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(^(<•`. ^^ <,ll ^ i /` t:.' ^:: ^^ jfs^^^r, Candidate at the above election , do hereby solemnly affirm and st;ui on oath as undcr:- (Strike out whichever not applicable) The following case (s) is/are pending against me in which cognizance has been taken by the Court:-.1 (i) Section of the Act and description ofthe oilcncc HHHr which cu'4niza11cc taken: (ii) The court which has taken cognizance: (iii) Case No. : v) Date nl Order of the cowl i;:i;ui rur.uii;utcc (v) Details ofappeal(s) i applicationis) for revision, etc. if any. tiled against above order taking cognizancc : That I give herein below the details of the assets (irnmovahle, movable, bank balance, etc) of spouse, my dependents and myself*: (A) I)LTAILS OF MOVABLE ASSE'''S ( ll also have to be Accts in joint name iudicatin,-t the extent of joint ownership wi - --- De^^ndcrr-; iiJent-1 Dependont-2 D \;unc etc. N-1111,-' Deposits in Banks, Financial I' Institutions And Non-Banking Financial Com anies __,___- - Bonds, Debentures and Shares 1n companies Other financial instruments, hrSS, br postal Savings, LIE. politics, etc, ------^--_I. --.. Motor Vehicles (Details of make, etc.) Jewellery (give details of weight and vahue) J Otherassets, such as values of claims/ L interests „,^r the latest market v;iltte in Stork B. DE.(AILS O F lail'i-i()VAi3 [.l" ASSFAS Vole : Properties in joint ownei^vhip i!l'iiratiuy tile exICnt ul jninl owncl have to be indicated) ,,llip will als , Description / Sp use(s) I)cpcudcut-1 1)eprndcnl-2^ Uepcnsi Name(s) i Name Name etc. Ma:] Agricultural Land- - Locations(s) - Survey number(s) - Extent (Total measurement) X - Current market value Non-Agricultural Land- - Locations(s) - Survey number(s) - Extcot (Total ntcasuremenl) Cun-cut neirkel value Buildings (commercial and residential) - Locations(s) - Survey / door numbers(,) - Extent (Total measurement) Current m arkel value I-louses / Apartments, etc- Locations(s) Survey / i!oor ntunhcrs(s) Extent ('Iota] measurement) CWrent nun -kcl value j (iv) Others (Such a, inlcresl in properly) over due to public futancial of my huhilities! the details ivc 1C-Cin )C OW vemtt1e11t dues. institutions and g0 'n rate details for c. gmowtt vNote. e set "please a;ne & address ofgivoutstanding as ncial(s on-- ...... ^ - -'^ pcscription ^ It:,.nl^il^ina ht::ututn,ns L)epartments(s) Vii) Loans irons t3uuks institutions Loans from financial (ii) dealing (a) dues to deV X with govemment X accommodation - - atth ^ utmcnt, de:d ug (tt) dues to d` 'atcr supply o f T artin c nts deali with (c) dues to d p supply of electricity if () dues is dealing with d telephones __ with to deparunents dealing (e) dues to ncludiug govemment transport X i aircrafts and helicopters) Anxxu,t - --- \ me & ^dd,e;^ of outsuuTd,n- as Cunt. t ,nano it 1 ,ti^itu',ons(s)^ ------Dcsci,htiui, nc, artme^t, ^t S) on ue Fax h hiding snrclc. itr r Also indicate the as,;O s 1r^tctw^,, i which income no to pcnn;1ncnt(:Count tiled. Give also Ntlnlher (1AN), \Uealth Tai [rAI^o indicate th'. assessment Year ul, to ^tih,ch vVe: Dui (tt) 1'ax return I ed.) n ac;c of 'I ta\ ^Chily (iii) 5ulos pmprictnry busnu ss^ (iv) property Tax ur under d ; v 1^ _ ^l yualihcation ` : my education; CION^ Ot SCHOOL AND UNIRSlV1 L I Y kD UCA [GIVE DETAILS course was comhlete^ year nr which tho University and the Name of School I be given.] should also C,A' CION and declare that the contents of this nopart ofit s verify nth thlicie ; 1, above named, hereby the drhonent d thlc re from aftldavit are true and ial has tbeen conceal 201 t. tc . false and nothing nra / d::y ut ..>:^....,.... thc...... ^...... this Vertfiec ^ .'_ 1, l r f j- j h,l IT on, DI^1^^^l fie+9 t^'y St1 r ._ wb; Is Idcnt { ag,^!; m^ly ^^tmeii Advcc .,, •nd LJn: t^AY C, C IY. 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X ...... ^1ZT 3TTZ)U ...... ^ ar^tr ^T/ fc f^1 a1 3Trzlu (V) arfl7 (arfY ) -a aFi 3Tfit^'i^c T c ` zI u2I1 2iB 50C° 0 .^, f- 8 3 1J>211 if421eI (3Tp21F^^) ( 3gQrtT7 UJf 1951 ( 1951 Z15T 43) a ,(1) off 3tTY^iz► 31uz1e7 (2) ,IT 3gYfftf (3^ 3 i 3ff^ L7Z (F ) ccl>s a6T `M Jf21T / CIS" , M MIT f TT Urzzr M Drdr (z7f^ 37fz7R7e#1 au'^^ ^u a^ ^a ^1^^Tf)f ffr Jrztr a1 (i) 37Taic^T/ Aga? z oau f2 r (iii)7 O ...... , zl; ; ...... N...... 4rga1*qwl7w cOT QM (e71z1[l) 31 3zt "Vit'T ( PVTUZ^ 34 3rqz,z^) 45r (f'>^z^) f 3faE7 f Safi 3nz}fda -ZIT arztr ^' ...... +...... (v) (7) f} ...... 2f Zrdrrar uM Gmu MU ...... (Vi)7f47a7 `f 3 T ,, x...... " zr 17r 7115T U1t, >z^f .- ...... arflz7 .- C / c) 2 C i (7 ' 35qZ q0ll 362 I , RMi{ZT&f}c 3ij7 ` i ' Tflew, idT/ } ( 2 (\; y..^ ,1 (I TTY 'N' ^flo C, du3 Z IMTTC4 . t "antlfled by •- +a a7f `r ac f%V1zf I 57 A Avoca e. elnnlq sfkm b f0 V Me...... ^...... R7 3T1ur mtw Advocate Sn>rxu. awthm. (^FIDAVII,TIIBE FUAcDATE ALOIWITH NOMIN ER Before the Returning Officer For election to .r ?: Vie? .o^..^.^$?sl z}?v? 9 s?6!^ (name of the House) From ...... 0R.) ...... constituency (Name of the Constituency) a ..... ck, ICU ...... Son/daughter/wife- of ....(.7ctle<>^^,^cqr n^a?? 2 ...... aged ...5J ...... Years, Puy 5-t c-` - Pn-f c--G C 3i ham-) Candidate at the above election, do hereby solemnly affirm and state on oath as und,.r:- (Strike out whichever not applicable) The following case ( s) is/are pending against me in which cognizance has been taken by the court:- Section of the Act and description of the offence for which cognizance X (i.i j The Court which has taken cognizance: X ( Date of order of the court taking cognizance : X (v) Details of appeal(s) / application ( s) for revision, etc. if any, filed against above order taking cognizance : X (L) That I give herein below the details of the assets (immovable , movable, bank balance, etc) of spouse, my dependents and myself*: (A) DETAILS OF MOVABLE ASSETS (Assets in joint came indicating the extent of joint ownership will also have to be given) SI. Description Self Spouse(s) Dependent-1 Dependent-2 Dependent-3 No. Name( s) Name Name etc. Name "E5'RE5I- DEv1 A'i'PREK KUMA ( ce-c) (i) Cash s•^^ t^^^.a . (ii) Deposits in Banks. financial >14, ` 154 - "o Institutionsuns Cl C, V-C7' ---60 And Non-Banking 2C, f-c a = Financial Companies (iii) Bonds, Debentures 9 T D k- and Shares in G R 8, Rr`D rva companies •-- ,iv) Ghee fnanu al insn umcn t ^ hXS , , i ^ • $ C1 postal Savings, LIC SY^Q' S' evo C -"Ca 1 r c Q/9 6, ^• v S '3 O-vv 5 , Lf (rv) M of i s vs R'ni (GLx) tt Cl;llls fYlta ^' .^- SC qY ^. L C C IQ 1 ^_ e IwV`^ 0.4w^1(frv .^+' l=r d!c c.) se,1n^^- E i s Is o' a E f d<'-G $7j cisyJ U 1! raiwe / s, (f c - 17, (vii) Other assets. such as values of claims! interests B"b"D -,or ^------" Note: Value of 13oncls, Shares/ Debentures as per the latest market value in Stock Exchange in respect of listed companies and as per books in the case of non listed companies should be given. * Dependent here means a person substantially dependents on the income of the candidate. IAbstiactl B. DETAILS OF IMMOVABLE ASSETS [Note : Properties in joint ownership indicating the extent of joint ownership will also have to be indicated] Description Self Spouse(s) Dependent-1 Dependent-2 Dependent-3 etc. Name No. Name(s) Name Name (i) -Aglicu ti o il 1 - Locations(s) 50.^-3- ^ - Survey ntiaihor(S) - Extent (Total measurement ) - Current market value / c J Non-Agricultural I and- V it c"I'm -4 - Locations(s) Survey number(s) C y ^tix^^ - Extent (Total 2 K measurement) Current market value (ti Buildings (commercial and residential) Vu1Iof^_ el^a" ,((QQh - Locat i o ns( s) {J Cl2U'r g' Survey / door numbers(s) Extent (Total measurenteut) Current market value ^n pair, ^^ ^,SFtY^ (louses p trnents, ^laca 2t3k. etc l3Prk z^rd a^ h.' Locat'y^l (s) c Stu vey door numb s(s) <, 'XI'V ota `was exit) QQ ►1 rnarketvalue Others (Such as interest In property) I give herein below the details of my liabilities/ over due to public financial institutions and government dues:- [Note : Please give separate details for each item] /+S.No. Description Name & address of Amount Bank/Financial Institutions (s) outstanding as Departments(s). on ...... s from Banks / c fr S I• D R S-7, 916 = en2) He, usim^r Locu,. cc Qr5 893 5 03 (ii) Loans from financial institutions (iii) Government dues:- (a) dues to departments dealing with government accommodation (b) dues to departments dealing with supply of water i y (e) dues to departments dealing with supply of electricity ^._ (d) dues to departments dealing with tel eph ones pp^r" P 0 6'v uWt Oar ^ ^ a yr 2cc kf P _ ha Ut Im 'C^ " ^'^ w -. \_•_,_-__.._- Cep duo departments dealing with -- gov iiunent transport (including aircr^tts and helicopters) "'^ v( her dues, if any 10 N.. -7 No. Description Name & address of Amount Bank/Financial Institutions(s)/ outstanding as Departments(s) on ...... (b) (i) Income Tax Including surcharge 6zjZ Lb [A l so i nd icate the assess ments year pAN No- q F9PK 7i0/4 9 r up to which income Tax Return filed. Give also permanent Account j nt 7^P p Number (PAN)] (ii) Wealth Tax [Also indicate the nstic::n icn^ year up to which wealth lax return tiled.] (iii) Sales tax [Only in case of pr'opr'ietary business] (iv) Property Tax • y,p QY-^97 (4) My educational qualifications are as under :- r1 Q ^ 'g ' Pam c^cu fOY U - [GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION] [Name of School / University and the year in which the course was completed should also he given.] DEPONENT VERIFICATION 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 ; no part of it is false and nothing materjal has been concealed there from. f Vchil q',J.`(7 a , hfti 1Lxh^^...... dayof ...... 200 ..... Wtltlek4 by se'(f,- Advocate. S. 'dn 1Jy M declare Dnfupa ,-^ PGANNA1 TFI SAI9t Havocri ft 'wtacv Public, Benlow, Gale p( delivery of the Ue•. on whl he coax ; re edt im Belle ei y• requisite stamps and wa 0l 'c/, 9o/a O) C/ V9 ...'V '1% Y^ie'i i1i1 _ii i{• I 3iV^ai3 T2Ta :.ar.^}7 71614, uitt :x t fi Ftf^^7 Ti:( Ai`(ie cll(i7 Dale ct del.vcry , nc Oats on which the copy Date of makln9 over tlrc Jato 1000 for notifytnq re,vio tc siemp; a w was read y for dolivery, copy to the applicant. ...a re ;a isito number of lobos. uteinps and folios. 0 ~7 iba%I a9/^? C_ rvl `^ -,, •;l I ^.:.^p '^ (: 'S 4Clj 1j) 7 [T207^ r /^.^' 9^1 S--/ `3 )f d X t/ cra el 18 957 ^^ T'T 177, ^ rST r^yA t4v* sf¢ f!r`•Af i'fl i7ii 8" A i d Q ,,t ;:1 191 1. 1 ^A (s, ( 7 ) 1 dais ? Lt s I •S.C iv 7 i ^EMCY.°.. V FORM'B' _ ,. fICE AS TO NAME OF CANDIDATE SET UP BY THE POLITICAL PARTY [See paragraphs 13(b),(c) and 13A of the Election Symbols(Reservatlon and allotment) Order 1968] 10 The Returning Officer for the 78-Kusheshwar Asthan Assembly Constituency. Subject:- General Election to Vidhan Sabha from 78-Kusheshwar Asthan(Narne of the Constituency in Bihar (State/ UnionTerritory) - setting up of candidate. Sir, In pursuance of paragraphs 13(b);`(c)' and (e)and'13A of-the election symbols (Reservation and Allotment) order 1968, 1 hereby give notice on behalf of INDIAN NATIONAL CONGRESS (Party). (I) that the person whose particulars are furnished in columns (2) to (4) below Is the approved candidate of the party above named, and (ii) the person whose particulars are mentioned In columns (5) to (7) below Is the substitute candidate of the p:-'-y, who will step-in 'on the approved candidate's nomination being rejected on scrutiny or on his withdrawing from the contest, If the substitute candidate Is still a contesting candidate, at the ensuing general election to vidhan sabha from this constituency: Name of the Constituency 78-Kusheshwar Asthan Name of the approved candldbte Dr,,Qshok Kumar Father's/Mother's/Husband's name of approved candidate Baleshwar Ram Postal address of approved candidate Sahdeo Mahto Marg, P.S.- Srlkrishnapurl, Patna G.P.O.-800001. 5.. Name of the substitute candidate who will step-In on the approved candidates nomination X being rejected on scrutiny or on his withdrawing frp(,ie contest If substitute candidate is still a contesting candidate. - 6. Father's/Mother's/Husband's name of substitute Candidate.: 7. Postal address of substitute candidate X 1. Inserted by notification No.56/97/Judl-III, dated- 15.12.1997. 2. The notice iii Form 13" given earlier In favour of Shrl/Smt./Sushrl ...... As party's approved candidate/Shri/Smt/Sushrl As party's substitute candidate is hereby rescinded 1. Inserted by notification No.56/97/Judl-Ill, dated-15 .12.1997. 2, The notice In Form "B" given earlier in favour of Shrl/Smt./Sushrl ...... As party's approved candidate/Shri/Smt/Sushri .. As party's substitute candidate is hereby rescinded. 3. It is certified that each of the candidates whose name is'mentloned above Is a member of this PolltIcpl Party and his name Is duly borne on the rolls of members of this pprty. Yours faithfully, SRS (Chou hary M oob All Kaiser) President, Bihar PCC (frame and signature of the authorized person of the Party) (Seal of the Party) iJ Place -Sadaquat Ashram, Patna Date - 29-09-2010 *Score off, if not applicable. later than 3 p.m on the last date for making nominations. NB:- 1. This must be delivered. to the Retutnlh9 Officer not by means 2. Form must be signed in ink by the'Office'bearer( s) mentioned above. No facsimile signature or signature of rubber stamp, etc. of any office bearer shall be accepted. 