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SR^IW 45AA 572700 ,

AFFIDAVIT

^M^fidavit to be Furnished by the candidate along with Nomination Paper £ Before the Returning Officer _ For election to West Bengal Legislative Assembly (Name of the House) 'J ^ From 230 - Assembly Constituency (Name of the Constituency) % jz>

Ajit Bhunia, son/daughter/wife of Late Kalipada Bhunia Aged 57 years, —£ ^ j I resident of Vill.- Kismat-Narajole, P.O.- Harirajpur, P.S.- Daspur, Dist. -«^S ^ 11_ Paschim Medinipur, (mention full postal address), a candidate at the above X ~^ts Election, do hereby solemnly affirm and state on oath as under:- 1L* i > (strike out whichever is not applicable) ~o j: "•UJI1* HASINA- (1) I am a candidate set up by All Trinamul Congress (name of the Acfv©cat», political party) / am contesting as an Independent candidate. NOTARY PUBLIC (2) Detail of PAN and status of filling of Income tax return : r**"*—1 Sir Names Permanent The financial year Total income No. Account Number for which the last shown Income (PAN) Income-tax return Tax Return has been filed (in Rupees) 1. Self N.A. NA 2. Spouse - NA NA NA 3. Dependent 1 NA N.A N.A 4. Dependent 2 NA N.A N.A 5. Dependent 3 NA NA N.A (3) The following case(s) is / are pending against me in which cognizance has been taken by the court:-

SI. No. Offence Description (a) The details of case where the court has taken FIR NO. 143/08 Date - 29/10/08 cognizance, Sections of the Act and description of the P.S. - Daspur, Section - 147/148 offence for which cognizance takes : / 149/325/326/379/427 IPC (b) Name of the court, Case No. and Date order taking ACGM . Charge Sheet No. cognizance : 157108 Date-08/12/08 (c) Details of Appeal(s) / Applications(s) for revision (if Not Applicable any) filed against the above order(s):

(a) The details of cases, Sections of the Act and Not Applicable description of the offence for which convicted : (b) Name of the Court(s), Case No. and Date(s) of Not Applicable order(s): (c) Punishment imposed : Not Applicable

(5) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all

SI. Description Self Spouse Dependent - Dependent - Dependent No. 1 2 -3 i) Cash in hand Rs. 550.00 N.A N.A N.A N.A ii) Details of Deposits in Bank Pension as N.A N.A N.A N.A accounts (FDRs), Term Ex- MLA at Deposits and all other Daspur UBI types of Deposits including A/c No. savings accounts), Deposits 3494 Rs. Bfcith Financial Institutions, 9,075.00 .^O^Banking Financial Savings A/c ^CpftJOTBies and at Daspur -i^p^ftve societies and UBI A/c (OTA "he amoSnt in each such No. 15946 Rs. ^^posiiai 30,000.00 »DefcfflMPinvestment in N.A N.A N.A N.A rfBSMyDebenture / share iftjprnits in companies / ^53 •mutual Funds and others and the amount iv) Details of investment in N.A N.A N.A N.A NSS, Postal Savings, Insurance Policies and investment in any Financial Instrument in Post Office or Insurance Company and the amount v) Personal loans/advance N.A N.A N.A N.A given to any person or entity including firm,

1/(1 Adv©cat«, NOTARY PUBLIC

Var GTteaa) Sui>r>lVn!,ton) atatal. Pactum Msdmipur Company, Trust etc and other receivable from debtors and the amount vi) Motor Vehicles. N.A N.A N.A N.A Aircrafts/Y achts/Ships (details of Make, Registration No. etc, Year • of Purchase and amount) vii) Jewelry, bullion and N.A. 60 grams. N.A. N.A. N.A. valuable thing (give details (Jewelry) of weight and value) Rs. 1,20,000.00 viii) Any other assets such as N.A N.A N.A N.A N.A value of Claims/interest ix) Gross Total value Rs. Rs. NIL NIL NIL 39,625.00 1,20,000.00

B. Details of Immovable assets : SI. Description Self Spouse Dependent Dependent Dependent No. 1 2 3 i) Agricultural Land Mouza N.A. N.A. N.A N.A Location(s) Kismat- Survey number(s) Narajole, J.L. No. 16 Area (Total 70 dec. N.A. N.A. N.A N.A measurement in acres) inherited Yes N.A. N.A. N.A N.A es or

hase in N.A N.A. In the year N.A N.A 2010-14 dec. land was purchased. Mouza NijNarajole, J.L. No 16 of Land (in N.A. N.A. Rs. 15,000.00 case of purchase) at the time of purchase Any Investment on N.A N.A. N.A. N.A N.A the land by way of development, construction etc. Approximate Rs. NIL Rs. 15,000.00 NIL NIL Current market 1,05,000.00 value

