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67 views14 pagesAffidavit 1717580214
Election affidavit
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Parmjit BrarCopyright
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0% found this document useful (0 votes)
67 views14 pagesAffidavit 1717580214
Election affidavit
Uploaded by
Parmjit BrarCopyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
/ 14
Form 26
(See rule 44)
AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITH NOMINATION,
t PAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO THE HOUSE OF
t PEOPLE (NAME OF THE HOUSE) FROM 12:KRISHNANAGAR PARLIAMENTARY
CONSTITUENCY (NAME OF THE CONSTITUENCY)
PARTA
' | MAHUA MOITRA **sea/dauzhter wife of DWIPENDRA LAL MOITRA Aged 49
i FORTY NINE) yeas, resident of VILLANANDAPALLY, P.O:KARIMPUR, PS:
DIST-NADIA, PIN-744152, WEST BENGAL (mention fll postal adres).
i candidate athe above election. do hereby solemaly affirm an state on oath as uder:-
t
comme [Le i
1
? (1) Lama candidate set up by ALL INDLA TRINAMOOL CON
("name ofthe political pary)/**am-eontesting eran tndependent candidate
(strike out whichever isnot applicable)
(2) My name is enolled in 72: KARIMPUR AC, 1: MURSHIDABAD PC, WEST BENGAL (Name of the
Constituency and the state) at Serial No 633 in Part No 120.
(3) My comiact_ telephone mumber(s) isare $91 7384028607 and _ my exalt id Gf any) is
uahwsamoitraofficew gunait.com and my social media aecount(s) (iFany)4s/are
ii) X ACCOUNT. huips:/
(ii) WHATSAPP CHANNEL - hutps:/statsapp.com/etanneL0029V a ALUM AGN YW mw LAC oil
(4) Details of Permanent Account Number (PAN) and stats of filing of Income tax return
j ; come show i come
st The inna yea oe which | Tx Run Gin Rupes) fr the
No, - . last five Financial Years
apes nee ‘completed (as on 31" March)
(2022-23: Rs 12.073
2021-22: RSILSI.STSE
2020-21; RS 929.640
2018-19: Rs $1,080.
NOT APPLICABLE
Nor
| APPLICABLE
SOF APPLICABLE
3. |" Karta/Coparcener) | APPLICABLE CE
1 TL PSOT APPLICABLE
a wi) SOT APPLICABLE
| ependent r LE
| 4. eps! | petitaate, NOTAPPLICALE
} 4 “TNOT APPLICABLE
NOT APPLICABLE
| vor | [NOT APPLICABLE
ependent2 : can NOT APPLICABLE,
5. | Dependent? | appOveue | NOTAPPLICABLE APE —
a =i) | NOT APPLICA
penn 3 Ml “apf ararettexste NOT APPLICABLE
6 Dependert3 | appicasue | NOTAPPLICABLE [A rAPPLICABLE
Note: I is mandatory for PAN holler to mention PAN and in ease of no PAN, it should be clearly stated "No PAN
= TT (5) Pending criminal cases
© e-riminat ens
Candidoteand.writeNOTAP
oR
/, Pe Potengi ees te pntng ot me
(If there are pending criminal cases against the candidate, then tick this alte
ative and seore off
alternative (i) above, and give details of all pending cases in the Table below)
[caer with Name ofthe Court NOT APPLICABLE lng aoe |
| Sesion) of concerned Acs Coles 7 US 1208 OF IPC }
(©)| involved give no. ofthe Section. | US7B& IOP PCACTI96G | ppt! Not
e.g. Section... of IPC, ete.) (AS AMENDED IN 2018) eee) Sere
RIMIINAL CONSPIRACY
OFFENCES RELATED TO
PUBLICSERVANT BEING
(a) | Brie description of offence BRIBED, OFFENCE |
RELATING TOBRIBING OF
Table
Fela FIR NO: RC21820240010, 3
FIR No. with name and address of DATE: 21.03.2024 not | _nor
ia Police Station concerned PS- CBI ACI” APPLICABLE | APPLICABLE
: DISTRICT. DELI
|
|
Nor Nor
APPLICABLE | APPLICABLE
A PUBLIC SERVANT,
| ABETMENT
‘Whether charges have been framed
(mention YES or NO)
answer against (e) above is YES.
