Hans Raj Hans

INDIA NON JUDICIAL

Government of National Capital Territory of Delhi

e-Stamp

ticti 4 ,-ffra Certificate No. : IN-DL78195286185995R Certificate Issued Date : 23-Apr-2019 05:41 PM Account Reference : IMPACC (IV)/ dI869203/ DELHI/ DL-DLH Unique Doc. Reference : SUBIN-DLDL86920361496136907015R Purchased by : HANS RAJ HANS Description of Document : Article 4 Affidavit Property Description : Not Applicable 1 Consideration Price (Rs.) : 0 (Zero) First Party : HANS RAJ HANS Second Party : Not Applicable Stamp Duty Paid By : HANS RAJ HANS I Stamp Duty Amount(Rs.) : 10 (Ten only)

NOTARIAL NOTARIAL _ I 2 3 APR 2019

Please write or type below this line

FORM 26

AFFIDAVIT OF HANS RAJ HANS

BEFORE THE RETURNING OFFICER FOR ELECTION TO LOK SABHA FROM 5-NORTH WEST DELHI (SC) PARLIAMENTARY CONSTITUENCY 44,07/-

Statutory Alert: I. The authenticity of this Stamp Certificate should be verified atiminnalicilestampicom". My discrepancy in the details On this available on the websIte renders it Invalid. The onus of checking the legitimacy is on the users of the certificate. In case of any discrepancy please inform any Competent Authority. Form 26 (See rule 4A) rentvn:

BEFORE THE RETURNING OFFICER FOR ELECTION TO LOA SABHA */ L FROM 5-NORTH WEST DELHI (SC) iNAh + PARLIAMENTARY CONSTITUENCY 10639 )te "019 ?ART A OF 1 HANS RAJ HANS son of SH. ARJAN SINGH @ ARJANI HASS Aged 57 years, resident of 30-A LINK ROAD, JALANDHAR, PUNJAB a candidate at the above election, do hereby solemnly affirm and state on oath as under:-

I am a candidate set up by BHARATIYA JANATA PARTY.

My name is enrolled in 37-JALANDHAR CANTT, ASSEMBLY CONSTITUENCY (PUNJAB) (Name of the Constituency and the state), at Serial No 401 in Part No 11.

My contact telephone number(s) is/are +91-98151-55555 and my e-mail id (if any) is hansraihans786Agmail.com and my social media account(s) (if any) is/are

a) https://www.facebook.com/RansRajHansliRW - Facebook

B) https://www.youtube.com/channel/UC-oDkWUEFD-zKvefGEWuZ-Q - Youtube

c) @hansrajhanshrh - Twitter

https://www.instagram.cornThansrajhanshrh - Instagram ‘40 TA /4.

ALotit' r\IP.3j\t- 2 2 APR gig s 9

ii7:99. -2'04 j 1

‘\:,(2.!N'•-• (4) Details of Permanent Account Number (PAN) and status of filing of Income tax return: SI. No. Na PAN The financia Total income mes year for shown in Income Tax Retum(in which the Rupees) for the last five last Income- Financial Years completed (as tax return has on 31st March) been filed

1. Self AACPH I I 44C 2017.18 928030.00 (31.03.2018)

HANS RAJ 2276160.00 (31.03.2017) HANS 2016-17 (Hi) 1652410.00 (31.03.2016) 2015-16 1492690.00 (31.03.2015) 2014-15

2013-14 2264790.00 (31.03.2014) 2. Spouse BSAPK1768A 2017_18 NOT FILED

RESHAM 2016-17 NOT FILED KAUR 2015-16 (Hi) NOT FILED 2014-15 NOT FILED 2013-14 NOT FILED 3. HIJF (If Candidate NOT NOT (i) NOT APPLICABLE is APPLICABLE APPLICABLE Karta/Copareener) (H) NOT APPLICABLE