3. No Form transmitted by fax shall be accepted. 4. Para 2 of the Form must be scored off, If not applicable, or must be properly filled, If applicable. FORM'A' TO AU THO RI SED D NATIONAL PARTYATE NAME COMMUNIOFICANDIDATES SETIUP Y ) Uldcm. 1'JG6) ( Reservation and Allotment (5rr o,[, 1,; i„) ;^i^,l (,q rind ( e) of the Election Symbols The Chief Electoral officer Bihar constituency ...... 78,KusheshWar Asthan Roturnlnq Officer for the Thr, Bihar - Allotment of symbols - to the Legislative Assembly horn Sub C3enor11 Elections the names of candidates son t o intimate nutl,,,i;r;;rt,on ul i ( Reservation and pclt n symbolse pElec o ershas been uulhwlsud by the In pursuance of paragraph 13 (c) and (d) acid (e)oofwing th person commaunicate that the intimate the names of the candidates Allotment) Order, 1968, I hereby National Party, foil( Indian National Congress, which is proposed to be set up by the party at the election cited above. District/Area/Constituencies in N,unr• nt person ault)prised to Name of office held in the party authorised which he has been I'RLSIULNI 13111AN All Assembly cur u.hlucncicS Of I'RAULSII CONGRESS BJi.c 511121 MLIIISOOli Al I KAIS1 1t COMMIT 1 CL., PAI NA the above mentioned person so authorised are given below. the speclmelc slgnalwes of Shri Mehboob All Kaiser : Speanccn si noturos of 2. 4. V I Yours faithfully, 3 0 (Mt1KUl. WASNI Genet bl 5uraeWly Indian National Congress Place' New Deihl II.tr°,I 7r Sr ptember, 2010 N13 Officer not later than 3 Chief Electoral orecl to the Returning Officer and the ,i r l c ll y r..1 ^I h h nI, dcinp OInin; dips;a t uni1^IHCU nirlnnlurr o ii. ... .,. I, n u r=om be s g..ac in nk by the oilier brae off° ^ bearerdsh altbove be ^,.1„-Itci,,. ey means of rubber stamp, etc_, any 3 No ions '.ransnutted by fax shall be accepted. V^1^-15 3 cTci cf ci^iT 3 cf v v-41{1 1 -i 34ec i' l R1 r (f 'ia;4 v i^Tt-f1' ^Tfli TiiiuT-1 ar,424(11) uurur-vu Tian ...... '...... - ,a^ snaif^n filar -,-ffw , f4, 9^1i^al^rrt^ 1f - , , ...... n f fi , a^nfa au ar^t^f Aa ( Orr)1956 Ufa e1i{Jf as ^nki ^m1 ^f I 2.11 7^rT/art1 g°/ ^7..... h .. ._ fMM TT^ *' i (I '! z ??mgr e __... ^ ^^ K, 7,. yap .. -... GIs ?1c'71&. . • %Aw c^i uz, vaY If .lI 1T 7FT%TTP : f.TqM AFT 3114 'it +R. T T1 37TtF A^Ff e`er 1950 Zi UM 20 I 3+, ^i.7Ti i^clrl midi qm-^'; d W Tw-acv (pur1)ab national honk ABBREVIATIONS USED IN THE PASS BOOK .y Transfer I r. qI: off - 148212 drone: O$24: -.-2io ) Cheque Ch. F51 im Commission ^a:er lava I'o6 :222 from anywnere in I Com. dial 747 Irite re sst Ir;tl. .LF Discount did±I •ti:: +; il: ':'I I :'9 Outstn cn Cho ;:;esr Bills Purchased D i' Ld1ll d.l'6A {IViil L'tl1l I ci Utriny tlg Incldel'd ld Charges NfTI 'i .il'ii Tii hotlndHoo R[/ii '..ra ? ;l S1.6o. 2419865 Carried Over co.+ T'F ©rougr.t Forw ;,n.l is r to g: ;119 yI+c ?', dl Local Cheque/Demand Draft L.D.D .... r', . uir 4r aly 4a ^fu s; .I . n4 Draft Un P I dSCjer e r,s;. f$ugk ""ll' 3jttQrW- K4mo01hlaI parr I I,r ^o no TT: -T?: uaual Cash Cash 71 1 I:^1/dF an dl ' 1. Outstation Bill/Cheque C.B.c FirlTZi / DATE 371TF 31F 31'I P. Inward Mail Tranfer IMT F7'5f1 ;'-J [9 977 T it i.. i ,\ W :ran Foreign Outward Bills Purchased FOBF j;T ] lICtt a ra Till r or ^ y uady lm„I Iacc al Foreign Outward Bills Collected FOBC ...¢^naen In R,. accoem fa;t rn^^rg^^ mat ai TI TT,-;4 DR Amount CR Amount S Original/ Duplicate (Origins! to be kept with nomination paper and Duplicate to be handed over to candidate) Check List of documents in connection with filing of nomination 3 Name of constituci,- )' ...... v) Name of the candidate ...... 5 ....t.o..l.l...... Date and time of filing nomination paper ...... SI. No ofnominauon palm ...... )...... _.... . Document Whether f.,:^: SLN'o yfiidavtt m. Dorm 26 - 2 J Affidavit as per the Commission's order dated 27-03-0"-^ 3 Certified extract of electoral roll (when candidate is an elector of a 1 different eonstItuencv) MI ^_-4 Forms :A and [3 (applicable in the case of candidates set up by 3 Copy of caste certificate (ii the candidates claims tooelong to G Security deposit (whether made) - - taken) I be filed as indicated The following documents which have not been filed should below hould be filed later! by th) ...Should be filed latest by ...... should be filed latest by (c) cam 3^ DTO ^^ ^12'c^ 3 Q. a^ F.7Tc1 c - ; 3(a 2 ART Az Z2 3I 7^ _'i 311 1^t^ ^ZT 3112 ° 31az^ 3^1Z ^Z 3T4 7 * vil cl ^a - ^ 0 1 0 c:. IVITI r,Z L ` ^r^) 2Ttiu- cc 1l, sill Ei uZi ^c1dTu ^'' i4'Zl'1---1JIj of -tea $4 otil^' j(ail'.vTd ...... PjZ zi>. -+ ...... 3i1Z ^ . za1 1F^ 3 AZT 21- c 4Tn .^ ...... 9 C C-P S • / ^ N A ^ !^ ( 3),. 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NAKO R: 4FH ; waif 2r^ u^ Q1 C'n" Ty"" 340[020F , 1951 d emir 36 T R TI C Sao yow l 1 301 A F^- f^q^FJ at FCF%2^Qw a)7^T Z, I : - ...... -CT vsPE tp^, OHE VL ' 1 n n c •_ u r c-: Ili- ^=, r=te - AidF10M 1T'1 0 BE 1 URNIS1{l:f) 13l' C ^^IU:A ii_,1I Q)a€:'TV'I fit NOV' oa 11.)N I'2%Y ^2'^ I3elore the Returning, 0111cc1 1Vr cccton to nanc of the h ouse) From constituency (Name of file Constitnencv ) ^,^. _- Son dh^,h ^_ r z„ Rt I C f r _. V d }7 1./Y L Lumate at tic 0M C election, iii i cl eby sole :!1iA' altirlll llli^. state on oath as under:- (Strike out lv hichev er not applicable) I . The followimu case (S) i,;are penc;in a against inc ii yhich cognizance has be n taken by th e court:- Section of the Act and description of the ,hence for Mitch cognizalt.c I he Court which has taken cognizance : /,I IT I'`7. j sc No. o, ) Date of order of the court takim, cowilza^ c Details of appeab s) applieation(s1 (o re>:ou!, e,tc. it ally. tiled aga!ii^t a b ove older mak in.a coc'lllzal lee : That I give herein belo^^ the ba details of the assets (inuno^'able movable, lance. ac) ofspou';c my dependents and myscl]` ban!,: (A) DF: J Al l-S Uh N1c) 1I3I_(: A Sjt'S ^ rl% ell) s in joilu name indiealin^^ the e.rtent of joint ownership will also have to H No 1011 Self un-I llcpcndcn!? U^^,cnda :ntc i M;inc 1 i-:nc:rci;" N J f \n^i Aon-&mkif 1 1011;1 ^2 c^QJtJ/` r"I„n01,jCS - r Ii nJs ULa,. ------.:m^ SLarc; in inn1178fJ.S y^ ^1hrr licancial ;Iru,n lII \SS, Pclli,ic;. CL. \ a' ^ kl,uls c .Icu'VdCl ^ 37 yS -Note; \ clue of Bond Shares . Dehenuar; Lxchau^e sin per rei the I;Itestae market value spect of listed; contpan in Stoel, listed companies should he uiven.anal por ,IS hooks in the case of n *UePendenl here means a person Substantially dependents on the income of the candidate nbst^act) I^ --. •4...... c^!1 Pnn 1d ..t,.\ vu It I III h„`1t 0 .ei pl'I.^I b^^ i/icttic nJoint ,Ip1 I)Qjc'y>(ton dr< r ,^^^) J)ePc'nd Ocp - l.n ^ r trul (- rur^/ ^..: )JIS S'urr^,r nttnr)'c,t,^sl ], dt cud (/oi1^] rcrrr^.^n) arti^.t t-rr)uc. t rrrmcccial r !) III,(,) dc,c,r c;l !e,^rf) 4f . 2 ''._. 11 11,(•I l a)[ I gite heron belooc the dcl,ui, of nr: institutions and goy a'nmcnl d,ics.. l [Note ! Please gig e separate details HHHr each item) Description - --- i N unc ^^ addi ess o f -T------13mnk%F -Amount in,111^21,tl huhtUnons(s) 1 outstandine, .^; DcpLu;inents(s) o ms from Banks (ii) 1 o,.i„ trom ---- nanci d mstitut;onti (iii) (;o\ernmenI dues - dues to departments dealing go%crnmc'wn aCCOnulrod;rtion )! dues to ci,partmalts deLtliii" ,^ i[n Supply o(^^ate dues to departments dealing ith supply ofelectri¢ity (d). dues to departmLnts dealing kith e) du o dcp uuncnis de ilu^^a ^^ i^h ^&y.e nnruu t.anspott (ntciuclin._^ Qurcralis and hclicoptcrs) - othc clues, ifan^ Ori ;inal/ Duplicate U^^^ription - _. --- `v address of ul! Iui;t^ciilInstituuons (s) siluts ^,aut t!w - - - ,- ]1 ^ Ji2Sn tS I laconic -I LtcludSmrA--e - () yS oil l Also irrlic ate the assesstfl IlN tp to vcar ,chic[ iacon hav Rc(lur (Iles', rli,e IISU kern vuent.A^ OWlt uinhcr (P.AN')I U.) A\ eal(li !:AIsu indicate the OS.SCSSn1Cn! scar up to Vdhick wr[ll(h I r return Bled.] (u) Sines iaC ;Only in case proprictln' uusincss] (iv) Property lax - v educational uualifications are in under UL H p'pllc C', C3 do a} I DG I AI1 - S C)F SCI1 AND UNIVERSITY E1UC'A7 ION] V'a n )i Sc hool Universi ty 4L- , Ir shoal yearand the in which the IM) be Ven. c course as eompl^°I d 'f R 1?' IC:17^ 1 O' b^eSo of }}n1 16RTY^t R'`i10 the '89^a't that be 4tb Fns. .s off- , In dtlW best}overifyandh le c ndt ^t^^i nn hand ntiatsual has been concealed there lruni.tie eont l iatt cX}^1^n1 Xttr ^^.... this the d voc, e ...... aS of .. ^f .F. r;e.n, jit ' r Ran iniu . 4^.^at wres q 2 6 4 8 Irr^^,^T ^...... 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(ate 1 950 ,, WS ( TO a, : F4 zwyl)^O W 1510 77% 195 00 1g^) "vr/, 19 51 'Q t+:^ . a ) "" 3 y \ ( ) `^fi^Y7, 1956 oil • 197 R;^i ti's! fly1g56 42,7 &6 '1Pl may, Tr+iv-q) 1960 1977 Own 3 (mom' ASK j ^,^;c74'19 tq,^ s Ay - arr asr r "`^1y) 31-. (m4-7•nj ^ c 96 now962 1959 MY ^91)f 1 v 9622 ^A Y!, ('n' y 1967 vFa. 1968 (f3a+a .') ` Q onto N IA; 3rr.3,. -" "7T 111, M6p Oka - 7970 1979 ^• I w c! ^' 11 ...... a.... 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Tr.T (37 3TUVVTe.TT) Zf5T -2il^J off ^c7-d^T ^--fu , OWN) fciCj 3[DZI2)1 $iaft 3TTZIf ' c-i ..u JFZIT t ...... ...... /...... ...... (v) vn noT jotwif) S i^rr1 SO lpn?11 UT2a1 eau ZZnt1 OT12 ...... (vi) U&I 1wR T ZTepJr 3fV,51fzf argil T,rRTrcT2r Jrn iw hi 4)U',ziu -t ...... N 31T3T-tiT ti =A c^ 3fc,c c3 3}^ ^dfi3T a 31L lc2ifT2 c^ 3TZ1TZ Zc2I 3TTZ' 7 at 3f ,,JC T a aT aTTJT DMOT sflz 00 aTf a a Id f3mZi1 WbIt ark t 1 ...... ; (.. f ,^7^:f^^7^^3 •,:; ...... ^ ^ ^T /U^ 31T^ ^T^^rsT i.6.1..1.^ ...... 0 zFcze r lily^1J'z Al ``nlouf Care r^II11CXll i'C- i ^hI II);AV'1"1"i'D ift I^IIR:.NISIIRI) BY CA. Before the I:eturuiung Of Officer -- GG Fur election to.^'1^, c 1Vme, J F9nt}Se')o t le I I rrom ... ^ ^ <^`ti.rs^,5coi, stuuenc (Name of the Constituenc}') `...1^...... Son/daurghter/yAfr of aged ...3 Years, resident of ..!<).^14^. .." .1 Q Y ^i^ cc .^ S)- L2l I- ? ^r,lid;u^ ;ii th nlur. r rlcciiun. do hCFC'hV sI I Cn ully ahiirm and ,tile on oath as under:- St, uut vYliiChCVer nui nPhlieal ic) The follov^ ing case ( s) is/arc pending against me in which cognizance has been taken by the coart:- l i Section H ti Act r which nuance I)al ^aivc herein below the heinils of the assets (immovable; movable, hank elc) ul tipuusc, Illy (clle ldcnts and ntyscll'^: (A) 1)E'I'AAILS t)I, A90VABLG ASSTS its in joint i,:nne indicatin^ h he extent of joint owcarship will also have to b-e Name e .'...c^ Naar a) I)c UeiInLFcs ;)ILaleS ill i c„L^'jxn, i c s n,a I'U llli ius, NSS, ;x^atat S'.nin_ts. I.K' 1 Policic;, etc. Motor Vehicles (DetaiN of mItke, eiC ) A/Y r.•^; as her the late >t market value in Stock V'l)IL: 1''^tilG°^'' . , 1. 13ondsr tihare 1Aostrr DE 11AII.ti OF L\I\I OVAISLE ASSETS Note : Properties in joint own Khip indicating the extent ofjoint ownership will also tar c to he in^licatedf Spouse(s) Dependent-I Dependent-2 Dependent N;uue(s) Name Muse nun:'ncr(s) i Cfoinl aFenlent) Ir.1y^`" i nt nwrket vlllaC i Ierl,) :.gran;rnl) 1 r. n:uket Value (cdunmercial rsiLie:ttku ) cati.m;(s) herd(s) A ent (Tu(in isuremcnt) ( l rent market value n•I)er^;U) 11', 0101c ncn(1 v.alue•d.I - C'orrent i Itarket ^t I give !:aci;i below the details of inV li:;hilities / ucer due to public financi::l institutions „u! go^ernntent'aLes:- Note i']eaaC give separate ictails t2tr ea i^ item] D non Mine d ad !:ess of ymo^.ttu Bank/Financial Institutions(s) outstanding :o Departments(s) on ...... i.o:;ns Dram Ikinks (ii) Loans from financial instituti1 X l ii)(^.) vunI11C111:f,ics:- dues ti dc;,urtmtnts denlint; ith ^,o^anntcnt accom,nu (I tioil (b) dues to departments dealinu 0 ifh supp l y o f vc,iter dues to departments dealing vV iih supple' ofcicetricity dacs to dcp ;; runcnts dealim , ith telephones A c), cues tQ'gef:l tmcnts dealing vv:tli 'oVCrnc11cntronsport (includint, uircralts aidd;,t clicupters) Ix SCI o l:er duct. Name & address of Anw Lint Rank/Financial Institutions(s)/ outstand[at' as Ucp;ulmunls^ s ) omc aa.x Including su;vhargc (Also indicate the assessnicnt, car up to which income Ta x I?^:;urn 41 0,90!1 -) filed. CRc also permanen t :A c,.ou It Nuulbcr (PAN)] Wealth -i aax [Also Indic;uc the cssnnent year up to which (01:11th 'fax return hied. 7 A Sales tax [Only in a ;a of MY rducali(11111 qualih eatiuns c q S under :- /\l A i /^1^^ C- [GIVE DE-;.AILS OF SCIIDOL,=AND UNIVERSITY EDUCATION] [Name of School / Univei:sily and the year in which course was completed should also he VERIFICATION th delln^ion(uhha: l named, do hereby verify ;uld declare that the contents of Ibis I(l;.v-it ir^• trite: dlmi :orieet to the hest of my knowledge rInd belie!; no part of it Is G;I,c ;:nd l6tll;ll y,ti^titcrlid has been concealed there from. 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Y F...... * sv ci/uT fTfc^ W7 ^r^RT ...... 3N r a G.7" err .. aft eq'UU r a 1 c15 f4ETrur-Tarr W; f'FTRrel-- ,a W;Zfl W aTra zRTEZRIIT . f W C /3a--f. - rZ- a4 -4 a - 3frrW fWerTa xafr r 3Ta^rzff z^u * * * *araT fjf2TFf+ a$f f ZrT J*zrT : 3fT? a tf Rh T C 1 / r/ 1^r 7// e l/4/ !3fa2T2.f} IT aft ma^ a a1 a) qtr ft ch1 mTZ i ***c7r^j, a 8TH ar^1 Bret arc t1f^e i %vur IMW "dTF-W? ITAt4'f UWaprq5 " ftuf 3n? ft grtt fraf a vi4tm (3fr7er'r 3717 3fTcZ, oi) 3faQT, 1 968 z 3rth r *afeaK a4 afrartt cnvf fiq tc7 -,^ ^T t [Abstract] y^ni-' 3 C^7 (3{a( c-fii 43) U' 1 a Z j951 (195' 31^ 3e] (3)', (1) 3g4TZT (12) 3i`^ `^ cam. ^^^ 3L(i.fli ^ ZIiW^1> i y ^^q iu (3 U)) - 3r`^I 3 ^F 3itT1 ' I ^ 31az.7^ P^^ ...... _ ^I) „ Vaal ...... ^U ...... elm ^, ...... C1') 4...... uf 4I ^^ 3 1^\ Fl 1) clT^l (cTt'^ 3 3R 371 a rf) .. . ^3TIETS^1^1 ^ ^ 3i 21 271 ...... S 311f]^cfA3i ^ T2zy' ^ 11 l l) ^c c7l°l , f STS - ) ...... I...... 2 ...... 