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INDI A NON JUDICIAL

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e-Stamp

Certificate No. IN-DL19579670630758X

Certificate Issued Date 16-Jan-·2025 06: 12 PM
Account Reference ' IMPACG (IV)/ dl751303/ DELHI/ DL-DLH
Unique Doc. Reference ' SUBIN-DLDL75130384278712501308X
Purchased by ' TAMANA
Description of Document Article 4 Affidavit
Property Description Not Appli°cable
"' Consideration Price (Rs.) 0
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First Party TAMANA
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Statutory Alert:
1. The authenticity (!f this Stamp certifi_cate should be verified
at ·www shcilestamp.com' or using e-Stamp Mobile App
Any discrepancy 1~ the deta1r~_on th1~ Certificate and as of Stock Holding·
available on the website/ Mobile App renders it invalid.
2. The onus of checking the leg11tmacy 1s on the users of
the certificate.
3. In case of any discrepancy please inform the Competen
t Authority.
 E-Stamp Certificate NO : IN-DL19579670630758X

AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITH NOMINATION

PAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO
LEGISLATIVE ASSEMBLY OF NCT OF DELHI (NAMEOF THE HOUSE) FROM
AC-15 SHAKUR BASTI ASSEMBLY_CONSTITUENCY (NAME OF THE
CONSTITUENCY)

PART-A

I, SMT. TAMANA W/0 SH. KARAN MALIK AGED 34 YEARS R/0 338, MAAIN
LAMBI GALI, SHAHBAD DAULATPUR VILLAGE, DELHI , a candidate at the above
election, do hereby solemnly affirm and state on oath as under:-

( I) I am a candidate set up by YUVA BHARAT RASHTRASEVA PARTY ..

(2) My Name is enrolled in 07-BA WANA ASSEMBLY CONSTITUENCY in the

State of DELHI at Serfal No: 579 in Part No: 226

(3) My Contact telephone number(s) is/ Are 8595000925 and my E-mail id( if any )
is tamannaranaaaal 989@gmail.com. and my social media account(s) ( if any is
are :-
(i) Facebook : TAMANN A MALIK
(ii) Whatsapp: 8595000925
(iii) Instagram: AVY ANNA_122

(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax Return

SL Names PAN The financial Total income shown

No. year for which in Income-tax return
the last (in Rupees)for the
Income- tax last five financial
return has Years completed (
been filed As on 3 1st March

Self : TAMANA ALMPT8420E 2023-24 f, '/ (i) Rs. 8,50,000/-

2022-23 F. '/ (ii) Rs. 5,35,600/-
2021-22· f·Y (iii) Rs.3,47,700/-
2020-21 F-· Y (iv) Rs.5, 16,000/-
2019-20 f -~ (v) Not Applicable
 E-Stamp Certificate NO : IN-DL19579670630758X

2. Spouse : KARAN BGFPM3968M 2024-25 A· Y (i) Rs.11,56,500/-

MALIK 2023-24 A.'/ (ii) Rs.17,26,970/-
2022-23 A. y (ii) Rs. 9,96,850/-
2021-22 A·\/ (iv) Rs.9,03,710/-
JoJo ~ 2, A· 'I \...'I) is. 7.~~,18of -
3. HUF (If NoPAN Not i) Not Applicable
Candidate is Allotted Applicable
Karta/Coparcener) Not (ii) Not Applicable
Applicable
Not (iii) Not Applicable
Applicable
Not (iv) Not Applicable
Applicable
Not (v) Not Applicable
Applicable
4. Dependent 1 : NoPAN Not i) Not Applicable
DARSHMALIK Allotted Applicable
Not (ii) Not Applicable
Applicable
Not (iii) Not Applicable
Applicable
Not (iv) Not Applicable
Applicable
Not (v) Not Applicable
Applicable
5. Dependent 2 No PAN Not i) Not Applicable
AVYANNA Allotted Applicable
MALIK Not (ii) Not Applicable
Applicable
Not (iii) Not Applicable
Applicable
Not (iv) Not Applicable
Applicable
Not (v) Not Applicable
Applicable
6. Deponent :3 No PAN Not i) Not Applicable
Allotted Applicable
Not (ii) Not Applicable
Applicable
Not (iii) Not Applicable
Applicable
Not (iv) Not Applicable
Applicable
Not (v) Not Applicable
Applicable
 70630758X
E-Stamp Certificate NO : IN-DL195796