(Hi) NOT APPLICABLE

NOT APPLICABLE

4. Dependent I NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE NOT APPLICABLE 44. NIL i. (Hi) NOT APPLICABLE

'AK NOT APPLICABLE '0639 NOT APPLICABLE 1.6r NOT NOT APPLICABLE J.2.4. ependent 2 NOT APPLICABLE APPLICABLE kt‘‘) NIL NOT APPLICABLE

2 NOT APPLICABLE

NOT APPLICABLE NOT APPLICABLE

6. Dependent 3 NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE NIL NOT APPLICABLE

NOT APPLICABLE

Note: It is mandatory for PAN holder to mention PAN and in case of no PAN, it should be clearly stated "No PAN allotted".

(5) Pending criminal cases

I declare that there is no pending criminal case against me. (Tick this

alternative if there is no criminal case pending against the Candidate and write NOT APPLICABLE against alternative (ii) below)

(ii) The following criminal cases are pending against me: NOT APPLICABLE

settre-off-alternotive-*-attoveosntttiVe-details-uf -all-pendieg-eases-in-the-Table-below)

Table

(a) FIR No. with name NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE and address of Police Station concerned

Case No. with Name NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE ‘40 T 4 of the Court

AL it "'

P" 11;3 27.6

3 Section(s) of NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE concerned Acts/Codes involved (give no. of the Section, e.g. Section of IPC, etc.).

Brief description of NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE offence

Whether charges NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE have been framed (mention YES or NO)

(0 If answer against (e) NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE above is YES, then give the date on which charges were framed

(9) Whether any NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE Appeal/Application for revision has been filed against the At t " VAIT`>< ' proceedings .:I r * (Mention YES or 10639 e NO) 0 9 -2019 ,,,T , _t.-Ke • (6) Cases of conviction

I declare that I have not been convicted for any criminal offence. (Tick this

alternative, if the candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below)

(ih I have been convicted for the offences mentioned below: NOT APPLICABLE

4 Of the eandidate has been eonvieted, then tiek this alternative and seore off alternative - (0-aboverund-givwdetails-in-the-Table-betow)

Table

NOT Case No. NOT APPLICABLE NOT APPLICABLE APPLICABLE Name of the Court NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE NOT Sections of NOT APPLICABLE NOT APPLICABLE APPLICABLE Acts/Codes involved (give no. of the Section, e.g. Section of IPC, etc.).

Brief description of NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE offence for which convicted

Dates of orders of NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE conviction

(0 Punishment imposed NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE NOT (g) Whether any Appeal NOT APPLICABLE NOT APPLICABLE APPLICABLE has been filed ireik against conviction YES VAK order (Mention * 0639 or No) If answer to (g) NOT APPLICABLE NOT NOT APPLICABLE APPLICABLE ,Cr above is YES, give details and present status of appeal

(6A) I have given full and up-to-date 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). NOT APPLICABLE [candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i), above] NOT APPLICABLE Note: Details should be entered clearly and legibly in BOLD letters. Details to be given separately for each case under different columns against each item. Details should be given in reverse chronological order, i.e., the latest case to be mentioned first and backwards in the order of dates for the other cases. Additional sheet may be added if required. Candidate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W. P (C) No. 536 of 2011.

That 1 give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all dependents:

As retails of movable assets:

Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given.

Note: 2. In 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. Note: 3.Value of Bonds/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 should be given. Note: 4. 'Dependent' means parents, son(s), daughter(s) of the candidate or spouse and any other person related to the candidate whether by blood or marriage, who have no separate means of income and who are dependent on the candidate for their livelihood. Note: 5. Details including amount is to be given separately in respect of each

investment Note: 6. Details should include the interest in or ownership of offshore

assets.

