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~~ ~11 ~JIIM WEST BENGAL 43AB 623417
FORM 26 (See rule 4A)
AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONG WITH
NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR
:~ .~ ELECTION TO RAJYA SABHA (NAME OF THE HOUSE) FROM THE ~ '~.' STATE OF WEST BENGAL CONSTITUENCY (GENERAL) (NAME OF
l1 3 MAR 2020
M tv(M Ovwt N I---t-f? ?J.£-~ '13 CJ b \ (38 \~~~13 No•... , ~. Rs....•.... ,. Date . Name ..•.•.~~.~ ~ q Cj ~ . ~ \\ C\"'~ • Address ...... •.• ~.;;r...."•..H••QN.. '\ P.S•... ~ .... ~..~ ... DlST .... ~ ~ .
»r
Spdhan Kr. Kundu Stamp \lendar. L. No.- 33 Habibpur. A.D.S.R.O. Ma.lda.
) 2
_""J- I:) I, MAUSAM NOO~\:';'r~",," PLf\~ of Late SYEDMOHAMMAD NOOR,
Aged 40 years, SAHAJALALPUR,P.O. KOTWALI, P.S.
ENGLISHBAZAR, DIST - MALDA (WB), PIN-732144, a candidate at the above election do hereby solemnly affirm and state on oath as under :-
(1)
(name of the political party)/ Hffi-telRtef.5H1~-a5--'ttfHf**!-ae~eRt ~ candidate. (Strike out whichever is not applica
(2) My name is enrolled in 51-English Bazar (General LAC,West Bengal)
(Name of the Constituency and the State), at Serial No.253 in Part
No.60.
(3) My contact telephone number (s) is/are 9830448612 and my e-mail
ID (if any) is [email protected] and my social
media account (s) (if any) isfare
(i) www.facebook.com/Mausam Noor
(ii) www.twitter.com/MausamNoor
(iii) www.instagram.com/MausamNoor
(4)
Income tax return: 11 3 MAR 2020 \ ., 3
SI.No. Names PAN The Total income shown in
Financial year for Income Tax Return (in
which the last Rupees) for the last five
Income tax return Financial Years completed
has been filed (as on 31"t March)
l. SELF ADSPN5362M F.Y. ill 511790/- CF.Y. 2014 -15)
(ill 496110/- CF.Y.2015-16) MAUSAMNOOR 2018-2019 iliil 480720/- CF.Y.2016-17)
{jy} 481780/- CF.Y.2017-18)
Jy} 10 14450/-CFY 2018-19)
2. SPOUSE F.Y. ill 308320/- CF.Y. 2014-15)
(ill 272260/- CF.Y.2015-16) MIRZA KA YESH ALHPB3578N 2018-2019 (ill 330690/- CF.Y.2016-17) BEGG iliil 345860/- CF.Y.2017-18)
{jy} 467510/-CF.Y.2018-19) 3. HUF (if candidate Not Applicable Not Applicable n Not Applicable
is Karta ill Not Applicable
/Coparcener) ill} Not Applicable
fu} Not Applicable
{y} Not Applicable
4. Dependent 1 No PANAllotted Not Applicable i) Not Applicable
MIRZAAYMAN ii) Not Applicable
NOOR BEGG iii) Not Applicable
iv) Not Applicable
v) Not Applicable
5. Dependent 2 No PAN Allotted Not Applicable U Not Applicable
AMYRANOOR ill Not Applicable
BEGG !.ill Not Applicable
M Not Applicable
Y1 Not Applicable
6 Dependent 3 Not Applicable Not Applicable i) Not Applicable
ii) Not Applicable
iii) Not Applicable
iv) Not Applicable
v) Not Applicable ,&.~£~,;.-=:., £..~
it 3 MAR 2020 ~r~{ q-~'!"'j.\J'}.\, jq ~""~i)-\i ~~.o~, :t:. $: •
?; ",t1-~ o:.:,~-.~...j.,~'''''' .. ~ K~\":. ~ 4
Note: It is mandatory for PAN holder to mention PAN and in case of no
PAN, it should be clearly stated IINo PAN allotted",
(5) Pending criminal cases
(i) I declare that there is no pending criminal case against me (Tick
this alternative if there is no criminal case pending against the
Candidate and write NOT APPLICABLEagainst alternative (ii) below)
Or
ii) ~he following criminal cases are pending against me:
(If there are pending criminal case against the candidate, then tick
this alternative and score off alternative (i) above, and give details of
all pending cases in the Table below)
Table
(a) FIR No. with name and F.I.R. NO. 175/2014 F.I.R. NOT APPLICABLE
address of Police Station Gazole Police Station No.557/2009
concerned English Bazar
Police Station
(b) Case No. with Name of GR Case N 0:- GR Case No:- NOT APPLICABLE the Court 1307/2014 at C.J.M. 2685/09 at
Court, MaIda. AT C.J.M. Court,
PRESENT (Special MaIda.
