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*.r{ MAHARASHTRA o 20L9 0 uY 874927 I qtrra€ri6'6rqfdq, q.t.fa.F.6ooooog€{$ I I t .rio 20rg I lhre a i. Form 26 A,I (See rule 4A) Ah T :7 I ea I

a.l t ra. I h,t., I AFFIDAVITTOBEFILED BY THE CAI\IDIDATE ALONGWITH NOMINATION PAPER {EFORETHERETURMNG OFFICER FOR ELECTION TO THE HOUSE OF THE PEOPLE (LOKSABHA) FROM3T MUMBAI SOUTII PARLIAMENTARY CONSTITUENCY t PART.A . I, Ar*rd Ganpat sawant pandurang , son of late shri Ganpat Sawant, aged 67 years, resident of 3187' Building Acharya Donde fithibai , Marg, sewree, Mumbai - 400 0rs, a candidate at the above ilection, do hereby solemnly affirm and state on oath as under:_ I I I I Ndy R6gt No. 561 6 l{ I &No. eb Dr. 15j qrgq-I- 9 Annexuro trrtrr dklq{iild only to, ltid.vit tfu ftqt?r Ser+ro.n f tBrqr ftdr dqr-d d?qin {flr trto frlhmd afrrs :q. afu_ *ii6 I APn 20n qaGItrh&8.J.'.rp*f m; Etud*l*- ilria' Z. ooooo q grirr l'rafii pTosr sa)fi tt.6eU t. uts'S g. .;ll EFi.+a ei. t:rEr 6fr.d, rlc, ta{ - uoo oe? * iDt rrsqeq rlI ETJ'"TS ..Jf,{'foxi-r arll. iI]rfii {rt tqrrEzqrf,rdiqid EgU tqb aiti i,r6r pri.1 .qrc onqffiat {ri6 qt6 a{a kaqr6qd!a1oq{i

ua. (1) I arn a candidate set up by Shivsena Party. (2) My name is enrolled in 31 Mumbai South Parliamentary Constituency, Mahmshtra State (Name of the Constituency and the State), at Serial No. 621 in Electoral Part No. 80 of Shivadi Assembly Constituency No. 183. (3) My Contact telephone number is 9969004488 and my e-mail id is [email protected] and my social media accounts are (i) www.arvindsaw trnt.com (ii) Twitter@AGSAWAItIT (iiD Facebook page : Arrind Sawant. (iv) Instagram:AGSAWANT.

(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax retum: \ \Sl\ Names PAN The financial year Total income shown in Hx* for which the last Income Tax Retum ( in lncome-tax retum Rupees) for the last five has been filed Financial Years 'tb completed ( as on 3ls 20 March ) F vl Self ATJKP54755N 2013-2014 (i) Rs. 16,09,300/- 2014-2015 (ll) Rs. 13,78,540/- 2015-2016 (iii) Rs. I2,59,790/- 2016-2017 (iv) Rs. 14,60,440/- 2017-2018 (v) Rs. 12,18,600/- 2. Spouse-Mrs.Anuya Arvind Sawant AJWPSO445A 2013-2014 (i) Rs.6,64,2401-

2014-20ts , (ii) Rs.7,02,970/- 20t5-2016 (iiD Rs.9,23,900/- 2016-2017 (i") Rs.8,47,650/- 2017-2018 ( ) Rs.7,13,230/- 3 HUF ( If Candidate is Karta i o NIL ' Coparcener ) (ii) NIL

Not Applicable Not Applicable (iii) NIL

(iv) NIL

(") NIL

4 Dependent- I (r) NIL (ii) NIL (iiD NIL Not Applicable Not Applicable (iv) NIL ( ) NIL 5 Dependent -2 (D NIL (iD NIL (iiD NIL Not Applicable Not Applicable (iv) NIL ( ) NIL 6 Dependent-3 (D NIL (ii) I ML (iiD NIL Not Applicable Not Applicable (iv) NIL (v) NIL

Note : lt is mandatory for PAN holder to mention PAN and in case of no PAN, it should be clearly stated " No PAN allotted " r-osltr.w!.& r3dh (5) Pending Criminal Cases

(i) I declare that there is no pending criminal cases against me.

