r .' " tEN RUBEES Rs. 6f{~~OII HARYANA 23AA 719315 ~ FORM 26 (See rule 4A) ~ AFFIDAVIT R B .he Returning Officer for election to Lok Sabha (S.C) lfonstituency. B PART-A ~ I, Rattan Lal Kataria son of Sh.Jyoti Ram ,Aged 62 years ,I~r;l;t",~f ~a l+f: _._ (~) !""~'""'.~ . "- 352,Sector-4,Mansa Devi Complex ,Panchkula , a candid teft:t;(f.\.'~.' ,'0V~:~ I (f~ ..o 'f_,,;,: ':::,.:\.,.,- ) election, do hereby solemnly affirm and state on oath as un~~~~~j~,~,:~.<",<, ,.,~,:') ~ ~ \ ' ' . " >~.. .~-~':j;'J/ """ ' :-;;-~:::~'\~ .. Iia --".,~ ,.__~,r-,j\.,,"/ I '7 ,"0 ,," • ".-'.~>"- --t .•.•."- (1) I am a candidate set up by Bhartiya Janta Party.Haryana, (2) My name is enrolled in Panchkula Haryana , at Serial No -988 in Part No 19. (3) My contact telephone number (s) are 91-0172-2555352,09416499855 and my e-mail id [email protected] and my social media accounts are www.facebook.com/rattanlalkataria. (4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return: 51. Names PAN The financial Total income No. year shown in for which the Incometax last return (in Income-tax Rupees) return has been filed 1.. Self AAACS8577K 2013-2014 4,55,295/- 2. Spouse AJYPK7553P Not Not Applicable Applicable (Smt.Banto Kataria) 3. Dependent-1 Not Applicable Not Not Applicable Applicable - 4. Dependent-2 Not Applicable Not Not Applicable A.Qplicable 5. Dependent-3 Not Applicable Not Not Applicable Applicable i (5) I am / am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge (s) has/have been framed by the court{s) of competent jurisdiction. If the deponent is accused ~ ..., ffence(s) he shall furnish the followinginformation» .. / ..-..:.......','" (i)The following case(s) i /~.ee.pe.ll'ai~...~",.~ inst me in which charges ~ave. been framed by J cou~.· f$lcO n offence punishable with impnsonrnent.:for two ye s or m r .:..::~t~~~*' ----------------~.,~.,'~.i¥-LI-¢iA"N~·!~~/OA.M_--~.,MM.,R,J4~4... a) Case/First Information Report NotApplicable ~ No./ Nos. together with complete details of concerned Police Station; District; State b) Section(s) of the concerned NotApplicable Act{s) and short description of the offence(s) for which charged c} Name of the Court, Case No. NotApplicable and date of order taking cognizance: d) Court(s) which framed the NotApplicable chargers] e) Date{s)on which the charge(s) NotApplicable was/were framed 1) - Whether all or any of the NotApplicable proceedings(s) have been stayed by any Court(s) of competent jurisdiction (ii) The following case(s) is / are pending against me in which cognizance has been taken by the court [other than the cases mentioned in item (i] above]:- a) Name of the Court, Case No. NotApplicable and date of order taking cognizance: b) The details of cases where the NotApplicable court has taken cognizance, section(s) of the Act{s)and ~ description of the offence(s) for which coznlzance taken c) Details of NotApplicable Appeal(s)/ Application(s) for revision (ifany) filed against the above order(s): (6, I have beenj have not been convicted, of an offence{s) (other than any 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. ~OT-4b ",--.:_,r,t:. If ~e deponent .is ~onv l.~anV1~·.. ','~j\jsh d as aforesaid, he shall furmsh the following info ~ti~n:,.;,' \ * -,., ':': " .. _. ''." IJ 1 \. =:': ";~%.~ -, -:':Z~~Q~ "-.-~~~~~~~. , : c-. ";.~."~' "" . In the following case, r have been convicted and sentenced to imprisonment by a court of law: a) The Details of cases, section(s) NotApplicable of the concerned Act(s) and description of the offence(s) for which convicted b) Name of the Court, Case No. NotApplicable and date of order(s): cJ Punishment Imposed NotAQplicable d) Whether any appeal was/has NotApplicable been filed against the conviction order. -" 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 willalso have to be given. Note: 2. In case of deposit/investment, the details including Serial Number, Amount, date 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. &T_".,..-'.,-~~~'"~i;.·b~:'''".' 