Mrs. Kalsoom Nawaz D4 - D4.2 10

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Mrs. Kalsoom Nawaz D4 - D4.2 10 NOMINATION FORM-I (See rule 3) ELELCTION TO THE GENERAL SEATS Election to the constituency NA— I A.-o of *National Assembly/ .1-askovineitti-Aosonsi* of (Name of the Province) (To be filled in by the proposer) (1) I M biArArl.bP CN-NIPX-P! TeAkr" (name of the proposer) having National Identity Card No 36 201 -• It4t kii45%- registered as an elector at riotes(4 serial number 310 in the electoral roll for t ROAD .electoral area in LO"40114.4. C "lehsil/Taluka in 1.. A rtc)ge, .District/Political Agency do hereby propose the name of HUMANMkt4AZ. S 1.% I.0 whose address is 5%Potow••■ FARM, TAT t LIPARCW. CAIN. SIP.PrPf. tket Ike...as a candid:Ito for election to general seat from tQo constituency. (2) I hereby certify that I have not subscribed to any other nomination paper ither as proposer or seconder. rn..-40■••• Date tle)Ocs• S Siena ure of Proposer (To be filled in oy the seconder) (1) 1 8 L*14" 1)1 11"1".1) (name of the seconder) having National Identity Card No S.14. 24441- s .registered as an elector at serial number 14 IA in La 1 v40■041 R44457 the electoral roll tAr*‘"1-- for electoral area in Lil.kkietike % Tehsilfraluka in L. elt viCALE District/Political Agency do hereby second the nomination of Sirtamirl CiNco4, LAMR,Ft WAPIMIAftP AlAlk?" S"Platte whose address is.R.6.11 uall`ar) %DR Di .. 1-* ..Nto..ive . as a candidate for election to general seat from N %a e> Constituency. (2) I hereby certify that 1 have not subscribed to any other nomination paper either as proposer or seconder. 1." Date $‘ I 63/ Ze='% Signature ot \onder Note: Please fill in the Form in capital letters. -41,4r" *Strike off the words not applicable Sajj ad Ahmad Addl. District &c Sessions IudgI Lahore, Price : Rs.20/- Rettrrt;tig Oflicn NA-12u Lahore (III) PP-139 Lahore (Ili) PP-140 Lahore (IV) Sajjitd Ahmad /WI. District & Sessions Judge Lahore, Returning Officer NA-120 Lahore (III) PP-139 Lahore (111) PP-140 Lahore (IV) 2 DECLARATION AND OATH BY THE PERSON NOMINATED 1. I, the above mentioned candidate, hereby declare on oath that, (i) I have consented to the above nomination and that I fulfill the qualifications specified in Article 62 of the Constitution and I am not subject to any of the dis-qualifications specified in Article 63 of the Constitution or any other law for the time being in force for being elected as a member of the National Assembly/Provincial Assembly. *(ii) I belong to ?r"fit51414 "Lk5P1' tw/ 1.6S4841/1' - 1%1 and a certificate from (Name f political party) that political party showing that I am a party candidate from the above said constituency is attached. 4 4,4% .„, OR I-elfriem-beIettg40..awy-pelitical-pasy, 2. 1, the above mentioned candidate, solemnly swear that,— **(i) I believe in the absolute and unqualified finality of the Prophethood of Muhammad (Peace be upon him), the last of the prophets and that I am not the follower of any one who claims to be a Prophet in any sense of the word or of any description whatsoever after Prophet Muhammad (Peace be upon him), and that I do not recognize such a claimant to be Prophet or a religious reformer, nor do I belong to the Qadiani group or the Lahori group or call myself an Ahmadi. (ii) I will be faithful to the declaration made by, the Founder of Pakistan Quaid-e-Azam Muhammad Ali Jinnah, that Pakistan would be a democratic state based on Islamic principles of social justice. I will bear true faith and allegiance to Pakistan and uphold the sovereignty and integrity of Pakistan and that I will strive to preserve the Islamic Ideology which is the basis for the creation of Pakistan. I hereby solemnly declare to the best of my knowledge and belief that,— ( ) no loan for an amount of two million rupees or more obtained from any bank, financial institution, cooperative society or corporate body in my own name or in the name of my spouse or any of my dependents, or any business concern mainly owned by me or the aforesaid, stands unpaid for more than one year from the due date, or has got such loan written off; and (ii) I, my spouse or any of my dependents or a business concern mainly owned by me or the aforesaid, is not in default in payment of government dues or utility charges, including telephone, electricity, gas and water charges of an amount in excess of ten thousand rupees, for over six months, at the time of filing of nomination paper. .frIA Note: *Strike off the words not applicable. **For Muslim candidates only. Sajj ad Ahmact Addl. District & Sessions Judge Lahore, *turning Officer NA-120 Lihore 7-139 Lahore (Ill) PP-140 Lahore or 4. I, hereby solemnly affirm that,— (i) The list containing the names of my spouse(s) and dependents, is correct and no name has been left out. (List attached) _ 2, (ii) Neither I nor my spouse(s) nor any of my dependents mainly owns any company except the following: NONE Explanation.