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PART.II ' ABSTRACT OF STATEMEM OF EIEC'TI6N EXPEI{DTN'RE OT CANDIDATE

5. No. Particulars Amt.Incuned/ Auth. byCandidate/ Electionagent(inRs.)

Amt.Incurred/authorized by Pol.Party(in Rs.)

Amt.IncunedI

authorizedbvothers(in Rs.)

Total Election expenditure

(3)+(4)+(s)

I 2 3 4 c 6YI Expenses in public meeting, rally, procession

etc.:-L a : Expenses in public meeting, rally,procession etc. (ie: other than Sre ones withStar Campaigners of the Political pafi(Enclose as per Schedule-1)

Ntt- Nlt- Irf lL NIL

I. b : Expenditure in public meeting 6lly,procession etc. with the Star Campaigner(s)(ie: other than those for general partypropaqanda) (Enclose as oer Schedule-2)

NI L NIL N'L NIL

II Campaign materials other than those used inthe public meeting, ralln procession etc.rnentioned in S.No. I above(Enclose as perSchedule-3)

9*4rut NIL NIL N54 {0 .oa

m I Campaign, through print and electronic media

I including cable network, bulk SMS or intemetI and Social media (EncJose as Der Schedule-4)

NIL N tL NIL Ntt-ru Expenditure on campaign vehide(s), used by

candidate(Enclose as per schedule-S) 2\i ops n NIL NIL LVV D2s '6'oV Expenses of campaign workers / agents

(Enclose as oer Schedule -6) -l.l Doo'c NIL NI L J) Doo 'nVI Anv other camoaion exoenditure

Grand Total IL NIL '1,1'14.1\'6c*PART III : ABSTMCT OF SOURCE OF FUNDS RAISED BY CANDIDATE

SNo Particulars Amount (in Rs.)I 2 3I Amount of own fund used for the election campaign

(Enc-lose as ner Schedule - 7) -ltd D4.! , ssn -ump sum amount reeived from the parV (ies) in cash or cheque etc.

Enclose as per Scfiedule -8) NILilI Lump sum arnount reeived from any person/ company/ firm/ associations / body of

persons etc. as loan, gift or donation etc.(Endose as oer Schedule -9)

NILTotal n c

-i:''\ r^x-a-bJ" ef^d^,Df * -*-h

qqI'f ASSAM

N$TRUMENT NO....*.. /A -,€ tl trs -Date...-.""""""'g"H-aet( lot k

1 8AA

PAITT - IVAFFIDAVIT

re tlre Distrlct Election OffJr:efr Bongalgaorlr Assam.

vlt of Smt. Dhirabatl Choudhury, d/o. Anauxda Ram Das,I --t 1r Smt, Dfilrabatl Choudhury, Lflfe of Ananda Rarn Das, aged 45

f; years, r/o. Dolalgaon, Malparal F.O' Bongalgaonr P.S. & DLst.Bongaigacn, {ssan, do hereby soLemnLy and sincereLy state and

]

I declare as under3-i

| (f ) Tlat I was a contesti.ng candldate at the general electlon i

i to the House of the Legislatlve Assgmbly of, 52 Bongaf":i

Ifrpm tegislative Asseobly constltuehcyr the resuLt of whlch I

W.,.*;:,;.;":":: ,''o'n":u'":';",. a separate and cor.rect I

.r*u!!$; account of al.l expendlture lncured/autriorlsed by me/my I

5rrr.t"tf,O1fl.^rt* electlon agent j.n connectlon wlth the above electicn I

euota'Slt{9o"- between 26/ 5/ 2e,15 and the date of declarration of the IIReE"' I contd. . .. P/ z. IrI

lJ

}

tf

a

js: ]

TskFtT IFt'J)$s

(2)

reerlt thereof, both days inclusive.

sald aceotrrt was malntalned ln theby the fteturning Offlcer for the

:.fln glster ltseLf is annexed heretovouehers/blJ.Is mentioned jn the

fi,sglsterpurlp se andwtith thesald account.

:. No. fi'1G"05

Tha coturt of ny electlon expend:Ltwe as ame:<edludeE all ltems of erectlon expendltwe Lncurred

or authorlsed by me or by ny election agent, the polttt0alParty whlch sponsored me, other assoclatJ,ons/body of personsand other lndivJ.duals supportlng ne, in. connectlon wtth the$,!ection, and nothlng has been concealed cr r*i.thheld/'suppressEd therefrom (other than the e:q)ense on traveL ofleadersr covered, by expla.nations t and 2 under section77U) of the Representatlon of the peopLe Act, 1951)

(il That the Abstraet Statenent of ilLectlon Sxpenses annexedas Annexure II to the said account also includes aIlexpenditure i.ncurued or authorlsed by ne, my electionagent, the political party whieh sponsored, ne, otherassociatlons/body of perscns ard, other lndlviduals stppor-ting ne, ln connectlon wlth the eleetion.

Mot"v\ o";ehe""t''otR-

'":;$$s:$

(5)"'

i{,|\c'ni

Contd. ... P/3.

*,t€

( r)ements ln the foregolg

tlre bEst of my knowle dgefalse an4 nothing ;sslerlaL

parasrapls (t) to (5)and be3.ief, thathas been concealed.