I Tick this altemative if there is no criminal case pending against the candidate and write NOT APPLICABLE against altemative (ii) below l OR V (ii) The following criminal cases are pending against me : YES I If there are pending criminal cases against the candidate , then tick this altemative and score off altemative (i) above , and give details of all pending cases in the Table below l

l'. I Table B. i{rrrnulr*a (a) FIR No. With name b.IX? F.I.R No.25l /2005 ,tlia. and address of Police NOT !020 Dadar Police Station NOT Station concemed ,Mumbai. APPLICABLE APPLICABLE )F

o) Case No. with Name of 256 / Pw/ 2018 the Court 25th Metropolitan NOT NOT Magistrate Mazgaon, APPLICABLE APPLICABLE at Sewree , Mumbai

(c) Section (s) of cone€med Section 143, 144,145, 146,t47,14933234t, Acts / Codes hrolu"d .', 353,427 of I.P.C. ( grve no. of the Section, Section 37(3), 135 e.g. Section ...... of IPC, of Maharashtra NOT etc ). Police Act NOT APPLICABLE APPLICABLE Section 3(l) of Prevention of Defacement of Government property.

(d) Brief description of offence About 1000 penrons formed unlawful assembly at Dadar Police Station , damaged flower pob, curtains, NOT NOT furniture , APPLICABLE APPLICABLE machinery and deterred the police from performing their duties.

(e) Whether charges have been NOT ( NOT framed mention YES or NO APPLICABLE NO) APPLICABLE (D If answer against (e) YES, give above is then NO the date on which charges NOT NOT APPLICABLE APPLICABLE were framed n'- , I E I (e) Whether any Appeal /

Application for revision NO has been filed against the NOT NOT APPLICABLE proceedings APPLICABLE

( Mention YES orNO )

(6) Cases of Conviction .

(i) I declare that I have not been convicted for any criminal offence .

I Tick this altemative , if the candidate has not been convicted and write NOT APPLICABLE .i, htbc t*trr,dd against altemative (ii) below l ffd '.lo.11? OR ryoa r"M (ii) I have been convicted for the offences mentioned below : NOT APPLICABLE

( If the candidate has been convicted, then tick this altemative and score off altemative (i)

above , and give dgtails in the Table below ) Table

(a) Case No.: NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE

o) Name of the Court ' NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE (c) Sections of Acts / Codes NOT NOT NOT involved ( give no. APPLICABLE APPLICABLE APPLICABLE of the Section, e.g. Section ...... of IPC, etc ) (d) Brief description of offence NOT NOT NOT for which convicted. APPLICABLE APPLICABLE APPLICABLE

(e) Dates of orders of NOT NOT NOT Conviction. APPLICABLE APPLICABLE APPLICABLE

(0 Punishment imposed. NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE

(e) Whcther any Appeal has NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE been filed against Conviction order (Mention YES orNO) (h) If answer to (g) above is NOT NOT NOT APPLICABLE APPLICABLE APPIICABLE YES , give details and present status of appeal 6j r,'!t_/h

rit&rsl!.L h Xo. Ilf b (6A) I have given firll and up-to-date information to my political party about all pending criminal

cases against me and about all cases ofconviction as given in paragraphs (5) and (6).

I candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(D, above l

Note : l. Details should be entered clearly and legibly in BOLD letters. 2. Details to be given separately for each case under different columns against each item. 3. Details should be given in reverse chronological order, i.e. the latest case to be u mentioned first and backwards in the order ofdates for the other cases. LR 4. Additional sheet may be added if required . rb,-i't rtl3i rBsa'rra 5. Candidate is responsible for supplying all information in compliance of Hon'ble .llo. !01l lrD* Supreme Cou('s judgnent in W.P. (C) No.536 &t0r0 of 201l. F (A That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all dependents:

A. Details of movable assets :

Note : I . Assets in joint name indicating the extent ofjoint ownerrhip will also have to be given

Note: 2. In case of deposit/Investrnent, the,details including Serial Number, Amount, Date of Deposit, the Scheme,.l.Iape of Banld 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 my 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 be include the interest in or ownership ofoffshore 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 ofall assets and liabilities in foreigrr countries ;

