Annexure-12

EXPENSI ABSTRACT STATEMENT OF ELECTION

PART - I

Name of the Candidate Sh./Smt./ Km. RAN PRASAD SHARMA II Number and name of Constituency 72 BAAR CuALLA LAC III Name of State/Union Territory ASS A M

IV Nature of Election (Please mention whether General Election to State Assembly / /Bye-election) V Date of declaration of result

VI Name and Address of the Election Moks Hey AsAska, Chondnari, Agent Te 2/Y VII If candidate is set up by a political ADAneu CGga party, Please mention the name of the an political party VIlI Whetherthe party is a recognised Yes/No political party

Same2h

Date: Signature of the Candidate

Place: Tezpu Name: aM PRASAD SaRMO+

PART-II: ABSTRACT OF STATEMENT OF ELECTION EXPENDITURE OF CANDIDATTE

S. No. Particulars Amt. Amt. Amt. Total Election expenditure Incurred Incurred | Incurred Auth. (3)+(4)+(5) by authoriz authoriz Candidat ed by ed by el Pol others Election Party in Rs.) agent(in (in Rs.) Rs.) 3 4 Expenses in public meeting, rally, procession etc.: .aExpensesin public meeting, rally, procession etc. (ie: other than the ones o412 wi'h Star Campaigners of the Politicai to1822 party (Fnclose as per Schedule-1) 1.b: Expenditure in public meeting rally, procession etc. with the Star Campaigner(s) (ie: other than those for| 1746 Tol ITY67O0 general party propaganda) (Enclose as per Schedule-2) II Campaign materials other than those used in the public meeting, rally, procession etc. mentioned in S.No. I above(Enclose (4I O0 as per Schedule-3) III Campaign, through print and electronic media including cable network, bulk SMS or internet and Social media (Enclose as ,9 per Schedule-4) used 335F IV Expenditure on campaign vehicle(s), 335AF by candidate(Enclose as per schedule-5) V Expenses of campaign workers /agents (Enclose as per Schedule 6)_ VI Any other campaign expenditure VII Expenses incurred on publishing of declaration regarding eriminal cases (Enclose as per Schedule-10)* 1A053 Grand Total 053

RAISED BY CANDIDATE PART III: ABSTRACT OF SOURCE F FUNDS Amount (in Rs.) S No Particulars 2 Amount of own fund used for the election campaign (Enclose as per Schedule -7)_ received from the in cash or cheque etc. Lump sum amount party (ies) O, Oo, o (Enclose as per Schedule -8) from fim/ associations/ III Lump sum amount received any person/ company/ or donation etc. , o9, 5oo body of persons etc. as loan, gift (Enclose as per Schedule -9) Total 2O500 Schedules- 1 to 10: Details of Elections Funds and Expenditure of Candidate Schedule- 1

in Expenses public meeting, rally, etc. procession (ie: other than those with Star Campaigners of the Political S. No of party) Nature Expenditure Total Amount Source of Expenditure InRs. Amt. incurred / Auth. |Amt. incurred Amt. incurred by by Candidate/ agent|/by Pol. others Party with name 2 3 4 |Vehicles for transporting visitorss 37513 375I13 Erecting Stage, Pandal & Furniture, Fixtures, poles etc. 154130 S413 Arches & Barricades etc. NTL Flowers/ garlands NIL Hiring Loud speakers, Microphone, amplifiers, comparers etc.515 |F SSI7 Posters, hand bills, pamphlets, Banners, Cut-outs, hoardings At25f | ATI Beverages like tea, Water, cold drink, juice etc. |L24445 12 45 Digital TV-boards display, Projector display, tickers boards, 3D display NIL Expenses on celebrities, payment to musicians, other artists remuneration etc. I 10 Ilumination items like serial lights, boards etc. NC 11 Expenses on transport, Helicopter/ aircraft/ vehicles/ boats etc. charges ( for self, celebrity or any other campaigner other than Star Campaigner) 12 Power consumption/ generator charges 8 0 13 Rent for venue 14 Guards& security charges NI 15 Boarding & lodging expenses of self, celebrity, party functionary or any other campaigner including Star Campaigner 16 Others expenses olenqu AUl ony8523 O 35 30| Total

Schedule-2

Expenditure in public meeting rally, procession etc. With the sStar Campaigner($) as apportioned to candidate (ie: other than those for general party propaganda) S. No Date and Venue Name of the Star Campaigner(s) & Amount of Expenditure on public meeting raly, Remarks, if any Name of Party procession etc. with the Star Campaigner(s) apportioned to the candidate (As other than for general | party propaganda) in Rs.

