i i NON JUDICIAL

Government of National Capital Territory of

e-Stamp

vntqwqt Certificate No. 58831 1411 18-Jan-202011:18AM i TMPACC (tvy dr921303/ DELHI/ su BIN-DLDL921 30331 80520828291 65 VIKRAM BIDHURI Article 4 Affidavit Not Applicable 0 (Zero)

I First Party VIKRAM BIDHURI

r Second Party Not Applicable Stamp Duty Paid By VIKRAM BIDHURI Stamp Duty Amount(Rs.) 10 (Ten only)

;t t *:l

,;.:

Please write or type below this line-

Oath C No- 33/201 RA.J N i * 3 li Coui-t r i'om ra 28|AA?A?- New

I

Statutory Alert: \' 1 Form 26

(See Rule 44)

AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORE THE RETI.JRNING OFFICER FOR ELECTION TO THE LEGISLATIVE ASSEMBLY OF NCT OF DELHI

F ROM AC.s2.TUG H LAIGBAD ASSEM BLY CONSTITU ENCY"

PART A

l, Vikram Bidhuri, S/o Sh.Mahender Bidhuri, aged about 43 Years, R/o H.No.1179, Bangar Mohalla, Tughlakabad Village, -LL0O$4, a candidate at the above election, do hereby solemnly affirm and state on oath as under:-

1) I am a candidate set up by Bharatiya Janata Party (Name of the political party)/arna

. (Strike out which ever is not applicable)

2l My name is enrolled in S2-Tughlakabad Assembly Constituency, (7-South Delhi

Parliamentary Constituency) in the State/UT of NCI of Delhi (Name of the

constituency and the state), at Serial No. 763 in Part No.56.

3) My contact telephone number is 9311233399 and my E-mail id is

[email protected], and my social media account(s) (if any) is/are

i" Facebook Page: ht!ps://www.fagebook.com/vikra mbid hurigfficia l/

il" Facebook lD: https ;//www.face book.com/Vikra m bBJ P ilt, Twitter http:/ltwitter.comlVikrambidhu ri?s=08 iv" lnstagram i hftp://instasram.€ bidhutiqfficjal?ulm source=ig profile shale& isshid=8io2viver520

4) Details of Permanent Account Number (PAN) and status of filing lncome Tax return:

in S.No" Name PAN The fina ncia I Total income shown year for which lncome-tax return (in the last Rupees) for the last flve lncome-Tax Financial Years (as on return has 31-'t March) been filed L. Self AEMPVO695L 2018-19 20L8-19 i. Rs.5,69,400/- 20L7-18 ii. Rs.5,22,500/-

20L6-L7 iii. Rs.3,72,500/-

2015-16 iv" Rs.3,45,500/-

201.4-L5 v. Rs.2,67,100/-

2 Spouse DYFP82577B Not 2018-19 Applicable i. Not Applicable Mrs.Savita 20L7-t8 Bidhuri ii. Not Applicable 20t6-L7 iii. Not Applicable 201_5-16 iv. Not Applicable 20L4-LS v. Not Applicable

3 H U F(if the Not Applicable Not 2018-19 ca ndidate ls Applicable i. Not Applicable l(a rta o r copa rcener z0L7-L8 ii. Not Applicable

20L6-L7 iii. Not Applicable

Oath L. No- 33120 RAJ T\l * r tom 2 io I\ew I't { 2015-1.6 iv. Not Applicable

20t4-L5 v. Not Applicable

4. Dependent-1 NO PAN Not 201.8-19 ALLOTTED Applicable i. Not Applicable Sh.Manav 20L7-18 Bidhuri ii. Not Applicable 20L6-L7 iii. Not Applicable 2015-16 iv. Not Applicable zoL4-L5 v. Not Applicable 5 Dependent-2 NO PAN Not 2018-19 ALLOTTED Applicable i. Not Applicable Ms.Anshika 20L7-L8 Bidhuri ii. Not Applicable 20L6-17 iii. Not Applicable 201s-16 iv. Not Applicable 201-4-L5 v. Not Applicable 6 Dependent-3 Not Applicable Not i. Not Applicable Applicable Not Applicable ii. Not Applicable

iii. Not Applicable

iv. Not Applicable

v. Not Applicable

Note: lt is mandatory for PAN holders to mention PAN and in case of no PAN, it

should be clearly stated that "No PAN allotted".