Case No.27 of 2019)
pending before Ld.
Spl. Judge, (MP &
MLA) Court at
Barasat (State of \1 3 MAR 5
West Bengal vs.
Mausam Noor)
(c) Section(s) of concerned V/s.188 IPC. RIW Vis. NOT APPLICABLE
Acts/Codes involved Sec.177 M.V. Act. 143/3411186/3
(give no. of the Section, and Section 34 of 53/323/379
e.g. Section ..... of IPC, Police Act, 1861 IPC, R1W
etc.) Sec.188I.P.C.
(d) Brief description of For alleging M.V. For alleging NOT APPLICABLE
offence Act. instigating the
supporters of
Piranapir
(e) Whether charges have Yes No NOT APPLICABLE
been framed (mention YES or NO 1 (f) If answer against (e) NOT NOT APPLICABLE ~ above is YES, then given 28/02/2015 APPLICABLE
the date on which charges were framed 1 (g) Whether any No NOT NOT APPLICABLE Appeal! Application for APPLICABLE I revision has been filed ~ against the proceedings
(mention YES or NO)
(6) Cases of conviction
(i) "i'declare that I have not been convicted for any criminal offence.
(Tick this alternative, if the candidate has not been convicted
and write NOT APPLICABLEagainst alternative (ii) below)
OR
(ii) I have been convicted for the offences mentioned below: NOT
APPLICABLE {If the candidate has been convicted, then tick this 6
Table
(a) Case No. NOT NOT NOT
APPLICABLE APPLICABLE APPLICABLE
(b) Name of NOT NOT NOT
the Court APPLICABLE APPLICABLE APPLICABLE
(c) Sections of NOT NOT NOT
Acts/Codes APPLICABLE APPLICABLE APPLICABLE
involved
(give no. of
the Section,
e.g. Section
..... of IPC,
etc.).
(d) Brief NOT NOT NOT
description APPLICABLE APPLICABLE APPLICABLE
of offence
for which
convicted
(e) Dates of NOT NOT NOT
orders of APPLICABLE APPLICABLE APPLICABLE
conviction
(f) Punishment NOT NOT NOT
Imposed APPLICABLE APPLICABLE 7
(g) Whether NOT NOT NOT
any Appeal APPLICABLE APPLICABLE APPLICABLE
has been
filed
against
conviction
order
(Mention
Yes or No)
(h) If answer to NOT NOT NOT I
(g) above is APPLICABLE APPLICABLE APPLICABLE <
Yes, give
details and
present
status of
Appeal
(6A) I have given full and up-to-date information to my political party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and (6).
[Candidates to whom this Item is not applicable should clearly write NOT
APPLICABLEIN VIEW OF ENTIRESIN 5(i) and 6(i), above]
Note:
1. Details should be entered clearly and legibly in BOLD letters.
2.
against each item.
f1 3 MAIf 2021 8
3. Details should be given in reverse chronological order, i.e., the latest
case to be mentioned first and backwards in the order of dates for
the other cases.
4. Additional sheet may be added if required.
5. Candidate is responsible for supplying all information in compliance
of Hon'ble Supreme Court's judgment in W.P.(C) No.536 of 2011.
(7) That I give herein below the details of the assets (movable and
immovable etc.) of myself, my spouse and all dependents:
A. Details of movable assets:
Note :1 Assets in joint name indicating the extent of joint
ownership will also have to be given.
Note:2 In case of deposit/investment, the details including
Serial Number, Amount, date of deposit, the scheme,
Name of Bank/Institution and Branch are to be given.
Note:3 Value of Bonds/Share Debentures as per the current
market value in Stock Exchange in respect of listed
companies and as per books in case of non-listed
companies should be given.
