NOMINATION (See rule 3) ELELCTION TO THE GENERAL SEATS Sw N A L. A, /-1-0 /71- Election to the constituency of *National Assembly/ 1)t.).N '41* A S (Name of the Province) (To be tilled in by the proposer) (1) Pg YA I B u (name of the proposer) having National Identity Card No 5iPt2.c;1, q ?.-5 -.3 registered- as an elector at serial number in the electoral roll for ?e.11.i.1:),Ar.....c.T.r.ff.T.electoral area in LAE P. in • District/Political Agency do hereby propose the name of t HA MmA VAAN+ 2-A whose address is CsC•1■■' n ,-kotZ6 '16 I 1'40 -1.)( 1- as a candidate for election general scat from A - I 1 4 j /.../:\ H-012_67: 0 - • — constituency. (2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder. (1144 ,/ Date --' ' SignaturciotProposer (To be filled in by the seconder) (I) I .r..H....4.5.m././.....Hti.yi.E.6..P.(name of the seconder) haying National Identity Card No.... ... ./.1.7...5,5..6.7.5...registered as an elector at serial number In . MS DIVAN the :electoral roll X9.C.kl.A4AP,K.1. for electoral area in .1..Alirgr," ...0 .2 y... TehsilfTaluka in 1-. .110. ........ District/Political Agency do hereby second the nomination of QE- 1,Am .4 " A a A"." 14-8 1.A 2 'Sij`"C‘ g' t F." whose address is 9 14, Iv' as , a candidate for election to general seat from A C 1-1\ 1'1012E, IIConstituency. (2) I heresy certify that I have not subscribed to any other nomination paper either as proposer or seconder. Signature of Seconder Please fill in the Form in capital letters. *Strike 'off the words not applicable Price : Rs.20/- Saijad Russai 2,Cr N.A. 119 121hcre kii) DECLAIZATiON AND OATH BY THE PERSON NOMINATED I, the above mentioned candidate, hereby.declare on oath that,— • (i) 1 have consented to the above nomination and that I fulfill the qualifications specified in Article 62 of the Constitution and I 'am not subject to any of the dis-qualifications speci lied in Article 63 of the Constitution or any other law for the time being in force for being elected as member of the National Assembly/Provincial Asset-6.1)1y. s..4 SL A.1 *(ii) I belong to PP•;../..k.,STAr.; and a certificate from (Name of political party) • that political party showing that I am a party candidate from the above said constituency is attached. i-Nr••" n•(.6----X- A oir rhei La-any politic-al-party: I. the above mentioned candidate, solemnly Swear that,— **(i) I believe in the absolute and unqualified finality of the Prophethood of Muhammad .(Peace be is upon him), the last of the prophetsand that I am not the f011ower of any one who claims to be a Prophet in any sense of the word or of any description whatsoever after Prophet Muhammad (Peace be upon him), and that I do. not recognize such a claimant to be Prophet or a religious reformer, nor do I belong to the Qadiani group or the Lahori group or call myself an Ahmadi. (ii) I will be faithful to the declaration -made. by the Founder of ,Paki4an Quaid-e-Azam Muhammad, Ali Jinnah, that Pakistan would be a democratic state based on Islamic principles of social justice. I will bear true faith and allegiance to Pakistan.and uphold the sovereignty and integrity of Pakistan and that I will strive to preserve. the Islamic Ideology which is the I ; basis for the creation of Pakistan. I hereby solemnly ileclare to the best of my knowledge and belief that,— • (i) no loan for an amount of two million rupees or more obtained from any bank, financial. Mstitution.• cooperative society or corporate body in my .own, name or in. the . name of my ' .,:Pouse any of my dependents. or any business concern Mainly. owned by me or the altuesald, stands unpaid for more than one year from the due date, or has gut such loan written off; and fi 1, 'my spouse or airy of my dependents or a business concern mainly owned by me or the aforesaid, is not in default in payment of government dues or utility -charges, including telephone, electricity, gas and water charges of an amount in excess of ten thousand rupees, for over six months, at the time of filing of nomination paper. Note: *Strike off the words not applicable. *For Muslim candidates only. S ajj ad Hussai. • indhar ReOni1,1,5nc' 119 , Lahore (11) 3 I., hereby solemnly affirm that,— (I) The list containing the names of my 'spouse(s) and dependents is correct and no name has been left out. (List attached) (Li ryTTAc.1.54:.:.