ksv NOMINATION FORM-I `31i (See rule 3) / 01(05 • ELELCTION TO THE GENERAL SEATS
Election to the constituency - 8— 7? Smitrireow of Vialisciffittersgertisior/
Provincial Assembly of S/NOI, (Name of the Province)
(To be filled in by the proposer)
(1) AfAINZooR (name of the proposer)
having National Identity Card No 44,45"-- 7/602.73y,- registered as an elector at
serial number ?1 3 in the electoral roll for .45,'ehfa9 -01>eAr.relectoral area .7)44.4e in SMA7;441)RO Tehsil/Taluka in 57/two/AA District/Political Agency do hereby propose the name of NARY Al-AT FA &IR whose address is
4mArNoRes 7-bAr.v as a candidate for election to general seat from
//gr#4,eo constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder. C.4a9,10C4 Date 31-63-43 Signature of Proposer
(To be filled in by the seconder)
(1) 1.Ahr APMED (name of the seconder) having National Identity Card
No 4420s— 8387468—/ registered as an elector at serial number 498 in the electoral roll EleIRK/ KANCTor electoral area in .57e/vcr4o Res Tehsil/Taluka in ,c1,4,44ttA-R District/Political Agency do hereby second the nomination of t‘iiii-'Y4m FAG/ R whose address is mAiVeteo 775 A IA/ as q a candidate for election to general seat from PS-7 • St/ W*10 constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder.
Date 31— e$— -4r43 Signature of Seconder
Note: Please fill in the Form in capital letters. *Strike off the words not applicable
Price : Rs.20/- alP
2' r
DECLARATION AND OATH BY THE PERSON NOMINATED
I. 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 PAXILTAM 1-444E 4ftilligiPaellti?ate from (Name of political party)
that political party showing that I am a. party candidate from the above said constituency is attached.
OR
I do not belong to any political party.
2. I, the above mentioned candidate, solemnly swear that,—
*4,0) 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.
3. I hereby solemnly declare to the best of my knowledge and belief that,—
(i) 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 yer 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 amoun it in excess of ten thousand rupees, 7 for over six months, at the time of filing of n7inat o t 8
9. Note: *Strike off the words not applicable. **For Muslim candidates only. I( •
4. I, hereby solemnly affirm that,- (i) The list containin4 the names of4. m spouse(s) and de dents is correct and no name has been left out. (List attached) 44 4.7,,, -; (ii) Neither I nor my spouse(s) nor any of my dependents mainly owns any company except the following:
Explanation.— For the purpose of these decla ons, the expression— (I) "loan" shall mean any loan, advance, c it or finance obtained or written off on ort ter the 31st day of December, 1985, but shall t include the loan the recovery of which been stayed or suspended by any order of a urt or tribunal, including the High Cou nd the Supreme Court; (ii) "mainly owned" shall Mean holding or trolling a majority interest in a business co ern; (iii) "taxes" include all taxes levied by Fed Government, Provincial Government o Local Government, but shall not include taxes e recovery of which has been stayed or s nded by any order of a court or tribunal; (iv) "government dues and utility charges" s 11, inter alio, include rent, charges of rest houses or lodges owned by the Federal Governmint, 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 No. 604 00 94with N8 P &/C441-6 NO (Na and Branch of schedulecl.,bank) and have deposit) therein an amount of Rs amount in words) /EH Liv-c.'s toe1-y for the purpose of election ex ses. (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. I hereby declare on oath that no case of criminal offences was pending against me, six months prior to filing of this nomination. OR I hereby declare on oath that following cases of criminal offences were pending against me, six months prior to filing of this nomination:
Number of case Name of the Court 0.444-614-1_ "Gtotedeott. 1/ 2 *CAW° M dery L. ice Karvo,a‘e !