Note:4 'Dependent' means parents, son(s), daughter(s) of the
candidate or spouse and any other person related to the
candidate whether by blood or marriage, who have no
separate means of Income and who are dependent on
the candidate for their livelihood.
Note:5 Details including amount is to be given
respect of each investment.
1\ 3 MAR 2020 9
Note:6 Details should include the interest in or ownership of
offshore assets.
Explanation :- For the purpose of this Form, the expression
"offshore assets" includes, details of all deposits or
investments in Foreign banks and any other body or
institution abroad, and details of all assets and liabilities
in foreign countries';
S1. Description Self Spouse HUF Dependent Depende Depende
No. -1 nt -2 nt -3
(i) Cash in hand Rs.50,000.00 Rs.29,650.00 NIL NIL NIL NIL
(ii) Details of i) SBI, Parliament i)ICICI Bank, NIL NIL NIL NIL
Branch, New Delhi deposit In Gariahat Nc.30778287847 i Bank Branch, Rs.9,48,53 1.04 < accounts Kolkata A/c. ii)Axis Bank
(FDRs, Term 62780108779 Ltd., Mal da 1 Deposits and 6 Branch, A/c.
all other Rs.24,095.00 No.3890101000
types of ii) UBI, High 06873
deposits Court Rs.l,80,944.20
including Branch, iii)Oriental
saving Kolkata A/c. Bank of
accounts), 357987 Commerce,
Deposits Rs.17,173.00 MaIda Branch
with iii)SBI A/c.No.0688215
Financial Sansadhiya 1001686
Institutions, South Rs.l ,36,427.80
Non- Branch, New
Banking Delhi, A/c. ~~~ ~r ""~~f\ '\; ~ \~>-)~ )"0 .cC. ~~~'bv'i. l> ~ -b. Financial No.30777135 Companies 36 and Rs.9,300.00 Cooperative societies and the amount in each such deposit (iii) Details of i)ALM Real NIL NIL NIL NIL NIL investment Estate Pvt. Ltd. in Bonds, Rs.2,00,000.00 Debenturesl ii) Mahila LLP Shares and (Capital A/c) units III Rs. 7,50,000.00 companiesl iii) Mahila LLP Mutual (Current A/c) Funds and Rs.35,4651- others and Total: the amount. Rs.9,85,4651- (iv) Details of i)LIC Policy i)Max Life NIL NIL NIL NIL investment No.456365982 Insurance III NSS, Sum Assured:- Policy Postal Rs.12,50,0001- NO.32648016 Saving, ii)LIC Policy 7 Insurance No.495408572 Sum Assured: Policies and Sum Assured:- Rs.6,05,0001- investment Rs.IO,OO,OOOI- II) LIC in any Total Premium Policy NO. ~.Qy~ -\. Financial Paid: 465646482 1#0 .;:.0,~~ ~ )!~ «:..•C~"t:j:;.;\ l Il~{ ~~::~-", t~ b,· ~ , .., ,y .'" ~ ,I 3 MAR 2021 ------~------ 12 receivables from debtors and the amount. (vi) Motor i)Mahindra i)Maruti NIL NIL NIL NIL Vehicles/ Air XUV 500-2019 (Ritz)-2009 crafts/Yacht WB 66 AE 3879 WB-06B- s/Ships Rs.19,00,000/- 1980 (Details of ii) Mahindra Rs.75,000 Make, Scorpio-20 19 ii)Corolla registration WB 66 AG 3000 Altis-20 13 number etc. Rs.17,70,426/- WB-02-AE- year of 3345 ~ purchase and Rs.4,16,377/- amount) ~ (vi i) Jewellery, Gold 145 Grams Gold 22 NIL NIL NIL NIL 1 bullion and Rs.4,77,320.00 Grams ~ valuable Rs.96,800/- thing(s) (give details of weight and value) (vi ii) Any other NIL NIL NIL NIL NIL NIL assets such as value of claims/ interest (ix) Gross Total Rs.86,99,114.00/- RsI8,38,895/- NIL NIL NIL NIL ~F;.G.QY~ Value /(:.ov.V ~ !J~I ~O. 1.ci\-. ~~~~~ ;;')'~ \1 3 MAK L02D ~ q;~.J.j') , ~-b.~ '~~ 13 B. Details of Immovable assets: Note:l Properties in joint ownership indicating the extent of joint ownership will also have to be indicated. Note:2 Each land or building or apartment should be mentioned separately in this format. Note:3 Details should include the interest in or ownership of offshore assets. SI. Description Self Spo HUF Dependent-l Dependent- Dependent No. use 2 -3 ~ (i) Agricultural NIL NIL NIL NIL NIL NIL ~ Land Location(s) ~ Survey number(s) ~ ~ Area (total NIL NIL NIL NIL NIL NIL measurement in acres) Whether NIL NIL NIL NIL NIL NIL inherited property (yes or No) Date of NIL NIL NIL NIL NIL NIL purchase in case of self f/O'-\.J'~~ acquired y~. ~ i~fl...