Not (iv) Not Applicable

Applicable
Not (v) Not Applicable
Applicable

mentioned PAN and in case of no PAN it

Note : it is mandatory for Pan holder to
.
should be \clearly stated" No PAN Allotted"
(5) ~in g Criminal Cases
case against me
'\./(I) I declare that there is no pending criminal
case pending against the Candidate and
(tick this alternative if there is no criminal
below)
write Not Applicable against alternative (ii)
OR
ing against me: ...... .. Not Applicable
~ The following Criminal case are pend
the candidate, then tick this alternative
( if there are pending criminal cases against
details of all pending case in the Table
and score off alternative (i) above and give
..... .. ..
below) ..... ..... ..... . Not Applicable ..... .....
Table
Not Not
(a) FIR No. with name and Not
Applicable Applicable
address of Public Station Applicable
concerned Not
Not
(b) Case No ; with name of Not le Applicable
Applicable App licab
the Court Not
Not
(c) Section(s) of concerned Not le Applicable
App licab
Acts/codes involved(give Applicable
no of the Section, e.g
Section ..... . of IPC,etc) Not
Not
(d) Brief description of Not le Applicable
Applicable Applicab
offence
NO NO
(e) Whether charges have NO
been framed I mention
YES ofNO)
Not Not
(t) If answer against(e) Not
Applicable Applicable·
above is YES, then give Applicable
the date on which
charges were framed
any NO NO NO
g) Whether
App eal/App lication for
revision has been filed
against the proceeding (
Mentioned YES or No )

(gyCase of Conviction :
icted for any criminal offence (tick this
v(f) I declare that I have not been conv
convicted and write NOT APPLICABLE
alternative, If the candidate has not been
against alternative (ii) below)
.......-. ,.......... ....
,_ OR

I :Jotary PuLlic NJ\RES,H i<UMh,R-OAHIYA

l ,~~try j :J ........ ....f.S..}~'!}
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 0630758X
NO: IN-DL1957967
E-Stamp Certificate

4
cable ....
menti_oned b~low: ... .. :.Not Appli
icted for the offen ces tive an? secure off
;)(tj I have been conv been convicted then tick this alterna .......
v (if the ca
ndidate has in the Table be low ) ... Not Applicable
and give details
alternative(i) Above,

Table cable
Applicable Not Appli
No t Applicable Not t Ap pl icable
(a) Case No.
No t Ap plica ble Not Applicable No ble
pl ica
(b) Name of the Court t Ap plica ble Not Applicable Not
Ap
de s No
© Section of Acts/Co
( giv e no . of the
involved
Section e.g Se ction
plicable
........ of IP C etc )
Ap pli ca ble No t Applicable Not Ap
(d) Brief description of Not
offence for which
t Applicable
convicted
No t Ap pli ca ble Not Applicable No
Date of orders of
(e)
t Applicable
conviction
No t Ap plica ble Not Applicable No
(t) Punishment imposed NO NO
r an y ap pe al ha s NO
(g) Whethe
been . . filed against
order (
conv1ct1on
) plicable
mentioned YES Or NO Ap pli ca ble No t Applicable Not Ap
e is No t
(h) If answer to(g) abov
YES giv e de tai ls and
al
present status of appe
pending
ation to my po litical party about all
up-to-date inf or m aphs (5)
(6A) I have given full and ca se s of co nv ict ion as given in paragr
me and abou t all ite NOT
criminal cases against m is no t ap plica ble should clearly wr
whom this Ite
1), above: ... . Not
Applicable..
and (6) candidates to S IN 5(1) an d 6(
EW OF ENTRIE
APPLICABLE IN VI