5) Pending Criminal Cases

I No- 33/2C RAJT.{I Adv0cate App Bl'Delhiir Perjod From ?7 ia'26!09t242 l' (i)raeela+e+h . (tick this alternative if

there is no criminal case pending against the candidate and write NOT APPLICABLE

against alternative (ii) below)

OR

1yr4u following cases are pending against me

(if there are pending cases against the candidate, then tick this alternative and score off alternative (i) above, and give details of all pending cases in the table below)

Table a) FIR No. with name FIR No.13/2015 FIR No.26l2011 ln NIL and address of the in P.S.Pul police station P.S,Govindpuri, Prahladpur, Delhi concerned Delhi

b) Case No. with SC No.5212017 Cr. Case NIL No"89323/2016 name of the court Titled as State Vs. Vikram Titled as Bidhuri & Ors. state vs. Balwinder Singh & Sh"Gulshan Kumar, Ors. ASJ, Saket Courts, Delhi. Ms.SwatiSharma, M.M., Saket Courts, Delhi

c) Section(s) of the Sections t47, L48, Section L47,148, NIL concerned L49, 323, 325 and L49,323,325, Acts/Codes 308 of l.P.C. 336,427, 435, involved (Give no. 452, 506 and 1208 of the Sections, e.g. of l.P.C Section_of IPC etc.) d) Brief description of Rioting/Simple Rioting/Simple NIL the offence /Grievous /Grievous H urt/Atte m pt to Hurt/Mischief commit Culpable ca using

Homicide . damage/Mischief by fire/House Trespass/Crimina I Com

J.IL,' A J t\. t { * ,t fl \ I l lntimidation. e) Whether cha rges No Yes NIL have been f ramed (Mention Yes or No) f) lf answer against Not Applicable Charges were NIL (e) above is Yes, framed on then give the 13.04.201,8 under details on which Section L47, 148, the charges have L49,323,325, been framed. 336,427,452, 435, 506, 1208, tPc NIL s) Whether any No No Appea llApplication for Revision have been filed against the proceedings (Mention Yes or No)

6) Cases of conviction (Tick this alternative, {fft.declare that I have not been convicted for any criminal offence. if tn" candidate has not been convicted and write NOT APPLICABLE against the alternative (ii) below)

OR

(ii) I have been convicted for the offence below: NOT APPLICABLE

(lf the candrdate has been convicted then ticl< this alternative and score off alternative (i)

above, and give details in the Table Below)

TABLE

a) Case No. NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE b) Name of the court NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE c) Section(s) of the NOT NOT NOT Acts/Codes APPLICABLE APPLICABLE APPLICABLE involved (Give no. of the Sections, e.g.Je"clla!--of

i!c:- t !' (

f I * ".ii ll I [--. !,

rri NpW A I iPC etc.) d) Brief description NOT NOT NOT of tlre offence for APPLICABLE APPLICABLE APPLICABLE which convicted e) Dates of orders of NOT NOT NOT conviction APPLICABLE APPLICABLE APPLICABLE f) Punishment NOT NOT NOT imposed APPLICABLE APPLICABLE APPLICABLE s) Whether any NOT NOT NOT Appeal has been APPLICABLE APPLICABLE APPLICABLE filed against the conviction Order (Mention Yes or No) h) lf answer of (e) NOT NOT NOT above is YES, give APPLICABLE APPLICABLE APPLICABLE details and present status of

a ppea I

(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 paragraph (5) and

(6).:

[Candidates to whom this item is not applicable should clearly write NOT APPLICABLE

lN VIEW oF ENTRIES lN (5) (i)AND (6Xi), abovel

Note:

L. Details should be entered clearly and legibly in BOLD Letters.

2. Details to be given separately for each case under different column against each

item.

3. Details should be given in reverse chronological order, i.e the latest case should be

mentioned first and backwards in order of dates for the other cases.

4. Rdditional sheet may be added if required"

a I i I 5. Candidate is responsible for supplying all information in complainace of the

Hon'ble Supreme Court's judgment in W.P.(C) No'536 of 2011.