— For the purpose of these declarations, the expression— (i) "loan" shall mean any loan, advance, credit or finance obtained or 'written off on or after the 31st day of December, 1985, but shall not include the loan the recovery of which has been stayed or suspended by any order of a court or tribunal, including the High Court and the Supreme Court; (ii) "mainly owned" shall mean holding or controlling a majority interest in a business concern; (iii) "taxes" include all taxes levied by Federal Government, Provincial Government or a Local Government, but shall not include taxes the recovery of which has been stayed or suspended by any order of a court or tribunal; (iv) "government dues and utility charges" shall, inter nlia, include rent, charges of rest houses or lodges owned by the Federal Government, Provincial Governments, local governments or corporations, established or controlled by such governments, but shall not include the government dues and utilities charges the recovery of which has been stayed or suspended by any order of a court or tribunal. 5. I, the above mentioned candidate hereby declare on oath That,— (i) I have opened Account NoAks.140c•Stilriptisswith NIL, 14 it.* CA AltDE".1 VemArk. L AC•Ct (Name and Branch of scheduled bank) and have deposited therein an amount of Rs.hi_e•oferfitto (amount in words)Corl (61,..te•N tALtpagoltitior the purpose of election expenses. A liOU•61444140 C>14 461 ri eg„-A (ii) I shall make all election expenditures out of the money deposited in the aforesaid account. (iii) I shall not make any transaction towards the election expenses through an account other than the above account. *6. so-fiktige44444..nanainationi.- OR I hereby declare on oath that following cases. of criminal offences were pending against me, six months prior to filing of this nominatiqn: Number of case Name of the Court -- R s Pea,, A t4 4 fa. X – Z. 7. My educational qualification is r6. – NtArktx 8. My present occupation is P 4a‘c..(1 t.i uAt Attested copies 9. My National Identity Card No. is 5Sabt-3249i•34-1. Ameba. to be annexed 10. ' My National Tax Numbet, if any is 66614 441-9 A 114Nes.X G '3 41•Let. Sajjad Ahmad Sajjad Addl. District Sessions Judge Lahore, Ahmad Return 4, NA-1.:3 Lahore (III) Addl. District & Sessions Judge Lahott, PP-139 Lahore (111) PP-140 Lahore (IV) Returning 011ker NA-120 Ware PP-139 Lahore (III) PP-MO Lahore (IV) 4 11. 1 he statement of assets and liabilities of my own. spouse (s), dependents as on 30th June, a 0 is enclosed. Amos 12 The income tax paid by me during the last three years is given hereunder:- Total Income **Source of Income Tax Year Total Income Tax Paid la, tiolya'S As Pelt AsstA e ac. I a. 2,4 4Cti 6 6". 6 es IDeGio-YiSS &KR (\siveA e.. ac,..1 % 2,6%3, 464 9,10.1 ctsit NsPeR Asweit- h ace 2c>%1 I ei 1 el Note I. Attach copies of income tax returns of the years mentioned above.t. A ml.se..* To el.s **If more than one sources of income, attach detail. S. a .re„ I....I,. 33 13. How many times traveled abroad during last three years arid cost incurred thereon. (Attach copy of the passport and detail of expenditure). t. s p 63 14. 'rhe al income tax paid by me during the last three years is given below: Tax Year Land Holding Agricultural Total Agricultural . Income Income Tax Paid A 0 % lial-K. oi-ra '11114, 9i8 a tt a SS 1 "ILO • 2 0 , 1 cut,..K 4.4...ei 6"10.1cie.e.c. 133 4 1.Co 20 t c. i.3%-w.04m Si 249.81 e2.00 1.51 1:+ 0 Note II: Attach copies of agricultural tax returns of the last three years mentioned above. tJ r4r4 141 re, 4I•2., ■4 2. it, vi2.2., +,i3are, K3.Q3 15. If you have been elected Member of National Assembly/Provincial Assembly what according to you was the single most important contribution _you have made for the benefit of your constituency (attach detail, if any)S644e9 ela p,04,7A-e> As esit&IF .41/N/SMit Sel.NOP krepLe op PA4g2srA*4 AS P41•4062 /44/Atisra-Al llt.
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