Note: in BOLD letters.

tails sh ould be entered clearly and legibly
I. De ch item.
case un der different columns against ea
parately for each
2. Details to be given se
latest case to be
en in rev erse ch ronological order, ie., the cases.
3. Details should be giv rds in the order of da
tes for the other
ned first an d back wa
mentio
be added if required.
4. Additional sheet may
pliance of Hon'ble
for su pp lying all information in com
ible
5. Candidate is responsment in W. P (C) No. 536 of 2011.
Su pr em e Co ur t's judg
movable etc.) of
details of the asse ts (movable and im
(7)
That I give heou rein below thependents:
d all de
myself, my sp se an
I •
 19579670630758X
E-Stamp Certificate NO : IN-DL

A. Details of movable assets:

ip will also have to be
cating the extent of joint ownersh
Note: I. Assets in joint name indi
given.
ber, Amount, date of
ent, the details including Serial Num
Note: 2. In case of deposit/Investm stitution and Branch are to be given.
deposit, the scheme, Name of Bank/In
in Stock Exchange
of Bon ds/Share Deb entu res as per the current market value
Note: 3. Val ue panies should
per books in case of non-listed com
in respect of listed companies and as
be given.
or spouse and any
son(s), daughter(s) of the candidate
Note: 4. 'Dependent' means parents, te whether by blood or mar riag e, who have no
other person related to the candida the can didate for their
who are dependent on
separate means of income and
livelihood. each investment
to be given separately in respect of
Note: 5. Details including amount is
assets.
interest in or ownership of offshore
Note: 6. Details should include the
includes, details
tion,- For the purpose of this Form, the expression "offshore assets" y or
Explana Foreign banks and any other bod
of all deposits or investments in ntries';
assets and liabilities in foreign cou
institution abroad, and details of all

HUF Depe Depen

Depe
Description Self Spouse
SI.
(KARAN ndent dent-3
ndent
No (TAMANA) -2
MA LIK ) "1
DARAVY
SH ANN
MALA
IK MAL
IK
Rs. 20,000/- Not Not Not Not
(i) Cash in hand Rs.20,000/-
Applicabl Appli Appli Applica
e cable cable ble

(ii) Detail of PNB Shahbad

Dep osits m Daulatpur ICICI Bank
Ban k acc oun ts Branch,Delhi Branch,
(FD Rs, Term Saving Pitampaura
Deposits and Ale.no. Delhi Not
all other types 62250001000 Saving Applicabl Not
.
e _,~ ..... ,Appli
of deposits 33875 Ale.no. ,;~ ,,,.
, bl e
..-;-.c,a Not
includin g Balance of 0154015202. ,"- I I .,)',
- >,(
 E-Stamp Certificate NO : IN-DL19579670630758X

Applica
saving Rs. 751.021- 06 Balance
dt. of Rs. ble
accounts), as on
Deposits with 1610112025 29,851.491-
Financial (As on
Institutions, Canara Bank 1610112025)
Non Banking ,Paschim *2) ICICI
vihar Branch, Bank Ltd. Not
Financial
Delhi Saving Paschim Appli
Companies and
Cooperative Ale.no. vihar, cable
societies and 11022115648 Branch,D elhi
the amount in 3 Balance of Saving
each such Rs. 0,0001- Sic.no.
deposit. 1946055003
(New election 63 Balance
Account (as of Rs.
on 31,7883.311-
1610112025) ( (As on dt.
1610112025)
Not Not Not Not
(iii) Detail of Not NJ INDIA
Applicabl Appli Appli Applica
investment in Applicable INVEST
e cable cable ble
Bonds, PVT. LTD.
Debentureslsha Rs.28,42,846
re and units in I- ( number
companieslMut of share
ual Funds and 83267)
others and the
amount.