A

(kujir HAZR*/ Advecat*, NOTARY PUBLIC |Por Gfcaal Sub-^viBton) OlttUl, Ptsobim Madiuipur ii) Non-Agricultural Mouza - N.A. N.A. N.A N.A Land NijNarajole, Location(s) J.L.No 16 Survey number(s) Area (Total 26 dec. N.A. N.A. N.A N.A measurement in acres) Whether inherited Yes N.A. N.A. N.A N.A property (Yes or No) Date of purchase in N.A N.A. N.A. N.A N.A case of self acquired property Cost of Land (in N.A N.A. N.A. N.A N.A case of purchase) at the time of purchase Any Investment on N.A N.A. N.A. N.A N.A the land by way of development, construction etc. Approximate Rs. NIL NIL NIL NIL Current market 60,000.00 value iii) Commercial N.A N.A N.A N.A N.A Buildings (including apartments) ion(s) ,umber(s) ea N.A N.A N.A N.A N.A urement

N.A N.A N.A N.A N.A

urchase in N.A N.A N.A N.A N.A self acquired property Cost of Land (in N.A N.A N.A N.A N.A case of purchase) at the time of purchase Any Investment on N.A N.A N.A N.A N.A the land by way of development, construction etc. Approximate •NIL NIL NIL NIL NIL Current market value

Adv»cat», NOTARY PUBLIC

(For Gmrtal Sub*e>

lve herein below the details of liabilities/ dues to public financial institutions and government :- (Note : Please give separate details of name of Bank, institution, entity or individual and amount for each item) SI. Description Self Spouse Dependent - Dependent - Dependent - No. 1 2 3 i) Loan or dues to UBI Daspur N.A. N.A. N.A N.A Bank / Financial Branch, Institution(s) Personal Name of Bank or FI Loan A/c No. Amount 611012243 outstanding Rs. Nature of loan 30,000.00 Loan or dues to any Crop Loan at N.A. N.A. N.A N.A individual / Entity Deshapran

Advecata/ NOTARY PUBLIC fat (jfn>fa.\ Sub-E^v^lon) - ftail. Ptaeium Modiaipui other than SKUS at mentioned in (i) Narajole Rs. above. 5,000.00 Name(s) Amount outstanding Nature of loan Any other liability N.A. N.A. N.A. N.A N.A Grand total of Rs. NIL NIL NIL NIL liabilities 35,000.00 ii) Government Dues N.A N.A. N.A. N.A N.A

Dues to departments dealing with government accommodation Dues to NIL N.A. N.A. N.A N.A departments dealing with supply of water Dues to NIL N.A. N.A. N.A N.A departments dealing with supply of electricity Dues to department NIL N.A. N.A. N.A N.A jjealing with supply jpf^&kphone / ^a^b^e^ DuSsJKsfepartment N.A. N.A. N.A. N.A N.A

I \m transport (-including ^taafcjtfijff ,(Kelicp?tW .^J&JftjfcPax Dues N.A. N.A. N.A. N.A N.A gj&jfiln*fTax Dues NIL N.A. N.A. N.A N.A service Tax Dues N.A. N.A. N.A. N.A N.A Municipal / NIL N.A. N.A. N.A N.A Property Tax Dues Sales Tax Dues N.A N.A. N.A. N.A N.A Any other dues NIL N.A. N.A. N.A N.A Grand total of all NIL N.A. N.A. N.A N.A Govt, dues

Acivecate, NOTARY PUBLIC fat Sub GfttmaJ -ghvision) in Details of profession or occupation : a. Self: Agriculture, Political worker and pensioner as Ex-MLA. b. Spouse : House wife. Educational qualification is as under : Details of highest school / University education with full form of the certificate / diploma / degree course) Name of School / College / University and the year in which the course was completed) Passed Higher Secondary Examination in the year 1971, from Narajole Mahendra Academy under West Bengal Board of Secondary Education.