(1) | then give the date on which charges
were framed =
Whether any Appeal’ Application
Nor
[APPLICABLE
Nor Nor
APPLICABLE | APPLICABLE
NOP APPLICABLE
|
for revision has been fled against No Not Nor
(2) | the proceedings (Mention YES or | APPLICABLE | APPLICABLE
0) = st _|
(6) Cases of convict
GW Ldeclare that Ihave not been convicted for any criminal offence. (Tick this alternative, ifthe candidate
NOT APPLICABLE against alternative (i
oR
(i) Lhave been convieted for the offences mentioned below: NOT APPLICABLE.
hhas not been convicted and wri
below)
(AF the candidate has been convieted, then tick this alternative and score off alternative (i) above, and
sive details in the Table below) af . 2 = ae
:
2 s
a Table
[NOT APPLICABLE | NOT APPLICABLE — NOT APPLICABLE |
Tas NOT APPLICABLE NOTAPPLICABLE NOT APPLICABLI
Sections of Aet'Codesinvalved
no. of the Section, e.8 NOTAPPLICABLE — NOTAPPLICABLE — NOT APPLICABLE
igh. oF IPC, ete.) |
| gy | Bet description of offence for
[Snowe 5 7
thles Sake | NOTAPPLICABLE | NOT APPLICABLE NOT APPLICABLE
“NOT APPLICABLE
(Punishment imposed ——_ NOT APPLICABLE LE_| NOT APPLICABLE
7 Whether any Appeal has been | | 1
{2)| filed against conviction order NOT APPLICABLE | NOTAPPLICABLE NOT APPLICABLE
| (Mention VES or NO)
T Iranswerto(g) above BYES. | T
{| give details and present status of | NOT APPLICABLE | NOTAPPLICABLE | NOT APPLICABLE
(6A) Ihave given full and up-to-date information to my politcal party about all pending criminal eases against
me and about all cases of eonvietion as given in paragraphs (S) and (6)
write NOT APPLICABLE IN VIEW
Jeandidates 10 whom this Item is not appl
OF ENTRIES IN 5(i) and 6(2), above]
cable should clearly
Note:
1. Details should be entered clearly and legibly in BOLD letters.
2. Details to be given separately for each ease under different columns against each item.
3. Details should be given in reverse chronological order, je. the latest case fo be mentioned first
sand backwards in the order of
Les for the other eases.
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. $36 of 2011.
¢
) That I give herein below the details of the assets (movable and immovable ete.) of myself. my spouse and
I 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 deposivInvestment, the details including Serial Number. Amount, date of deposi. 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 respeet of
listed companies and as per books in ease 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 menns of income and who are
dependent on the canclidate for thei livelihood,
‘Note: 5, Detuils including amount is to be given separately in respect of each investment.
Note: 6. Details should include the interest in or ownership of offshore assets.
fshore assets" includes, details of all
Explanation- For the purpose of this Form, the express
deposits or investments in Foreign banks and any ot)ver body or institution abroad, and details of all
es in foreign countries. : x | eserinton Spouse HUF Dependentel Dependen-2.| Dependenrs |
Te cane = [aaa ann etre od eer Sor soi
it M 4 pene nie _sPPiCMBLE | Prive \RLE MPIC MHL APPLI ARLE
TH [ Detalsar | SAVINGS HANK sar or Sor sor sot
Pos eco Re rmbt | APPLIC AHL | QHPNTe AMEE | QPHVIC MLD | PPETC ARLE
Bank 1. ECICT Bank, Kolkata, |
tests | Bhowanpoe rane NO |
(EDRs. SB Ale 627901524604 | |
Deposits | 104.2028 |
|| anda” | Serer man, kothata |
siheripes| mhowauipare Bran SRO |
deposits | Smivea27s089132 |
including | alance & 139.86 ns on
sive | gnaaine
aescunts). |S 1C1CT Hank, Kota
|| Pepi” owas rach 0
_ SB We DONKEITTOTE |
Hoa] tne € 229020 om } |
str | lane |
Now| Ait Kat gh Cont |
Banking ranch be 3881318700 |
Balan € 5274050 898
|| commons | arse | | |
iy | SBI Dali
Copel | partament iret trance | |
Sake | spaveasasiiar» |
eee | balance 3938180 9808 |
seach such
‘deposit
194.2024
(6, Lleetion Espenuiture SBE
an, PB Branch,
-4DSSNNS4386 balance
44.00, as om 18.08.2024
Saiwest Fleet Street
done UK Branch. Ne
11BU7S95 GHP 814684 @
fis, 104.12) balance
SISNS0.S4 anon 18.04.2024
FINED DEPOMHIS:
1 ACICH Baa, Kotha
Gariahat teamed
98213002756 balance
844926000 aso
ts04.2008
2 1CICT Banh, Botkats.
‘Gariahat Branch
I)982130027S5 balance 2
.64.492.00 as on
15042024
|
Pie Ces [Gia] Detaiis 0
TORE va OTST] Tar Sor