-:' ,....t~~o· ""'t.- I~I ~. ...9.- IQ property -c ~ 'l~J l> \f~ (.j>Y- ;, .~ &",-:;:-RC\..~ -I r" 14 Cost of Land NIL NIL NIL NIL NIL NIL (in case of purchase) at the time of purchase Any NIL NIL NIL NIL NIL NIL investment on the land by way of development, construction ! etc. ~ Approximate NIL NIL NIL NIL NIL NIL Current ~ market value NIL ( i i ) Non NIL NIL NIL NIL NIL i Agricultural ~ Land: Location(s) Survey number(s) Area (total NIL NIL NIL NIL NIL NIL measurement in sq.ft) Whether NIL NIL NIL NIL NIL NIL inherited property (yes ~W OV,. - Ic~O '0 or No) e7 ~~~~ ~ H~f \'!tC~,'..,~O O~·'\. }!Q Date of NIL NIL NIL NIL NIL NI~~.>. \' ~::¢\>~\,; .•.l:> ~t,.~\~ .J'" .~"'(: ( 15 purchase In case of self acquired property Cost of Land NIL NIL NIL NIL NIL NIL (in case of purchase) at the time of purchase Any NIL NIL NIL NIL NIL NIL investment on the land t by way of ~ development, construction ~ etc. NIL NIL 1 Approximate NIL NIL NIL NIL ~ Current market value NIL NIL (i i i) Commercial Noor NIL NIL NIL Buildings) Mansion, (including Station Road, apartments)- Ma lda, Locations(s)- Mouza- Survey Maheshmati, number(s) JL No.66, Plot No.-98 NIL~V ••••.M: V1.' 0 Area (total Total Area NIL NIL NIL NIL r~ ~ ~ ~ •..~ Co. ~ measurement 10,252 sq.ft. ,:!i ~( ','.' ,. "~""v~ )0-I\\' -b' ,~~' '/ ,..::; il 3 MAR 2020 ~ --...~.-..... - ~ ------16 in sq. ft) Share 1/3 of Total area Built up Area 113 of 9000 NIL NIL NIL NIL NIL (total sq.ft. measurement in sq.ft.) Whether NIL NIL NIL NIL NIL NIL inherited property (yes or No) Date of NIL NIL NIL NIL NIL NIL purchase In case of self acquired property Cost of NIL NIL NIL NIL NIL NIL property (in case of purchase) at the time of purchase Any NIL NIL NIL NIL NIL NIL investment on the property by way of development, ~GO~ o'V. 0-<, construction etc. I~~&.~. ~~:'t·\V...J ~1 -'t.;'i1/II ~~ ~.-. ~' r1 3 M~R 1028 .- 17 Approximate Rs.60,00,0001- NIL NIL NIL NIL NIL current market value (iv) Residential Mouza- NIL NIL NIL NIL NIL Buildings) Sahaj alalpur (including Kotwali, JL apartments)- No.34, Plot Locations(s )- No.288 Survey number(s) Area (total 5760 Sq.ft. NIL NIL NIL NIL NIL f measurement Share 1/3 of in sq. ft) total area < Built up Area 1000 sq. ft. NIL NIL NIL NIL NIL ~ (total measurement ~ in sq.ft.) ~ Whether YES NIL NIL NIL NIL NIL inherited property (yes or No) Date of NIL NIL NIL NIL NIL NIL purchase III case of self acquired - property Cost of NIL NIL NIL NIL NIL NIL property (in :v. ~ '6' r~,[.§r-..~P"'" ~- case of (~ ~v,,~.{,,> }~, ~- ~J~.~ .)r\ ~~h ~ {"if 2020 ~Qav.;:'I§:;f 1 3 MAR ~-.-....,.. .~ 18 purchase) at the time of purchase Any NIL NIL NIL NIL NIL NIL investment on the land by way of development, construction etc. Approximate Rs.14,00,0001- NIL NIL NIL NIL NIL current market value (V) Others (such NIL NIL NIL NIL NIL NIL as interest in property) (vi) Total of Rs.74,00,0001- NIL NIL NIL NIL NIL current market value of (i) to (v) above (8) I give herein below the details of liabilities/dues to public financial institutions and government :- individual and amount before each item) 19 Sl. Descriptio Self Spouse HUF Dependent - Dependent Dependent No. n 1 -2 -3 (i) Loan or Rs.8,40,890.66/ NIL NIL NIL NIL NIL dues to - Car Purchase Bank/ Loan from Financial Oriental Bank Institution of Commerce, (s) Ma ld a Station Name of Road, Bank or Rathbari, Financial English Bazar. Institution, Amount outstandin g, Nature of Loan Loan or NIL NIL NILNIL NIL NIL dues to any other individuals /entity other than mentioned above. Name(s), Amount outstandin 1041. .9F~~.....