7. My educational qualification is i4 trrRi–C ti L. A-TIoN
8. My present occupation is ZAN) /AID AR Attested copies A fa, 9. My National Identity Card No. is 442os- 6 2/ 4 to be annexed — 10. My National Tax Number, if any is
91 5 IRO FFICEIt NA-234 Satkoitar-I \ PS-18 Sanghar-11 PS 79 Sanghar-El OFFICER 4
11. The statement of assets and liabilities of my own, smouse (s), dependents as on 30th June, is enclosed. 44S , A, kwoxr.p._. tko>.
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
Note Attach copies of income tax returns of the years mentioned above. **If more than one sources of income, attach detail.
13. How many times traveled abroad during last three years and cost incurred thereon. (Attach copy of 14E..7 the passportand detail of expenditure). A NNEX amOsP. 14. The agricultural income tax paid by me during the last three years is given below:
Tax Year Land Holding Agricultural Total Agricultural bu Aanncome Income Tax Paid Pn 20 1 6 pre /0 524-21 Ri.t2,60,000.. Rs. 84 2150= 0 are 2 b 11 i/ RS=ii, 'Li. (20,0002w -79:no:2eo.Rs2. 2 0 (21 t, Rs2540wn:43. Rs: 16.606:....e.o.
Note II: Attach copies of agricultural tax returns of the last three years mentioned above. AN,yeA/15 (1) 15. If you have been elected Member of National Assembly/Provincial Assembly what according to you f, was the single most important contributlo Ifou,,hav,f trade for the benefit of your constituency (attach detail, if any). AwNex 11, 5. 16. Whether you have paid any sum by way of contribution or otherwise to the political party which has awarded you party ticket for this election, and if so how much (attach detail, if any).A4sfrvex (a)
17.. Whether you have received any sum, from the party which has awarded you ticket, if so how much (attach detail, if any). (b) Note 111.1 hereby solemnly affirm that the information given at serial No. 13, 15, 16 and 17 is true and correct and nothing has been concealed. 6. A 18. I hereby assure that I shall abide by the Code of Conduct issued by the Election Commission. (eci
Date 03-goi3 gnature of Can ate
*Strike off the words not applicable 5
STATEM NT OF ASSETS AND LIABILITIES I NARP/Afri AtArR a candidate for election to general seat from constituency No:Tar:7.7. AetiOramo hereby declare on solemn affirmation that no immovable and moveable property, including bonds, shares, certificates, securities, insurance policies and jewellery, other than specified herein below, is held by me, my spouse(s) and dependents on the 30th day of
ASSETS
ASSETS Cost of Assets Remarks 1. NET ASSETS AS ON Mini JUNE OF CURRENT — 1.152,4 if yo RkepiverzATA FINANCIAL YEAR • 1 A • . 2. NET ASSETS AS ON 30TH JUNE OF PREVIOUS =44,81b 1'17=G0 -0 FINANCIAL YEAR
3. INCREASE/IIMEMMSE 11-21 = 40,600 cz 0 O. 4
4. IMMOVABLE PROPERTY Open plots, houses, apartments, commercial buildings, under construction properties, agricultural Property, etc. (attach location, description, built up area and present market value of the house/apartment in which you are presently living).