3 ...... _. 2...... 4 ...... 5 ...... (vi) 3TfETZ cT Z3 (" `7TH ('TiTZld17) 1 3mf 3if.T / 'UT i° ( ^) i 7ff3i (VII) WZTJTTZ Z4 f4afc)ff ZA M ft ( ) ...... (Viii) -am 3V cFcf ^^^ j ^j 3{ (3 -c ^/ ST°T t? r 1 (ix) T 3T r9-1 ( ^/ 4TIIT 3TT (3TTc} f ) c?^i cf7f2 elf ...... ...... ...... (X) 3-a err (3a ) f,, (F ) z 4T 3rd (srIt ) / aT94M 3TTc urn f ar ^T ...... ...... 4XI)'4" c 3cr 3T (3T[ ^f) / 4TIIT 3Trcc W (31 a& 4 ffiT f V"^TZT 4 JTZrT ZIT cT6 / ...... ^^ ...... ` ...... (xii) ;Qft 3ccr' 3Td (3Tftc4) /gt4Tw 34t (3: FaZcfl ) c7ir fcmazr t'. JTZTT '^, cth (c ^)^' c^T^fTsr ( Zt) ...... (^) ATfZc^ 3TT 2T (3TT^o) za ...... c? t o-rya/ c &G/ c7TZTZT :- 31 -c'_ff c'7^i $ThT2f1 afar- 4 ftEf^ 3fTfW, q &TZ? gM u Tt J TT ) 4T3T f21^-UST q s , sIZIT...... I...... (ter) sl ....2:.1.s... II ^I^rr () rd^zfT/ Trz7 T^ r;. N , ^^^[^ J I^CC.f 3fjf3>7;, - 5 2r^-u^ ^1 ufi ^ ZTr ' ^ f ThT • f^7 21^i 57^t C, ^2 -UST c7i c VWEVr f XT'ffr CT i C 3f `r^dT, 19 5 f• 71 L 3fy7 3 y3^_.^,^ j F:777i 36, EA 3T^ 2 jT7 Ifz<:f^tj, 3rrf^;,; ire Annex nl•e- I AFF111A^'1"C TO II 1,, FURNISHED IIY CANDIDAI^ I, NOMINATION PAPER Retire the Ren.ning Officer ;.d•,.. (name of the House) For election <^.k ,yf ^/i .f5./xo,.n: 11 vYUs onstituency From (Name of the Constituency) Son/da>g er/w * of Y.... ^r=. t?.f : :...... I vl< ^.. -)arFt .'. aged A3.`i...... Years, ...... ::. 3 r .r. / ci <1 ?-. ?r^.. ^s. resident of 0;4?"14..Kc: a,^ .^ do hereby solemnly affirm and state on oath as under:- Candidate at the above election . (Strike out whichever not applicable) s) is/arc pending against n e in which cognizance has been ( I. T1, ollowing case ^,^ taeiY•t,9•+ of she offencet o which cugttrtancc ^' ofp the Act and k1c,"cl 111t oil y-' e ^t H %(Y^^ Y 'iy/ 9/1..7. J /d)8N /J^•I.u .j 1 +.4 r ^' as 5 579 rr' ,') ,^• ^r r,'JN 6 y . i p Sv.^ taken cog'r ^c The Court which has ^+^M'^ (e^ ^ / n/%z tJ/JS^J^ i' )S J).I c^.5 l^cr l°r 9L, J^y+r q S t..^,n ivp - i.Y l fdl - 0) 3'i. / > /^.r 1 1 - i9Y/ 73 (lit) ^.^ase No. : ts> A.., tV Date of order of the court taking cog uzance any. Details of appeal(s) application(s) 'or revision. etc. if a. filed against ahoy e order tak•inw c ogmzance [Abstract) tails of the assets (unmovable, movable, bank below the cde at 1 give herein myself ) of spouse, my dependents and alance, etc OV ABLE A` SETS vnershlp will also have to be (Assets in joint name indicating the extent of joint o d t-2n Dcpcndc»t-1 given) - Dc ,cadent-1 llepen e etc. Name ^c(. sl Name pot - Name Name(s) -.- -^ , /Q n Banks, 13anking T Coruna»ies Debentures ^(i.ii) ,Bonds. end Shares n , NSS, insIl'uments postal Savings. 1,1C policies, etc. ^t PlUt' VC111CI Cti (Details of make, --I etc.) II (vi) Jewellery (give I1 /CIA J details of weight and value) other assets, .Itch (VII as values of clalnisi the I»test market value in Stock Shares Ihbcnutir>'" 1' d as per books ht the case u[ non ac nd> anies z i N otet.. ^?'Vei df d co mp Ill^e^t of liste k, I;AI s • ld ^)e given. lJ V allies ' mean, a persott subslantittll depet dents on the income of the candidate. (Abstract] B. DETAILSFAILS OF IMMOVABLE ASSETS to i Properties in joint ownership indicating the exent of joint ownership will also have to be indicated] rllependent-I Dependent-2 Dependent-31 --- elf - Spouse(s) Name Name etc. Name Description Mullets) I Agricultural Land- - Locations(s) - Survey number(s) - Extent (Total measurement) - Current market value Non-Agricultural Land- PJ ^ 3A - Locations(s) - Survey number(s) - Extent (Total measurement) - Current market value Buildings (commercial /V LA i 1'' and residential) - I neations(s) - Survey / door numbers(s) Extoll (Total measurement) - Current market ciIUL I{Doses /Ants, -II /tI L/ etc- All v,,ti Locations(s) - Survey / door numbers(s) - Extent (Total measurement) - Current market value (i ethers ( Such as interest 11 in property) eroin below the details of illy liabilities/ ever due to public financial tions and government dues:- Note : Please give separate details for each item] Dcsrripuon Name & in (dress of Amount Bank/ Financial Institutions(s) outstanding as Depattmcnts(s) T on ...... (ii) Loans from financial institutions t1i i) Government ducs:- (a) dues to departments dealing with government accommodation (b) dues to dcpuruncnts dealing with t supply of walcr (c) dues to departments dealing with supply of elccoicity (d) dues to dcp;irtmcnts dealing vV iih 1f telephones (e) dues to departments dealing with government transport (including Ni aircrafts and helicopters) (f) other dues. ifanv Name address of Amount hunk; Pisan. gal Institutions(s)/ outstanding as • OFA Dspartments s on ...... (i) Income Tax Including surcharge (Also indicate the assessments year X1"0 ,i A4 up to which income Tax Return filed. Give also permanent Account Number (PAN 11 (ii) Wealth Fax [Also indicate the assessment year up to ^i'hich wealth V,'-4 Tax retw'n tiled.] (iii) Sales tax [Only in case of proprictarv business (iv) Property Fax /V, A. (4) My educational qualifications are as under :- , /2r,iil t' LCvmr,r //nr^A __- ^' 3 , ,.,.^ !'fir., ,l ^ ^ ^ , [GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION] [Name of School ^ University and the year in which the course was completed )e give]]. ] / c7"? .:/^/ z, z=1 -41 DEPONENT I':IZIFI('A'l'll )N I. the deponent above named, do hereby verify, am declare that the contents of this affidavit are true and correct to the best of my knowledge and belief; no part of it is false and not] i n e eri I^ ha 4,eeei^vconceal ety rom. ' J: / . nn at S weriopdtifi,^ nc x... this the.....: . .... day • . ' IA, II Solernrr tTv %ffi med a .40 be fore me i1p,740q s 1, t ^ ^^r y (77 i cYl ,,,. 3 / z Z r 1 V S PRA - ,\D DEPONENT J /D _7 D_ _ ^wyyyp)1c,Ar.i n.oo. ,^w^r Aef 26 z -, ( ilur &)-ii 7T5T ciai) ^ ../.`::.•r!^^7...... "^/ a ^J- ...... (U oq ioT -aim) ;i fk tacci 7 c f i 3 f^ Fi Z c}i ZiaidY 3ia2i2ff ^TZT A2c^cf ¶!IRIT u-if 39 .....,.. ... 5. 1 ...... :...... 7 ...i lF ...... e Barrft t 3?YZ Ziuxlai 1afua t 3Ta TZf , Zi i^T Z Afc Sii cTir fT ( vqA-4( &T2^ UTZ f Of 1 . 3 . f-eft cif airaic 3f e 2ii 3f E4 jj^ c rMWU Zo' ft %7Zft Sit z (ai - iEit) 2 5T/ cei AaFjui clpf t ffum-A w& raT 3ifb?Tiif3"t1T aTL* ca71wcw -RT 3Mi q IQZ%I f i i UM / fc59 ZIU -9 1 • '( 4 3TfkZTTCft tri f ' 3mzTEi (3TVZTEh) Si c*i l3iffaigcFcf * S UF f i ccpiip We <1 i JTT/ cpol) :- / Alai ZIT f t / 71C IL ..1t.1....^^:j./..`.' ...... /^ 1 igTw (4r*) ...... ...... rd...... r ...... :':...... 3JRTfcf^ (3irqfcTAaTf) ai) F.1?T (ETZii^) 3V 3-9 3itTZTET (3i4ZTEA? w f cTZ f cfi ( tiaicI) fe[ 3iaZieT 3TiXf ff fzii c`1T,7 ' .r.^1j / l.y..... ...... :...... (iv) fvirfc ) -Jrri ar (3ir 1) 1c-ft jcii C UT^ l}3 ;Y...... y _Y r i r ,}n (v) UT ( ) Iii-MTdl 3irzlzi f ftF RFM parr 2Ti/ fa%-9 artf :..>:. ....:..`.:.:.. (vi) wu TA v -05Y4 ccDi4upf fhzf1 rierai 3rf, E if ti w ZWWc- i -,ter i)-e UT# ...... fh#f 3TWTET (3rwTE7f) (c S u% fE3 3 s 1951 ( 1951 Z5T 43) Ziff (1) 27T 3gETTZT (2) Toff 2IT 3IIE7T^T 3) Z} 3imf^ ar f 2^ .311tZT'E.T(3TgZTETf ( ) Z f^?T"'tw' 2Ti f f3 1q ^, We Z2RfT JRTT't 3?}z T45 ti WT 3Tff'cF zti fc i c^ Tc7TZT ;A i S f ^•+^^ 3TPNaTjtt 3'q f3i q lZM URTf 3T^Z zr6 ifL RsiT, JT21'T (i) afrrr/ uaT f^ul y ...... (ii) ^ T yzr, flat ..6 ...... i ' ...... -...... (iii) i (e$) ...... : ...... :. RAM ...... m ...... ...... 3Tf ...... - LrT-n...... (1i!) ZiARM 3Tf4Foz>d1• Za UM ( 3f) (FfT 3 3Zi 3TgZiq (3 c1 3Tpzrjf) f Ziff 1z}tTZoT f'vfZi2T^ ) f^ + C l^ 3i 2 T Tli 3fTZ cT f IT um .. :3 -...... (v) M ft (mf"Jif) PvT'TI f 2T Z-ir JNTT erT/ Z Tg am ' ...... 3 r (Vi) cTi7T 2T Ziw ai c ...... ]7Tf^-cTT ' ,^ ^7 '&TZf cif '^,/ 2 /fli o (7Z l^/ 3TfflRgTt^ ^ r^£7c f6f7 A, Mffn 3TfaRff4f), 3k WO T WZ { c i/ cis ft (fc S V' 2TQ2f 4 3i A} ZWTff3T t4M AZ f4q-aRT Z i 3 ^r f^1 2Tc^T 3TA1 Zia} ', 3^ ^ Q'i5 BTTdT f`iiP^!T W& t A7 *1 3% ` stysmiliu 9 f ...... ZRTM 14Z 3Tr^ art)zf ...... 1 zi-T W* Is n ified by Ns 5.. emI A..t Pf . - ..m ad e Js'r^ cr ^- D.Cln,ed . be torn '-,a '), 9p^u LSoc^^. D C) WCD v c aan -Ze C''r M `7/mss 27t/ .I(12\I .% Cununun{c'atirl„ sith r •,• • °'rrrl to Authorist• "p by reco••n. , d Ye: suns to R .1L OR S7':1" intimate n mes of ECOGV• cSEI^ rt>olit callp^rts I'E I'o!itica! (andid par[, r RFG1^ '1'ERf:i) 1'\_ I Sec paragraph 13(c) , („1 ;Ind (c I of t},e Election S`m^c•!t (IZ eSCR'it arid :111otrn qt) Order. 1965 ) "I 'Le Chief•Electoral Officer, re) o Y, (State/ Union Terris -rv) 1'11e Returning Officer for the 8 kL41' P kAt Cunstituencv S : Q4) CS) L' GeneralElections ' to , \Ilotmcnt of Svmbo Pl`)4n }^tR `)t ISNI-).... :luthorisntfon (State Uai6n . ` a,:_+idates of person i s IO rnLrnate r.:rr.es of In I trrNuancc 11 Rcxn'ation and Allotment of 1 ); rt gr :l 1 hss h:;s c t_eC., Oder19651 l i (e)(c)' (d) of and the Llecuon c •Im ^^ i^ ;:.)thz a fc,Io,;.,,.u ate that 5c Islry p II Pr O}' J 'damp se: Iec I l.p } t he party at the elect , n cited o ` `he na; s , O, e to send riOlice ;,;onsd I\'amc of ofi7cc held in party. the i u iStr i ct(s)%;ur constituent:.onsti t .••t in respect or !;ich i, been authj; Sec^fgry I , dlhQr 5 mm:m/-, TOOLV- I Parf, L04 r0d,' ! (M""'X" LQnrr)Vo E)"{710rL• .:nscnc.i Fv \'olifi^:uion ^t, r,. r,rn i i ''"c!o^u specimen _ signatures Of' he above mentioned person (s) so authorised "pe men signatures of Shri ao cis) ort Prueat^ ...... signatures of•Sttri men signatures of Shri ...... tul ...... Yours faithfully, c.--CC.C--4+.. cam, ( Z President/Secretarv I uIPANKq p B ame of the Pany Dale Vi ATTACHARYA' 09.2010 (,rna-al Se:,-etary C M\1t \I^1 FA k f r ^v I.. Lh \'I,,\ (Seal of th e Part I t be delivered to the Iten.;rninc 0; lice; and tha Chief Electoral Of'ic "ter than 3 p in , on the last date for m; king nominations. J:tn must be signed in ink bar tile "; office bearer (s) mentioned above. No :r.: le signature or signature ! I meat.; of tubber stamp, etc., of any office =.er shall be accepteu o for:n transmitted by tiix shall i s aceep :d 1 1 I•Y)1 '^1 it Noficc as fo "attic of c • uulidal • sett ,,by the noli ,icd _LIa `.tiec lat'aCrnnlls 13 b c hO Ply (c) and 13A of the Elec:ion Symbols jl2escrvation and _11h nnvn [) O rder 1968) r the Returning O ffi cer for th; Coilst ltueliC -78 Ku6heishwar f3)(0 Cs^ , U encral /6wa; Election io Vt r- ^$' KUah edhWQY( N-title dha, ^abhQ from ,. _ N, ^r Constituency ) in Z}hqr Sate/Il.. ,, candidate . *^) setting up air, In pursuance of nIrtI' `S or a •In l IsI 'i ' I mid ( c) and I ±r1 ,I R esen:auc^ r u,;' ;h, I K4 I,)II ' ,^ Ir. VIluUnrnil ( hdc•I, I')(..,, I II^^I rl^c ' k, notice Oil bcni. ^ Ccff^ COmn7Unibf f^try 0F rt ,-j:la ^19rx16^-^nlr7lhf7l-,h^rrrltm ` that the l lrsoll ^ahosr I,;llu tilt u^ lul, nd a>nllvud l=) Ic• ('J'ill culunul;; Uc'low Is 1 f ,.n,dld,ue oflhr p;uYy abosr na:•,^ t:r,d the j- r'son lahose p;i rlicul;lu are nl^ II; . un.ns 1 ) Iu^7) I e!0 . li I canuia III ,^l Illy n.:In, lcll,l bill ^Icr Ipplo ccl c::nc1:.e . )In I c.. re ell.e (] ON Sw ullny of Orl n N, wltirL.. cs;, If tare dill ; ccr. rxl lli c;InJ i datc ^dl l^thc CnTUinr. ^•.rn N:w;e clfilie I Name of Lathe, IlnC uI (Ilk. consliu acne )' I Ills Nt I ^ ;Illdl t ^ . . l1 Skittle ''.11 iidtte is col estlne i .. :lMate- Insc4 ted br Not it C;III',..N,, >o /hldl-I11. d:urd I5.1 , -2 l he _ ':!cc in urn; I' .riven c;rr Tier in favour o> Shri/Sm ' /Sushi ,;urr )p• )vcci cr.:;didate/Shri ,Snlt ./ Su;hri isTherebl rescir:::e.' i.' It is ter :.' Wu:.I tine each l of the^^li,I:.' cl e, 1lit,'. e no;; nIC1111 >I:cd above is a mcmi>er ci This { 1 n l , t t c a l p ' . r t ' :Ind 1 1 , n v e is , ' u i c I n d ;,C ON uu ol!s t nlcntbe;s of this pan}'. \'ruls fait hfull. Al-k- P-rrs JeaP (AC, ,dkibhor_ Prnsad) Nac,c ar,d Signature of the 11;t!,,,, 1,61 pc:"xt ul the Partvl Z-P i (MAR s ^t ^r)Lk ; ON F •C9 So I6 / t o 1%, b-to UAW, u z ui.ari2 tin; J Score oil" it nut applicable. I 1 Thi., must he delivered to the Rctu,cin,.• Ollie' I not I :Ice than 3 p.m. on the last date for R i nu 1 l o 111111 a ti o ns rcl !'ro acsim.lk I'or,-,' [llu ot be mined in W , I,,, the ;-!"Ice hewer 111._'etioned aboAe. f signature o r Siena turc uy means it Bober st nlp. etc of any office bearer shat be acce^tCC No form transmuted by fax shall be accepted Para 2 of the 14um Hoist be >c'uc,l ,,II, II not ,l,l:•n ,, lc 'I must be properly filled, if appWabl .1 Inscncd hr Notd; .atior No 5„/2tvn,JuJ !; !..I, J : vin 8 0.1:1,1 12 (1 1 ANY] f1 ik;i 3ff ThiiJ l f l^f f .e6% 1•Ji tV1 ?i._. ....llTl fm^ ( vil_ Ji _ .._iFT 3(TZ .'3^i 7 ft 1 RAM il 31W1 ^1„ ';J?i; Pl Ti c1 ....__...... _...._. i 3i4^14^^1c1 1.1111 4 . 1 •I sll11 1 314.11 1.1.11zi•I s1('ITJ tit f1-^ad 7 +^ii1 11 rVj cv iG^- Z 1-^ 4/ 31%;q9f, '5T F' \na-i? ^T 3suf^af^fa f T t Qf jfld mMTT ,I (i) Ol4 :iill I (2) _.... _. _..__. 1-1111 ,I •i . l ..^ 14F11 -! 1111 (3f (YI ^:I) '}°I C -1 iFi^. JI f-i.i11 c}^l Y 'Il 1 t^ li--T (4) (T1f1 -:I ^'1L1 - . 