Explanation,- For the purpose of this Form, the expression "offshore assets" includes, details of all deposits or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabilities in foreign countries':

A10-1 - 106 27. 6 S. No. _ Description Self Spouse HUF Depende Depen Depend HANS RAJ FtESHAN1 nt-1 dent-2 ent-3 HANS KAUR (Amount in (Amount in Rupees) Rupees) (i) Cash in hand 5,50,000/- 65,000/- Not Not Not Not Applicable Applicabl Applic Applica e able ble 00 Details of deposit in Bank 50,45,519/- Not Not Not Not Not accounts (FDRs, Term Applicable Applicable Applicabl Applic Applica able ble Deposits and all other types (AS PER e ANNEXUFtE of deposits including — A) saving accounts), Deposits with Financial Institutions, Non-Banking Financial Companies and Cooperative societies and the amount in each such deposit

—

Details of investment in Shares of HRH Shares of Not Not Not Not Bonds, Debentures/Shares Entertainers HRH Applicable Applicabl Applic Applica and units in Pvt. Ltd. Rs. Entertainers e able ble companies/Mutual Funds 81,840/- Pvt. Ltd. and others and the amount. Rs. 5,380/-

Details of investment in 4,39,005 Not Not Not Not Not NSS, Postal Saving, Applicable Applicable Applicabl Applic Applica Insurance Policies and (AS PER e able ble investment in any Financial ANNEXURE instruments in Post office — B) or Insurance Company and the amount ----- — -----..

7 Personal loans/advance Not Applicable Not Not Not Not Not given to any person or Applicable Applicable Applicabl Applic Applica entity including firm, e able ble company, Trust etc. and other receivables from debtors and the amount. Motor Vehicles/Aircrafts/ (TOYOTA (MARUT1 Not Not Not Not Yachts/Ships (Details of INNOVA) SWIFT) Applicable Applicabl Applic Applica Make, registration number. PB08BH4319/ PBO8AW34 e able ble etc. year of purchase and 2008 Rs. 28/2006 — amount) 4,00,000/- Rs. 1,30,020/- (MARUT1 GYPSY) PB08BH4320/ 2008 Rs. 1,62,858/-

(FORD ENDEAVOUR) PB08EA7336/ 2018 Rs. 30,53,110/- Jewellery, bullion and 498.600 GMS 327.880 Not Not Not Not valuable thing(s) (give GOLD GMS Applicable Applicabl Applic Applica details of weight and value) ORNAMENTSORNAMEN e able ble RS. TS RS. 16,00,000/- 16,50,000/- Any other assets such as 29,25,000/- Not Not Not Not Not value of claims/interest Applicable Applicable Applicabl Applic Applica e able ble Gross Total value 1,4157,332 18,50,400/- Not Not Not Not Applicable Applicabl Applic Applica 081.57/ . 31) e able ble

D., Details of Immovable assets; Note: 1. Properties in joint ownership indicating the extent ofjoint ownership will also have to be indicated Note: 2. Each land or building or apartment should be mentioned separately in this

format Note: 3. Details should include the interest in or ownership of offshore assets.

44 S. No _ Description Self Spouse HUF Depend Depend Depend HANS RAJ HANS RESHAM ent-1 ent-2 ent-3 ICAUR Not Applicable Not Not Not (1) harlotDural Land Not Applicable Applicable Applicable VILLAGE Applicable Location(s) HUSSAINPUR, Survey /7 0Tift iril I, _ KAPURTHALA number(s) dr- 21/12,13/1,15/1921/1/6, 7 AL 17/23,20/1/6,16/22,21,1 or , " NAVA K ,..:_ifi 4/8,15/8,16/22,21/14/8,1 -1 106 6 5/8 Oate 'DI VILL NARI. HOSHIARPUR 159/176, 397, 398 F \ at Applicable Not Not Not Area (total measurement (I) 11 acres 2 Juana Not Applicable Applicable Applicable in acres) Applicable (2) 1 acre 6 kanal 10 marla Not Applicable Not Not Not Whether inherited NO Not Applicable Applicable Applicable property Applicable (Yes or No) NO

