,RS~'GTEg~i~~?; :E?~. F:\i\Ti\l:A I,:~C.OFE~PATN;', . , \ ,~ ~\ ~·a~ 374148 BIHAR ~ \~,NDIA HZ~rD~Z~ro*ZenJ'Z~ra*OnE"*ZerD*Z~rD*'* co \ Constituency. PART-A I, PREM CHANDRA MISHRA, son of LATE FATNESHWAR MISHRA, Aged about 56 years, resident of Flat No. 1A, Mani Apartment, Oro Dental, East Boring Canal Road, Patna-1, a y._./ candidate at the above election, do hereby solemnly affirm and state on oath as under:- (J :")0 ~ <, 1) I am a candidate set up by INDIAN NATIONAL CONGRESS. 2) My name is enrolled in 35, Madhubani Assembly Constituency, Bihar, at Serial No. 35 " in Part No. 40. •· A ......... ; 3) My contact telephone number are 9801717517 & 9431074117 and my e-mail id is ~~ 0:· [email protected] and social media account number are c· Z Prem Chandra Mishra -Facebook . premchandraMis2 - twitter. 4) Details of Permanent Account Number (PAN) and-status of filing of Income Tax return: Sr. Names PAN The financial year Total income shown in No, for which the last income tax return (in income tax return Rupees) has been filed AFGPM8176A 2017-18 5114801- CSFPM8015C NIL NIL 3. Dependent (Pallav NIL NIL NIL Mishra) .:»: ~ { §2j ~,'\)\ . 5) I am not accused of an offence punishable with impriso~ment for two years or more in a pending case inwhich a charge (s) has been framed by the court of competent jurisdiction. If the deponent is accused of any such offence(s) he shall furnish the following information:- NA (i) The following case(s) is fare pending against me ln which charges have been framed by the court for an offence punishable with imprisonment for two years or more:- NA (a) Case/First Information Report No./Nos. together with complete NA details of concerned Police Station/District/State (b) Section(s) of the concerned Act(s) and short description of the NA offence(s) for which charged (c) Name of the Court, Case No. and date of order taking cognizance NA (d) (d) Court(s) which framed the charge(s) NA , (e) Date(s) on which the charge(s) was/were framed NA (f) Whether all or any of the proceedings(s) have been stayed by any NA Court(s)of competent jurisdiction , I I I (ii) The following case(s) is fare pending against me in which cognizance has been taken by the court [other than the cases mentioned in item (i) above):-NIL (a) Name of the Court, Cas~ No. and date of order taking NA cognizance: (b) The details of cases where the court has taken cognizance, NA section(s) of the Act(s) and description of the offencets) for which cognizance taken (c) Details of Appeal(s)/Application(s) for revision (if any) filed NA -4 6) I have not been convicted, of an offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951) and sentenced to imprisonment for one year or more.- If the deponent is convicted and punished as aforesaid, he shall furnish the following information: NIL In the following case, I have been convicted and sentenced to imprisonment by a court of law: NIL (a) The Details of cases, section(s) of the concerned Act(s) and NA description of the offence(s) for which convicted (b) Name of the Court, Case No. and date of order(s): NA \ (c) Punishment imposed NA (d) Whether any appeal was/has been filed against the conviction order. NA If so, details and the present status of the appeal: 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 ~ase of deposit/investment, the detailslncludlnq Serial Number, Amount, dale of deposit, the: scheme, Name of the Bank/Institution and Branch are to be given Note: 3. Value of Bonds/Share Debentures as per 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 here has the same meaning as assigned in Explanation (v) under , section 75A of the Representation of the People Act, 1951. Note: 5. Details including amount is to be given separately in respect of each investment. I Self Spouse Dependent RS.470001- RS.280001- RS.2000/- 4 (ii) Details of deposit in Saving Bank Accounts:- Saving Bank Accounts:- Saving Bank Bank accounts 1.State Bank 0f lndia, 1.State Bank of India, Accounts:- Anandpuri, Patna, NC l.State Bank Anandpuri Patna, Ale No. fI di (FDRs, Term No.