1.1 1 'I' ; 4> a 71 ^ii^1 ^l v11 1T>TT I (5^ __ 1•Y,IL1 'i'•!1 II :Id:- ;il•'I 11'.7! gf7[7 4) i T77.3v s \ct v iM t, IR Wnfum EW, to 0 0 4 r 1 7 3 (m)) L, TE^ a) 3 ` lgilTci £{5cC. 3 z cj r 3Vllll am T c^ a , -AL rl^r LT ^^ sT^^T^ 3Te^^ 1 3T2^f `' 3Z ...... * cf13j `i I c ...... 2010 ...... -- ...... Tqal a.,A 31 Sul v (Ul^^2i1 c E 3i2Z12 .. n-r--mc cam' ^l ...... P^t.lz 5a^lra) (^) ...... arzi Pl zil airy ,gym„ r l^J1 ...... ml all l g^dT ^c1611 c1 ^Lli zj srd^^T 21u2t ^Sl rre ) C 3{ 3i Z 4 -drm hbsuactl Original/ Duplicate (Original to be kept with nomination paper and Duplicate to be handed over to candidate) with filing of nomination Check List of documents in connection (r...... 5•s 5\ fl ...... Name of constituency ...•••? •• ...... 4 g k CL d `^ Name of the candidateLe ...... Si...... Date and time of filing nomination paper I. No. of non Whether filed -- I)OCllment wrt tces/no) - --- )(< w.c Col Affidavit in Dorm 26 - ^^ - ' -.- • d t s dorder 27-03-0 a ^ Affidavit as per the Commission when candidate is an elector of a Certified cyuract of electoral ro II ( ctdifferent c can;tiuiencv) candidates set up by n Forms A ,nod li (applicable in the case of political parties) candidates claims to belong Copy of caste ceru ,icatef the V x < SC/ST) ? - Security depu^it ("het)e made) Oath' aftirm:uion (whether taken) been filed should be filed as indicated documents which have not The following below should be filed latest by (a) ...... should be filed latest by (b) ...... should be filed latest by ...... l RO/A ...... ► (Signature of candidatel (Signature) c/ 102 7 ( Si y^ Date & time Place: N.13. 00 P.M. on the last w be tiled latest by 3: I orm; t\ R It hove The t\\'u r\Ilida^its an^1 date of tiling nomination,. Oath has to be taken alter tihn= nomination paper and before the date fixed for scrutrnY. up to the time of scrutinY ' Ca'titied extract of elector; l roll an he tiled er or at the time tiling o 4. Security deposit should he made either before of issuing notice for f nouestiont filing of nomination paper.Therefore, there is no Q making the security deposit. f WE l Z{9TT ftrufi-7m $ -*bCam)9 5 I o _ - cct m'7' L,9 -^ftu f : T-u5t uZ 3ra zff n a; -Trc"i 2TzT, ^...y...^^...... f^12...... f^£Tf^ . Zi3iT Za -aT c 3 wf5fa rT UfTv I cyri c^ a3>^` hF/ (3i ^ O'7 7 3I C & F) ^..... I3 ?7 ...... 1 Iaf r ari'1a^; i afl PI tz► ( , S C qt f^m f of -'{ T^'c{1 f3d'Ti 3TTf^, ,'_/....,. Z3 3, ' Tf TPi ] il, 'I :Sh I ff 7' ... 4c -3w .6/^Y J.`.,. "rlc€ 3f9`3&^si3.8^1 3^R^f^id I•i^ll^r•i ii .+n l t1 ^IV•n I.1 dtI r 3tf^l f f T (I c'i ! 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(3TazT2ff $iT 5£ciT217) +• aMTZ^ c a Yrl wr, ^1itm I **&% a t c QPZ cT,IC df^M I cVW ¢XTI 't :- "3Ic2l c^TIT[TCa t ^" 3TT JT i t7^ Ac Ti (3Tf7CTIIT aft 3iidcTf 3TTh2T, 1968 c, 3fEftaf 7TWrmc ZTUPI 9 3TT T Tir?T U ,g c c r Ag is t I r,w„ aM_ 3 (3ra eff ,£f 9-RT vw) zim 3Ti f ? :- 1 AfW-GlfUcc 3TPQ a3T- 1 9 5 1 (1 9 5 1 EFT 4 3) cb^ ETM 8 ti - ('75) 34W ?T (1) 3f T1 ^4)4 31WITET (3fuzTET'f) f ; ZFT (g) 3W-TM (2) a fIfT1& ¶ 11 fMur z, ^ flw U6um JMT zrT (11) LM, th54 3T--VT 39aZTfr (31V2T41) frfT_T f3f cl i rjj u r '> P a cc t PTUI^) f -, 7 SIT 3ff4a5 c? r{ Z d f1T JrZIT t I Zft 3rW "ZU" if , d) 3f32TEf fTMN1?T 3 UTTcb^ a}T : (i) afTd I i ATdf r f z^r:^ri^ ...... gf^M eTF T (2n) ...... frT (fT) ...... fir. T ...... (iii) 3ffETf^T^rdf (3ffETfar ) c7i EI7ZT ( ) ETTZTLj 3TfZ 3Z7 3fUZTET (34 3T[rZTEft) c, %ca faa ter, f (f^T ) f 3Z f 1w Tm UMT efT L-7737 ...... ...... ...... : ...... ...... ...... ...... ...... 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IdiS 3^y^^ .43 n ..?.^3 ...... :,., 9f}„9z:T.^,'!S ^i:. y (3T1) cgQ (1V) ,) 311I)q 2TWJ 31Y-IcflfefT -4T& B4T^ a (vi) c^TT ETA ziT -5Y4 zff ar 1 / ...... ;'Z/...... 0 ' i (3 ) (&` t^1...T^ 3&qf r r 1951 (1951 c5T 43) it 8 4 3WJM (1) 2TT 3VgRT ( 2) a Pffz -err 34wu (3) z7 3ic *r 3Tf m W;At 3m7w (3iqu ) 74 f cp f Th i t/ rfT urm ', 31'7 Lb ZO -m 3Tft c, f wwcim it iTg^ cf*-.aW41 -are ci T arar ' I (i 3TfUATTft 34Z$tt of %-q 1w ZIT aTM 3i,17 i3Tfv' f4 T arzT 't c ar; P-raftvff u1r r41 utd W^Uff) (1) dlId^rr/ AST 7Tc T f7vlt 7i-TT/ Z s, 1C ...... : °.r^..'...... (ii) mar, f ...... :-...... (iii) r 2i ep (x$) ...... : . 7.:...... f^r^r v ) ...... ^...... zi ...... OW) 7 UT 36AZT3T (3TPUPO i i1) ztl i g17T (Wan ) 3117 31 317TET (1 3TV7Tf ) mi 7if r ta7IIT of i^ pc cS) f'T r q 3r ref 45aft 3TRa}1ci % ZIT UTZiT t ...'.^ °^...... (v) mft ( 7c) f 1 sT ToTziT arziT T/ Tmu urg 4 ...... =c-727-w-...... (vi) 'ITT ZZ*U 7ie m 3TfF]mff^TT VF ,4 2f b,17T 2 iT t/ N' n-, 9 ...... ! Pi 7,3c2 3Tf1TNT4ff t'' a;£C1TeTE eWrI m 39, 3WZ MP-Tff 3TfiTareff, W6 7icrIRCI * t ZU7c1T/ 1 % Va 2TUu V3f c'^}i 3Tc c 7i7 dT -r 3Z ffW TRT 'ci 3Tc£ 7 c T 37 W& '9, 31'17 VNc5T W V'i7 9M aid " } ' I HW^miuau ' ? `t^.. '...:. . 7WW W 3TTGT c3Tf17js ?.....^C.:s ^lU ai a7l lfUci glib is "niif ied by Sn .. t# iff ,fined ap44 . Me Solem :; CSact^ ho Declared he fore '-,e d,j 6p^1. r g n Y 1^ ^' ^`[ ! (v7 4^^^ Z Zf^ ^yy w U V. S. PRA iA U^ v 3Tf7i7iT ^' $7iTT$T7 •dvocat 0 1., I Annexure- 1 AFFIDAVIT TO BE FURNISHED BY CANDIDA NOMINATION PAPER Before the Returning Officer For election (name of the House) From ..S. A:p a -Aw:44 constituency (Nance of the Constituency) I, vl ...... aged .39 ...... Years, resident of Y.is -t,,.Ka..nl4 Candidate at the above election, do hereby solemnly affirm and state on oath as under:- (Strike out whichever not applicable) I. h ollowing case (s) is/are pending against the in which cognizance has been ^p16 +•$ [ \ //Iy_ taettb9.t court:- / . ^` I of ,,"Dept of the Act and description of the offence for which cognizance ygu ^/ ' 7 ' C4)o4).b, D -p h 9 y( At v .45 3 s7 ; CoyJ -9 7^/4 B 4 The Court which has taken cognizance: vsed-'I 1'rt^-+ p)sv3Jr/3+T C^)32 1 ^r w (0$u)-1J e:c ' /Vc 68/93>f'^''rvw^l^.^lua+Nv Case No.:(/,) (,1>G.,vvvlp ic,,-iIJVV-/37-/9-% H).^' (s//,r""A,O=Se,a/ v e - 3-'9191 W "Z. a.9vv 3f?% ^-- Date of order of the court taking cognizance 4U_^_!- C-4):+ - 7 1 9 91 l>>a - F - 9a' (v) Details of appeal(s) / application(s) for revision. etc. if any. filed against above order taking cognizance : ,Y v1 (2) That I give herein below the details of the assets ( immovable, movable, bank balance, etc) of spouse, my dependents and myself*: (A) DETAILS OF MOVABLE ASSETS (Assets in joint name indicating the extent giver.) of joint ownership will also have to be Dependent-1 Dependent -2 Dependent-I Name I Name J etc. Name ((i) Cash iV, q (ii) Deposits in Banks, Financial /v^L'1 ^ /vn ^ Institutions And Non-Banking Financial Companies Bonds, Debentures and Shares in companies Other financial instruments, NSS, postal Savings, LIC Policies, etc. Motor Vehicles (Details of make, etc.) i) Jewellery (give details of weight ^1,l4 1 /-,,4 and value) Other assets, such as values of claims' ndsl Shares/ Debentures as per the latest market value in Stock respec> of listed companies and as per books in the case of non anies sld be given. R iI,5.J7 B. DETAILS OF IMMOVABLE ASSETS [Note : Properties in joint ownership indicating the extent of joint ownership will also have to be indicated) Self Spouse(s) Dependent- I Dependant -2 Dependen -3 - Name(s) Name Name dc. Name Agricultural Land- - Locations(s) - Survey number(s) - Extent (Total /^ )LI I /)b v) measurement) - Current market value (ii) Non-Agricultural Land- Location(s) - Survey number(s) - Extent (Total measurement) Current market value iii), Buildings (coil uncrcial and residential) - Locations(s) N, A /Y44 - Survey / door fa t;l I ,v, q numbers(s) - Extent (Total measurement) - Current market value ( iii) Houses / Apart ments, 7 etc- - Locations(s) - Survey / door _ numbers(s) = Extent (Total C measurement) - Current market value Others (Such as interest in property) put 0, liabilities/ over due to public financial I give herein below the details of my institutions and government dues:- [Note : Please give separate details for each item] address of Amount Description Name & i Bank/Financial lnstrtuttons s outstanding as Departments(s) on ...... (a) (i) Loans from Banks p) t4 (ii) Loans from financial institutions dues to departments dealing with government accommodation (b) dues to deparuncnts dealing with supply of water (c) dues to departments dealing with supply of electricity (d) dues to departments dealing with telephones (e) dues to departments dealing with government transport (including aircrafts and helicopters) 1tLA F Name & addres s of Amount Bank/ Financial Institutions(s)/ outstanding as' Departments( s) on .. (i) Income Tax Including surcharge [Also indicate the assessments year NM up to which income Tax Return filed. Give also permanent Account Number (PAN)] (ii) Wealth Tax [Also indicate the ,mo assessment year up to which wealth , Tax return filed.] (iii) Sales tax [Only in case o )YM I proprietary business] Property Tax are a:; under Or pbt' JKMAt)vt - (4) My educational qualifications ,^ Cry Su^J/r,jltr4r1J^ [GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION] which the course was completed [Name of School / University and the year in e given.] DEPONENT VERIFICATION , do hereby verify and declare that the contents of this, 1, the deponent above named knowledge and belief; no part of it is affidavit are true and correct to the best of my false and not ing n>ateri I hasbeen conccalgd{ ey from. a^-r-4. "Z^. r...... 20^G' this the... ci /J,- ...... day of C" +nnty^I ^•++"" >ffi^med a rt- Y o ti,Itr Soler ^y^ P fared be fora mo y r (7-i '3aZ,--A G V. S. PRA ^D ^^^^^,y^^ 11 n( * DEPONENT ^d a _ > IDS 'i"C;RM A q Comnuuticat a wiut regard to .-,uthorised Persons to intimate names of Cardid: Up by recognised N: TION-}1. OR S"AlE Political party or REGIsTERI:ii RECOGNISED political party. tScc paragrapi, 13(c), (d) and (e) of the Election symbols (Reservation and Allotment ) Order, 1968.) To The Chief Electoral Officer, ...... (State/Union Territory). 2. The Returning Officer for the ^'.KubbC1> worConstituency. As+^or^ CS Sur General Elections to .vtd}moAb rom . 13NY? „ (Staten -cry) of persons -Allotment of Symbols - Authorisation candidates to intimate names of Sir, In pursuance of paragraph 13 (c), (d) and (e) of the Election ynt r,ie (Reservation and Allotment ) Order, 1968, i hereby comn ; unicate that the follow has/have been authorised by tf h is ' , _. ';n¢ per 'KCYistered I ,rreo is: c' P n} to proposed to beset intimate the names of thet up by the party at the election cited above. -Fart P ^f perso.^ authorisrdwame of office n the I strict(s)larea tosend e noticpuny held i c" constituency/const tuenc; c :; in respect of which he hus been authorised. 3 i 1.^lA^GI Kl3 ort Prw 2 . I , ^3 dl1)ar 5fRTY2 Comm2?tE2- (osrn,wniat- Party D^ fndid. arxl'e^ LeniY) U bertatt'on^ Inserted be Notifitinion -:o t;?%ludl-i!l. I lo,^, pr 'cimcn signatures of the above Menti oned Person ( )Pccintcrl signatures ofShri s) so auth ^ areorised _ p t_ i) (^ gp gndk t4► Y ,. `^uecimen signature1 o1.Shri (i) (iii) ..... (ii) ;Pecimen signatures i) of Shri (iii) fours taithtully Place Date DIPAp resident/ eC.rr,t r < CnR CntyMU a^^ATT'A CHgI'ay^t hHr "^11 r«,^. (Seat pf^^^ t h e f)llll 1115 flll!tit be delivered to the Ret,; ^t later than P m unn Otlicer an orm m on the last r d the Chief ust be signed in inti t'!' ,r making nomi nations ignature c ice m . ;r ,n bearer 6-arer shall or signature (s) me be accepted ans of tubber ntioned above o town transmitted by R stainetc. 1 tax cF any shall LI , oliice ^ '`cLPted C, lfi e ^- 1 9 6 1 ^FTrPq-- 2 Tt f-^I3T 4 ) ftT:Ly T81T r aTrar r err arrvT 2, v1 VTTDT- 1 ( ^ u ^r zr zfi aar rr i ^ a t 3ra^ Eff m 3v)r - a^ faer ^r Zrsrr if; u f t7 .r: ...... 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(II, ...... (lA\ 3 rTdT { ^ 3 f^2^ ^T 3? z JT taeTr^ z s;T z 4 f a° ^ 3c fc L7MT 31f ^ oT ai ci V T :/J4^V^i ^^ ai AiWrr T)2-cfT a^) fr2 zT"^r 4aTrQTGT z ?T z a^an^ ?TU ;Te; z^l rpur f^af <1q A7T 31 f£I^ fTE7 0 r'i 7 i ;rat a? 3{a 121 I; ti;q 013 r 4^ 0F;UT 3 1TE -gr 1Er>aT c^'i ^ , ur r i7 +7c (31a212E17 ,2c!ryiZ: ^ ^ h'.q 7(ct i r (Abstract: afIDi- 3 rra511 (jr' zS? jiT a ) ^^F Af' ^^^ tcT 3 {U^1^ 31 1 9 5 1 ( 1 9 5 1 TT 4 3) ,Z;I) MUM i2; 'l jl) '`21 ^C1) ) 3fc2i 31L121U (311i3'.Ui ) to ScILA 1 -Z^;^lc! ^;tI^I1 ^rf1r c V1C^C}J wi:-i ) fciL 32i Z^ UC t:1 3lf ^7> ?tT 31oz1efi f a^Iicf h1% T1 n. s ^ r ftui zTU' h x ...... :...... fciT{ 21i^TI ) z11a^ X Smarr (S c) ...... x...... :...... Z v^7 ...... i'^', 31;e1f^^,t ;a1 (3ii2] I^1 I' ; ix^i `IT^1 ([r'ZTL7^ 31F? 27T 3Tg7Tan (zr 3gele.lT) i7 2ifci4i IU ...... ...... ...... _...... ...... ...... ...... ...... ...... Z U1?ji'u (i ^f73 t l) z wil 1 , cTr ff ) ...... IAbs;ract] c2-11T11cir i IZi-^^ (^^Icf;f^I :Si&u2ii ^7> 4?:i^iG CI Zlz,'T 2IT ...... __...... ,...... 12 _. ^col^4P. 27 (c^ c. f2!t! ^lil :^i- <-i -^I'^7 L;^o ici (^^ri^l) di? ^li2T ...... (vii) ^R^ zir^r 41^ £ (?1rt1^ ) ....., ...... (viii) 4 i 3ui Fj < ^1 ii ^ ( i f )zit 4 3T1l r (3r t )/ 'tewr i 1C51J JUJ 1 r,i x;1 1 f'Ic iFL^ri .. '...... ...... _...... ...... _...... ,._...... c=1;^?TC1?-I ^:^: c'.I12-11c^^J^) Iii 11i) 1T^r 1'v'"; ...... (XI) z^r 3fci 31d)zr (3n5)-Cll) /T. 7$IUr 3ii (3rrJ ) c5( f-[-C= SIT t ^`r TE :i '% 1 ltI R ail {f^^-bl (ci T^i^3i) ...... .ui) t]IS2cr 31ta2i (3lrc}.2i^) z A fib ...... Y^ ...... J ^ 3{2{r c> btctTeiZ a:n aT- 4 fT,f:u1 3f1Ftiyrti ^^. ^1[Ji 1&Jf rj_LN t ) 5Jidi i1i1'1^_ ^]fZa ^J) G, d. U ...... Frll^bl) ^i1 • ^5. , 3 qf^f rz^Rif F'Alu r ^r ,.,. _ L ff U I V ^U r- 5 ^n^;f'^r {2Tcf-u^r ^t a ra^^ ac r dr , r ^r1a^^l o f^2taf- ^2 d;Z -ll 31 ? c^ ^IJ 1'j t1ci ?