Not Applicable Not Not Not Date of purchase in case 2002/2004/2007 Not Applicable Applicable Applicable of self - acquired Applicable property 17.01.2007 Not Not Applicable Not Not Not Cost of Land (in case 38,85,900/- Applicable Applicable Applicable of purchase) at the Applicable time of purchase 2,14,000/- Not Applicable Not Not Not Any Investment on the NO Not Applicable Applicable Applicable land by way of Applicable development, NO construction etc. Not Applicable Not Not Not Approximate Current 2,07,80,000/- Not Applicable Applicable Applicable market value Applicable 5,50,000/- Not Not Applicable Not Not Not (ii) Non-Agricultural Land Not Applicable Applicable Applicable Applicable Applicable Location(s) Survey number(s) Not Applicable Not Not Not Area (total measurement Not Applicable Not Applicable Applicable Applicable in sq. ft.) Applicable Not Applicable Not Not Not Whether inherited Not Applicable Not Applicable Applicable Applicable property Applicable (Yes or No) Not Applicable Not Not Not Date of purchase in case Not Applicable Not Applicable Applicable Applicable of self - acquired Applicable 4 9 property

Not Not Applicable Not Not Not Cost of Land (in case Not Applicable Applicable Applicable Applicable of purchase) at the Applicable time of purchase Any Investment on the Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable land by way of Applicable development, construction etc. Not Not Applicable Not Not Not Approximate current Not Applicable Applicable Applicable Applicable market value Applicable Not Not Applicable Not Not Nol Commercial BuildinPi Not Applicable Applicable Applicable Applicable Applicable (including apartments) -Location(s) -Survey number(s)

Area (total measurement Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable in sq. ft.) Applicable Not Not Applicable Not Not Not Built-up Area (total Not Applicable Applicable Applicable Applicable measurement in Applicable sq.ft.) Whether inherited Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable property Applicable (Yes or No) Not Not Applicable Not Not Not Date of purchase in case Not Applicable Applicable Applicable Applicable of self - acquired Applicable property Cost of property (in case Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable of purchase) at the time Applicable of purchase Any Investment on the Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable property by way of Applicable development, construction etc. Approximate current Not Not Applicable Not Not Not Not Applicable Applicable Applicable Applicable market value Applicable 293-B, NEW Not Not Applicable Not Not Not Residential Buildings Applicable Applicable Applicable (including apartments): RAJINDER NAGAR, Applicable -Location (s) JALANDHAR -Survey number(s) 6227-28 APARTMENT NO. H- 202, GILCO TOWER, O TEHSIL KHARAR, MOHALI PUNJAB ALI'''. I11A--Y1C: Hadbast no. 186 , 1116Sit ) 146/2 SUS NAGAR n\ i '31 JALANDHAR 10 30-A, LINK ROAD, - JALANDHAR 3177,3178,3179,3180,317 3,3159,3161,3163,3164,31 62 17388 Not Not Applicable Not Not Not Area (Total Applicable Applicable Applicable measurement m sq. ft) Applicable 362

658

12627 Built up Area (Total (I) 9326 Not Not Applicable Not Not Not Applicable Applicable Applicable measurement in sq. ft.) Applicable 362

658

12200 Whether inherited NO Not Not Applicable Not Not Not Applicable Applicable Applicable property Applicable (Yes or No) NO

NO Date of purchase in case (1) 1998 Not Not Applicable Not Not Not Applicable Applicable Applicable of self — acquired Applicable property (2)30.05.2011

06.1/2016

20.10.2000 62,32,800/- Not Not Applicable Not Not Not Cost of property (in case Applicable Applicable Applicable of purchase) at the time Applicable of purchase 42,00,000/- 1,3) 7,08,000/-

4) 1,06,00,000/- 1) NIL Not Not Applicable Not Not Not Any Investment on the . Applicable Applicable Applicable land by way of Applicable ;2) NIL development, construction '3) NIL etc. (4) NIL (1) 5,00,00,000/- Not Not Applicable Not Not Not Approximate current Applicable Applicable Applicable Ile Applicable 2)55,00,000r