Not Not Not Not Not

(iv) Details of Not
Applicable Applicable Applicabl Appli Appli Applica
investment in ble
e cable cable
NSS, Postal
Savings,
Insurance
Policies and
Investment in
any Financial
Instruments in
Post office or
Insurance
Company and
the amount.

(v) Personal Not Not Not Not Not Not

loans/advance Applicable Applicable Applicabl Appli Appli Applica

I ;__;NJ
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 758X
E-St amp Cert ificat e NO : IN-D L195 7967 0630

e cable cable ble

given to any
person or
entity
including firm,
Company,
Trust etc. and
other
receivables
from debtors
and the
amount.
Not Not Not Not
Moto r Not Mak e: Appli Applica
(vi) Appl icabl Appl i
Vehicles/Airer Applicable Honda cable ble
e cable
afts/ Activa 100
Yachts/Ships cc
(details of Reg.no.
Make, DL4SDD606
Registration 6Year of
No. etc, Year Purc hase:
of Purchase 2020
and amount.) Rs.82,000 I-

Not Not Not Not

Jewe lry and 40 gm Gold I .Mobile
(vii) Applicabl Appli Appli Applica
valuable thing @ 8110/- Galaxy Z
e cable cable ble
(give details of Rs. 3,24,400/- Fold 5
weight and 2,Apple 15
value) Pro Max
Finance
from Bajaj
6463x24 =
1,55112/-
Not Not Not Not Not
(viii) Any other Not Applica
Applicable Applicable Appl icabl Appl i Appl i
assets such as cable ble
e cable
value of
Claims/interest

(ix) Gross Total Rs.3,45,151.0

11
Rs.33,06,581 ~~O ';L - • Not
-
:;;..----
Not Not
l Appli Applica
value 2-/- .22/- /J l;tA }j_~ib Appl
\
i
ble
/' ~ ~ . ; ' ,_· ·cabl e \ cable
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E-Stamp Certificate NO: IN-DL19579670630758X

Details of Immovable assets: ownership

Note: I Properties in joint ownership indicating the extent of joint
will also have to be indicated.
tely in
Note: 2 Each land or building or apartment should be mentioned separa
this format. assets
Note: 3 Details should include the interest in or ownership of off share
HU Dep Dep Dep
Self Spouse
SI. Description F end end end
(TAMANA) (KARAN
No. ent ent- ent-
MALIK)
"1 2 3
DA AV
RS YA
H NN
MA A
LI MA
K LI
K
Not Not Not Not
Not Not
(i) Agricultural Land Applicable App App App App
-Location (s) Applicable lica lica
lica lica
-Survey number (s) ble ble ble ble
Not Not Not Not
Area (Total measurement App App App App
Not Applicable Not
in acres) lica Iica Iica lica
Applicable
ble ble hie ble

NO NO NO NO NO
Whether inherited property NO
(Yes or NO)
Not Not Not Not
Date of purchase in case of App App App
Not Applicable Not App
self acquired property lica lica lica lica
Applicable
ble ble ble ble
Not Not Not Not
Cost of Land (in case of App App App
Not Applicable Not App
purchase) at the time of lica Iica Iica
Applicable Iica
purchase ble ble ble
hie
Not Not Not Not
Any Investment on the Not
App App App App
land by way of Not Applicable Applicable
, - Iica Iica lica lica
development, construction ,1,
ble
etc. . ,X\ ble ble ble
I
, it r
CJ .-' •.. .
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,
•
' 70630758X
E-Stamp Certificate NO : IN-DL195796

Not Not Not Not

Approximate Current App App App App
Not Applicable Not
market value lica lica lica lica
Applicable
ble ble ble ble