^^^ ,il `d1ol2.I^ ^.rccj^ 1 951 ^^T fThif 36 i 3iTT{R far anf ^'- ...... Fj-'c[^ .c^"c, 411-1ry:y ?i ETh 01.) Cb 411 ..SODOJ:...... ^^• • °- 5000= Tr,. T 2 6 `c) 4 i ~y -',: RRf 4 5 I a i t.^l .... . f r al zi I a r Tt { ) !LSahu Adso, ..-...^^.^. ..°^ e l^. L^j.11 `:i'^1 W1 31I^4i21Z ^h aJ{ [ 3Ta 2^^ gRT SRcTT Zrt ^irc^ c'TTc^T 2TET2fCtW . X11 t a ,-.{ .Cr.,..`i.... 3raZr ^-; ' .^.`.. .^.^.c.. .i^ ..^^r ^T/ .^r1 f^R1T2T^ 3112 3VZli Z lc r 1 i srr U> r a211 srclz^ uz ;f ISM ^zr^ r T aT f t ¶^ I ^iftcI uTra> t •J ^1 f Zn 3rie 45 rd 'tr .i1 31 S21 J (3fiNTUt) arf3,orr/ A43T E4^1a1T ZIT/ Zr ]TLS ...... zro1` ^t^)z^td »71 l)^Z^G OG 1f^7 r3T (3{^e, ^Jai1) ^ii^ fTTZT (E7TZ:TLT) 31tZ 3U 3T'aZrY.T (3TUZMI) U7 ...... Ur ¶ rai r ) SRTt1 ITazrz)i 3R1lu 1 w UM T I n 1, t-i 07 2 .. 1.. .- ..1...... (i± j ^r^IA 7, Rich (wT) ^iZr 31171 (srrl^ ct ^ Z r o. 1...... (N) h 1R I (ffl 1) 1 T^ 1 3 TZ1U Sa zf^r! ¶ i err uu •^•LL^ 3{r^i- OftuTT -L &-'1Zr ''T (`,'.I) oe ! Ziafl zu Zt ^^; ^F.Rf^TTC°1 t>2, ZI To'T ...... L.1...... f^i^^il uriET (3i^121 ^) (^.ilui f^1f ^a aifEfia JT 1 951 (1951 U5T 4 3) 1i 3>TErRT zT 3qw (2) ( I ) of f uT 3 LIEUU (3) 3f-4 31x1 cn^ 3114 TRJ (3F -zQ) tii 1 r zT T> S 1 is ti 1u I ;I I"T t/ Z t, Zrrir UTzn t 3?TZ > 4 ^ ti T s11 T f u F R Tl7T s I 1041 O OT t/ t RFPT Jr rr t I -jj 311Th!ire avv ZIFC -f air f3TGz M mT 3TnT 3Q TFof MY D1ZIT t al IS Grua JTT T 5T R?J & iii) ^rTiv Tzar z^ it a1^ zi^uzlir i l^^ ...... ^irzlrrr^r, Sulzi^l 4S T raszlr ^...... 1 Ri a r (z^rf) ...... a...... rr (f T^11 ...... r r ...... (iv) Ri Tlert 3lferi^a ^T (31f rP ua fi) Ziff f'1FT (Ern1Lr) 3ll7 3ZT 37;ZTEr (3r 3{AZTY71) vji zifzi r f cur f^rzT ( ^ )Sin? :^raz2 asa 3,R1S f YT arqT ...... ^...... •...... J1RIR7 (u -f ) tv> wau 7f TI27f WT 21T/ {r^ITL JTU I) an s'rani wfur SONY ail wETT&T2T &Ri c zm JTL t ...... 1rf S\,1o^io ^' $^YTT$TZ njE. ,1<,cC -cff'tTuc T 3tRne9, -Zli; z+r^Ml T s rr uh rrr/ z5z^} f 2 U^ t 1T it 3^cr„ 3i4 ZTZFUT T 3 is @i(1Zi ct 3i-2n 2Tc r 3? at t 311 z vulzb7 ^ I DIRT fuT2. rT Tb ^ j 371{ 1>^ T1 i 71 T f Q^ iT,} ^/t I q _...... ZA zic rTq 1^entifJ6 _^ °^, __ far^^r I ()Cate. sore bar.,'ta ^.- v.,. , SAAR AdvocatF ^ n ^^l i It I i I ruRNISIII,D BY CAN :kTh l:1D 'IT ro 1) V I'- turnind UilicCr IV ' 13. >` r r^iG^y.. natl. of the House) 'nor electio,t to .1--,C^_ THAN C'0astittten0 (Name ul the Cunstitnency) of Lrt 1,^,.- .IriFi.KKC^ DFIP'(3l csiLl:.ltut lL. -.V.Ft.. .1T.(^k^.&....G'.Q..Ml^.k.lcAiRK.i.RS..hal3ttFll?^^PO^ hT solemn Iy attirm and state on oath as under: Candi.l^ac at the above electiOrl. do hereby .ichc^ cr .o! nohlicab pendiu-^ against Inc ill which cognizance has been The lulluwi,^^ case Ls1 is arc I r L taken by the court: ul y 3^ 1 ^^^ t 32 ^' zl ^^ 1 which co niz- description. of th offence for (i) Section of the ;pct and ufz`v\^I:e n: ?JOV C fhe t ,cl.i^h ha> taken Co^^^.iz n e. V DI CTAL )^l CnT ! '^^^ ST C S^ i Cas No.: 0 0 9\D\ot\ ate u'. order ul the court takin^^ cognizant Ucwlls ui appeal(s) 'application(s) for revisioll, etc. if any, filed against abov e order takine cor;nizance : k ^tn; Ic. ^c. e l I^crcin helo,,^ tl details of the +isse(s (inunot+able, n^o^'uhIe ) OI Slx>usc. my d Itc tIf nts ai d mv5clf*: unF. I0V.AI;L1:ASSL"1'S n:t (Lc es,ent o; joint ownership will also hav'c I, be Ucs;rip(iun Self Spou,_(sl ^ Dc^endcnl-1 ) - Y x I I)epcsi ; s in Banks. ', ---- x Iin;n^iui 1000-- 1:._ )3..nkin^F X V iii) rn.ls. ))ebcnwrC c+, S!r,r" in X x i X X NSS. X X X ,u,..ync,auiu X ^.iarc,' r .h^ ;^^^ir^; q s per !hc ^ in r;,^,tuf I.,! latest qiarket value in pa'• ics anu as per books in the ea.o U. 1) E I A11,S OF Ii1110VA13LE ASSETS [Note : Properties in joint ,Iwa rshih indicating the extent ofjoint ownership will also IILIVe w he intlicutedj Description Sell Spouse(s) l Dependent-1 N:Lame( s) Name Na;nC etc. "^.•;;L^C Si - Su:.'c_' cumber(s) x x x .- m:rkct v't,luc attatbcr(s) Iol:l cncla) i,'.:.r're1 value v Su:•,u; CCLIr nc:chrrs(s) ( rolal m.e:an:cm.en^) x Current market value R13°UT 6 un I o-Go I -. -Loc i im o•Il S4j1,,. - I'. `llCnt 11 Otil n teasdjCI1:ent): On herein hekv lire (lct;iils or nth liabilities/ over due to public linanci;tl tstiuitions ,ctrl gtt^ crnntent OWN:- Note : l'Icu;c , ive sch.uoa!c .'.etails for c,xeh item] Ucseription ne address of : I in;;n.'j3! lnstitutiotis(s) O lt5tund - cp;t,tntcnts(s) o: X X Dons Ilom linanci;tl instittitiou x Co"rrntncnt du-es.- /I dues to dcp.uhttents deulinu kith government acContnt(ittOIion dues to departments do tlin.^ veldt ;L^.pl>I^ ul vv a2r X dues to depurtmcntsdeuliit u ply ofc.ect icit> (d ucs to dear cents dc;tlinu .^ tcicp!loa: X ^u ^, to t^Cjt,i lr cnts do 'in t r, illy T o^utunch truishott(utclitO^nl nctuf t3ngllhelicopters) I)cscription Name & address of Amoant 13ankr financial Institutions(s)/ outstalldinu 1. Departments(s) li) Income Tax Including surcharge (Aso indicate the assessments year tm to vahicil income 'hax Return X Pled. Gilt rJ> o permanent Ac:ouat k \rlnPcr (^';\.\j] Wealth .x [-Also ind ate the assess ent •,eal up to winch wealth 7 I ax return tiled.] Sides tai [Only i s Lase o 1 hasiaessj x I'•I I'rl; erty I ay I X f ;) Ni educational qualifications are as under :- DI ShT RsC- . [GIVE 1) E1 :AILS OF SCI IDOL AND UNIVERSITY EDUCATION] [Name of School /, Unive:xity and the year in ^^°hich the course was compicted should also be uiven.] A'LK11,1C:AIIU:A ^ l l i l.,, p Olll Ill .1 uc)A ,te Ilallll(dU ICII LJY AultV'1,.1'Jill Cc.. 'IFC trill Ill, (Alltl.lI,t t^ C) aflld ^t :Ire nl ^^r^ect t^) tllc t of my 1„1on tedgc and belief; no hart o? it .,u,notl ^n^ nl;u 1la (J:1sr brut ^. run,caledW thtrc hfoni, y(I^i^ 'r ^ rt I i- of ...... - 1d,.ttil[.ud by STII ji&ccato, Solemnly Olin, ^( & (^ 'Y W ^VJI MrI O- bu oys rn° . t JAGk NN THS V AdvorIrr DEPONIEN"l' 4 PUb^I^ .Bsnlnut I I.Yi (TAMP •Hf I %A'7 3 f l 1 i + . t f i art 1 of ff Tf`i,z yf ; r f *It 4P Date of appl'. for arEkq Data on which the copy Date of rna'ning o+er ;na cccl. Date f . oo for neti hying was read/ for delivery. copy to Iho y, L the regoisite number of stamps and folios. r L~-^^1 3cf zT 3,,.. Sall ft ^i9 11 Sf ';ld Z6V -^' 4,Inx1 1 %7 ti! fi, 1 t Y^C^:a ;i #r dt!<; . N it e:e of den ery of the date 11 which the copy :ate fixe i for not, fyfn^j equisite stamps and was ready for delivery. the rer; ul, Ila number of folios. starn[a and folios, z gel*ifA 4 I( i1 ^ ,,if q - i (i +a uz xi 7^rI^t1^^ V4.n tdl I <,! ir•i;l ,^)l \cvjq';^w;a , ;iFI 7I J EORo, 1 A IIlnlunIeatloll AAIth regard tO Author!Seil ICI's O;IS to IIltimate•InAlnes of nIldidntes set up b) rerognlsetl NA"I'1ON.-\L OR SI A Ili I', litio,Ll party or RFCIS f[IRED LN RFCOGNISI:D political party. (Sae paragraph 13(e), (d) and (e) of the Election Symbols (Reservation and Allotment) Order. 1968.) Ito The Chief Electoral Officer...... 1.1..(StLte 1 anion 'I ^:rritol,v The Reournin Offi(:3:; for the Subject:- General Elections to Legisl,ltive ASSellll)l from Bihar (State%E+^ ^ 1 ^r Allotment of Symbols- Authorisation of persons to intimate names of candidates. Sir. In pursuance of paragraph 13 (c), (d) and (c) of the Election Symbols (Reservation and Allotment) (rder. 1968. 1 hereL, eOnununicate that the following person l;) has/Owe been authorised 1w the Sanmj«adi Party, which is National Party State Party in the State of Uttar Pradesh/Registcreti Lin-recognised Party to intimate the I.amw ()F the candidates proposed to be set up by the party at the election cited Above. Nanhc of person Name of office District s)/area(s) MOW to send held in the party c,nstin:encOconstituencies notice in respect of vvhich1tc hw ;teen ; .athorised. It:A.V (;o1'AI. l:V)A\1 C;t:ALRAI. SE(I (I I.\ NV Entire Bihar Jt81c. -a a a a a a c a - a a a - L a a 4Th 9 C :2atic <:5- a a 2 (f y. 00 (0 a 0 a cit a C a a cc - Z 3i^'r aril... xjII I'oii-i PIT 3 0 - ft aIo3I^I 1 3^dWIcf^1c4cI^ ^I27 JiIQI ci I Lr rJ:1 L c^2I---S'H cllc' v1I^^I jnth cJI1TJI-Q5I C1I qi i ^izs^ n f^ 11^, r-r IC, c^^u1-' c-f Tcb^.rf ._i1ciT ... c-r 3rr4sl n ^^ r 3^ 0 rrf / 31361 Ui^r^ r<^ fi Z-^=r a aTr^c1T t JT^ - • - 1'' -'I''^I'2icf '=II=i ^ I =131ICT2 1 vi. v. . ^ 1950 iTi an r (313x9161 1 .. 11 i) 311121, 1 900 a' 0lT 3221111 lI`i^ (oio 911th d) 311021, 195+ tllq ]I 1 (132)1 ] I 1...^nTF;) (FT1 91*01 1 GYM) 312020, 1951 (31 (0 ^'dFt 1011 31 ,1 0 ul 1'91161 Y^di) 11 Eta 311 1 liI 95 966, L'ZZr^Zr J 31Tu1=1'U91 19601-t 111 metal JI^IFI Ji,166, c11r 4 (g01 T-I) 3I1iI010931, 1971 3110 3T30 Iif1r 311cr-I 1611 1970 39610 ^t 011 (doi1i n) 31 ,ID r muCt sn :2r (01lilotI) 3IhI 1164 I,I 976 -'121 2j6010 (vi331, H 'd12alld) 3130 011121 311021, 1956 32.0 511111 3'^ 3230 1Tft 31T421 (312111001) 3l( I12i^lbT, 1 7 6 R1 ettlr 01211/001 2*00121- (312001119 1 T^ r 610 Zia)0) 3930 1 1 'r1 311 1:, 956 211-a 11901 (0171 a HSro gto ) 3130 01117 31100, 1(J 62 3130 091311111 311031, 1962 211L11101 (4-1929 a 11090 601A1) 3113 Ut0i (41fs1) 3130 01111 311021, 1964 2i1'a15T (3619 VOLT) 3130 9IIl 311-021, 1967 ai!LiUIZT (3 1, 00111 20 0Y-Ic) 3130 vf1Fct 311021,1668 ,1 &tT111 (91SR, - G 014) 31 01 0101 11100 311021,1660 Z11autor (IIO 0110), 3130 0{^ 311021, 1970 Zir&u1=t (r{Z-i , i) 3930 0T1f1 3R*sr, 1978 zjrLlMlf (IZ114JoJ7) 3130 Uf TI'Ti 311021, 1978 21 10101 (31 72(^^ 1110) 31102T (Zi21tT) 311+af 2010 1 990 1 r 11^RAT),Ff^319321 ( 1211010) 121211691, 1 99I 71161 cliff (313 11.99 1)1 1 T 011 031 ) 3c'PZi, I ;16 ' 6 11 6.1) 311G7dC0i, 1991 71r-r0 -f 11 q-1 (3132 IdVI] ] =i C I ^l' 4- U1 X15''1 2 d^lo Ctr eTi^^ 5I1 2 3130 ^ [ / 3 30 (3 15711 r (3 t ^^ 10 31 El-T 31 C1 ^t 2101 "TI^^Til ^^^ U l13I-^T Z1 ct 2l ...... _...... _... alc'A3T r- a1- vI Sl /^lT^i c Tit ...... _ ...... 2b ^rT bb...... P 10flftd = ll uilc^T ff^=( _,t, 31T211L tit OTT ^d1 u11N/3T^0 uI ( ll^ 112 3R 0 .._... .. - .3191/3f'^CTc T /ZIO21 d5L 2111 611-1 21TETPuI cT: 3TiJT/TlI7 _ ...... _...... r^-(T/51311 aT ... _...... ^^, 3rl^acFr^ ^ Cr5^ vaTrIIr^^^r r^ ^ lralr^r^rS^r2T> •/ ^ ^ (c}ir211101 2T a r J 211 z. 1) 31M[ ihi ^I^^1NI E-1-1 .... V /...... f^1 i.. J IEIc ill !.. \ I-I C1='l Ei;,c1^" c1 - _ 1^1c 11 _ cl) 11 1X[ 12 2J 1 R1^ l h L2 ^Ilol cl l 317c1c 11E1CD ^...... c._ - Z,l.^,y ^IJ...... ilU1-Cl>1 ^)=1O II cl) ^c,121 foh^^ 1 311ciP^l^1 CP It 1ich ^. ^..^. ^..1. ....c1j 3II i1: cI I c (iiC, ft 3R< IJIU3c'I it cllc1 c-I a1 Gere raJly .used. abthreviations 'srmenr 111. _ - rlcwru ,I iJ,a., re = R4rurn ,^Fn --l4 rU ^t 6irir ,r,a oundr or -. I er c r nc hund ir:n^^cr chc,!ch = c hu y^ - 1( S inr s 6 nk o" nG chc,c,ue, = Che. i rtl.c 1 ' Snor Credit ns = Insu ce Clos = Closure nt/in = in O/SORD = Star.cino !nst;._,- toll =Collection S; ;i';rd/H/o=Son,'Daucfr,ur;1^!^,.- ion/In = Loan Comm =Commission tr/l:i xfer = Transfer Mal = Minrnum TT TeleGr3,hl fra r, CGR/CO RRR = Correcticr. w = G,, ;nding CR Credit tx i ans c' n & T = Fc. uge & Cclegr: csli Cash Dos = rout of sale State Bank cr a ^r i:i I id'.:I C.,, '_^.-iLV.i 7 f PUE. f'CI--h1i h If.;Jrth -31ti``I Branch S'sn ner (aTT2ct ^' C ETj c 3 1 7 3 (5)) ^I^rT c l c7i rf 3Ta aff C-7 ART 2iZT u C c c T) Z(KRI.^^.71^^! ^ ...... f^err^ ziair L^wj t--ilol Cl) I aTZ 3Ta2T2 c i f fra g3Ti * 2cTT c' } 2Tg2T A ^ clT f ' 3^ ^f^Tc rLT -^Tej E2^ aTfTCi c i Zi ET^{c c p c ^- R 311 fir Z J[T 37 UTZff c^} i ma c f 3Z. 3TAT3c^T ci}i 31T 7T 3TMeff c, ^ T AT C) ZHcr€1 z X6Zd l 2 3Tcff2 di 37^T off /#} ...... ,Z {: ».....^i..F.!...... ...I. ^2n^) u7 ...... r'0 ...... zo ul^ TTeT ear ^R rcr T i;#i air Of aT ^vp if 0 N' b Fl ' (mferc-F zzrf'i ^zaJ iz) 4 T ZIT f 3T^z I 2T>^2^-AUK d ^?1T A9 a fIIT- (mf£r arf r tr f 3ia^ref 1 r }Jrr) - nalTfIIr^ f"rr WCTT t f45 f f4W-af ZMU f 313q2ff ...... (Iurw) ) ...... zo rI 3 zT$T cT 9-M ZTEJT 3rdferd ?Ttru /V ^ f 4-f zTfaErTc7 3'17 3TT 7 ^zMU? f 45U f ...... (VeErTT wpcfff z ? rr 4fz) -1 feiz^a Frlaf Eraff f x^iq t17 -T zu ^2RT * 4 . ziaieT 1 3J-t _ ^Err^ 2iaTT ^i ^fiz i vil[ r3f7 `rTaT.... 2Jirq/^} ZTZ^T.. ^^o^..^^•2^z ...... ^ / y,e-- .)// v RLQUES f.C(JRM standing in >i or contact details or eaticiidates Assc1)Ih1.y 1'lection; 2010 mblY Constituency : -I- No and Name of rAsse I 2^rZr^^ 2. Full Name and candidate ^j ^l^ z Sex •1. 5 . Party set- /31 ^\ (mentlot' Indepcndcnt It not Up by political party} p''// ^y [ / - Cityiurea of nuUcr place _ 6. ^. bull uddre» a r'1 7 ^Lflrl/QI^G^/la's S. Landlinc phone no. 9d^63^^ Mobile phone nu. 9 r 10. Lnmil addtc^ti (it any) \yeb.,itc '.address (it' any) ^...... 0 Lo 10 ,... .. ,o^„o)Sa Nelr I RZWJI 3 -5 3TTT chi 7 T J c T a Q 3 9 R T T T^,7 3TT I 72111...... ecilo ...... 3T3ZT2ff Z f 5 T A Z - ? fT c TT 6dT [Abstract] -1)'li a y- ,+ J 1 9 61 (^T^2T3T 3£ 3TT 2T) 77 •iZT- 2s ^al',!rdT 4. 4^^SIL) \\^ ^^ aarai i JAI aijai 2, vll QITJ-^ U TM- 1 5^-iced-6:1 CI> ti-6IL7...... \ I...... f'1c a.TT^ ^^a7T ^^ Rau a# f^fr errs RaTr f ^ ^ z^ 3Ta-441 ci^ ...... 3ra^reff array ...... A,...... r .1 ra i ...... ...... /...... ...... ^uti^^ sari 1 dtc ^^ Y r S^aF^^ ft ...... 3^Z1 113i 1-(j WTTaj51 aT(JT ]7 b it ,^,dl ;1 U ^ NU fm) ,pail ut (;&T -Um ;Urt wf fit MU 3Ta a 614401 ^f tt 3TaZTZff ci ^iV f ^f af42Taf ' I 3^aaTZff air 7m ...... TTm ..^. •: .!...... ' ^ % I N\ ...... \1^ ...... AA Em Eau fi^ i Fay UFF z a 1 T xo ...... {. ..q..