•~/ g, nature '! ~ -; r<>:::: *~ t'·] ~Il of loan i~1t C·3- ~ .•~ ~ii.-.~ . E>. ~ iR G' ~ ~ ~~R lU1~ ~J.i1i17f~ * 20 Any other NIL NIL NIL NIL NIL NIL liability Grand Rs8,40,890.66 NIL NIL NIL NIL NIL total of liabilities (ii) Government (A)Has the Deponent been in occupation of accommodation provided by the YbSINO (PI. Dues: Government at any time during the last ten years before the date of tick the Dues to notification of the current election? appropriate departments (B)If answer to (A) above is YES, the following declaration may be furnished alternative Dealing with namely:- Government (i)The address of the Government accommodation: accommodati 51, South Avenue, New Delhi-110011 on (ii)There is no dues payable in respect of above Government accommodation, towards (a)Rent (b)Electricity charges (c)Water Charges (d)Telephone Charges as on 11.03.2020 [the date should be the last date of the third month prior to the month in which the election is notified or any date thereafter] Note:- 'No Dues Certificate' from the agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted. (iii) Dues to NIL NIL NIL NIL NIL NIL department dealing with Government transport (including aircrafts and @~~ helicopters) t·\~!~O."'~ ~ - (~I V.\:~~; (v) GST Dues NIL NIL NIL NIL NIL NIL 11 3 MAR 20la 21 (vi) Municipal! NIL NIL NIL NIL NIL NIL Property Tax dues (vii) Any other NIL NIL NIL NIL NIL NIL dues (viii) Grand NIL NIL NIL NIL NIL NIL total of all Governme nt Dues (ix) Whether NIL NIL NIL NIL NIL NIL any other liabilities are in dispute, if so, mention the amount involved and the authority before which it IS pending (9) Details of profession or occupation:- (a) Self-Advocate, Politician and Business (b) Spouse-Advocate \1 3 MAR 2020 22 (9A) Details of source(s) of income :- (a) Self-employed Professional (b) Spouse- Legal Practitioner. (c) Source of Income, if any, of dependents.- NIL (9B) Contracts with appropriate Government and any public company or companies. a) Details of contracts entered by the candidate-NIL b) Details of contracts entered into by spouse-NIL c) Details of contracts entered into by dependents-NIL d) Details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest-NIL e) Details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners-NIL f) Details of contracts, entered into by private companies in which candidate or spouse or dependents have share-NIL 10. My educational qualification is as under :- (i) LLB (Hons.) 5 years-Calcutta University- 2000 to 2005 Department of Law Hazra Campus. (ii)Lamartiniere for Girls School from Nursery to Class 12 till 2000. Indian Certificate of Secondary Education (lCSE) 1998 and Indian School Certificate (lSC) 2000 Give details of highest School/University education mentioning the full < ~ ff~d ·c !lOR-.... . form of the certificate/diploma/degree course, name of th ~ ~~).\.~~..;,'\. 'j:. ~~'b\)\••. -b O~"K.H'~ 1 3 M AK LLJLO 23 School/College/University and the year in which the course was completed.] PART-B (11) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-'A' ~ 1 Name of the candidate (WSlfit.~MAUSAM NOOR 2. Full postal address Vill. SAHAJALALPUR, P.O.-KOTWALI, P.S. ENGLISH BAZAR, DIST.