- 10454341042, 0 n ia, Deposits and all 10454353670, Rs. 57081/- RS.72095/- Anandpuri, 2.Patliputra Central Cooperative 2.State Bank of India, Patna, Ale other types of No. Bank, Patna, AlC No. Jubbal, Shimla, NC No. 20408322893 deposits including 002034001000644, Rs. 11511217162, 9, Rs. 15643/- saving accounts), 102062.16/- Rs.7001.701- Deposits with 3. State Bank of India, main Fixed Oeposit- Financial branch, Madhubani, AlC No. NC No. 34288368698 11302516169,RS.5804/• Institutions, Non- for R's.500000/- 4. Canara Bank, Boring Road, NC No. 34288371587 Banking Financial Patna,AlC No. 1967101011766, for Rs.500000 Companies and Rs.4727/• (both held jointly with Cooperative CurrentAccount- daughter) I societies and StateBankof India,MainBranch, the amount in each Madhubani, AlC No. 37284217766,RS.10000/- such deposit (iii) Details of NIL NIL NIL investment in Bonds, debentures/shares and units in companies/Mutual funds and others and the amount (iv) Details of NIL NIL NIL investment in NSS, Postal Saving, Insurance policies and investment in Financial ./ 5 office or Insurance ) , Company and the amount (v) Personal NIL NIL NIL loans/advance given to any person or entity including firm, company, Trust etc., and other receivables from debtors and the amount (vi) Motor Vehicles/ Hyundai creta, Model 2017, NIL NIL AircraftslYachts/Sh Regn. No. BR 01 DO 7225, ips(Oetails of price RS.11lacs.approx Make, registration number etc. year of purchase and amount) (vii) Jewellery, bullion 50g Gold ring worth Rs. 250g Gold jewelry NIL and valuable 1500001- worth Rs. 7500001- thing(s) (give 1Kg silver ornaments worth details of weight RS.420001- and value) I , (viii) Any other assets NIL NIL NIL such as value of claims/interest (ix) _":_-GLossTotal Value Rs. 1476674.16/- Rs.1899096.701- RS.17643/- N«».,."t,. :_~_~ «»:..),_~ >"--i, ,/ ,\ 6 , ~ __;::J\\\ ,'I, \. \ \\ ./'//; I .i' '_J \! ~ Note: 1. Properties in joint ownership indicatingfhe~~n~ o~'~!nt:6~nershiP will also have to be indicated Note: 2. Each land or building or apartment should be mentioned separately in this format Sr. Description Self Spouse Dependent 1 No. ANNP.URNA (i) Agricultural Land 1.Mauza -Chour Ghatia, Khata NIL NIL No.828, Khesra NO.9020 Location(s) 2. Mauza -Chour Ghatia, Khata Survey numberts) No.828(part), Khesra NO.3575 3. Mauza -Kharhoir, Khata No.1541, Khesra NO.9124 4.Mauza -Kharhoir, Khata No.1244, Khesra NO.9125 5.Mauza-Maranpur, Khata No.776, Khesra NO.5/8 Area (total 1)2 Acre 46 dec.(1I5th share) NIL NIL measurement in acres) 2) ~ decimaltl/S" share) 3) 10kattha Ildhur(1I4th share) 4) 3Kattba 10 Dhur(1/4thshare) 5) 15 Kattha (1I5thshare) Whether inherited NIL l.Yes i NIL property (Yes or No) 2.Yes 3.Yes 4.Yes 5.Yes Date of purchase in NIL NIL NIL case of self-acquired property Cost of Land (in case 'of NIL NIL NIL purchase) at the time of purchase Any investment on the NIL NIL I NIL land by way of development, construction etc. Approximate current RS.3000001- approx. consolidated NIL NIL market value (ii) Non agricultural land : NIL NIL NIL Location(s) Survey Number(s) Area (total NIL NIL NIL ,~~-~I.t::.. rement Inl sq. ft). ~~ ,. #.3 ~ ..''It';:. ' inherited NO NIL NIL 1 ~ .1 /l\l ' C,', '\ ) e y or no) "'tQ~~~~~li .' , ." ~(') i \'~, 'r't' ~~J' ~ • , •• : ~, 7 \ \. / / \ ,'-""" \ ,~ i \ I !. Date of purchase in NIL Nil NIL case of self-acquired property Cost of land (in case of NIL NIL NIL purchase) at the time of purchase Any investment on the NIL NIL NIL , land by way of development, construction etc. Approximate current NIL NIL NIL market value (iii) Commercial Buildings NIL NIL NIL , (including apartments)- Locations(s)- Survey number(s) Area (total NIL NIL NIL measurement in sq.ft.) , Built-up Area (total NIL NIL NIL measurement in sq.ft.) Whether inherited NIL NIL NIL property (Yes or No) Date of purchase in NIL NIL NIL case of self-acquired property Cost of property (in case NIL NIL NIL of purchase) at the time of purchase Any investment on the NIL NIL NIL property by way of , development, construction etc. Approximate current NIL NIL NIL market value (iv) Residential Buildings Mauza- Rakhwari, Khata no. NIL NIL ;/',.... :.,..::;~'rling apartments):- 828, Khesra No.3470 ',; t~~· I.• ' ,,~;~;_.~ .. rx.~ )_ ~~S~ ~ .. )..'1.'~~~r-\~~'\ ".ber(s) ~''l-~t...,' ~ 1-,a, .J' . :,., ?':;,;~ -,~~~1"'::;.. .~~~~~#",i--~ . ,.' ~ _,:.. ""''-'" ""'.5 <~ • ~'----'-------" ~.~~~~,#:~}:;~:-'ff~: _--.--. 8 /~;~~;~..:......._r-: Area (total 18 decimal(1I10 share) NIl!. NIL measurement in sq.ft.) Built-up Area. (total 12 decimal(l/10 share) NIL NIL measurement in sq.ft.) Whether inherited YES NIL NIL property (Yes or No) Date of purchase in NA NIL NIL case of self-acquired property Cost of property (in case NA NIL NIL of purchase) at the time of purchase Any investment on the NA NIL NIL property by way of development, construction etc.