^ f To ...... &..a,/..... lq7 -Az gat ETl rT 145 TaT f4mBT -zm f 3 rft a " f" 3^f f^ ^air2 -,IM T TH faeTraf zTaTr flT ^ f ft^ lafta 3T'4a'^ p Em41 a. cA '+ I t, 'eA t 3i tai ZT RTfIM" QM VAIZ15 7T-4 milza tL2j ^Ildl tc^+rerz 3a riw Eft w a9 Praiat sit zi^tr 2 a °'^ u b1 1) Ito ai -__- I C ^I1^1(t Al z^^ 2p0 X1114(10 2ro 4 C3 \JN ^-1 iolto 1 I Lr-- I C''^ q t\ ^1 -7` 6118Itd k 9 n ( ^ SCi ,o uzrr t TM -4 f^ el^ m' i o^ zluv i [Abstract] +TPT- 3 3TaaTZft i 2r^ a? aTTar T i aMYT z ( ^ ^1 ) a ,c'im 3T^ft 3FgUiFr Tc T , 3rz t ri t i ii - - (ci) ...... lqO 4i 3T1g ^t, Z57 c ' I ( ;UT (i) ZTTZT (ii)ilmnJq,QT9l3Z4 ^) ^!(' ...... I...... TCT (,UT) (i)uj^ 'Zi c75r1^ -A ZT5-r Ufa t 3fr' 3V-F -JTZT W$r f5T 7TZTT t, T^ AZT ZN r ZI Ui 1 ZT 4c / ^ci 3TTZf$rcf A fl F 3j$, 3TTc7f^cT t ZTT TZ I Z(T (27) (II) ^TtcT^T ...... Ut A rarr^rmGf Tr"^"`" I-A ZF6 m i^ 3r'^Z 3}^ ^ ^ ^ ^ 3Tazlztt ^ znu a^ ^ r€r ^ (^^ ^ ^ ^ 3z^ ^) ..... '^ c^ 3rfEraT1^ $^T 3^ (I)...... ^.t ...... : ...... (I I) ...... (III)...... `..... `.'^.f.. / ...... LKR3 I t ^87^;Z Ser vEr^'17r^11 U L c SST arrniUS r rasi ^raT 3^z ...... u (7T) al^T -IT-,H 3lz alb 0, q^1 1l) L (au ^i czFT ) Z Z TQ Z t'rRiH 71Zr i I f4E Tau ^i (R) 3TUt ZT^InnT &imi 1 sftz 5-4 2m i Z 3TTiTZ -A 'ZT, ZrU.r ^R Off 1 ZziT^ M- fct7 50 Sc'TLI 3T cT 3?1Z Spa *a afl AlGwIT T Z91 a ^...... •^T^ {•...' .}. -. zruzr 3d ** TS'r Zi zT ...... al ..^ . ^^.^...^'... f -.'`...... mod ...... O ZTa7ET 3 3TTT Z nT 3l Rm-df Tau ZTrzT-ZTTdT ZTr aft U)WurT lrzm ,4 fk6ly Zr r 4ft 1 arrZ9 i^r z 3TfaZf5 RTWa ZT ufT Z^ crri T ZTTETRIIT S r^TU-f ****iiiT-di urg 1T urea t 3-ft -{t fcT c tytc]^Tc CIW A 3Tazr A 1 Ym -rru I (3Ta2TZtf iii cTT$TZ) •• zrr2 al 3^r n ah u,2 fie W^s^^^ b^^ dlc^ 21-^: ^bfC 4113iu I 3rrh^Tf9M aT2T 3iTT.Ci°r 3i^T gZii ¢]T^ "air^I"r11Af4-i fcT^i Zci" f't cO' 3iT-ccrn I w vn Z si"8 ^cf 3rf^k i * I 3rF rte) 3fi t, 1 9 6 8 z' 31Eft t if th ZT^r a{ 7r s 11451.0 MDT- 3 (&aarefi J aW WTU) ciw U1'c112111Uci! 31SC.Ir^RlJI- 1951 ( 1951 WT 43 ) Zbr ETTZT 8 di- (ll)) 31TETRT (I) c7^ 3TEft6 fZZf 3rgZTET (3TVZTEif) I %IU; 7]T (ZA) 3ti€iTf1 ( 2) it cf'!f ot ZZf%PZ# RPEETc I aevhai I cf , W ZFZRIT DTZTT t : Zi< (II) t;^ 45AI 3f 3TRZTET (3TUZTETl) 2^ f f`£ic W LTT SIT t, fuai^^ o1^Id^) lV'iu 3za a ref ZI1 3I1 T zb^ it ft?T &TTai-CTT / w m Z 1 IT Bali, #Wri^ ...... A...... (ii) fcra e RIT (earl) ...... fuRTr (hi T)) zT T ...... IIi^ Z i-rti:a < 3lIITf' * (31fUP4Z1'31ui) $ UM (ETTZTd) 3Ty'Z 3Zi 3TczTET (34 3M TETh) mi F=T o2U1 , Vi id (of&Iz^', ) lc'Tu 3ii f W z6u JTZTT ZTT ...... ...... 4WG ii ?t (a1111z11f;.1) tSi cil^.)2i1 i(-aIaR^) ...... A...... ...... 4. 5 ...... !EA T T .%''!, "TS(ZTUT ) a^^ 3 RT AZ 7^, ) (vi) 3rf'£rzlfl-a G^ (c2TU TAT (c ...... 3QCf4^ct c i ) ...... /'^ ...... c^1fr2s^ ) (vii) )^CTII( 4iT.^ci Zi^) ^1^ ^cl^ c 3Tc (3i>Cf (viii) 3 c 4^^i^u ( ci JTL / 3iT)2TIT ^... c^al^fgl^ 3^T ( (Ix)c >^ Ji 3T^^cl (3r#icif)/ ...... ) 2iaiCi 3nff aT (3T>^cl) / c^TTZTl c I ) ^ jI) . ^"f2^` (x) 3ZT TzITc 4 (mac . . CT°i 3ITc^ % iTT$c^ + ...... r ^ ar^ar zrr arr (aTT ) (xi) a^T 3n#l^ (3n# ) ^letUr ...... ( ...... •...... [F^etuj arr (3rr ) -Or r $, (Xi;) ^Fc 3 YlcT (3nfl ) ...... u^^f t ' ...... (3iia i1 ) ^Sl ...... ( )QOM 3H T . 2p q c19z V/2 ► 3TaZI4 i TZ-M&TT (Abstract] amT- 4 (' ,Mz t 3 15a t 3TZr -Cyr ZY r ) offal P^1 2n u^1 ^^ wir zruar ...... ? . ZF6 aIT3rW2M !^li >ru7cf a ai ...... ^..I.>.:..^..U ...... (,fir) l ...Z:: , ..M ( ) *3raZTEfii VZZ4a-^ -gM vf^arl f^sal iiil ...... ftdf^fWo 3Tff'ZM) *v^ 2rc cfTa^ ^} 3z^ ZI5T *f-'TU I ate- 5 ^l1^ff^14@I^i ^a^ zls3 UF^, lEFf^i uT z fre1foj 3iTg7 -cbT 2E7 x,21 c^Talfcli^21^i L7"il al olnil5 A f`ifc a.r r 3ff^bf'-M37, .1 951 Zl linT 36 zIii 3fc ZTIZ uflfer^r UZ frrzIT 3t A f4aalfif m zq of sZFr T t I fr 3rifdiR) cr 26 PTZM 4 " GlwLj) 7^ Advoo°. ?. ..:..tL^...... 7..0...1.__ ...... 51 }^laf^rt r,Y-d cj4 alai) ....L!^. - : ...... ( a ZUT auai) Pk4f" Z7 fML fJd T 3ffft Z ai WTai$T 3T22T4f = A?^'ii %-ZTT UrO wmt\, TV?.fg5T 3Tr^^ ...... /...... - . aA ^1 ...D y}.....axTUy} .^ t. .. - ^ S: ^FT^..t^ \..^ana ^ fiiTZ#} ( 3T pert fi 3Taar zT^f T z? wTh ri ern az^fl YTU^ ur f fcif3 c-5ar i . 31 ^^ f ^#1, r aTrar? a z) atl znT 3Tfiij-ai ai a;rzraR{ a g f 31421 ET (3I^T2ielf) Q5T/ t1 31faTTQ- f or&f f M AWJ 3Tf 51j m 7Tc u M WR7 3 In f3tf^^i f1>-gin arajT 4 / fah UTU I (af sif3T2Tref1 ^zl f?zf1 3rirzlET (:Ir zmj) T/ at 3Tf3T-^ai a1 a f a^fcr ur Tzn (f) alIdr&T/ U2 T f E171^IT/ Z fi^r[T (ii) ^SrrT zyrn (en t) ...... f3IC-II ( I T ) ...... A...... zr-Vu ...... 1N...... 3iRjf-fir (3rRn -r;mA ) cuff um (ems) 31'1f 31T 3TUZTEr (3r zie^) w ftfcc1i ) f3TZT?i fu 3Tanef 3TTZ)f'FT f iaT Jrzff ' ...... { ...... I ...... J...... (1v) ^I1zp f`vFUC^ ) rT 3rR)-r (3Trj-^f) c"F`}i f ull -qft u ...... CAL s T ^T ( 2) f 1 3Trzlu f^zf"ra f Tr UmT eTr/ f UTL 4 ...... : ...... (vi) Ti zTai RTT Zh^ WRf f tf1 - lI&M 3TR iTflT q -goo R DT } a.all JIwdn4 (aiw4I 41 ) (0)114 WQIWfuka aiS MI tMt i 9e 1 (1 9 b I wit 49) 4 A 3trtrrzr (i) QT 3QURT (2) al f €te QT averrzr (3) -a 3izfafii 3rra & sruzrtr (3ruzTtA) f Q) f'T¢ %wl1m zTZT'zrj arm Si o f e&'cii artrr 5 34z d^ 2]T 3if c5 f'ciu 75i I -,^ Z-611 f4Zm arm Si fl1 fist urm S i -'7 }}1..:7-.^47 ?77FIT 'TT^TT 3 7Tf?11 R,• '77 ?i?TT , Iq,Idl S4 "C'I v. LUIIi (i) aTrarru Ajar t icii f1tT1-t' zi rr/ zi dgiTLd ...... (ii) m razr, Sulu tt f^zIT 5 ...... A'...... ^reizr e{IuII (eliuf) ...... S^ rr fr) ...... A...... i'v ziZti 3IT-Jf z (3i4D aiui) zri9 trrzT (£rrzrd) 3?1z azi 3ruzrer (aar 3TtfTO) ? eiI$r r f^uzur fvrZT$ (f'^rciti) f'riu 3iau0f Waft 3Trzlfta f4izij ar1T a ...... A...... ^l:^r (tu±lulf) i i q) re;iti2^ .janen 13r.11 eji, 'arm DItJ 4 ...... (vi) rzr esr2sT x4tiaT 3f1 Im T --Qrrmar^r TZr it T Si z DTu t ...... 15 3Tf`aTZTT^ QiiTCipZ Kc4TU cf t VT 2ruET NN rf3rc-T 3rDri1T fl, zr6 zreilld1 31*Z wm/ 1 lo \V wY3 a ifiw bTTcr 3t7 f4URT -,:^ 3I.! dI 21 X 3?t Zit S 31£ VTW 311tZ Q51-4 MN q5 a7)ii f vT;zff 't I '...... z4IT tR aIM I,,-',j genfifled by S,1L4 AClv4caTe, Solemnh •R4q & deClara Vat r r ( D JnG/. 'A T11 SAHU Advoc;tra ^nFF ► t)AV' ► '1'"► 'O BIT FUR1 D 13l'' ►)tl)n't'- Al nnri w,-,•„ Before the Returning Officer For election to .. % e'e Y ^ .. lbrl Wale of the House) from ..^8... 141r ed. ^.twa F^+ { ^t ,)L,Coo lstituency (tame ol' the Constituency) of c af+glrtet/w,r-fe- of .o^ {. c ...1<: .(nn...... Cit...... ,. ingd ...... (^!1 Yanen , resldentot'.lft/ C atididale at Ilie above election- do hereby solemnly nflirm and state on oath as un(ler:- Strike out (\ hicliever Ilot ahl)IIcUbIcI .ii,... „i. u, ''lull ^V(^'mzaiIce has been taken by the c ourt:- (i) Section of the Act and description of the offence for which cognizance taken: I P", trf) I iS to Court which has R!,, , taken cognizance: f unler of the Court tal,in;g cognizancc : Detail,, )I nlxallsl :11^I^Ii^;iii^^nfa Co, ( ;, iI " . , , r i,, i ,IUu(C UI(tei taking cognizance : A (Abstract) I hat I give herein below (he details of- the assets ( immovable, movable, bank ril;incr, rle) of spouse, ni)' depcu(leius unit tnyscll*: (A) DE'I•AILS OF MOVABLE ASSETS (Assets in joint name indicating the extent of joint ownership will also have to be given) Description Spouse(s) Dependent-1 Dependent-2 Dependent-3 Name(s) Name Name On Name & p 1 ©-Q-© 4 (ii) Deposits in Bank. , Financial Institutions :And Non-Bunl:in^c I iI I ial K _ C'^mip;mies (iii) Bonds. DebeIIIIII and Shares in companies 7 IK A A UlherlinanCial insuunieni.s, NSS, posuil S;Ivngs. I Policies, e(c. 2< A (v) Motor Vehicles 11 (Details of make, etc.) A. R h^) dnY11rC\ I II,I ,phi i.. 6) Pc /21 / ,Ir \ J\ i r-K ^ ^? I) .J ^(,)Ilu l^ ^i• ^ ^^I^h ^ ^1 r 1 ^ l ^.y urn 11111 ^^ , IIIII ,v ^^ (J mnlttiisel Wflar) `yi A Note: Value of Ronds Shares/ Debentures as per the latest market value in Stock Exchange in respect of listed companies and as per books in the case of non listed eomp;inies should he nivrn. "Dependent here means a person substalilially dependents on the income of the candidate. [Abstract) 13. l)Ei'AILS OF IMMOVABLE ASSETS Wor ve e n:I Propertiesperteaies in ha be ro indi tedj joint owlicrship indicating the extent ofjoint ownership will also Descri ptioq elf Dependen etc. Nam Agnculn;r;Il Land- Locruions(s) Survey number(s) • t:xtent (Total measurement) Cnreiit oiarke value - Luc;iliuns(s) -Suncy number(s) - IixiGU ('11na1 meal nl'em e nl ) - Cwrcnl market value and residrul ial) Locaiions(s) - Surve da^Ir nwnbers(s) l,xlclll Fowl measurement) Current market value 4Ilue Olhcrs (.Such ad inicrr,,i ill plop, I give herein below the details of nt li b'I' a t R es/ over due to public financial institutions and government cities:- y [Note : Please give separate details for each item] crlIllton Name & address of Amount Bank /Financial Insti tuti ons(s) outstanding as Dep artntents(s) on ...... (i) Loons front Bunks A Loans ffom financial institutions 7< ) i;kIvcnllnenl dues:- Qc (a) dues to departments dealing with government acconuttodution A (b) dues to l '-paunlentS. . LICUIInl^ uh supply oh water K (c) dues to departments dealing hill, supply of electricity ((I) dUCS to depurtInenis dcaline with telephones 4 Lies to departments dealing with I\vernntent transport (inclu(Iing S Icralls and helicopters) I/ 1( 001 ([) c cr dues, 'm T A Idf, I)eseI iption Name & addres s Bank/Financial Amount °) (i ^ I ncunm lfSti(utJOns(s)/ Including tiui -_ Dep'irtm ell^y) Is v I ,., , i liarjuc n ( 11, 'j(, the ;is^'e in LI e ^^I^ !n ^^ hiclI I lecuic ! lv )z':u tiled. Give q I.u Iicrniuneni AcR^ount (ii) Wealth 7'az fAlso I indicate the aS.SeSSOne nt ) cur up to which «calth [a.\ retu rn tiled. A prIihriei;u^^l)u;ine^ss^ in e;r;^ of^ R 2< \l iilur;ui,^n,^l y4aIilic ,iliini. sire 115 under 'Vm Mai.,'L (GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION] f Name of School University and the houid UisU he giccn. >'ear in which the course was completed L N 01 ^Z.'zr+ , _ ^) % A'I?R IPIC^^ "PION 7-^,'V-Aql^kw elk ^^^ I. Ilk ! 1.7 ...... :...... #o.... ,Z& ...... q*. , ...... ^^^...... 4 Q Q 51 j, z IIWT ^ i 40 F.L70 4t ^tc.T.3fl 62 .2TTj'i^*f-7f1"41 r14Z ^ . {'w tai - ^ 7if ^ Lit 31^31T.gT;jT filc^c^- MCf WIT f; 4 2v soft ii"A ^►zR p!+r T^a$-mA 0f li 4TH ;Tif3( ^t Lr( if f LI /4 Crl^ ?i it ct Q if lqm AentMfed1bl Sit"^ Solemnly s t o 1 U Advocate . Me. ^. '^n1 2f9 Ysc3Ora ^(p n lrt-/ ^ cal ^P81< Advcx^ •< PUS k. BonioW. paoi" aidcv Central Bank of India W .W `13T^> W q aTr ?ilr ^mi t I Vf'y vf4jeft i v 10 r1^ 3'^37,T( 7if q cT WM VTR r , 3TR}^1 I" OHARAMPURSAVINGS BANK PASS BOOK - vTtw want MR 4FW . "There has been far too much emphasis on MM F. rights and far too little on obligations. If A/C No. obligations were undertaken, rights would naturally flow from them" SB - 6539 Pan dlr Jawaharlal Nehru VTR^i770 PASS BOOK NO. am MR RAAAOUR BHARTL &PUSP K Print Centre L.S. _( f is f t 4dT- 1 9 61 ^4^I^^^^^ \ R1 1 3^£ 31T QT) V q-- 2TST ti Cam) aaff an , zT, a,TJ, -,TA ZP^ -a c L^^ / 3,a^T 9i l 3 J^TT c^i ^T :I'al ^7^dli 2:T-I t;17I ^^ ^llll^+^'.IiII U141 /G. ^...... ych3' ...... I^.^i.^^Y....^.^j.9U V7 czf {d^, 1i 7ciC 3^ 11 £TT T EiaTT %elm 4)51 ...... .... 3ZT^7 3T^ tic f ...^/7 7 ?^C> I!J^w' ...... 7 i' "^,a{ ....$: .. "3'-i •GN^C+%^^'3'/O iri/O) ...... 7...... u< t, I ...... atzrIff"alf ...... ^- - .2 vrl ^s"^ ...... ^r^rl^ r f o r/n, .... o.a?r lo,2oto ...... ei^F7IVY/ ilri^r,e J.ll'A ^17JIv^ :7111 r 3TTJT- 2 Rr tr WflT C t a f o e aU 3rau4f m '34401 f fit) zw BETH zUgIT a; PTafa- fcTg ...... /fWr-7 ufr^t elm z^ 3raareSf a'> w,u aI S GIJc iS^ QA-cr a>T ailjif^ ?m ' I .... -lrai ...... t 3iJZl^f tisl c ,q si mT'cr zriT UTM ...... p iq,T 3k5 LTTi-T ...... -...... %ETM 7 f c7 ? %3f-acp cram e e1PT zio ...... a'# c^JT zio ...... vF of ' i 3? gar th to qTza fq) r 3uz1a^ f4uruf T9-TT elm * f ^ f1^ elm fig f a5 a# f t 3uaf2i^ 3ZT fwETraf 2TT i e^ 3?l ^ nr -IFN afrarP-r err z , V Za^zr i Uz ant f &ZAT 3?Tr 3 i err sq twl „liar iF11 AXIP7^i t f uSTr> i zio alanu.0 : i:uii i, c iffilcl t 3T 327 allal CM UN rife U U5 aTJI 77Ti.`il oQI1jilel-c^ T>1 3 6 2 5 1 2 3 5 7 9 10 ^ ^ ;RU 45i r nI [Abftract] ^iT7T 3 ) a 3Tazrzff araTf^r2Ta ^1 aTrar T i 2 (mil i U5TZ 31 1-1)WUTT^ C2, ` c 3Maft 31T ...... ( 7;T (I) ZTI ZTi (I I) 1, 11cn v1'1 ." c1c u1 ...... mac RaWT -^ei/^ c ' 3tz v T z?T f rT ZTZU , zr r y , 37aftCT fair vuu I i ^'Tr Ll 3TT2 T c -IT ...... ma ....c ^ . 31UFIZ (o (I I) 4 •^ ^cT I T I `^ U i ca i i i T-CTT9TrcT zTi^f flc (u &R . 3iazT2 zz t a 3 T fE ra T m wF -A • 1) :...... III ...... / ...... ^^^^...... '^• C'-r^ -^I^rt ) ...... ^raT a^tT 11 3AV ,ft f T 1T^ - 2siT ar2TT I ^)(aTTWr airZi'zqraT) z^,-a ^T zrUer ^RETra zTa1T FT 31x7 f-T4m73 ^^ 3rgavz (v) 31 T.{z7 T 'v1T^lirn vtr^i f^TL sIS T 3 rr fazfi^cT aft rr^T aTr Fac T? i y -rl -laA ...... *} errr fCP ...... d7 ...^r^azT ...... ^^'s ...... WT z zzT lm) ^ z^Er ^ ^^ ....3, d^( Isr ...... e 7W4 *S^T I z1TU-ziTu c -WCI T ? S I> a^ zrF a^ cT9 n E.TT 1 zia7 J ^:1 _. Y a z^ z 31 f *+**^3T fcTf21cT c fcfiZrT c{sTcT 3 3TaZT2 rr a t al -fu dtT ^", , aNe l rrr a g STl YTS mit')Pfle I 3cr lTr-13 P °T 3 ^ if£CT°T "3^icIIUT'a RT IS T" Pal- 3rrd^ T ) 3{T^21, 1968 ^^ 31 c1Y^ Zi tirz"i zT^i 3TT^Ic^T ATFi 3U6Z aiTJl'- 3 !!zw/ (3ia zi of } gRT 2-R.T ul it1) .k; 1'^ A c I J? 31f EI^^tI3T- 1 9 5 1 (1 9 5 1 ZT 4 3 ) EITZT 8 z,`}_ ('75) 3gEIi7T (1) 4i 3isfb^r f (;U^ ) rq li (2) J11 fdiif fA FI rc}^ET zF^ -,T zi PTL7, qq ^^ ftfgE4tf WRH UIZIT h : ZTT V^) L ,p t^_,.A 3f,^ T, 3fgZTEI (3fwTE1f)fi f EI{ ZFZrzIT ^1q n , Pkuz^ ) f^TU 3- it ZFCf ZTT 36E77i ci ZbT21-rail'i 2 - R'ZIT artTT * I TiTZ t" a^ c, ^Tl siaaleli FTa^Tf II&d ^r^m T 1T 7 (I) 3T13i-CfT / A27dT 2i1 lr 5 4^;, N2itl RFi ...... °..!.c3...... II) 27T^7 (air ) ...... _...... i (3rc) ...... ?r^...... ZT^ ...... v-r8?' (III) ZiZa W 3TfEIfZiai (3I DrZP- i) - QM ( ETRT^) 311t 32i 3TGZTET (3cr 3TATTE7h) ZM }^cT-c f, -Tact (^ TEh ) PciLT -,^ PT A ZF iT2iT 2TT ...... v...... ...... +')...... ...... _.,...... _s72^ ...... `1. 