Not Not
(ii) Non-Agricultural Land Not Applicable Not Not
Applicable App Not
-Location (s) lica App App App
-Survey number (s) ble lica lica lica
ble ble ble
Not Not
Area (Total measurement Not Applicable Not Not
Applicable App Not
in sq. ft.) lica App App App
ble lica lica lica
ble ble ble
NO NO NO NO
NO
Whether inherited property NO
(Yes or NO)
le Not Not
Date of purchase in case of Not Applicab Applicable App Not Not Not
self acquired property lica App App App
ble lica lica lica
ble ble ble
Not Applicable Not Not
Cost of Land (in case of Applicable App Not Not Not
purchase) at the time of lica App App App
purchase ble lica lica lica
ble ble ble

Not Applicable Not Not

Any Investment on the App Not Not Not
Applicable
land by way of lica App App App
development, construction hie -lica Iica Iica
etc. hie ble ble

Not Not Not Not Not

Approximate Current Not Applicable
App App App App
market value Applicable
lica Iica lica Iica
ble ble ble ble

Not
(iii) Commercial Building
Not Applicable b~~~V)-;:, Not App Not Not
(including apartments)
// 1Applicable App Iica App App
-Location (s)
 30 75 8X
-,
NO : IN -D L1 95 79 67 06
E- St am p Ce rti fic ate
I
10
lica ble lica lica
-Survey number (s) ble ble ble
No t Not Not Not
No t
Area (Total measuremen
t Ap p App App App
No t Applicable Applicable lica
in sq. ft.) lica lica Jica
ble ble ble ble

No t No t No t Not
No t
Ap p Ap p App
Built up area (Total Applicable Ap p
No t Applicable Iica lica lica
measurement in sq. ft.) lica
ble ble
ble ble
NO NO NO NO
NO
rty NO
Whether inherited prope
(Yes or NO) No t Not
No t No t
No t Ap p Ap p App
of
Da te of purchase in case No t Applicable Applicable Ap p
lica lica
lica Iica
se lf acquired property ble ble
ble ble
No t No t No t
No t No t
e Ap p Ap p Ap p
Cost of property (in cas No t App1icable Ap pli ca ble Ap p
lica lica
of purch ase ) at the tim e of lica lica
ble ble ble ble
purchase
No t No t No t No t
No t
An y Investment on the Ap pli ca ble Ap p Ap p Ap p Ap p
No t Applicable Iica lica lica
property by wa y of Iica
ble
n ble
development, constructio ble ble
etc.
No t No t No t Not
No t Ap p
Approximate Current Ap p Ap p Ap p
No t Applicable Ap pli ca ble lica
ma rke t value lica lic a lica
ble ble ble ble
No t No t No t No t
No t Applicable No t
App
(iv) Residential Buildings Ap pli ca ble Ap p Ap p Ap p
) lica
(including apartments, lic a lic a Iica
-Location (s) ble ble ble ble
-Survey nu mb er (s)

No t No t Not
t No t Ap pli ca ble No t App
Area (Total me asu rem en Ap pli ca ble Ap p No t Ap p
Jica
in sq. ft.) Iica Ap p lica
ble Iica ble ble
ble
Not Not
Built up Ar ea (Total No t Ap pli ca ble • No t App App
No t
me asu rem en t in sq. ft.) / \.. .... Ap pli ca ble Jica Iica
l'i 0 ,
Ap
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 E-Stamp Certificate NO : IN-DL19579670630758X

11
lica lica ble ble
- ble ble

NO NO NO NO
NO
Whether inherited property NO
(Yes or NO)

Not Not Not

Not App
Date of purchase in case of
Not Applicable
Applicab le Not App App
lica
self acquired property App lica lica
ble ble
lica ble
ble

Not Not
Not Not Not
Not Applicable App App
Cost of property (in case Applicab le App App
lica lica
of purchase) at the time of lica lica
ble ble ble
purchase ble
Not Not Not Not
Not Applicable Not App App
Any Investment on the Applicab le App App
lica lica lica lica
land by way of ble
development, construction ble ble ble
etc.
Not Not Not Not Not
Not Applicable
Approximate Current Applicable App App App App
market value lica lica lica lica
ble ble ble ble

