs.) 1 Self ADSPV1810G 2013-14 4,50,000/ - 2 Spouse-Sarashvatiben APGPV6380K 2013-14 3,03,075/ - 3 Dependant-1 No N.A.
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