ABSTRACT OF THE DETAILS GIVEN (1) TO (8) ABOVE ; i. Name of the candidate Sh. Smt. Kum. Ajit Bhunia 2. Full postal address Vill. - Kismat-Narajole, P.O.- Harirajpur, P.S.- Daspur, Dist.- Paschim Medinipur, West Bengal. 3. Number and Name of the constituency 230 Daspur Assembly Constituency. and state West Bengal 4. Name of the Political party which set up All India Trinamual Congress (A.I.T.C) the candidate (otherwise write 'Independent') 5. (a) Number of cases in which conviction NIL order passed (other than those referred to in Form 26) (b) Total number of Pending cases One where the court(s) have taken cognizance 6. PAN of Year for which last Total Income Shown Income Tax Return filed (a) Candidate N.A N.A ) Spouse N.A N.A Dependents N.A N.A Details of Assets and Liabilities in rupees Self Spouse Dependent -1 Dependent Dependent -2 3 Rs. 39,625.00 Rs. NIL NIL NIL 1,20,000.00 Asset Rs. NIL Rs. 15,000.00 NIL NIL 1,65,000.00 TjPurchase Price and N.A N.A Rs. 15,000.00 N.A N.A Development Cost of Immovable Property (Total Value) ii) Approximate Rs. NIL Rs. 15,000.00 NIL NIL Current Market Price 1,30,000.00 of Asset (Total Value) Liabilities Rs. 35,000.00 NIL NIL NIL NIL i)Government NIL NA N.A N.A N.A Due (Total) ii)Loans from Bank, Rs. 35,000.00 N.A N.A NA N.A Financial Institutions and others (Total)

Advecato, NOTARY PUBLIC ffot Grmtal Sub-ighvisloS) 9. Highest educational qualification :

Passed Higher Secondary Examination in the year 1970, from Narajole Mahendra Academy under West Bengal Board of Secondary Education. (Give details of School / University education with full form of the certificate /. Diploma / degree court) (Name of the School / College / University and the year in which the course was completed.)

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 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 item 3 and 4 above : (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 5 and 6 above.

Verified at Ghatal this the eleventh day of April 2011.

Wfeia/ Sob ffl

_ J^j/S0^ *toimi!y agragd b/ £

before me on this dnyg« ~

fcho is du!yjde|tified SrL,.., ^ •* 1^.^...]™$^*^' Ld. Advocate / P^B rtmrifr-

/7SUJIT HAZRA IV/^/h NOTARY (7 ' GOVT. OF INDlll ?JWm WEST BENGAL 45AA 572923

AFFIDAVIT

ANNEXURE XIII C (CHAPTER, PARA 9.3)

FORM 26 ( SEE RULE 4A )

I Affidavit to be fursished by the candidate before the returning officer for election to 1 West Bengal Legislative Assembly For election to West Bengal Legislative Assembly (Name of the House) I From 230 - Daspur Assembly Constituency (Name of the Constituency)

MUJIT HA% "Ajit Bhunia, son / daughter / wife of Late Kalipada Bhunia Aged 57 years,

Adv„&t«bsident of Vin _ Kismat-Narajole, P.O.- Harirajpur, P.S.- Daspur, Dist. - N9IAR,Yc wUr?L^J?aschim Medinipur, 1« andidate at the above Election, do hereby solemnly affirm and state on oath

.., • /aoU'- - ' -y- /•^«ce(s)^h;habjc > , ; ,j ;•.-„•>-• ;••> i pendingeai.;-is)in whiaj • charge) ••• • j..... v-rsiH, c«inpcjXftijur-:>diction. If the deponent is accused of any such offence(s) he shall furnished the following information: (i) Case/First information report No./Nos : 143/8 Date - 29/10/08 (ii) Police Station(s): Daspur, District(s): Paschim Medinipur, State(s): West Bengal. (iii) Section^) of the concerned Act(s) and short description of the offence(s) for which the candidate has been charged : 147/148/149/325/326/379/427 I.P.C (iv) Court(s) which framed the charge(s): A.C.J.M, Ghatal. ' TJ 1 " '*' u (v) Date(s) on which the charge(s): 157/8 Date - 08/12/08 (vi) "Whether all or any of the proceeding(s) have stayed by any court(s) of competent jurisdic• tion : N.A. 2. I have been/have not been convicted of an offence(s) other than any offence(s) referred to in sub-section(l) or sub-section(2), or covered in sub-section(3), of section 8 of the Rep• resentation of the People Act. 1954 (43 of 1951) and sentenced to imprisonment for one year or more. If the deponent is convicted and punished as aforesaid, he shall furnished the following information: i) Case/First information report No./Nos : N.A. ii) Court(s) which punished: N.A. .StationCs): N.A. District(s): N.A.

f the concerned Act(s) and short description of the offence(s) for which the candi- arged: N.A. ich the sentence(s) was/were pronounced: N.A. sentence(s) have been stayed by any court(s) of competent jurisdiction : N.A.

latal Date : 11/04/2011 Signature of Deponent

VERIFICATION

I, above named deponent, 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 no other material has been concealed therein*

.ww N(^jfiedai.GhAfa.l fhfo.^leventh day of April 2011.

fcefore me on this da Signature of Deponent IIU «ho is dululyiy icd ntif!ed 3 T' Mop- «•».•« Ld. Advocate / PoieoaaUf Rlown to me. R|%|tl

^jfsUJlT HAZRA /l/^/lj NOTARY I GOVT. OF INDIA Cbatal, Pswcium Medinlpw