Not Not Not Not Not

Not Applicable
(v) Other (such as interest in Applicab le App App App App
property) lica lica lica lica
ble ble ble ble
NIL NIL NIL NIL NIL
Total of Current Market NIL
(vi)
Value of (i) to (v) above

r
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 12

institutions and
(8) I give herein below the details of liabilities/dues to public financial
or Individual
(Note: Please give separate details of name of bank, institution, entity
governrnent:- Dependent
Depen de
and amoun t before each item) Depen d -3
Spou HU ent" 1 nt-2
Self F AVYA N
(TAM se DARS II
Description
SI.
ANA) ( MALIK NA J\1ALIK
No. :KAR
AN
MA
LIK Not
Appli cable
Not Not Not
Appli ca Appli cabl
Sams APP
(i) Loan or dues to Not licab ble e
Bank/Financial Institution Applic ung
w - able finan le
Name of Bank or Financ ial ce
Institution. Amou nt dues
outstanding, Nature of Rs. l,
05,6
loan 78/-
2.
Bajaj
finan
ce
dues
of
Rs.
7108
4/- Not
Not Not Appli cable
Not Not
~o~n.or dues to any other Not Appl App Appli ca Appli cabl
md1v1duals/Entity other Applic icabl licab ble e
than mentioned above. able e le
Name (s),
Amount outstanding
Nature of loan ' Not
Not Not
Not Not Not Applic able
Appli ca Appli cabl
Any other liability Applic Appl App
ble e
able icabl licab
e le Not
Not Not
Not Rs. I, N ot Applic able
Grand total of Liabilities Appli ca Appli cabl
Applic 76,7 A pp e
able 62/- lieab ble
le
.,,,
,

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 ---
. icate NO .
E-Stamp certtf
• IN-DLI 9579670630758X

13

(ii) Gov ernm ent Dues ~

Has th e Deponent been in occupation of
Due s to depa rtme nts accommodation provided by the
----lfE °SIN O
deal ing with gove rnme nt Government at any time during the last ten
P.Tic k The
acco mmo datio n Appr opria te
years before the date of notificatio_n of the e
alter nativ
current election ?
....NO ...
(B) If answer to (A) above is YES, the
following declaration may be furnished
namely:-
(D The address of the Government
accommodation: ..... Not applicable .....
(0) There is no dues payable in respect of
above Government towards-
accommodation,
(a)re nt; ~\o} c.f?G CQble-
(b) electricity charges, N 0 4- Qp~r, G:t\ot e
(c) water charges, and "'o-l- a.V~tifub\e.-
(d) telephone .......... (date) charges
...... ...... .. Not applicable ...... ...... . .

[the date should be the last date of the third

month prior to the month in whic h the
election is notified or any date thereafter).
Note- 'No Dues Certificate' from the
agencies concerned in respect of rent
electricity charges, water char ges am
telephone charges for the abom Gov ernm ent
accommodation should submitted.
Not Not Not Not Not
Dues to depa rtme nts Not
(iii) lica Appl icabl Applicable
deal ing with gove rnme nt Applic Appl App App
able icabl licab hie e
trans port( including
e le
aircr afts and helicopter)
Not Not Not Not Not
Inco me Tax Dues Not
(iv) App App lica App licab l Applicable
Appl ic App l
able icabl licab hie e
e le
Not Not Not Not Not
(v) GST Dues Not
App lica Applicabl Applicable
Appl ic Appl App
icabl licab ble e A
able
e le
Not Not Not Not Not
(vi Mun icipa l/Pro perty Tax Applicabl Applicable
Not App l App App lica
Dues
Appl ic icabl- licab hie e
 E-Stamp c .
erhficate NO .
• IN-DLt9579670630758X