7) That lgive herein below the details of my assets(movable and immovable etc.) of

myself, my spouse and all dependents:

A. Details of Msva[!e]\S!g!g:

Note 1, Asset in the joint name indicating the extent of joint ownership will also have to be

airran 5'vL".

Note 2. lncase of deposit/investment, the details including Serial Number, Amount, date of

deposit, the scheme, Name of Bank/lnstitution and Branch are to be given.

Note 3. Value of Bonds/Share Debentures as per the current market value in Stocl< Exchange

in respect of listed companies and as per bool

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 amounts 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 "off shore assets" includes

details of all deposits or investments in Foreign Banl

aboard, and details of all assets and liabilities in foreign countries"

bt Com No- 3-3/201 F.t i-'i A J tv k .&. h ,*#

Nev,r c L

I S. Descriptio n Self Spouse HU Dependent-1 De pendent-2 Dependent-3 No Mrs.Savita F Mr.Manav Ms.Anshika Not Bidhuri Bidhuri Bidhuri Applicable

Cash in Rs.1,20,000/- Rs.75,000/- NIL NIL NIL Not ha nd cable ii" Details of (i) sB A/c No. sB AIC NIL NIL NIL Not deposit in 20201010134L0 No.30870001 A,pplicable Bank I 0062077sl acco u nts( F Canara Bank, Punjab DRs, Term l(a lka ji Nationa I Deposits Bra nch/ Bank, VSC and all Balance As On Ala kna nda, other types 20"oL.2020 Bra nch, of deposit Rs.4,088/- Delhi/ including Balance As savi ng (ii)SB A/C No. On banks 158601000007 L4.0L.2020

a cco u nts), 227/ Rs. Deposits lndia n L3,994.43/- with Overseas financial Bank, Okhla lnstitutions lndustrial Area , Non Bra nch/ Ba n l

Fin a ncia I L5.0L'.2020 Com pa nies Rs.14,019"95/- and Co- Operative (iii) SB A/C No. Soc ieties 203568L6672/ and the State Bank Of amount in lndia, Okhla each such Ph-l Branch/ deposit Balance as on 20.0L.2020 Rs.2,2881-

(iv) SB A/c No. 919010020602 osL/ Axis Bank, Okhla Ph-l Branch/ Balance as on date 20.0L.2020 is

Flo- _1170 i I '> A I a- dvocale .;:Y Arir iXilht t n.-, rir. r1 ,B' i I i Rs.25,000/- (Election Account) iii. Deta ils of NIL NIL NIL NIL NIL Not investment Applica ble in bonds, d e be ntu res /s ha res and units in com pa nies

/m utua I funds and others and the amounts iv Details of (i) Llc Policy NIL NIL NIL NIL Not ] i nvestm e nt bearing no. Applicable I in NSS, L232s5469

posta I of Date of savi ngs, commencement insurance 09.01.2006 po licies Rs"2,00,000/- and (Sum Inrrestment Assured)/ in any Jeevan Chaya financiai Policy instru me nt s in post (ii) Llc Policy off ice o r bearing lnsurance no.L22344757 Company of Date of and the commencement a m0u nt 22.L2.2003 Rs.1,50,000/- (Sum Assured)/ Money Back Policy

Pe rso na I NIL NIL NIL NIL NIL Not loans/adva Applicable nce given tr.) a ny person or entity

i ncl udi ng firm,

ol Oath C 1,. i.ii:- 3-it:llll ,rlll,"-}trjt * /:i:_-r ri(,-Cfftt v ( ,-j ir;.1 icrlt Iti li.i ri jli \ i company/ trust etc" And other receiva bles f rom debtors and the amount. vi \,4oto r DL9CAS9099/ NIL NIL NIL NIL Not ve h ic iesl Mahindra Applicable aircrafts/ Scorpio/ yachts/ Model-201.9/ shi ps Rs. (details of L6,99,692.90/- make, (Hypothecated

registratio n to lClCl Bank ) number bearing Car etc" year of Loan Account p u rchase No.: and LADELOOO3954 amount) 2722 vii Jewellery, Gold Gold NIL NIL NIL Not bullion and Jewellery: Jewellery: Applicable valuable 250gms/ 250gms/ thing (s) Value: Rs. Value: (give L0,32,t25/- Rs" details of (Approx.) L0,32,L25/- weight and (Approx.) valuej viii Any other NIL NIL NIL NIL NIL Not assets such Applicable as value of claims/

i nte rest ix" Gross total Rs. Rs. NIL NIL NIL Not value 32.,47,213.851- LL,27,719.431- Applicable