Table As on 3l/032019

Sl. No. Description Self Spouse HUF Dependent-l Dependent-2

(i) Cash in hand Rs.115,000/- Rs.40,000/- NOT NOT NOT APPLICABLE APPLICABLE A"PPLICABLE (iD Details of deposits in Bank accounts (FDRs, Term deposits and all other types of Rl.88,86,s8U- Rs.8854343/- deposits including saving accounts), with per NOT NOT NOT Deposis ( As per ( As APPLICABLE APPLICABLE APPLICABLE Financial Institutions, Non- Annexure -I Annexure -I Banking Financial Companies attached ) attsched ) and Cooperative societies and the amount in each such deposit.

(iii Details of investment in l. Sbrrcs of Bonds, Debentures / Shares and Abhyudry Cq units in companies/Mutual op. Brnk Ltd. Funds others and the and .) Ccrtificrte No. amount. 15835 Distinctivc No. 301279 to 301288 = l0 Shrrcs of Rr. l0 llch b) Ccrtificrte No. 2rlt0 Distinctivc No. 6626!l to 6f264a = l5 Shercs of Rr. l0 csch

c) Ccrtilicrtc No. s.B.I. Muturl 92{0'3 Fund Diltinctivc No. ,-,hr ,) 6074333 Rs.20,00,000/- !-i to @74&7 NOT NOT NOT . a.0 r,rc\ APPLICABLE ar.lt,mbri = 75 Sheres of APPLTCABLE APPLICABLE 161116' Rs. l0 elch tlo 3O:l rloaG / Totd 100 Shrres \nn , ofAbhyud.y Co- op. Brtrk Ltd. of # Rr l0/- crch. Rs. 1000/-

2. Shrres of Srraswrt Brnk Ltd. of

CcrtiIic.tc No. llJ,6lt

Diltilctivc No. !9(D3811 lo t9094t2 = 25 Shrrcs of Rs. l0 crch Rs. 250/-

Rs. 1250/- (iv) Details of investrnent in NSS, l S.B.l Life Postal Savings, Insurance Insurance Policies and investment in any Policy No. Financial Instruments in Post 44056436303 Offrce or lnsurance Company and the amount Amt. Rs.5,72,989/- ( lnvestment Value ) 2. S.B.I. Life NOT NO',t NOT NIL Insurance APPLICABLE APPLICABLE APPLICABLE Policy No. 1H001479509 Amt. Rs.l1,5?,891/- (Investment Value )

Rs. 17J0,880/-

(v) Personal loans/advance given to any person or entitY including firm, CompanY, NOT NOT NOT Trust etc. and other NIL NIL APPLICABLE APPLICABLE A}PLICABLE receivables from debtors and the amount. tt rGEsT. rffi at ,IGD (vi) Motor VehicleVAircraftV YachtVShips @etails of Make, Motor Car No. regishation number. etc, year of MH-o1-BY-0202 purchase and amount Type Honda City ) Crr NOT NOT NO',t NIL A}PL1CA8Lf, Yegr of Purchase APPLICABLE APPLICABLE -20r5 Current Value - Rs.6,50,000/-

(vii) Jewellery, bullion and valuable Rs.528,523/- Rs.12,65,000/- thing(s) (give details of weight and value) Weight - Weight- 193.040 gms. 463.000 gms. NOT NOT NOT ( As per ( As per APPLICABLE APPLICABLE A}PLICABLE Annexure -II Annexure attacbed ) -III rttached )

Any other assets such as value of NIL NIL NOT NOT NOT claimV interest A.PPLICABLE APPLICABLE APPLICABLE t.x \oss Totalvalue R3. r,01Brp54/- Rs. rJ8,90r23/- NIL TilL NIL -{ fllrt t: lo- 3f'..' Details of Immovable assets: 'rOee''. .20n l: Properties in joint ownership indicating the extent ofjoint ownership will also have to. be indicated )F Note 2: Each land or building -or apartment should be mentioned separately in this fomrat.