> (ii) Neither•I nor my spouse(s) nor any of my dependents mainly owns any company except the following: ir■./ (1 . Explanation.— For the purpose of these declarations, the expression— (i) "loan" shall mean any loan, advance, credit or finance obtained or written off on or after the 31st day of December, 1985, but shall not include the loan the recovery of hich has been stayed or suspended by any order of a court or tribunal, including the litgli Court and the Supreme Court: (ii) "mai nly.owned" shall mean holding or controlling a majority interest in a business concern; (iii) "taxes- include all taxes levied by Federal Government, Provincial (love! ninot or a Local Government, but shall not include taxes the recovery of which has cc tave or suspended • by any order of a court or tribunal; (iv) -government dues and utility charges" shall, inter cilia, include rent, charges ol lest houses or lodges 'owned by the Federal Government, Provincial Governments, local g:o crnments or corporations, established or controlled by such ;.sovet-nmenIs. but shall not include the government dues and utilities charges the recovery of which has been stayed or .uspended by any order of a court or tribunal. 5. I. the above mentioned candidate hereby declare on oath that,— • (i) I have opened Account No.tuq-'19m6cit4O -0 3 with 'IC' (Name' and Branch of scheduled bank) and have deposited ihere u amount of L-IN" Rs. c-vo Jamount in words)Qor&cs O"c i JQC j r !he purot of election expenses. /-4 o ti.s/t.sib (ii) I shall make all election expenditures out of the money deposited in the aforesaid account. (iii) I shall not make any transaction towards the election expenses through an account other than the above account. *6. 1htreb3-. -day.1arc-on-Tmtlrthat LU cis'---olLefiminaLuffenees-vas-p-ending----a-gainst-me,-si-\--months-prior nomination.. OR 1 -hereby-tleclare-pri_oath.-that-following-cases7of-criminal---offences mon t Number of case Name of the Court I• 1 (S. 7. ' My educational qualification is A rivs(nt =1 ) S. My present occupation is pc% Attested copies,. &d..1 \." 9. My National Identity Card No. is..-SS 27ot I 3 3 - to be annexeciN, 10. My National Tax Number, if any is -Li() -L1 KT - . - • Sii-af.a.1 ""Huss-,,,,-a11in,1 ndhar . 119, R.Cq.11, fling 0 i iii L Cal Lallore (1-1) • 11. The statement of assets and liabilities of my own,.spouse (s), dependents as on 30th dune, 2_6 , • /2_ - , is enclosed. A — '12. The income tax paid by me during the last three years is given hereunder:- Total Income **Source of Income Tax Year Total Income Tax Paid 2.. '2,, 66.), „ .-.'-,?, „?.., At ,s• l'61:. A PrislIX - E _2_,,, / ,),_ ....S; '...--- 2. 6 c c) L:- 11. to S 4 67 A,S P?/'., "Ir(iv-ex -E .2,c, li .- 3 i(:, 3 SY, . lc); ci 02,. 1.. A S fC•i'L A A'1.ve-x "C .2- e I 0 2, 0 / C , _5- c 72 Note 1: Attach copies of income tax returns of the years mentioned aboVet/i,,",-Areit. • i? Z.' 2. 4: **If more than one sources of income, attach details 13. How many times traveled abroad. during last three years and cost. incurred thereon. '(Attach copy of the passport and detail of expenditure). - r -c- ) • 14. ThC agricultural inc:mic tax paid by me during the last three years is given below: A Fax Year Land Holding Agricultural . ,Total Agricultural Income Income Tax Paid _. ..------ Note 11:. Attach copies of.agricultural tax returns of The last three years mentioned above. 15. If you have been elected Member, of National AsseMbly/ProvioCial- Assembly what according to you was the single most important contribution you have made for the benefit of your constituency (attach detail, if any). L /3 ,,,-6".z) 6.0 CeZ (L- c:-.01-4- CC; Fe 4. es;-0,`1 ft ^-4 / Whether you have paid any sum by way of contribution or otherwise to the political party which has awarded you party ticket for this election, and if so how much (attach detail, if any). .41.s 4so,o-e-o As A-77.0.4-./ G ,--1-r/ r-, 17. Whether you have received any sum from the party which has awarded you ticket, if so how much (attach detail, if any). tv---11 ,Nue 111:1 hereby solemnly affirm that the information given at serial No. 13, 15, 16 and 17 is true and correct and nothing has been concealed. 11. I hereby assure that I shall abide by the Code of Conduct issued by the Election Commission.