B. Details of lmmovable assets:

Note 1". Properties in joint ownership indicating the extent of joint ownership will also have

to be indicated

Note 2. Each land or building or apartment should be mentioned separately in this format

I t1,3iiOCZ'.te ,ir ApP'B'Y Lielhl ,)-:' icnl Peilc'1 ,n(: t1!\,7 ,l l i Note 3. Details should include the interest in or ownership of off shore assets

S.No Description Self Spouse HUF Dependent Dependent- Dependen

1 2 L-5

i. Agricultura I NIL NIL NIL NtL NIL NIL Land

Locatio n: Survey No. NIL NIL Area (Tota I NIL NIL NIL NIL Measuremen t in Acre) Whether NIL NIL NIL NIL NIL NIL inherited property(Yes or No) Date of NIL NIL NIL NIL NIL NIL purchase in case of self a cq u ired prope rty Cost of NIL NIL NIL NIL NIL NIL Land(in case of purchase) at the time of purchase AnY NIL NIL NIL NIL NIL NIL investment on land by way of development

co nstructio n etc. Approximate NIL NIL NIL NIL t\tL NIL Cu rre nt market Value ii. Non- NIL NIL NIL NIL NIL NIL

Ag ricu ltu ra I La nd

Locatio ns (s)

bt Oath

r\()- _-,. .rr: Ll tTA* i'.i I .L CrrC,Ciitrl i-re! hr t-; t i'on'l 26t09i?.aZ h\ Survey Number(s)

Area (l-ota I NIL NIL NIL NIL NIL NIL measuremen t in Sq" ft.) Whether NIL NIL NIL NIL NIL NIL lnherited property (Yes or No) Date of NIL NIL NIL NIL NIL NIL purchase in case of self- acquired property, Cost of Lanci NIL NIL NIL NIL NIL NIL (ln case of purchase) at the time of purchase. Any NIL NIL NIL NIL NIL NIL investment on the land by way of developnrent

co n structio n etc. Approximate NIL NIL NIL NIL NIL NIL current market value

iii, Commercial NIL NIL NIL NIL NIL NIL Buildings

(lncluding

a pa rtments)

Locatio ns (s)

Survey N umber(s) Area (Total NIL NIL NIL NIL NIL NIL measuremen t in Sq. ft.)

Com

Fl A*r l'w t .''.) r r-l:'lili'-i t * Y1 p1, r"11,;.,;i1,,;fii$ 1 Built-up area NIL NIL NIL NIL NIL NIL (Total m easu re m en t in sq. ft.) Whether NIL NIL NIL NIL NIL NIL inherited property (Yes or No) Date of NIL NIL NIL NIL NIL NIL purchase in case of self-

acq u i red property. Cost of NIL NIL NIL NIL NIL NIL property (ln case of purchase) at the time of purchase. Any NIL NIL NIL NIL NIL NIL investm ent on the property by way of development co nstructio n etc. Approximate NIL NIL NIL NIL NIL NIL current market value

iv Residentia I H.No.1179, NIL NIL NIL NIL NIL Buildinss: Bangar (lnclud ing Mohalla, a pa rtme nts) Village Locatio n (s) Tughlakabad, Survey New Delhi. N umber(s) Area (Total 1350 Sq. Feet NIL NIL NIL NIL NIL measuremen t in Sq. ft.) Buiit-up area 4500 Sq. Feet NIL NIL NIL NIL NIL

(Tota I measuremen t in sq" ft") Whether Yes NIL NIL NIL NIL NIL ln he rited property (Yes

r:t O;ltl^,

irl; L .:1 ( ilourt t ,W;riil It \ or No) Date of Not Applicable NIL NIL NIL NIL NIL purchase in case of self- acquired property. Cost of Not Applicable NIL NIL NIL NIL NIL property (in case of purchase) at the time of pu rcha se. Any NIL NIL NIL NIL NIL NIL investment on the land by way of development co nstructio n etc"

Approximate Rs.35,00,000/- NIL NIL NIL NIL NIL cu rre nt market value Others (Such NIL NIL NIL NIL NIL NIL as interest in property)

vi" Total of Rs.35,00,000/- NIL NIL NIL NIL NIL cu rrent market value of (i) to (v) a bove.