Note 3: Details should include tbe interest in or ownership of offshore assets. As on 31/03/2019

S. No Description Self Spouse HUF Dependent-l Dependent-2

(r) dgricultural Land : Post at - Kumbhavade, fal- lGnkavali, Location(s) Dist- Sindhudurg. Survey numbe(s) l) Survey No. NIL NOT N(}r NOT 16132073,167 4, APPLICABLE APPLICABLE APPLICABLE t670,1667 , t646, t9452r942202, 7t09,1829. 2) 7069 Area (total measurement in 1) 7.50 Acr6, acres) ( Jolntly wlth Siblingsl NOT 2) 0.25 Acres, NIL NOT NOT APPLICABLf, APPLTCABLE AfPLICABLE ( l0 Gunte ) ( Self) ( respectivelv I Whether inherited property r) Yes NOT NOT NOT NOT (Yes or NO) z) No, APPLICABLE APPLICAALE APPLICAALE APPLICABLE ( respectively )

Date ofpurchase in case ofself r) Not Applicable NOT NOT NOT NOT acquired property 2) 17.01.2005. APPLICABLE APPLICABLE APPLICABLE A}PLICABLE ( respectively ) Cost ofland (in case of 1) NIL NOT NOT NOT purchase)at the time of Purchase 2' Rs.12,000/- NIL AfPLICAALE APPLICABLE APPLICABLE ( respectively ) Any Investment on the land by l) Constructed House way of development, for Residential construction etc. purpGsc Jointly with NOT NOT NOT NOT APPLIc.{BLE APPLICABLE Siblings APPLTCABLE A}PLICABLE 2) NIL. ( respectively ) Approximate Currcnt market r) Rs30,00,000/- value 2t Rs.rlr001000/- NIL NIL NIL NIL ( respectively ) (ii) Non-Agricultural Land : NOT NOT NOT NOT NOT a APPLICABLE APPLICABLE Location(s) APPLICABLE APPLICABLE APPLICABLE Survey numbe(s)

Area (total measurement in Sq. NOT NOT NOT NOT NO'I ft.) APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICABLE

NOT NOT NOT NOT Whether inherited property NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLE (Yes orNO) APPLICABLE Date of purchase in case of self - acquired property NOT NOT NOT NOT NOT APPLICABI,f, APPLICABLE APPLICABLE APPLTCABLE APPLICABLE

NOT NOT NOT Cost of Land (in case of NOT NOT purchase) at the time of purchase APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICABLE

Any Investrnent on the land by NOT NOT NOT NOr NOT way of developmen! APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICABLE construction etc. Approximate Current market NIL NIL NIL NIL NIL value Commercial Buildings :

NOT NOT NOT K .(including Apartments) - NOT NOr APPLICABLE APPLICABLf, APPLICABLE \ocation(s) - APPLICABLE APPLICABLE x' S\rvey numbe(s) {frea (total measurement in Sq. N(lT NOT NOT NOT NOT A}PLICABLE APPLICABLE APPLICABI-E APPLICABI,E APPLTCABLE "l.. ft) NOT NOT ,/ Built-up Area (Total NOT NOT NOT APPLICABLE APPLICABLE measurement in sq. ft.) A}PLICABLE APPLICABLf, APPLICABLE

NOT NOT NOT NOT Whether inherited property NOT APPLICABLE APPLICAALE APPLICABLE APPLICABLE (Yes or NO) APPLICABLE Date ofpurchase in case of self - N(rI NOT NOT NOT NOT acquired property APPLICABLE APPLICABLE APPLICABLE APPLICABLE APPLICABII Cost ofproperty (in case of NOT NOT NOT NOT NOT purchase) at the time of Purchast APPLICABLE APPLICABLE APPLICABLE APPLTCABLE APPLICABLE Any Investment on the property NOI NOT NOT NOT NOT by way of development, APPLICABLE APPLICABLE APPLICABLE APPLICABLE construction etc. APPLICABLf, Approximate Current market value NIL I\[IL NIL NIL NIL (iv) Residential Buildings : (including 3/87, Mithibai Building, Acharya NOT NOT NOT Apartments,) NIL APPLICABLE APPLICABLE APPLICABLE -Iocation(s) Donde Marg; Sewree, -Survey numbe(s) Mumbai-400 015 (Ienanted)