3

Source of Expenditure

Amount by Amount by Amount by Candidate/Agent |Political Party Others 21(aGoshasl Gogo1 (IN)|ILA36

ZomeY Tota Schedule-3

Detais of oh eeriditure campign raterials, like hardbills, & CBEetPS, CDS DV%, Loud speakers, amiplifers, digita TV/ boardparghiets, dispilay,3D posters, dispkayhoardings, etc. forban1ners, candidate's aut-outs, election gates campargn arches, (e: vioe0 oer d a 0 u hose ctovered in schedsie 1 B 2)

Nature of Experses Total Amourt in Sources o Expenditure Remarks, if any RS. Art. By Amt By P Amt. By others Candidate Party agernt

1 c Sgo 20 Soo

36S 36S| Tota I410o 1417 o0

Schedule 4

etai o xervditire on campaign through print and electronic media including cable network, bulk SMS or Internet or soCial media, news th /TV/rncio cthaTl etr, inuding the paid news so decided by MCMC or voluntarily admitted by the candidate. The details should include the exriitur inrared om all susch ews tems appearing in privately owned newspapers/TV/radio channels etc.

No atre o Name and address of Name and address of agency, Total Amount in Sources of Expenditure medimn media provider (prin reporter, stringer, compary or any Rs. elertroiic /etectronk /SMS / voce/ person to whom dharges/ Amt. By Amt. By Amt. By irnt) ad Cabie tV, soal media commission etc. paid/ payable, If candidate/ agent Pol. Party others rlt atiorn etc) any Col. (3) +(4)

Te2puv

o roo ?o oe

Sceduie-44

H. xmyii a g tNOugh mendid ad erto Cudg Catie netvr, tAik SMS or Internet or socai mecto, news ie W/ dat c uri Wet et udng te haid rew o deded MJC t tby Tary advtted by Ue candikate. The detais shuid ncude the

Nae adess # Y al AtnaM nSrces of t xperitire

Amt Arnt, By 4Hlale MJetPoi Party thers Total Ni Schedule -5

Detdiis or expenditure on vehicle campaign (s) and poll expenditure on vehicle(s) for candidate's election campaign

S. No No. of Regn. Hiring Charges Source of Expenditure |Vehicle &Type of vehicle No. Days Total amt. of Vehicle for which incurred/ auth. used in Rs. Rate for Fuel charges Driver's |Amt. By |Amt. By Pol. |Amt. Hiring of (If not covered charges candidate/ agent Party By vehicle/ under hiring) (IF not other maintenance covered S under hiring)

2 3a 3b 3C b ASI2Ts532 2252 15o N:I 3404 2 AS12K671422 S2 SO N S164 3 ASSS2252 623 N 20 77 Sool 4 IASoJ4 S66205o|t25 2 20 75 Total 33 5AH| 33 SR7)

Schedule- 6 Details of expenditure on Campaign workers/ agents and on candidates' booths (kiosks) outside polling stations for distribution of voter's slips S. No Date and Expenses on Campaign workers Total amt. Sources of Expenditure |Venue incurred/ auth. Nature of Expenses5 Rate | No. of workers n Rs. Amt. By Amt. By Pol. Amt. By agents No. of candidate/ Party others kiosks agent

2 3a 6 Candidates' booths (kiosks) set up for 300 C6 6 distribution ofvoter's slips 3-2 oo 372 Koo Campaign workers honorarium/ salary etc. AoL 3 Boarding | Lodging Others 3 65 8 9200| 9200 Total CtO O0o o 2000

Schedule-7

Details of Amount of own fund used for the election campaign

5. No. Date Cash DD/ Cheque no. etc. with details of Total Amount in Rs. Remarks drawee bank

3 4 5 6 13/21 00000 5 222 .

Total Schedule-8 |909,too

Details of Lump sum amount received from the party (ies) in cash or cheque or DD or by ACCOunt I ransier

S. Name No. of the Political Party Date ash DD/ Cheque no. etc. with Total Amount in Rs. |Remarks, if any details of drawee bank

5 1NG 19/321 PoNBHA1o T8126156 009 00 0

Total 10, 00, v0o Schedule-9

Detdis or Lump sum amount received from any person/company/firm/associations/body of persons etc. as loan, gift or donation etc.