14
(vii) Any other Dues able e
Not Not
le -
Not Not
Applic Appl Not
App Applica Not
able icabl Applicabl Applicable
(viii) licab ble
Grand Total of all e e
le
Gover nment dues Not Not
Not Not Not
Appl App Not
Applic icabl Applica Applicabl Applicable
licab hie e
(ix) Wheth er any other able e le
liabilit ies are in dispute if Not Not Not
Not Not Not
~o, mentio n the amoun t' Appl App Applica
Applic icabl Applicabl Applicable
involv ed and the authority Iicab ble e
able e le
before which is pending

(9 ) Detail s of profession or occupation:

a. Self
House -wife
b. Spouse
BUSINESSMAN
(9A) Details of source s of income:-
a. Self Self Employed
b. Spouse Business
C. Source of income, if any of dependents : Not Applicable
(98) Contra cts with appropriate government and any public compan
y or companies:
a. Details of contracts entered by the candidate : Not Applicable
b. Details of contract entered into by spouse : Not Applicable
c. Details of contracts entered into any dependents Not Applicable
d. Details of contrac t entered into by Hindu Undivided Family or trust
in which the
Candid ate on spouse or dependents have interest: Not Applicable
e. Details of contract, entered into any Partnership, firms in which candida
te of
spouse or dependents are partners : Not Applicable
f. Details of contracts, entered into by private companies in which
candidate or
spouse or dependents have share : Not Applicable
(IO) My educational qualification is as under:

10TH FROM NIOS 2007

12TH FROM NIOS 2009
D.ED FROM MP BOARD 2011
(Give details of highes t School/University education mentioning t~e
fu~l form of the .
certific ate/dip loma/d egree course, name of the School/College/Umv
ers1ty and the year m
which the course was comple ted.
 : IN-DL19579670630758X
E- Stam p Certificate NO

15

PART-B

, (11) AB ST RA CT OF TH E DE
TAILS GIVE N IN (1) TO (10) OF PART

.S -m t.
-A

1. Na me of the Ca nd ida te TAMANA

LAMBI
338, GAON MAIAN
2. Full postal add res s GALISHAHBAD DA UL AT PUR
VILLAGE, DE LI Il
constituency and State 15- SHAKUR BASTI
Nu mb er and Na me of the ENCY
3. ASSEMBLY CONSTITU
,DELHI
which set up the YU VA BH AR AT
4. Na me of the Political party RASHTRASEVAPAR TY
'Independent')
candidate (otherwise write
No t Applicable
Criminal cases
5. Total number of pending Not Applicable
which convicted
6. Total Nu mb er of cases in
Ye ar for which To tal Inc om e
PAN of last income Ta x Sh ow n
7.
Return filed

2023-24 F. '{ (i) Rs.

: ALMPT8420E 8,5 0,0 00 /-
(a) Candidate: TAMANA
No t Applicable No t Ap pli cab le
No t Applicable No t Ap pli cab le
No t Applicable No t Ap pli cab le

MALIK . 2024-25 A· y (i)

(b) Spouse: KARAN Rs .11 ,56 ,50 0/-
BGFPM3968M No t Ap pli cab le No t Ap pli cab le
No t Ap pli cab le No t Ap pli cab le
□ No t Ap pli cab le No t Ap pli cab le

No t Ap pli cab le No t Ap pli cab le

©H UF : No t Applicable

le No t Ap pli cab le No t Ap pli cab le

(d) Dependents : No t Applicab
 19579670630758X
E-S tam p Certificate NO : IN-DL

16

ee
including off share ass ets) in Rup
8. Det ails of Ass ets and Liabilities(
Sel f Spouse HU F Dependen Depen Dep
Des crip tion
(KA RA N t" 1 dent-2 ende
(TAMAN
DARSH AVYA nt-3
A) MA LIK )
MA LIK NNA
MALI
K

Not Not Not

Rs.3,45,15 Rs.33,06,581. Not App l
A. Mo vea ble App li App lica bl App lic
Ass ets 1.02-/- 22/- able icabl
cab le e
(Total value) e