1...... ...... ^. ^...... (1v) ( s )^^ TITii /?fj( ) .._...._ -, ...... 9...... fi.1...... [AbSUdCIl 4 (^) ^rrerTr Fut^ (^) 3ra{ a^ fr^1W ^zrrrr err i ...... r)....: 2 ...... i) 3 ...... / ...... ...... ri .: ...... (^i) 3rf4zlf a s (a^^ra zr (a ,,,.rar,r f ) ^131 3rzrf`er 3117 / zn 3 arf (ice) zf^ zifr 3uzf f 1 III) ...... °:' Q...... (vii) air ^? fiaf^a ^frr ^rf1) ^...... 3v z^^vf3ff vm) -OM (zlNfaf I) f 3rnfl^r (3fe ^ z1 yi ^, ft r urt (]X) 4-ii ^ z j Jr-f 3I1]-rr (3r^il^^}/ : Y:Nkful 39 ...... < ...... (x!) 4"n 3Q-XT 3f'r ( 3Ttff'r^) '3"'^' 3rT,12:W (3rrc^Z-) T f m^r2T JT^T ^F' err 7 _yW ...... (XII) 27f^ ,4.Ir1 Jf ^]i .^ ^3i^^^g^) rt^,q f^t; I^^I 311c)r, til (3rI ccr^ ) 4T VHrZi el UW 019, P-MZT^ ...... (qtr) UT^Tc 3fr^QT (3r1 2T) ^^ n ...... 47101 k".` xr l aTff17 - 4DS: to. tot 0 ferric rEi^ [Abstract] IHPT- 4 (R, r3 7 rwrzrWM ) f#N sr^i -gm P. 2r^r v^r ^R st^i zlran- ...... Uzi ^f 5 . 10 I o (arfl^r) ....:`?- ...... ( ) *slazrzfii urr^rrv^ ART -Xjftff.fkw I (f^af.F°Ti 3iff7) a-h aT- 5 3iiRKZT£ Z5T f4Df2 T W sr&r-u-51 u g^ zlr V QJ hT 1951 Zi e1TZT 36 cam' 3, £i iii ^f1fi i421^i- c a7i vMf f cc 3i at, nZZ1 of f f V7cM t I U tf4M c'Fi'1 f ri t 31WZ 3 Rl s C r rc Ji 3if£i i7) ...... I..... I...... Tf ...... ) ...... _. 4 ^^ r'+»%rk^'+ c •e .. •. `310 ^,\IOJ...... 1 f'c' z m $iT OJT) ...... (Eimer aif Tar) Tar @maJ 3r f e.bT 3MeSZTr ac aWT 3 ra?T4f -[„RI uz^ga fszrr Uffa ...... Q 07,..... / f'^r zff 3h£ 3 it r r T '* 3razr4t ma z i rf^ler ik of i TY dT ^ sTVe^ to P^ravrfif3Ti WM-4 Zi 2^ r f . -A Dy^ft r-T afTic 3TT^L,^ 11 -a -a4 -ZIT 3T%-45 ii^ ZiCTar 3Tf rf ffl ^Tc^ ^TTZTr^A. R amzrET (3mz4) 45r/ 4 3Tf r f -, a1 Wr rq f wa Smarr UTzff / fie I z t 3TfaTwti t+ Z4 Tf^•'tT -Gim- T Aw m13IT/ z15^afl) 7 i t' v^...... T WTarM/ A2r wm f3ul * TT/ (ii) a T rT (ejrM) ...... QQ ...... ) ...... f'ut-arc l^V c^ ...... ET zrQ) 3T^r 3a 3111, (3r42Teif) 45i1 rf If' raT (31f f) zl^ ^Irzr ( f uT at^rr .. ... 1.: ...... f jai) fcTU 3razTzff 3TR)f ii t '^ W c0+ . ... m o^ • - / ' ...... °,7.S1...... ) r11 3m&q (37R^ ) % V {^ - ...... r alv f^sL ^L' nf^ ...... ^^^) .n.l:,l (^n ^1:+i) f ;l•.nll su lu GYzf^rl fh^r aP•( rsr 31RTbrf}ar ^rrrr^ (vi) err 2raff -4T t ^srfurtj f szfl zT4 ...... Si di 1951 (1 9 5 1 ^5T 4 3) bT 3 f 2ffi 3TUZTET (3mz1ET^f) ( VPe-T R (3) a 3tff f6 an me 8 c 3UE7aT (1) ZIT 3RtTTZT (2) 3 f i -41 344M arart ' 3 Z f iu i** V a1ZIT ' / o f a^iv.i' f Zfi 31UZiu (3mzrdif) -a flPlf 1 %Flg^ z^ ^ W M #1 'b/ f fr^szrr arrr I UU5 ZId -el l 3lIZ5 ¶ nh TRlaat ?5 TWIT 3*ZZ Z61f f zrr JT'TT c (Ift 3iraTaTL'ff 3^ t Z6 T a aE waft& wgcmt u ITT) >r.? ...... (i) artarlTi uuar z^ f3u1^ zir^i ^rs^^rt ...... (ii) azrrwutu, PaO zRa fdbar $ ...... (...) T ...... fT (f) ...... ) 3h 32r 3M4 (3a 3TUZTEIf) cz55T (iv) *e EM 36aT (3TfETSWZTdff) -Qft ET1Zi (uRrd WIT .....° ...... - Z T % f (i' ) ftiV 3Taz1f gaff 3TrirftRT f ti ...... :r Q ...... ...... "(4 ...... c z4T UM e4T/ 'tWM 01U 4 ...... :^.Q: ...... (V' 3Tft (mt4) f 4 T 2T ?ir (Vi) UZTT Z3T 2T ZTM 3Tfglcbq cci i -aTA warML927 T t= f%/ Zri aTL a) ...... 3Trfl3TCff ^ ^rrea QLafP IAi . •2i 17 C^, -r0 --(U 3^ZciT/ m5M 3Tf 3TZtTl ff, Zrt Z i^Ttf^cic 3^Z '; 3 i T 'TTZi WgUg Z1Zft a^2 Wa7 3T 6 3TtZ fca2c 3h UPC= WrCT ^'q^ 3TT1 c^TT'ftZ ...^.vcT..:1'C...... ¶ IT I ''n/t ' 1 Identified i ^'7vV ^/f^T b, Sri a4 V °CWe• 10 r '"'" G , ; 3Tf3TZTteff area acre+e ^^r^^enlV ^^6m ^^V M.._ WITH "?A M-1 Allllc^u .w. ^; l..V^L^ ^V ►►^ ►► iN151 I;l) 111' (,'^) ^A l• O ^U ► ► nFl^ll)nVl'1•'I•U lilS ► VAI _sana't Ilefore the Returning Oflic of the blouse) I ur election to .... y^ x,.(s t„ constituency From .1:.:yc?!pM^?Qrr• (Nome ut' the Cullstituency) sonlda4lterlwjrfe of ^r nu yxNO.z...... _..... ed ...... Years...... axe ...... aged Q S+ r3^^. ath . `µ arm o, t a,tirm and state on o as under°. residence ^o l.ennll Candidate at the 'hove election, do hu'cby •o Y nut> llicablcl b'rance has been (Stril.r whichev^r al I in which cogni out a ainst luc islarc pcndln^ ' g 'I'l1e following case (') n.^ nl'cancc taken by the court: of the offence for which cog and deSCril,tio , Ctiutt of the Act (i) 5C kw taken'. anee: ""1D ni- , h is tal.cn b " Fig' 1, 11C Cow't htch A, -o Co,nizance : /" . j rileCOUttnktn, 1)'tlr of urLlct u l ,t ^ainst . if ally, tilu b for revision, etc. (v) Details of appeal(s) I apphcatirnls) nj-o taLing cognivattc^ . . older (2) That I give herein below the details of the assets ( immovable, movable, bank balance. etc) ol'spouse, my dependents and myself*: (;k) DETAILS OF MOVABLE ASSETS (Assets in joint name indicating the extent of joint ownership will also have to be given) SI. Description I Sell' Spouse(s) Dependent-1 Dependent-2 Del) crnlcnt- No. Name(s) Name Name etc . Naru S"^^o r 16^n^1^amgoy ^- 'ncJ t!CMllX^1'Yl ^ ( ) Cash-- 25,0 0 0 I Rl, ZO, Ovo', x x 1 1 Deposits III Itail): 9, SPA- F1t^rn.,.A•Pi' t•.orr SI',°. NU- 3144tri50 Financial 64 '^50 :L, ..)0,00011^1•l• U^ ^1.n^ ^• 0 a k I n Institution, "U. n,•aa_. y^202 .V Z1+D 5r31.• DE1,t,^,, And Non-14:Inkin v 7 Vr'Coc Ci+air,- plll4.:i l'llla lll'I:11 (3, h•(i,.QlAAO.'!- K%'t 3 Co mpa ni es R^_3L^Oh I' _. (iii) Bonds, Debentures SD adeVO SD ITocL--VC •4 x V . Md' 1-~ f- M . uev- "v; td and Sharcc in ti Sl a-t Va.1Anr "6 Va4A companies Stia (iv) Other financia l R4 39 instruments , NSS. u•S•S•4'J ,oaDl, 2-0(0, 024 So Ftw•O/^SOAa postal Savings, I.IC K Policies, etc. t<'v'P=P4• 504001- T. (v) Motor Vehicles (o,NVannia•kl J7ot ^ dd•30 oe-zcg• oooG (Details of snake, x vcUlna etc.) VaA.uCQ' ,gD,oo01- (vi) Iewelley (give (wld' ^o ^'m (sect Y zSo ^zn drltiils'-«,I liI S:n 1 rcr tfrp^'7,y I',v,•4 a. Q, ,G „ ll all" x µaLa ar. W•5,7-5'000/ (Vii) 111 886Cl s, 'It 1 as ll K^q)3 c s; k x x inter at 116 ^ ^t1 a Note: VaIue of Bonds Shares I)ebentures as per the latest market value in Stock hsehange in respect of listed companies and as per books in the case of non listed companies should be given. *Dependent here means a person substantially dependents on the income of the candidate. D1:I'AI .S OF IMMOVABLE ASSE'T'S [Note : Properties in joint ownership indicating the extent of joint ownership will also have to be indicated] Self Spouse(s) Dependent-I Dependent-2 Dependent-3 Name(s) Name Name etc. N:uue k'n s ^rA'n frince" Raj n r•L p^y^- pq,} n. n',^hUn kSaIQ• (i) Agricultural Land- /..,,nds;-/w.+ , J1' • LLf os,w•uo.o Locallolls(S) LS3. s61 254 ,Lo5,2 & - a jnn, c ay- Survey number(s) +3.a87c•t,'41.'"'` Nita. X X 22Z0,2/3F"9 n, /, IQu 2 8i i •8 Extent (Total kt/n 9 Al tiY ) h/53,z/5S IC!&J(w measurement l'urrent market \alue LS. F^+;(/-'t y& - - -6 LS,00•oco/- Non-Agriculuual Land- ^c i.\'nx,a,l il^^r:%vl - Local ions(s) ''a,^eorv`ca Tw 1.6'13 MM,,K+. cwzAo,Y,Am, - Survey number(s) X X X - Extent (Total 4 Dlwr measurement) - Current market value vccLue 41 • C„00,0001 fi rt - ^m^gyp . Buildings(eommereial {0 L'--seavn -1C O8 ,v.esm-a un • L49S ( MP * ..a,,&uaear.M' and residcutial) -vat^.e R, S000001 •yeA 3•^Ik7 Disxr»I - Localions(s) v,Uua Ra• 2,00,000(- - Survey I door V(vi uD •1 i J /ryes L .c ids Seuov - 4.(0 8014 Sq. L l X NJ-83 P^•ca SCO $1 numbers(s) 245=1 S9'ir Y(oa 114 • Lt•gd,dt^ ^/a/u• A 14-, vrttl/tkt - Extent (Total So,nao% LS3A-r^'1457 sfi+ Mp,{I,.NV4w measurement) Maaaaa. va4.•t-•^+ S, D0,Oot! 1<+.Mn,+o 'b'*) - Currentmarket a l u c kbCLAVaWO -i994 Houses / Aparuncnts, ckr Fsye,xr"^ti'' ' (hr.PLoor• etc- ',ti•oew - Lo 4159 V^L" - Qa. L. ljIX^cYlid ^fimbers(sFGOH e'S( Sari ,R,e•M Roca.14-fu wmy Extct t 1T al ° 4 Yco,3) 1/g ouAaT 0 nreaQurcp JU). 1- 0 X34-•3 sq"(arrlt4 ;Curent p rket value roat.e l.^o,000^, (iv) - ^0)hes Such as tlucst 7e 1r0I ^urnP X X erpp ^L/(S ) t la t U o uc.t dvoc ° Mo,, rla 6, liabilities/ over due to public financial I give herein below the details of my institutions and government dues:- [Note : Please give separate details for each item] Amount Description Name & address of Bank/Financial Institutions(s) outstanding as Departments(s) on ...... (i) Loans from Banks x (ii) Loans hunt financial institutions x K (iii) Government duCS:- x y (a) dues to departments dealing with government y accommodation (b) dues to departments dealing with supply of "ever x k (e) cities to departments dealing with supply of electricity y x (d) dues to departments dealing with I C I c p!I 4111 CS. X dues to depuruncnls dealing with government transport (including X k ^'^.ttireralls and helicopters) (t) other clues, if any A Amount t address of Nai i ei outstanding as Bank/Financial Institutions(s)/ Departments(s y.ro$' 2Q°9 "fax Including surcharge 7^D nwA lb) (i) lncomc the assessments year ^A A€ VPP SAD [Also indicate a x Return up to which income f HOP 2°o g' ^"°9 uw+t filed. Give also pcrmuncnt A^ PAv"0 • AAL-SR2LSSc Number (I',AN)^ I (ii) \\'calti tax I:\I'•+' in^lIc;ne • x , )< I >c •nt vear Uhl to which vcralth assessnx Tax return 1-iledl.I (iii) tinles lux IOnty in case of x proprietary business) X X (4) My educational qualifications are as under ^GIA'I- I)I.I All S C>I' SCIIOOI. AND UNIVERSITY EDUCATIONI ,c was comnlctccl and the year in which the couF Name of School University should also hr give1.1 n.e.c.L B ID -j r6 t31^. ^ (3N^-^\ i V VERIFICATION P t' 3 i P,,,< „f tl. ply 1;• I"(Ut,ha I) d e 1 - 1 do hereby verify an 1 ' f no part of it 2\ I ,. t ttc p above name(_ ' f knowledge and be to ► cI to +hc best o my "ap^^ruc and couect hccn concealed there from. t •ri tl h, Rt . nothlne m.l c ol^ ry..\.....thisthe..4.^1^ day of ...... \'crllicd at ...... ,rya bontllle0 p ^^oCat SQ^m^l'^ '1::. lerQ V 0N40 31(( toR EM afic ' t l 4t ar1%ff Alit d rrnv aAc a)Thain iitt' -4, ;7i%i t?r *i c Zi€ u ztR(T WC4 0 aft F(r Zi 4.1 ¶tW APaR'rfarc 1i 'T (K. of application for dfftu Date of delivery of the Oat on which the copy Date of making over the the copy. Data Il.od for notifying requisite stamps and wa ready for delivery. the reyulsllu number of copy to the applicant, stamps and folios. folios. ,t<7^)sc^fl6i) 3^te.TY", c_ t '2 ^^ 1 ^' C-k^ SIB` , t) t r I 2lz11T: , 482E3 ^^ - tll^7756 vq ^n.a 144f'i Ultl '.IN ,r 4 )1 q^f^' y MIS siynuru:c•s c,^ n..-. ' nentioneo 5(ht F^erson ( m gr]0lures of stiri s) so auuronscw org Yours faithfully. President ecf,Tory-_- Nome of the Piny f ill Z/t/^l.i (PaSU, 7 r1 Nation;,; President ok J ., =sk Pa N fRai,i ,._ rty 1. -o\ It Gs n "is; be ,^olivvrc ^ New DW ^7 t0 ' he rii ^^ P m. On trle lost Date f R AL lf: n 9 lion fr CO r f or r n s r 2. oting rx ,rln ono the Chief EI Form must natiorl ecio:ol, Oh ^.n ^9ni:a in ink ^! t^aq!Fn no - Si9na lUre by th a((iCE by moons arer ^ _. ^- . 3 v of rubber estamp. mce beO rer r rn etc beor on lsl shajj b.2No 'i office facsimile No/ ra t spoil " bC' holl sior,arure occeptec. a^cepteb. 'FORM A COMMUNICATION WITH REGARD TO AUTHORISED PERSONS TO INTIMATE NAMES OF CANDIDATES SET UP BY RECOGNISED NATIONAL OR STATE POLITICAL PARTY OR REGISTERED UN-RECOGNISED POLITICAL PARTY (Sac /xuuyiup/) i3/c) (dj und(o) ut the Elect/on Symbols (Reservation and allotment) Order, 1968.) 1. The Chief Electoral officer, 13•(("•(.. • (...... (State/Un ion-Territory) 2. The Returning Officer for the pS k tshtrh,v^t^tai u^.Constitucncy Subject: unu,ul hleotron, tul_,.l\^ e^^J^y h om .^I ..... ( State/Union-Territory ) - Allotmei' S11^ibols - Authorisation of persons to intimate names of candidates Sir, In pursuance of paragraph 13 ic). (d) and (o) of ine Election Symbols ( Reservation 1968, I hereby communicate Ilia! the fallown and Allotment) - q -i ing person ( s) has/have been authorised by is Notional-Party/State Party in the State of the parry, ^^t II la names it 111L, Culldijutu, i^Ul>^5ou to I), sot up by Inc party tat the l electtii0 cited aoove. ^: rt; Nome of poison authorised Name of office held to send notice District(s)/area(s) in the party constituency/constitue i.^ies in respect of which he,) as been authorisd 1 r 2 3 ^^Ivl Ji1115 -^ / I,S^^.Ih! .NH1,1C?N^Z ^^I': LSIDFN7 hIF-tFyR l.ch .1,1r^l.:;lJRKTl I PRTy 3. ' Inserlec b ; f:'ori'iCOUa'1 tdo . 56/97/Judl-III, cones 15 17 1997 11 the notice in form 'N' o - opprovOC "ondidolu/ShrYSm, cs `c o,. a: ,r vi . is hereby sclnded as ppj T ...... as Pbr ' It is certiti that each of the Ns substitute candid) olitical P canaidotesp<:rty 1.nose neme is mentioned above , and his name is du' a ^a i bo ne on the rolls of mer a member of mi< hers of this party (Name and Signa re oche A ised person of the Party) gp171 vj!;7s ^C1S`WQY: ^l^Q'6at4h rs filent Lblt J`n$hakt ; Party ^gN^JC rY,u. 0 G-o/( it not Lick:' , Tomnim s,uss ;X aeGvered 1o the n Returning Officer not Icier than notions, 3 p.m. on the r I0st date for makinc Form muss be sgn in in1; by the sigr>ot ure by r CnS of office bearer (s) n-x' r boned « )bcr stcrnyD. . NO form etc. u' un- °e• No foes mile signature o tronsr t ullice orer shall be accepted. nrred by lax hall be occeptc-d, Pore 2 of inc form must be scored off, if not a;plicable• or must be propeRy filiea if applicable 'FORM B NOTICE AS TO NAME OF CANDIDATE SET UP By THE POLITICAL PARTY (See Porogrophs 13(b), (c) and (e) and 1 (R 3q Of fiection esenotion and Allotment) Order the Symbo/s 9968 e Returning Office, for the 4^h^larsi r (6,cji,Constituencv Subject: General/bye Electi "'^I.H• Cry)on to 1, •f^ r ,tlbl . iro rir' r "sl y'+rslT,r, (S,c^ Sir, setting L4 :)of (Name candidate. of the Constituency) it In pursuance o' ;)drojlophs n13 (b), (c and Order. 