Area (total measurement in sq. NOT NOT 180 Sq.ft NOT NOT ft.) APPLICABLE APPLICABLf APPLICABLE APPLICABLE ( Carpet Area) Built-up Area (total 200 Sq.ft NOT NOT NOT NOT measurement in sq. ft.) APPLICABLE APPLICABLE APPLTOIALE APPLICABI.E Whether inherited property No. NOT NOT NOT NOr APPLICABLE APPLICABLE APPLICABLE APPLICABLE (Yes or NO) Date of purchase in case of self- Acquired on rental acquired property NOt NOT NOT NO'r basis in the Year APPLICABLE APPLICABI,f, APPLICABLE APPLICABIT 1919.

Cost of property (in case of NOT NOT NOT NOT purchase) at the time of Tenanted Room APPLICABLE APPLTCABLE APPLICABLE APPLICABLE Purchase

Any Investment on the land by NO',r NOT NOT NOT way of development NIL. APPLICABLO APPLICABLE APPLICABI,E APPLICABLE construction etc,

Approximate Current market NOT NIL NIL NIL NIL yalue APPLICABLE (v) Others (such as interest in NIL NIL NOT NOT NOT property) APPLICABLE APPLICABLE APPLICABLE (vi) Total of Current Market Valut Rs.31,00,000/- NIL NIL NIL NIL of (i) to (v) above / t; tt h15m b u, b (81 I give herein below the details of liabilities / dues to public financial institutions and

govemment :-

(Note: Please give separate details of name ofbank , institution, entity or individual and amount before each item).

S. Description Self Spouse HUF Dependent-l Dependent-2 No. (I) Loan or dues to BanVFinancial Institution(s) NOT NOT NOT Name of Bank or financial NIL I\IIL APPLICABLE APPL!CABLE A"PPLICABLE Institution, Amount outstanding, Naturc of loan Loan or dues to any other individuals/entity other than mentioned above NOT NOT NOT * NIL NIL APPLICABLE APPLICABLE APPLICABLE a 0{t Name(s) Amount outstanding, a 'naturc of loan I Any other liability NIL NIL NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE Grand total of liabilities NIL NIL NIL NIL NIL (iD Government Dues: (A) Has the Deponent been in occupation of accommodation provided by the Govemment at Dues to departrnent dealing witb govemment accommodation . any time during the last ten years before the date ' of notification ofthe current election ? Yes /No. @) If answer to (A) above is YES , the following declaration may be fumished namely :- ( Pl. Tick the appropriate (i) The address of the Govemment altemative accommodation. ) 71702, Narmada Apartment, M.S. Flats , Bishambardas Marg; Baba Kharak Slngh Marg Near Gol Dak Khana, New Delhi - U0001 (ii) There is no dues payable in respect of above Govemment accommodation , towards -

(a) rent ; (b) electricity charges ; (c) water charges ; and (d) telephone charges as on 20.02.2019 ( date )

I the date should be the last date of the third month prior to the month in which the election is notified or any date thereafter ]

Note - ' No Dues Certificate ' from the agencies concemed in respect of ren! electricity charges , water charges and telephone charges for the above Govemment accommodation should be submitted . (iii; Dues to departrrents dealing with govemment traDsport NOT NOT NOT (including aircrafts and NIL NIL APPLICABLE APPLICABLE APPLICAf,LE helicopten) ( rE:.' )fi.- (iv) Income Tax Dues NOT NOT N(rI tuL NIL APPLICABLE. APPLICABLE APPLICABLE

(v) GST Dues NIL NIL NOT NOT NOT APPLICABLE APPLICABLE APPLTCABLE

(vi) Municipal /Property Tax Dues NIL NIL NOT NOT NOT APPLICABLE APPLICABI,E APPLICABLE (vii) Any other dues NIL NIL NOT NO',r NOT APPLICABLE APPLICABLE APPLICADLE

(viii) Grand total of all Govemment dues I\nL NIL NIL NIL NIL

(ix) Whether any other liabilities are in dispute, if so, mention the amount involved and the NIL NIL NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE authority before which it is pending. ia N b I .(!) : Details of profession or occupation: i, (a). Self i Member of Pailiament and Trade Union Leader.