/— 30,00,000/- A t P " NAYAK :4) 3,50,00,000/- F - 1 06 0 0..\ .1-0 - " 11 t#iie \L. ' Y.7 Qf X Others (such as interest in Not Applicable Not Not Not Not Not Applicable Applicable Applica Applica Applica property) ble ble ble Total of current market 11,48,30,000/- Not Not Not Not Not value of (i) to (v) above Applicable Applicable Applica Applica Applica ble ble ble

(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 DependentDependentbepe No. HANS RAJ RESHAM -1 -2 nden HANS KAUR t-3 (i) Loan or dues PNB, CAR Not Not Not Not Not to LOAN, Its. Applicable Applicable Applicable Applicable Appli Bank/Financial 23,89,400/- cable Jostitution(s) Name of Bank or Financial Institution, Amount outstandin g, Nature of loan Loan or dues to any Not Applicable Not Not Not Not Not other individuals/ Applicable Applicable Applicable Applicable Appli entity other than cable mentioned above. Name(s), Amou nt outstanding, nature of loan Any other liability Not Applicable Not Not Not Not Not Applicable Applicable Applicable Applicable Appli cable Grand total of 23,89,400/- Not Not Not Not Not liabilities Applicable Applicable Applicable Applicable Appli cable

NAYAK

12 ii) Government Dues: Has the Deponent been in occupation of YES/NO provided by the (Pl. tick the Dues to accommodation departments Government at any time during the last ten appropriate dealing years before the date of notification of the alternative) with current election? Government accommodation If answer to (A) above is YES, the following YES declaration may be furnished namely:-

(i) The address of the Government accommodation:

QTR. NO. 2F- SECOND FLOOR, TYPE -7, BLOCK NO. 5, KID WAI NAGAR, EAST NEW DELHI- 110023

(ii) There is no dues payable in respect of above Government accommodation, towards- NO DUES rent; electricity charges; (Letter dated 23/04/2019 water charges; and attached as telephone charges as on per (date) ANNEXURE 11.40/4 TA ii? [the date should be the last date of -C) / I4, : ^ 61,1 the third month prior to the month in 11 ' which the election is notified or any r * f 0 6A3K9 date thereafter]. 274, 19 Note- 'No Dues Certificate' from the '415. agencies concerned in respect of rent, electricity charges, water charges and OF \ telephone charges for the above Government accommodation should be submitted. (iii) Dues to department NOT NOT NOT NOT NOT NOT dealing with Government APPLI APPLI APPLICAB APPLICABL APPLIC APPLICABL transport (including CABL CABL LE E ABLE E E E aircrafts and helicopters)

13 Self Spouse HUF DependenDependent-Dependent BANS RAJ FtESHAM t-I 2 -3 HANS 1CAUR Income Tax dues 1,97,75,370/- 2,57,32,724/- Not Not Not Not Applicable Applicable Applicable Applicable

GST dues NIL Not Not Not "Not Not Applicable Applicable Applicable Applicable Applicable

Municipal/Property tax NIL Not Not Not Not Not Applicable Applicable Applicable Applicable dues Applicable

Any other dues NIL Not Not Not Not Not Applicable Applicable Applicable Applicable Applicable Grand total of all 1,97,75,370/- 2,57,32,724/- Not Not Not Not Government dues Applicable Applicable Applicable Applicable

Whether any other Not Not Not Not Not Not Applicable Applicable liabilities are in dispute, Applicable Applicable Applicable Applicable if so, mention the amount involved and the authority before which it is pending.