(a) Held within Pakistan*
(i) Nbiti .ittsgi: pg6 9 GR.,-les A.S PGR 40mA- CI= 544r • OW =oc Aisme-X 11/2E .fe' '' (ii)ow t5 z ji_mikag utab At (SR. ANtia- ,r7% .:24,02, Oa& Awg6sua& %--(.7) (b) Held outside Pakistan* (i) (ii) 5. MOVABLE ASSETS (a) Business capital within Pakistan (i) Name of business 7 (ii) Capital amount (b) Business capital outside Pakistan (i) Name of business i (ii) Capital amount 6. Assets brought or remitted from outside Pakistan* (i) Bank drafts/Remittances (ii) Machinery . / (iii) Other . . _ etai s to be annex
7,7-3n19 BETURtigh, pS-18angit.A, ps-19 saughtf
Criallrbassana. - 6
ASSETS Cost of Assets Remarks 7. Assets brought out of remittance from abroad* 8. Investments (i) Stock and Shares (ii) Debentures (iii) National Investment (Unit) Trust (iv) ICP Certificates (v) National Savings Schemes - Defence Savings Certificate - Special Savings Certificate - Regular Income Certificate 1- ' (vi)Unsecured loans (vii) Mortgages (viii) Any other 9. Motor Vehicles ** Make Model Reg. No. (i)— /tifil—' (ii) 10. Jewellerv. etc. • (i) Weight 2.0 Vitils cit.., ilti 14 Cc e ) ba rirkTRY - (ii) Description 4oLD g /4 by MENIS . .11. Cash and Bank Accounts* ... 46 4 4 moo... (i) Cash in hand ..— — — :, it ,„, rb0 (ii) Cash at Bank . ►• C4'r 5S" .i. 'riCI Account No. Bank & Branch • "rap iiS 0 '2 DO Ars Pe k Current rP V Deposit AftNeg•----— Savings Other Deposits 12. Furniture. Fittings & articles of personal use — 7-% 3/ b0e)Cie)z./ ow 13. Assets transferred to any person- . (i) Without adequate consideration, or (ii) by revocable transfer 14. Any other assets 15. Cost of total assets f4+141 a, 9 a ockmeo 0 16. Foreign passport if any (1). No. of passport (ii) Name of country (s)
*Details to be annexed. **Use extra sheets if necessary.
7
LIABILITIES
LIABILITIES Amount Remarks
(i) Mortgages secured on Property or land (ii) Unsecured Loans owing / (iii) Bank Overdraft (iv) Bank Loans N2,P /N4nie+RO 14/C, NO: ge6 7. -42, c1-6.3 0,..... 4( e4 k 0, , (v) Amounts due under Hire Purchase t. Agreement u° 6 ---• g15060()OI ■ 7. (vi) House Building Loans (vii) Advances from Provident Funds etc. (viii) Other debts due* (ix) Liabilities in the names of minor children (in respect of assets standing in their names) (x) Personal expenditure =. 3 60 000 = aro . Total expenditure (i) + (x) 1...... /p....-5-4.•••••• i II 5, oo, o bb :too iry c. A egisE - = 40, 000= 60.
*Details to be annexed.
VERIFICATION
I, WilkY4A4 Sio, fib, Wu PAO& MIA M6 al-AM M4 do hereby solemnly declare that the above statement of the assets and liabilities of myself, my spouse(s), dependents as on 30th June, .;.4-.C1.1.2.1. is correct and complete and nothing has been concealed.
STATEMENT ON OATH
I, Mr/Ms/Mrs NAR Y/441 FA 11R yetc, Riati4 1.■/i 0441A4 AO state on oath that I have not ceased to be a citizen of Pakistan nor have •••• • ***** -TM:e-;#1a• .: I acquired or applied for the citizenship of a foreign state.
4(-3 RETURNING Or - NA-234 . PS-78 PS-112 ;Tr
■ Lif 117- IMMIt ME11 =NOWA Ii■II/• TN NNW NEM.
8
NO OBJECTION CERTIFICATES (a) I, Mr/14844Ps 1/19R Ye4-A4 A.04-aXR. sio, Is* Bob ORMAIMate that I have no objection if information concerning myself in relation to *Pa1441/-Ai- acquisition of ci *zenship of foreign State or application of such citizenship is provided by any foreign state to the Ministry of Foreign Affairs of the Government of Pakistan or Election Commission of Pakistan.
(b) I, Mrs WM Y4 4 F4e2he Sio, 617011.1.11 "Vstate that failure to give detail regarding any item of this Form shall render my nomination to contest elecdn invalid or if any information given here in above are found incorrect at any time my election shall stand void ab initio.
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Date 1 - 03- ?/013 S.i gnature of the Candidate
(To be filled in by the Returning Officer)
Serial Number of nomination paper
This nomination paper was delivered to me at my office at / f
ta_4, y 02.t rs ) on tat,— by (date) (Jerson)