(B) lgive herein below the details of liabilities/ dues to public financial institutions and government:

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

S, Description Self Spo use HUF Depend Dependa nt-2 Dependa nt NO a nt- l- 1 i" Loans or DL9CAS9o99/ NIL NIL NIL NIL NIL dues to Mahindra Scorpio/ Bank/ Model-20L9/

Fina ncia I Loan of Rs.7,00,000/-

ol Oath ; . i, ,:- .i _i/ii|1 ;:.1 ,.,,-. I . I . *' . , .,r(:iiti.., L F 1t i, , rl,:tur-t l-: 'i:t il r i\) i .' l'.) l ]

lnstitutio n( (Hypothecated to q) lClCl Bank) bearing Car Loan Account Name of No.: banl< or 1ADE100039542722

fina ncia I Outstanding amount institutio n, as on 1-5.01.2020 a mount Rs.5,99,990/-

o utsta nd i n g, nature of loa n

Loans or NIL NIL NIL NIL NIL NIL dues to anv other individuals I entity other than mentioned absve

Na me(s), Amount

o utsta nd i n g, nature of loa n.

Any other NIL NIL NIL NIL NIL r{ lL liability Grand total Rs.5,99,990/- NIL NIL NIL NIL NIL of As on 15.01.2020 lia b illties, ii Governme (A) Has the deponent been in occupation of \r'-' nt Dues: accommodation provided by the government at +ESl NO (PL rick the any time during the last ten years before the date appropriate alternative. Dues to of notification of the current election? departmen ts dealing (B) lf answer to (A) above is YES, the following Not Applicable with declaration may be furnished namely:- govern men t accommod i. the address of the govt. accommodation Not Applicable atio ns

ii" There is no dues payable in respect of above Not Applicable govt. accommodation, towards;

of Oath

* J t'

I

a. Rent b. Electricity Charges Not Applicable c, Water Charges, and d. Telephone charges as on (date)

(The date should be the Iast-- date of the third month prior to the month in which the election is notif ied or a ny date thereafter.)

Note: 'No Dues Certificate'from the agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above govt. accommodation should be submitted.

iii. Dues to Not Applicable departmen t dealing with govt" tra ns po rt (including aircrafts and he lico pte rs

)

iv lncome Tax NIL NIL NIL NIL NIL NIL Dues Self Spouse HUF Dependant-1 Dependa nt-2 Dependa nt- a)

GST Dues NIL NIL NIL NIL NIL NIL vi M u nicipa l/ NIL NIL NIL NIL NIL NIL

P ro perty Tax dues vii Any other NIL NIL NIL NIL NIL NIL d ues viii Grand NIL NIL NIL NIL NIL NIL Total of all govt. dues. ix" Whether NIL NIL NIL NIL NIL NIL any other

No- AJ r{'l vocate Court roryl l

lia b ilities are in dispute, if 50, mention the amount involved and the authority before which it is pendi ng.

(9) Details of Profession or Occupation:

(a) Self Business

(b) Spouse House Wife

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

(a) Self _Rent (b) Spouse House Wife

{c) Source of income, if any, of dependants L

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

(a) Details of contracts entered by the candidate IL

(b) Details of contracts entered into by the spouse

(c) Details of contracts entered into by dependants IL

(d) Details of contracts entered into by Hindu Undivided family or Trust in which the candidate or spouse or dependants have interest =_-__.-NlL -NlL (e) Details of contracts, entered into by partnership firm in which candidate or spouse or dependants are partners .-NlL

(f) Details of contracts, entered into by private companies in which candidate or spouse or dependants have share IL

Oath "J3t?.CI f J ".1 &cvocaie i{ * App. ri Delhr FIi Peii od From ti) L F

\-

i 1-0. My Educational qualification is as under:

a) Bachelor of Arts (Pass)From Desh Bandhu College, Delhi University, in the year 2012.