9) Details of profession or occupation:

Self- PROFESSIONAL SINGER

Spouse — HOUSE WIFE

(9A) Details of source(s) of income:

Self —PROFESSION OF

SINGING

Spouse — NOT APPLICABLE

Source of income, if any, of dependents,- NOT APPLICABLE

(9B) Contracts with appropriate Government and any public company or companies

details of contracts entered by the candidate -NOT APPLICABLE

details of contracts entered into by spouse — NOT APPLICABLE

details of contracts entered into by dependents- NOT APPLICABLE

14 details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest —NOT APPLICABLE

details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners -NOTAPPLICABLE

(t) details of contracts, entered into by private companies in which candidate or spouse or dependents have share —NOT APPLICABLE

(10) My educational qualification is as under:

Name of School/College University/Board Year in which courses was completed MATRIC PUNJAB SCHOOL 1977-78 FROM GOVT. SR. SEC. EDUCATION BOARD, SCHOOL, GAKHAL, MOHALI DHALIWAL, JALANDHAR

(Give details of highest School / University education mentioning the full form of the certificate/ diploma/ degree course, name of the School / ollege/ University and the year in which the course was completed.)

15 PART — B ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART - A:

I. Name of the candidate HANS RAJ HANS

2. Full postal address 30-A LINK ROAD, JALANDHAR, PUNJAB

3. Number and name of the Serial No 401 in Part No 11 constituency and State 37-JALANDHAR CANTT, ASSEMBLY CONSTITUENCY (PUNJAB) 4. Name of the political party which BHARATIYA JANATA PARTY 'T t? L. set up the candidate (otherwise r write 'Independent') If ' NMAK 5. Total number of pending criminal NOT APPLICABLE ALP * L,,.:_i4I cases RP!' ' ' 10639 * ) , 6. Total Number of cases in which NOT APPLICABLE 27-60-2 19 i t convicted _....- 7. PAN of Year for which last Total I • Income Tax Return filed .--.

Candidate A ACPH I I44C F.Y 2017-18 9,28,030.00 HANS RAJ HANS Spouse BSAPKI768A KY 2011-12 15,53,615.00 RESHAM KAUR HUE NIL NOT APPLICABLE NOT APPLICABLE Dependent NIL NOT APPLICABLE .JOT APPLICABLE 8. Details of Assets and Liabilities (including offshore assets) in rupees Description Self Spouse HUF Dependent Depende Dependen HANS RAJ RESHAM -I nt-2 t-3 HANS ICAUR Moveable Assets I,44,57,332/- 18,50,400/- NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLAPPLICABLE (Total value) E Immovable Assets 11,48,30,000/- NOT NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLAPPLICABLE E I Purchase Price of 2,58,40,700/- NOT NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLAPPLICABLE self-acquired E immovable property

II Development/const NOT NOT NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLAPPLICABLE ruction cost of APPLICABLE E immovable property after purchase (if applicable) / 1

16 III Approximate NOT NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICAB Current Market Price APPLICABLE LE

Self-acquired 11,48,30,000/- assets (Total Value)

Inherited assets NOT (Total Value) APPLICABLE

9. Liabilities Government dues NIL NOT NOT NOT NOT F4OT APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICAB (Total) E NOT NOT Loans from Bank, 23,89,400/- NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICAB Financial Institutions LE and others (Total)

10. Liabilities that are under dispute (0 Government dues 1,07,75,370/- 2,57,32,724/- NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABL APPLICABL (Total) (Income Tax) (Income Tax) E E NOT (ii) Loans from Bank, NOT APPLICABLE NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABL APPLICABL Financial APPLICABLE E E Institutions and others (Total)

II. Highest educational qualification: Name of School/College University/Board Year in which courses was completed MATRIC PUNJAB SCHOOL 1977-78 FROM GOVT. SR. SEC. EDUCATION BOARD, SCHOOL, GAICFIAL, MOHALI DHALIWAL, JALANDHAR

(Give details of highest School /University education mentioning he full form of the certificate/ diploma/ degree course, name of the School /College/ University and the year in which the course ----wastompleted.)

40 TA .4")

ALAwl N,"%rAK \

Rec-/ 10819

27-0e-2 7.1 VERIFICATION OF I, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and

17 nothing material has been concealed there from. I further declare that:-

there is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of Part A and B above;

I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8,9 and 10 of Part B above.

