Hans Raj Hans
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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 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 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) OR (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) OR (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.