-MALDA (W.B), PIN-732144 3 Number and name of the constituency WEST BENGAL, COUNCIL OF STATES and State 4 Name of the political party which set ALL INDIA TRINAMOOL CONGRESS up the candidate (otherwise write ,Independent') 5 Total number of pending criminal cases 02 (Two) i)GR Case No.2685/09 E.B.P.S. Case No.557/2009, dt.22.09.2009 U/s.143/3411186/353/323/379 IPC RlW Section 188 IPC ii)GR Case No. 1307/2014, Gazole P.S. Case No.175/2014 dt.12.04.2014 U/s.188 IPC RlW Sec.l77 M.V. Act. Rlw with 34 of Police Act, 1861 (Special Case No.27 of2019) at present pending before Ld. Spl. Judge, (MP & MLA) Court at Barasat (State of West Bengal vs. Mausam Noor) 6. Total Number of cases in which NIL convicted 7. PAN of Year for which Total Income Shown last Income Tax Return filed (a)Candidate ADSPN5362M F.Y.2018-2019 Rs.1O,14,450/- (b) Spouse ALHPB3578N F.Y.2018-2019 Rs.4,67,510/- (c)HUF NIL NIL NIL (d)Dependent NIL NIL NIL 8 Details of Assets and Liabilities (including offshore assets) in rupees Sl. Description Snfi-')Vj~~ Spouse HUF Dependent Dependent Dependent '/X)"'~ . o,~. No. ~ q~.o· ~ -1 -2 -3 9( ,A.~ .. ~.." ~ ,~- ~.,)'--' \) L ,Ii' ~"'J ~. ~). ,u-t. :1 3 MAR '() -'!G'V 202b ~sv- ~". 24 A Moveable Rs.86,99,114/- Rs.18,38,8951- NIL NIL NIL NIL Assets (Total Value) B Immovable Assets I Purchase NIL NIL NIL NIL NIL NIL Price of self- acquired immovable property II Development! NIL NIL NIL NIL NIL NIL construction cost of immovable property after purchase (i f applicable) III Aproximate Current Market Price- (a)Self- NIL NIL NIL NIL NIL NIL acquired assets (Total Value) (b)Inherited NIL NIL NIL NIL NIL Rs.74,OO,OOOI- assets (Total Value) 9 Liabilities 25 (i) Government NIL NIL NIL NIL NIL NIL Dues (Total) (i i) Loans from Rs.8,40,890.66 NIL NIL NIL NIL NIL Bank, Financial Institution and other (Total) 10 Liabilities that are under dispute i) Government NIL NIL NIL NIL NIL NIL dues (total) ~ ii) Loans from NIL NIL NIL NIL NIL NIL ~ Bank, Financial Institutions J and others (Total) 1 11 Highest education qualification ~ (i)LLB (Hons.) 5 years- Calcutta University- 2000 to 2005 LLB (Hons.) 5 years-Calcutta University- 2000 to 2005 Department of Law Hazra Campus. (ii)Lamartiniere for Girls School from Nursery to Class 12 till 2000. Indian Certificate of Secondary Education (lCSE) 1998and Indian School Certificate (ISC) (Give details of highest School/University education mentioning the full form of the certificate/diploma/degree course, name of the SchoollCollegelUniversity and the year in which the course was completed) ~13 MAR 2020 , , 26 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 and no part of it is false and nothing material has been concealed there from. I further declare that :- a) There is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of Part A and B above; b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above. Verified at Kolkata this the 13th day of March, 2020 DEPONENT ifie b I~~~ h erson .j -4'lJ;lliynce it /'i~ocate Advocate Fro-oil ~o 27 Note:l Affidavit should be filed latest by 3.00 P.M. on the last day of filing nomination. Note:2 Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Classor before a Notary Public. Note:3 All columns should be filled up and no column to be left blank. If there is no information to furnish in respect of any item, either flNIL" or "Not applicable", as the case may be, should be mentioned. Note:4 The affidavit should be either typed or written legibly and neatly. Note:S Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is sworn. --