(b). Spouse i Retircd

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

(a) Self r Salary from Parliament and Income from Investments,

(b). Spouse :- Pension and Income from Investments.

(98) Contracts with appropriate Govemment and any public company or companies.

(a) details of contracts entered by the candidate -Not Applicable

(b). details of contracts entered into by spouse- Not Applicable

(d) details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest- Not Applicable

(e) details of contacts entered into by Partnership Firms in which the candidate or spouse or dependents are parblers - Not Applicable

(0 details ofcontracts entered into by private companies in which the candidate or spouse or dependents have share - Not Applicable

(10) My educational qualification is as under:

B.sc. (Subsidiara) from Bhavan's College, Andheri, Mumbai, Mumbai University in 1975.

(Give details of Highest School / University education nrentioning the with full form of the certificate/ diploma/ degree course, Name of the School /College./ Univenity and the year in which the course was . completed.) Di PART_B

(1T) ABSTRACT OF THE DETNLS GIVEN IN (T) TO (TO) OF PART - A :

I Name of the candidate Shri. An ind Ganpat Sawant

2 Full postal addrcss 3187, Mithibai Building, Acharya Donde Marg, Sewree, Mumbai - 400 015

3 Number and name of the constituency and State 31- South Mumbai Parliamentary Constituency, Maharashtra,

4 Name of the political party which set up the SHIVSENAPARTY candidate (otherwise write'lndependent') ' 5 Total number of pending criminal cases. One

6 Total number of cases in which convicted . NOT APPLICABLE

PANof Year for which last Total lncome Shown K Income Tax retum filer a Candidate A.UKPS4755N r'.Y.2017-18 Rs.12.18.600/- BI s AJWPSO44SA F.Y.2017-18 Rs. 7.13130/- , NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE [d) Dependents NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Y Details of Assets and Liabilities ( including ofiBhorc asseb ) in rupees Description Self Spouse HUF Dependent Dependent- I 2

A. Moveable Asset Rs. 1,01,91,354/- Rs. r38,mrBl. NOT NOT NOr . (Total value) APPLICABLE APPLICABLE APPLICABLE B Immovable Asset

I Purchase Price of Self - NOT NOT NOT Rs.12,000/- NIL acquired immovable property APPLICABLE APPLICAALE APPLICABLE

u. Development / construction NOT NOT NOT cost of immovable property NOT NIL APPLICAALE APPLICABLE APPLICABLE after purchase (if applicable) APPLICABLE

uI. Approximate Current Market Price of -

(a) Self acquired assets NOT NOT NOT (Total Value APPLICABLE APPLICABLE APPLICAELE ) Rs.1,00,000/- NIL NOT NOT NOT (b) Inherited assets (Total NIL APPLICABLE APPLICABLE APPLlCABLE Value) Rs30,00,000/- 9 Liebilities

(D Govemment dues NOT NOT NOT NIL NIL APPLICABLE APPIJCABLE APPLICABLE ( Total ) (iD Loans from Bank, NOT NOT NOT Financial Insitutions and I\tIL NIL APPLICABLE APPLICABLE ATPLICABLE others (Iotal)

10. Liabilities that are under dispute (i) Govemment Dues (Total) NIL NIL NOT NO'I NOT APPLICABLE APPLICABLE APPLICABLE (ii) Loans from Bank, Financial NIL NIL NOT NOT NO'T lnstitutions and others (Totall APPLICABLE A"PPLICABLf, APPLICABLE I l. Highest educational qualification: ' B.sc. (Subsidiary) from Bhavants College, Andheri, Mumbai, Mumbai University in 1975. (Give details of Highest School / University education rnentioning the with full form of the certificate/ diploma/ degree course, Name of the School /College/ University and the year in which the course was compreted.) /)i;, * lB.{ c.

tI. f-ry.t bl 5-5 ra,

! VEruTICATION

I, the deponen! 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 nothing material has been concealed therefrom. I further declare that :

(a) 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;

(b) 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 l0 of Part B above.