(Give details of highest schools/ university education mentioning the full form of the certificate/ diploma/ degree course, name of the schooll college/ university and the year in which the course was completed)"

Cont t r PART - ts

(L1.)ABSTRACT OF THE DETAILS GIVEN lN (1)TO (L0) OF PART * A:

_1. Name of the candidate Vikram Bidhuri 2 Full PostalAddress H.No.1179, Bangar Mohalla, Tughlal

3 Number and name of the AC-52-Tughlakabad AssemblY constituency and the state Constituency, Delhi 4, Name of the Political Party which set Bharatiya Janata PartY up the candidate (Otherwise write 'lnde pe nde nt'). 5 Total number of pending criminal 2 caSes, 6 Total number of cases in which NIL convicted. 7 PAN of Year for which Total lncome Shown last lncome Tax Return filed (a) AEMPVO695L 2018-19 Rs.5,69,400/- Candidate (b) Spouse DYFPB2577B Not Applicable Not Applicable (c) HUF Not Applicable Not Applicable Not Applicable (d) i. NO PAN ALLOTTED Not App licable Not Applicable Dependant ii, NO PAN ALLOTTED 8 Details of assets and liabilities (including off-shore assets) in Ru pees Descripti Se lf Spouse HUF Dependa n Dependa n Dependa n on Savita r-1 t-) t-3 Bidhuri Manav Anshika Bidhuri Bidhuri A. Movable Rs. Rs. NIL NIL NIL NIL Assets 32,47,213, L7,2L,L!9 (Total gsl- 431- Value) B. lmmovab ie Assets

t Purchase Ntt NIL NIL NIL NIL NIL price of self acq ui red immovab le property ll Develop NIL NIL NIL NIL NIL NIL ment/ co nstruct ion cost of immovab le property afte r purchase (lf applicabl e) ill Approxi NIL NIL NIL NIL NIL mate Current marl

(a) Self

a cq u ired (a)Not

a ss ets Applicable (Total Value)

(b) In herited (b) a SSetS lnherited:

(Tota I Rs. value) 35,00,000/ -(Approx) 9 Lia bilities i. Governm NIL NIL NIL NIL NIL NIL ent Dues (Tota l) ii Loa ns Rs.5,99,990/- NIL NIL NIL NIL from From ICICI ba n ks, Bank

f ina ncia I institutio ns and othe rs (Total) 10 Liabilities that are under dispute

(i) Governmen NIL NIL NIL NIL NIL NIL t Dues (Total) (ii Loans from NIL NIL NIL NIL NIL NIL

Com

No- 331201 .A\ JI'+l ) o -l" ic{n "-I u, l t ) ba n ks,

fin a ncia I institutio ns and others (Total)

11 Highest Ed ucational Qualification

a) Bachelor of Arts (Pass) From Desh Bandhu College, Delhi University, in the year 2AtZ

(Give details of highest schoolsl university education mentioning the fullform of the certificate/ diploma/ degree course, name of the school/ college/ university and the year in which the course was completed).

oi Oath l-. No- 33120 F:,Ar-l I'i i ' i,,,,..^+- ONENT t^: * /ri,r! I .,.K: :lt Pcil,ll t- io 26/09 VERIFICATION:

l, the cieponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my l

(a) there is no case of conviction or pending case against me other than those mention and iterns 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 B of part A and items 8, 9 and 1"0 of part B above.

gr Verified at rJv orJ* hh'! noz o ::X$ DEPOI\ENT {t;1e} s$ r.l,i' \ THSTi Tht#. MEPC}F{ffiP.JT a $ii!, !Wn"', l'''3' Fi &.,.,.*.'. ." . ,

? O JAN ?O?O Note: 1. Affidavit should be filed latest by 3:00 p.m. on the last day of filing 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 colunrns should be filled up ancl no column to be left blank. lf there rs no information to furnish in respect of any item, either "NlL" or "Not Ap0licable" as the ca5e may be, should be rnentioned.

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

Nr:re: 5. Each page of the afficlavit should be srgned by the deponent and the affidavit should bear on each page the stamp of the notary or oath commissiorter or rnagistrate bei'ore whom the affidavit is sworn.

(Minisrry of law and.lustice Notificatton No. H1"101914)l2}L9-leg.ll, dated 1-0th October 2018 and notification no.H-110191t3120I6-Leg.ll, dated 26th February, 20191"

ourt :'l2rll