Not Not
NIL NIL Not App l
8. Imm ova ble App li Not App lic
Ass et App lica bl able icabl
cab le
e e
Not Not Not
Not Not Not
I. Purchase Price of App lica bl App lic App l
Applicable Applicable App li
self acquired e able icabl
cab le
immovable e
property
Not Not Not Not
Not Not
II. Development/con App li App lica bl App lic App l
Applicable Applicable
struction cos t of cab le e abl e icab l
immovable e
property afte r
pur cha se (if
applicable)

Not Not Not Not Not

III. App rox ima te Not
App lica ble App li App lica bl App lic App l
current mar ket Applicable
cab le e abl e icabl
price of e
Not No t No t Not Not
(a) Sel f acq uire d Not
Appl
App lica ble App lica ble App li App lica bl App lic
assets icabl
cab le e able
(Total Value)
e

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: IN-DL1957967063075
E-Stamp Certificate NO

17

No t No t
Not No t
(b) In he rit ed Ap pli c Ap pl
No t Applicab1
as se ts No t Applicable able icabl
Appli e
To tal Value) Ap pli ca ble e
cable

No t No t
No t No t Ap pl
Not No t Applicabl Ap pli c
9. Liabilities Applicable Appli ab le ica bl
Applicable ca ble e e

No t No t
No t No t Ap pl
Not Not Ap pli ca bl Ap pl ic
(i), Government dues Applicable Appli
ab le ica bl
Applicable ca ble e
( total e
No t No t
No t No t
No t Rs. I, 76, 762/- Ap pl ic Ap pl
(ii ),. Loan from Ba n~ Appli Ap pli ca bl
d Applica ble As on dt. ab le icabl
Financial Institution an 16/01/25) ca ble e
e
others ( total ) No t
No t No t No t
Not No t Ap pl ic Ap pl
10 Liabilities that are Applicable Appli Ap pli ca bl
Ap pli ca ble ab le ica bl
under dispute ca ble e
' e
No t No t No t
No t No t
No t Ap p lie Appl
(i), Government dues Applicable Appli Ap pli ca bl
Applicable ab le icabl
( total ca ble e
e

No t No t No t No t
Not Rs. I, 76, 762/-
(ii) .Loan from Bank, Ap pli Ap pl ica bl Ap pl ic Ap pl
d Applicable ( as on
Financial Institution an ca ble e ab le icabl
16/0 l /25/-)
others ( total ) e

-- -
 E-Stam p Certific ate NO : IN-DLI9579670630758X

18

l l . Highest Educati on qualification :

10TH FROM NIOS 2007
12TH FROM NIOS 2009
D.ED FROM MP BOARD 2011
form of the
(Give details of highest School/University education ment1onmg the full
University and the year in which
certificate/diploma/degree course, name of the School/College/
the course was completed.

VERIFICATION
I, the deponent, above named, do hereby verify and declare that the contents of this
part of it is
affidavit are true and correct to the best of my knowledge and belief and no
false and nothing materia l has been concealed there from. I further declare that:-
mentioned
(a) there is no case of conviction or pending case against me other than those
in items 5 and 6 of Part A and B above,
t n those
(b) 1, my spouse, or my dependents do not have any asset or liability, other
items 8, 9 and 10 of Part B above. ~~
mentioned in items 7 and 8 of Part A and
RY 2025 . l ..~~
Verified at Delhi on this the day 10™ JANUA
-4\~"'' ./
DEPONENT

Note: 1. Affidavit should be filed latest by 3.00 PM on the last day of filing
nominations.

Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of

the First Class or before a Notary Public.
Note: 3. All columns should be filled up and no column to be left blank. If there is
no informa tion to furnish in respect of any item, either "Nil" or "Not
applica ble", as the case may be, should be mentioned.

Note: 4. The affidavit should be either typed or written legibly and neatly.

Note: 5. Each page of the Affidavit should be signed by the deponent and the
Affidavit should oear on each page the stamp of the Notary o Oath
Commissihne~/or Magistf ate'~efore whom the Affidavit is sworn ~~~
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