S. |Name and address | Date Cash | DD/ Cheque no. Mention whether Total Amount in Remarks No. etc. with details of | loan, gift or Rs. drawee bank donation etc.

4 5 ,09,5o0 Denallen 0,500

Total C,04,50o| 04500|

Schedule- 10* Details of expenditure incurred on publishing criminal antecedents, if any in newspaper and TV Channel SI. Newspaper Television Mode of payment No. (electronic/cheque/ DD/ Cash) (Pl. specify) Name of Date of Expenses that Name of Date & Time of EXpenses Newspaper publishing may have been channel insertion/telecast that may incurred (in Rs.) have been incurred (in Rs.) 3 4 6

Total Note 1. In Schedule 5: of the copy order containing list of all vehicles for which issued permit by the Returning Officer to be enclosed. (6If the vehicle is owned by the candidate/his relative/agent are used for election purpose, notional cost of hire of all such vehicles, except one vehicle if owned and used by the candidate, notional cost of fucl and drivers salary for such vehicle, shall be included in total amount of expenditure in the above table. 2. In all schedules if any expenditure on goods and services, provided by the Political Party; or provided by any person/ company/ firm associations/ body of persons etc. on behalf of the candidate, then the notional market value of such goods or services are to be indicated, in respective columns. 3. In Part -II1, the Lump-sum amount of fund received from the should be political party or others or the candidate's own funds, to mentioned date wise. In all such cases such amounts are required be first deposited in the bank account of the candidate, opened for election expenses. be the candidate 4. Each page of the Abstract Statement should signed by

Court dated 25.09.2018 in WP(C) No. *In pursuance of Hon'ble Supreme Judgment 536 of 2011. Or eeo)o (Coah)

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UST 37HH 24AA 095572 TAR 20 MAY 2021

Anita Devi BEFORE THE NOTARY PUBLIC,

Kamrup (Metto)

KAM 01 Exp Dt-1601/2022/No Regd. EASS APPENDIX-3 OVT O FORM OF AFIDAVIT Before the District Election Officer Sonitpur.

Affidavit of Shri Ram Prasad Sharma, S/o Late Hari Narayan Sharma.

IShri Ram Prasad Sharma, son of Late Hari Narayan Sharma, aged 66 years, resident of Kachari Basti, Ulubari, Guwahati-781007 do

hereby solemnly and sincerely state and declare as under:

1. That I was contesting candidate at the general election to the House of the Legislative Assembly of Assam from 72-Barchalla A.NOTARYDev) Assembly Constituency, the result of which was declared on

GU o) 02.05.2021 KAMRUP( Contd...... 2 hat my election agent kept a separate and correct account of all

connection With expenditure incurred/authorized by me/my election agent in and the date of the above election between 09.03.2021 to 02.05.2021

declaration of the result thereof.

the in the register furnished by 3. That the said account was maintained annexed hereto the said Register itself is Returning Officer for the purpose and in the said account. with the supporting vouchers/bills mentioned

hereto includes as annexed 4. That the account of my election expenditure me or by my incurred or authorized by all items of election expenditure association/body me, other election agent, the political party which sponsored connection with the individuals me, in of persons and other supporting withheld/suppressed therefrom election, and nothing has been concealed or 1 and 2 of "Leaders" covered by Explanations (other than the expense on travel of the Act, 1951). under section 77 () of the Representation People

annexed as Annexure II That the Abstract Statement of Election Expenses

or authorized OTA incurred by me, tothe said account also includes all expenditure the party which sponsored me, other Regd.AnitaNo. Devi KgM01eciomy eledtion agent, political (Med in of persons and other individuals supporting me, aExp. Di-16/07 associations/body cophecion with the election. F A

are true to the OVT That the statements in the foregoing paragraphs (1) to (5) that is false and material has best of my knowledge and belief, nothing nothing been concealed. RonpraaA Eam

IDENTIFIED BY ME DEPONENT

ADVOEATE AHIAT rooSlang Solemnly affirmed/sworn by Shri

EN NO..*********************o Ram Prasad Sharma at Guwahati this day of 20.05.2021 before me.

20 MAY 2021 Devi) NOTARYGWAHATI

(Metro}

SP

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