1968, I hereby rti ,e oficr on e) and 13A of the t`^half of 1•,;Ik„'. Electon Symbol R _ A/t sr / , ( eservation andAltotmenr mot IhO lh'luinat whoothe s K1(.fnRry(FOa 1yJ candidate , pat; CUlars u,u t.!In^$t,e Ct in columns Party above namea , and ( 2) to (4) below is the a (ii) the person vfiose pprov_c of the Panl f^niculors v4 will step-in are mentionedon in columns (-5)10(7) below s is het or on fromhis vrittxlrawin substitute the approved candidate ' candidate at the ensuing9 9encrolbye the contest, it the substttute corgi mtr s 11 Ing rejected on scrurny election from this constituency : date is still a contesting condidore Name of It I Nana. of le C'o lismugncp ic ,.,•, er' r octal Name of the substitute ther's/ p Candldale Husba;,d'^ wndida!e who will Father's/ Pasta: aPiJloved step- Name of In on the Mother 's! 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From (Name of the Constituency) Son d i •.hte; rs. {v4'i^,!'A Thor 1, 441va,,, a-^;a n.il'. atdrtn and stoic on oath as tiudcr.- d.r^e :'. t '.he abov c election . do '.,.. cb >o niclie%C out a)^plicaiilcl ^.an1Sl me it '^hlch co_'nizanCc h deco ^, Qt .{ e 11 (0U In _ case (s) is are pendin g utken'bv;ti^e co'ert'- 7 cct)on of the :pct and do r.poion of the offence for ; hick cognl/ (ii) The Court which has taken eo:_r..innec: x (iii) (osc No. Dote of order of the court takm c^wollmnce I)ctails of appeal(;) application(sj tot revision. etc. My filed ao,1in't ahoy c order takinu counii;u.ce X nAe hat 1 (_ice herein bclo,c i ^n l'^ uln'^ nt^ elf ^'. (^ntnu^^ ahlc. iiia ahl^ - hail h;tlancc, ctrl of spou;e_ m_ I)1 IA1LS OF V'jOV'ABLL A S 0" h ay e to be o will also .ulicuin=the e^?cnt f joint o^^ner;hip ;sets in joint n.'. it Aie.ll-. D tC ct s€T fie./om >^5wnw !IL L ^j !L ii° t 13 uks. i c ^3. i rv/ 1 L Iv! L A,td ^'n-13_mkim^ Uri J2> ^AN^c R^q om o Icy ^, N '1 ticmd;. )ebenill1 SFa Cs in ,nd ^Il, con'rr;,nics ^^^^ Oilier hnaieial it5^jtl.Sr1>;ty TN NSS. N,jIt tl '.Y41hf ) i,CrC-CrC ^c ice. t7 tti 8l/Crvy ^. ^t 'All /`CJ ^S Jcu'd^ U^`tAttvii^('t^e ^ detail, ^d \V eight i S g CD and c.il,ue) (c P- ^^ i\IiL Other _CIS, o.ICh 141E ,,; ^alres o1 claim< interests - lue in ^'t ,; per the latest mt;ket '• , Shares Deb^^^uu` net boo}.-. n 1 came tint.. A'alttcof 13^r,tdS ,,i^< and I^schanp^c itt colic. 01 hued ^Ii''~ edhere co+itpanic; should he _„j\ e edoLtt '.. *1)epelident means ',t person suhsta ufnll, dependent; on the ineonr- of the [Abstract] ts. ut t Ott ti • ' tit, ^^^^ ^ls, ^:. ^sst.C^ ^ 1ii,nl m;nkct catnc „aiti»cnts. tnc .u 10111(s) d Sunx`> doc^': i,•,;;nb^C;l^l Q ! L s :give herein below the details of my liabilitie, over clue to Inililic iiu:ui, 1,11 ,'institutions and government dues:- [Note : Please give separate details for each item] Description Nantc & address of Amount Bank, Financial Institutions (s) outst:ui^l:n^ Dcparunents(s) on ...... Loans from Banks wl l L Loans from financial institutions •;,,! I L (iii) Government dues NI L N/ L (a) dues to departments dealing, with government accommodation N /LL-- N!L_ (b) ^dt;cs to dep,utmcr^ts dealing ^^ itn supply of eater )//. iupply of electricity ,^l 1 L r,!I (d) dues to &purtmci s ucalin,, telephones` N IC_ I/ N/L- -Sr ----r -- (c) acs to dcpat tmcnts Coaling w 111 ^sptiernnient tran,port (inrludu; uircratis and helicopters) N/L N / (t) other clues, if any NIL N/L I)escription Nume & address of Amount Bank Financial Institutions (s)/ i uutstandinr ." l)cpartunents(s) Income lax Including swch;a gc (Also indicate the assessments year up to which income Tax Return 1\// L tiled. Give also permanent Account Number (PAN)] (ii I \Vcalth Tax (Also indicate the assessment year up to which wealth i Tax return tiled.] iii) Sales tax [Only in case of proprietary business] N/ L NI I- V I L h/ I L (4) My educational qualifications are as under : L r/'raYf tc-tj . [GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION] [Nan [School / University and the year in which the course was completed ? tl^lals6^iven.] DEPONE NT VERIFIC ATION . 8 n _e_,&. r r 1. the deponent aboo e named, do hereby verntt"and declare Oe ili^^ attrdwit are tru°'ind correct to the hefit of 11)% Nnor I:t it TrII TI 3If[IvF Truer "b^4 TI ft EMU Bf ttrR 1 j-, :ilq ^1 I' . SAVINGS BANK PASS I; :DOK "there has been [Or too much emphasis on J1iII TL rights and for too little on obligations. 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(IUIIIIM (:A) I)IUl AILS UI: \IUV' VIH l \.tiSl:"I .ti' cnL '.I III (]) ti ) I H S ^ 1(11'^S U^^)CIiC.:!-^•^ as I)dI 1Ih I:uc'st Ill;lr ' \:Iil^^ 111 ^ltl^>. n ^c CspCC^ cI II;ICj Cu,(;Ir:u)iC5 [ILRI :I> I)C1 iauuk: in ILA r:^ n(;^,^^ UICL S I ; ; I . _ C I ' r,y 1 !)Ci>UI1 -^ Ii)s L: (ICI)CIi^I ..^ ull Ili hr r...,Illr.' i,. 4 the details of Illy liabilitic,; u^rr glue to piiNtr Iulu^^^nu e iserein below dues:- stitutions and 4c)VelnnlCttt Notc: 1 1^ t5^ t a,cpvale details for etich num \Inc t^^^^l,tio.t 13• rtstl' '.'l+) uutsc,i ^' _ ai 011 (ii) Loans iiom Sinancial institutions gj)goc d i'1ed ttwc l,) ,I.,,, s to deh;xtmcr, ts dcalit4 - with govcrnmcut ,.CCOfl) rl;Ition l aru i"nit. dealing with yyes to de supply of wzter (c) clues to departments dealing with supply of ele neity I I lu s to ',?•u ^m tits dealtn^^ ^^ ith telephoMcs e) dues m departments dealing with luding .eucernn^ent transport ( inc V aircraits and helicopters) Description Nan,c address uC lhtitiiil''l uiteliti ^Il!il[IIIIIUlui(^]I ^, ^lll'ihlllt^l'i' il' (i) Income 'I ;lx Including sureiua e Also indicate the assessments lc.lr up to which incom TaN Return tiled. Give also permanent Account Number (PAN)] (il) Wealth Tax [Also indicate the assessment year up to which wealth Tax return filed.] i (iii) Sales tax [Only in case of (iv) Property Tax ]k Ct^IC^rn^ \'lv education al quali lca tions are as under : [CIAVL DETAILS OF SCHOOL AND UNIVERSITY EDUCA'I ION] Name of School / University and the year in which the course was completed should also be given.] f1j? Sear-E .T/^s J <, e, 0Grit -J-Uz ZPONENT VERIFICATION j^ the a IlOncnt above named. do hereby vottfland dccla'e that the ontents nls afhdaut a e-true and correct to the best of n v knowledge and belief no part of it is false and nothing material has been concealed there from. Vertu d at this day of ..o--c .v. ...20 fi D, y4 . A iv < _..e. 5i0lenmly e^Ii{ 1Y^ 1 -[? n ara rio. :C,\'i> `ATH SARtJ' c/^nf GLv .8i9v f d^ Advocate #AnrgrV Public. Seninut.11ar6 .....5600.6... t <, .; :;..fir (zv7'....^.,...... Fw,f ...... 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(3ia2T2tf ZrT ** a* '1; 7f i- _ vlP I 3i ) 3ntZ 3n 7^ S +.x :. = _ ._ := 6! ! . i (3lTZETof [Abstract] Z^ciT A^ z^ 3IfaTI^c'^ u r gm- 3 le (3T2zfeff -J aRr uiiu) - 1951 (1951 W 43) t FIRE 8 }i- S Z{'T 3Tt UU (3MUEA) Z Cp7i 2TT ') 3tI>:71ZT (1 ^ 3T£ i (a) 34nTRT (2) 3 cli 3eC(FIci cam' , q 7 AMT ' : ZIT 3TwT 3NZ1e7 (3TQzTtt) t f^IU ZZ iTZIT ZRTT 'g+, 'l ) c Ta e Wd 21T 3ftZ15if WM1dTR Z4 t (i) aTraTcrr i uzlarT Ste, zfrv ...... 211W (en) ...... (iii) Arc 344P-TZ1 1 (344Pr ) cj% mI (wui: ) 3?2 3A 3m-.zm (3QT 3T4ZTth) z51 21fgjFT f J of T, i a ( fa EF ) c 3* W w um JTZTT 2IT ...... (iv) v,wirlfq (cWS3# ) zf^ rTft /(d aa) ...... ...... [Abstract] (^) ^vT^a^ \ ^+fC) 31aje { c f ^^ fq 2X+Z12IT e ...... 2 ...... ...... / 4. ...... ...... AWft Z3 t1 (`^^^7R1) 3{dfU ZIT TW{ ' ( ) Z ZTf2T ...... (V ii) JTZNIJ7 a Ba li I1 ^ulL (IhH ^) ...... :/ 41wf aaf'z ...... aWT f^yu E. (^^V'f2if&^) 4? f`^^ ^^ 3fifj^ ( 3{Lft-^-)^ 9-T&411 t UT 2 37tf Ii,) }e (3Ttf} )/ 3"' ^' E1III O /fdf^2Tle2lf ...... 11 ...... Z)TU - ...... /-.I ...... xi1 1 3^r 3at (3lcf^j ...... PTUr 3 Zl* ...... (xii) ...... (3r`f) ...... eror 3ITc^ (3) a5T ...... / ...... 12x7) ^^ 3^2T (3^2iT) ^T r,z^ ...... 1tL 13 3f221'2if ii ^, c Te17 - 4 2Tcr-AT cam} ,W 1q ...... IR6 T JT;4i (aa) *3fa;42 1 ATi2TR7cTi rtr *oil QM array a tj 3-a a>ie ^f'we i MOT- 5 aralfs^-usrl 32 M7 fsT2r A T ' ^. 1 951 Q12T 36 3 Tlo ...... 1\ - %v \lz_ ' ; 1 Uit- I N .1Sanv AFI'IDAVITTO UI !1ED IIY CANDIDATE ALONGWITH NOMINAT ION PAPER Belpre the Returning Officer for election to ... .Pt ^•^•._S'a^'^ ^^ ...... (name of the House) from w..... constituency (Name of the Constituency) I, ... s. c a ,. ^^.w7 7 ..... '.4X mc.t ...... Son/datjghter/wj/e of ...... ^a.f k.....^i^j ...... 4.t.ka °ca ...... aged ..14. j,...... Years. resident of .^.1.^.^...... ccY ^^h,c... cwt v ...... Candidate at the above election. do hereby soicinoly affirm and state on oath as under:- (Strike out whichever cnt applicai^ie) The following case ( s) is are pending against me in which cognizance has been taken bv- the cou:-t: ^Slhc^, p S CctxfJ ^^^^^ `^ 357/C/ '4- q^ 87(,:;- (i) Section of the Act and description of the offence for which cognizance taken: ) 3 3;^ ^c t'^ /v7, /9&, M5, 0 SO,a^c (ii) The Court which has take,. ceg : iizance: S'n ,D /11u1^^i A Case No.:L^ '1W ^?16gl96 en yj/r T R lss/ro Date of other of the court taking cognizance : Details , l'appe;:l(>? api1ic,aic i(s) for revision, etc. if any. filed against above order tal,u,_i cn:-!i.^uice [Abstract] That I gt herein below balance, the details of etc) of spouse, the assets ( my dependents and myself: immovable, movable, bank (A) DETAILS O.F.MOVABLE ASSETS (Assets in joint given) name indicating the extent of joint ownership will also have to be SI. De escription era- T ----_- . puuse(S) Dependent - 1 De endent Name(s) Name Np De endet 3 ame i etc N (t) Cash ,,r (ii) Depositsin1Ranks financial htstitutions And Non-Rankin l financial ^Conr an es i (ill) I Bonds , Debenture,-- and Shares companies in l Olhcr linanl'lill instrumcntx..NSJ. postal Savings. I.t Policic'. etc. (v) / Motor Vehicles (Details of mnke_ etc.) l^ l JCvvellcic ---1- det nh of vccghi and.Value) (vii) Otherassets'sclch r^s values oft'li'ns MIC Note: 'aloe of Bond, Shares , Rychanec in Debentures as per the latest market '.aloe in Stock respect of listed companies and as per books in the case of non listed companies should be given. *Dependent here means a person substantially dependents on the income of the candidate. [Abstract] n , . fl [tT ' - 1- p,%/ ABLE ASSETS INIM B. DETAILS or indicating the extent of joint ownership will also t ownership Note Properties m )ous - pependent-3 -1 llependeN have to be Indicated] ) T^ependent 2 etc. Nautc Ntuuc I SpouscO N:une sell - Suvey numberls) ^^ ILI,eJti `w (Total ^eEy ^t'9 - Extent ^CS'll -1 measurement) e Non-iAgiicul0.n,tl I xPLI ^v ci5 11 tu) - I ^>cationsls) - Suney nunilherts) - Patent c i Wal measurement) be Current market v Cne-^r^C (iii) I ITuildmgs Icommcrcial and residcnnall I - , ) , ionst 0 1 SnrvCV 60 numberst s) Extent l Dotal measurement) `aloe ^^ - Current market \partnxnt<. tiii) Ilouses et0 _ i ocati^,t ts) - Sun'e^ door numherst s) Fvtcnt (Iota1 mea>uretitent) Current market value I us intcF,cwt C)therS (Suc1, n pruh,crty 1 give herein below the details of my liabilities; over due to public financial institutions and government dues:- [Note : Please give separate details for each item] Description Name & address of Amount Bank/Financial Institutions(s) outstanding as Departments(s) on ...... (i) Loans lions Banks N (ii) Loans from financial institutions (iii) Government dues:- (a) dues to departments dealing with governni nt accommodation (b) dues to departments dealing with supple nl water (c) clues to departments dealing with supply of electricity x (d) clues to departments dealing with telephones x (c) dues to departments dealing with government transport (including aireratts and helicopters) (I) other dues. if an}, CAI/ Lam/ ription -- Name & address of Amount Bank/Financial lnstitutions(s)/ outstanding as Departments(s) 1 on ...... (i) Income Tax Including surcharge [Also indicate the assessments year up to which income Tax Return filed. Give also permanent Account Number (PAN)] Wealth Tax [Also indicate the assessment year up to which wealth Tax return filed] [Only in case. 0 (iii) Sales tax -/ proprietary business] (iv) Propert\ lax (4) My educational qualifications are as under :- [GIVE DI 1 AILS OF SCHOOL AND UNIVERSITY EDUCATION] [Name of School University and the year in which the course was completed should also be given.] 1-7 ) - '^° '. .," % ONEN , VERIFICATION I. the deponent ohoye named. do hereby verify and declare that the contents of this affidavit arc true and correct to the best of my knowledge and belief: no part of it is Palse and nothing,- material has been concealed there from. Verified at .. '- ...... this the.... .!S .., d'y of `'... /-...... O u . Sill dentli5ed by olemnw i" Ad,4oce.e, me. "-decla ` I)EPONENT REQUEST I,ORM For contact details of candidates standing in Assembly Election, 2010