Verified at Mumbai this the o$*+' dayofApril,2019

tilgi 6 :1, I (Mr. Arvind Ganpat Sawant ) DEPONENT

Note I . Affidavit should be filed latest by 3 .00 PM on the last date of filing nominations.

Note 2. Affidavit should be swom before an Oath Commissioner or Magistrate of the Fint Class or before a Notary Public.

Note 3. All Columns should be filled up and no column to be left blank. If there is no information to fumish 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 Affrdavit should be signed by the deponent and the Alfidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavitisswom' BEF,RE tt'lE ,p t1 o 6 o4 4.. --a-\ BR. DUBE I r LL.8. l€9. No. Ira" B S(. tHtr.r IA 8.t NOiARY corir. OF tNI' Arror*ffnld 74()5,trdy Rtiln Co.nptc,,, fh.*t Urg" Wotli,Mr Mnrrr000r*, ilo I u S. Iht

Regi. No. 6 q 1 b1 Dr. SG No. 565 iDOr.: &

&L Arr.oIEInld lHllt rt'I.,

"i-:. ,la ,, , \ OETAITS OF DEPOSITS Annexure-l Ma Arvind Ganoat Sawant A

BALANCE AMOUNT sR.NO. NAME OF THE BANK AND ADDRESS ACCOUNT NO. AS ON 31-03-2019

1 S.B.l. Parliament House BEnch New Delhi 338746L7694 445,729.O0 2 S.B.l. (PBB hlranandani Branchl Mumbai 11901008416 270,169.00 3 Bank of Baroda (Powai Branchl Mumbai 24140100008951 75,313.00 Mumbai District Central Corp. Bank Ltd. 4 (Dadar East Branch) Mumbai 10/01/0o8s45 134s44.00 lndian overseas Bank, wodi Branch 5 ,Mumbai. 020501flxxn4488 263,983.00 I Total (A) 1,189,738.00

NAME & ADDRESS OF BANK / FINANCIAL ACCOUNT NO. BATANCE AMOUNT sR.NO. / N. INSTITUTION RECEIPT NO. AS ON 31-03-2019 S.B.l. (PBB hlranandani Branchl Mumbai 35893691080 570,450.00 z S.B.l. (PBB hlranandani Branch) Mumbai 38113S151445 1,000,mo.00 3, S.B.l. (PBB hlranandani Branch) Mumbai 381135151897 1,000,m0.00 ,EI S.B.l. (PBB hlranandani Branch) Muinbai 38135152369 1,000,mo.00 I 4*af./a S.B.l. (PBB hlranandani Blanchl.Mumbai 38135153055 500,o00.00 V,il S.B.l. (PBB hlranandani Bnnch) Mumbai 38135108737 Lsoo,ooo.00 Mumbai District CentralCo-op. Bank Ltd. 7 (Dadar East Branch) Mumbai m0188 600,000.00 Mumbai District Central Co,:op..Bank Ltd. 8 (Dadar East Branch) Mumbai m0251 600,000.00 9 Bank of Baroda Powai Br 24L4300p4}0694 926,383.00 I Total (B) 7,696,843.00

TOTAL (A+B} 8,886,581.00

Mrs. Anuva Arvlnd Sawant

BAI.ANCE AMOUNT sR.NO. NAME OF THE BANK AND ADDRESS ACCOUNT NO. AS ON 31-03-2019

1 S.B.l. (PBB hlranandani Branch) Mumbai 30004526983 325,498.00 2 S.B.l. (llT Powai Branch) Mumbai LO7759L27U 49,625.00 3 Punjab National Bank 87GXn010fln5069 6,479,220.@ to be entered I Total (A) 5,854,343.00

NAME & ADDRESS OF BANK / FINANCIAT ACCOUNT NO. BALANCE AMOUNT sR.NO. / INSTITUTION RECEIPT NO. AS ON 31-03-2019

1 S.B.l. (PBB hlranandani Branch) Mumbai 38136108238 1,500,m0.00 2 s.B.l. (PBB hlranandani Branch) Mumbai 3At350274t7 500,m0.00 I Total (B) 2,000,000.00

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