Verified At DELHI, this 23rd day of April, 2019

Note: I. Affidavit should be filed latest by 3.00 PM on the last day of fi ing nominations.

Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public.

Note: 3. All columns should be filled up and no column to be left blank. If Mere is no information to furnish in respect of any item, either "Nil" or "Not applicable", as the case may be, should be mentioned.

Note: 4. The affidavit should be either typed or written legibly and neatly.

Note: 5. Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is sworn.

23 APR 2019

Atu,„ 6A-PruP___Me •

'91 Af 0_1p ot) AT Es l ALAKA N4 YAK NOTARY GrOVT. OF INDIA DELHI iceqn, No.16639

18 ANNEXUFtE A

Details of deposit in Bank accounts (FDRs, Term Deposits and all other types of deposits including saving accounts), Deposits with Financial Institutions, Non- Banking Financial Companies and Cooperative societies and the amount in each such deposit of Sh. Hans Raj Hans

Sl. Bank Branch A/c Particulars No. 1 Punjab National Udham Singh 2221001100000012 929930.00 Bank Nagar 2 Punjab National Amitsar 6528000100038166 179531.00 Bank 3 Bank of India Jalandhar 640610100008907 9279.00 4 HDFC Jalandhar 50100022169682 310827.00 5 Bank of India Jalandhar 640610100007796 478299.00 6 State Bank of India Jalandhar 65099697604 191266.00 7 ICICI Bank Jalandhar 151001504659 2946387.00 Total 5045519.00 ANNEXURE B

Details of investment in NSS, Postal Saving, Insurance Policies and investment in any financial instruments in Post office or Insurance Company and the amount

Details of LIC Policies held by Shri Hans Raj Hans

S. No Policy No. SV Payable (in Rupees)

1 133278493 54875.61

2 133278490 54875.61

3 133278488 54875.61

4 133278489 54875.61

5 133278487 54875.61

6 133278487 54875.61

7 133278492 54875.61

8 133278491 54875.61

Total 439004.88

Total amount 439004.88 i.e. 4,39,005.00 A NN)EXrdRE— C

PROVISIONAL (FOR FILING NOMINATION ONLY)

777-rin- wit GOVERNMENT OF INDIA DIRECTORATE OF ESTATES TYPE-SPL SECTION NIRMAN BHAVAN, NEW DELHI

SUB- CLEARANCE CERTIFICATE UP TO MARCH 2019

REFERENCE NO. 8/5912/2018-TS-III

IT IS CERTIFIED THAT NOTHING IS OUTSTANDING IN THE NAME OF SHRI.

HANS RAJ HANS, VICE-CHAIRMAN, NATIONAL COMMISSION OF SAFAI

KARAMCHARIS FOR ACCOMMODATION NO. HOUSE NO. 2F,BLOCK 5, KIDWAL

NAGAR(EAST), NEW DELHI ON ACCOUNT OF HIRE CHARGES OF FURNITURE

EXCEEDING CEILING/L. FEE AND OTHER CHARGES UP TO MARCH 2019. DEMAND

FOR THE PERIOD AFTER MARCH 2019 WILL BE ISSUED SEPARATELY. HENCE HIS

FINAL ACCOUNTS MAY NOT BE SETTLED TILL HE VACATES THE ACCOMMODATION

AND FINAL NO DEMAND CERTIFICATE IS ISSUED FROM THIS DIRECTORATE.

(ASHOK KUMAR) ASSISTANT DIRECTOR OF ESTATES (A/CS) TrR)/(Ashok Kumar) III tkOWASSIt DiPICIOr Of EgateS EXECUTIVE OFFICER MSA BRANCH LOK/RAJYA SABHA SECRETARikAtrectorateo Estates fm 'zv, rd icoos ir non B swam Nfr,, ,v n011E-imam NjrDATEl>23.04.2019 h