81 Description Self ; Spouse I ;:j:" . Depen Depend Depend No. f "Srrit.,:\-, dent-l ent-2 ent-3 1 ,II Banto katana il Cash in hand 1,25,000/- / "70'QOj/- NIL NIL NIL til Details of deposit in l.FDRs" LFbRs. NIL NIL NIL '. "~ Bank accounts{FDRs, ...:.-: ' " ....--_ -- - .'- ". Term Deposits and I.Bank-CBI I.No.092057 all Ladwa, Bank-CBl other types of Kururkshetra Mahesh Nagar deposits No.38920 1 Ambala Cantt. including saving Amount- Amt• accounts). Deposits Rs.33,939/• Rs.32,763/- with Financial 2.Sav.Accts. 12.No.126016 Institutions, l.SBI,Sect-lO . Bank- Non-Banking Panehkula I Haryana State Financial Ale No. i Coperative Apex Companies and 309364225 . Bank Ltd Cooperative societies Balance• Chandigarh and Rs.92,287.60 Amount• the amount in each Rs.23995/- such 2.881. deposit Ambala 3.No.1260 15 Cantt, Bank- Ale No. Haryana State 10580184017 Coperative Apex Balance• Bank Ltd Rs.1.04,566.09 Chandigarh Amount• a.ssr, Rs.14690/- Ladwa, Alc No. 4. FOR 1096443549 Bank-eBl Balance- Ladwa, Rs.19,217 I- Kururkshetra No.N.176466 4.CBI, Amount• Mahesh Nagar Rs.15,031/- Ambala Cantt, Ale No. 5. FOR 1469084786 Bank-CBI Balance- Ladwa, Rs.7835.80 l: Kururkshetra No.176467 Amount• Rs.49591/- S.FDR Bank-CBI Ladwa , Kururkshetra No.176468 Amount• Rs.17476/- ~.of;'.)\P] ./ ./i' -.~~~~!6BI &./ I. \-adlva, Kururkshetra No.176469 Amount- Rs.17300/- FDR- 7.Bank-CBI Ladwa, Kururkshetra No.176470 i Amount- I Rs.52769/- I Sav.Acct - Bank-CSI. Mahesh Nagar Ambala Cantt, Sav Ale No. 1469089025 Balance- i Rs.24, 175.74 I iii) Details of investment NIL NIL NIL NIL NIL , j in I Sonds, debentures/shares I and units in companies/Mutual funds and o_thersand the amount iv) Details of investment NlL l.LlC Policy No. NIL NIL NIL in 174913716 I NSS, Postal Saving, Dated- Insurance policies 28/3/2006 and Rs.12,306/- investment in any P.A For 2 Lac Financial i I instruments in 2.LIC Policy No. Post office or 174904224 Insurance Dated- Company and the 28/2/2004 amount Rs.13,739/- P.A For 2 Lac v) Personal NIL NIL NIL NIL . NIL loansyadvance I given to any person or entity including firm, company, Trust etc .• 6t11~/:'/1'. ..~ and ." , '. 7 /: "} ._ ....._._ \ , ',: .. ':';' ',. I~ J 'o_ '~ ......:,,'.:- '.~I ,,_ :~',_~iNO\~:: other receivables 1---------1 from debtors and the I amount 1 I vi) Motor Vehicles/ Qualis Toyota NIL NIL NIL I NIL Aircrafts IYachts / Shi Model 2004 i !, ps(Details of Make. Reg.No. registration number HR-49D-0007 etc. Value year of purchase and Rs.150,OOO/- amount) vii} Jewellery, bullion 100 Gm,Gold, 200 Om.Gold, NIL NIL NIL-- and - Ornamental Ornamental valuable thing(s) (give Value Value ,I I details of weight and Rs.3 Lakhs Only Rs.6 Lakhs i value) Only viii) Any other assets NIL NIL NIL NIL NIL such as value of claims/interest ----< ix) Gross Total Value Rs.8,32,845.49 I- Rs. NIL NIL NIL ,I 11,27,554.74/- I B. Details or Immovable Asaeta: Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated Note: 2. Each land or building or apartment should be mentioned separately in this format Sf Description Self Spouse Dependent-Oependen Dependent No. 1 t -2 -3 i) Agricultural Land NIL NIL NIL NIL NIL Location(s) Survey numberts) Area (total NIL NIL NIL NIL NIL measurement in acres) i ~'-""" I I Whether inherited No No NIL NIL NIL I property (Yesor No) I I -- -_._. Date of purchase in NIL NIL NIL NIL NIL case of self-acquired property NIL NIL NIL NIL NIL Cost of Land (in case of purchase) at the time of purchase Any investment on the NIL NIL NIL NIL NIL land by way of development, V~'Oi~ I ",... ---.~ I construction etc. I ../ A. ·' ... ~ r \ I .__ ...._- _.l f \ \ ( .. , ••i_. QW'./. .*1 \ -, - •.1.. ,.... ~"NO\ 11$.* ' 2 IS Cia .La ;4I@;;;;>4.4;; iHsae,:slC $,4 PP.+_. j£S;:;:SW#;.,S¥lA4.I¥4PUC.IJ!\l@liZaIlAW*_3d; ..£t _ I IX Approximate current NIL NIL NIL NIL NIL market value I I ii) Non-Agricultural Land: NIL NIL NIL NIL NIL I Location(s) Survey number(s) I Area (total measurement in sq.ft.) Whether inherited NIL NIL NIL mL NIL property (Yes or No) Date of purchase in NIL NIL NIL NIL NIL case ef self-acquired property Cost of Land (in case of NIL NIL NIL NIL NfL purchase) at the time of purchase Any investment on the NIL NIL NIL NIL NIL land by way of I development, I construction etc.