.\r}tl-.*tAi eL,'SL*- DEPoI{ENg "1

SolennlX affirmedr/sworn by the Deponent who j.s tdentj.fied by

N. c -Kry. Adrrocate, Bongalgaon on thls Soth dayof lv1arch, /o'tA at Bongsi.gaon.

Mo-'lu\ r ^oil0$a at ntF t'. i.tf llv ^-lstnw

-.^6t)9'e Ng-

6auv-

Schedules- I to 9: Details of Elections Funds and Expenditurc of Candidate

Expenses in public meeting, rally, procession etc. (ie: other than those with Star C:mpaigners of the Political party)

Amt. incurred /Auth. byCandidate /agent

Amt.incurred /by Pol.Pafi withname

Erecdng Stage, Pandal & Furniture, Fixtures,poles etc.

Hiring Loud speakers, Microphone, amplifiers'comparers etc.

Posterg hand bills, pamphlets, Banners, Cut-

ouB, hoardings

Benerages like tea, Water, cold drink' juice etc.

Digital TV -boards displav, Projector display,

tickers boards, 3D disPlaY

Expenses on celebrities, payment to musicians,

other artists remuneration etc.

Illumination items like serial lights, boards etc

Expenses on transport, Heliopter/ 9iraqft./rreiriAes/ boats etc' charges ( for self, celebrity

or any other campaigner other than Star

Boarding & Mging expenses of self, elebrity,party functionary or any other campaigner

including Star CamPaigner

Expenditure in public ,n*ting rally, procession utt *itft the Star Campaigner(s) as apportioned to candidate (ie: other

ttriir ttrose for general party propaganda) '

'hr ^ fi Ofou..?Lr.,+.L) l\r"c-cn.K)c\ .,

l18

(t I li,ll

- Remarks, if any

Details of expenditure on campaign materials, like handbills, pamphlets, posters, hoardings, banners, cut-outs, gates &arches, video and audio cassettes, CDs/ DVDs, Loud speakers, amplifiers, digitalfl board display , 3 D display etc. forcandidate's election campaign ( ie: other than those corered in Schedule- 1 & 2)

Details of expenditure on campaign through print and electronic media including cable network, bulk SMS or internet orsocial media etc. for candidate

Namp of the StarCampaigner(s) & Name of Pafi

Afnoun! of Expenditure on public meetingralln procession etc. with the StarCampalgnar(s) apportioned to the candidate(As o$er than for general partypropaganda) in Rs.

Nature of Expenses

Amt. By iAmt. By Pol.

Name and addressof media provider(print /electroniclsms I wice/ cableTV, socialmediaek.)

Name and address ofagency, reporter, stringer,company or any person towhom charges /comrnission etc. paid/payable, if any

Total Amount iSources of Expenditure ijP

Col. (3) +(4)

D[ ,'rn o]o^4 i N *?Lr^'146-

F

Regn, No. ofVehicle &Type of

jVehicle

Schedule- 6

Details of expenditure on Campaign wsrkers / agents

S. iDate andNo iVenue

5.No

Source of Expenditure

Schedule -5

Details of expenditure on campaign vehicle (s) Tg!9!lelpegiture on vehicte(s) for candidate! etection campaign

Hiring Charges of vehicle Totalamt.incurred/auth. in Rs,Fuel charges lDriver's

(If not lchargescovered l(If notunder hiring) jcovered

Totalamt.incurred/auth" In Rs.

Nati:re of Expenses iQty. jNo. Of workqrsi/ agents

Amt. By - iAmt. By Pol.

Campaign workershonorarium/ salarydtc.

Schedule- 7

Details of Amount of own fund used for the election campaign

DD/ Cheque no. etc. withdetails of drawee bank

5. 4- t{T.4.16

20, ooo'trt

f.D, MA'.fO120

D [*'n-uk^*r' rt''frk

-

Note: ''t"' ::'f

1. In Schedule 5:-(a) opy of the order @nhining list of all vehicles for which permit issued by the Retuming Officer to be

encjosed.(b) If the vehicle is owned by the candidab/his relauvelagent are used for election purpose, notional

cost of hire of all such vehicles, except one vehicle if owned and used by the candidate, notional cost of

fuel and drivers sara.v foi-irCi'r *ti'cte, shall be included in total amount of o<penditure in the abow

table.2. In all schedules if any expenditure on groods and services, provided by the Political Party;,or provided

by any personl .orpuriv/'f,* las.uciati6ny body of p€rsoF etc, 9n behalf of the candidate, then the

nir6oriri""rket valUi oisuctr gooOs or services are to be indicated, in respective columns' ..

3. In part *III, the L;fi;;-;r""r"i o{ r.und received from the political party or others or the

candidatet own funds,]rriria O" mentioned date wise. In all sudl cases such amounts are required to

O" nrsiO.go$ted in the bank account ofthe candidate, opened for election expenses'

+. eiift pabe of tfre Agract Sbtement should be signed by the candidate,

4o

J, L(,Doa -n

Schedule- 8

Details of Lump sum amount reeived from the party (ies) in cash or cheque or DD or by Acount Transfer

Name of the Political ParV DD/ Cheque no. etc.with details of draweebank

Details oJ Lump sum amount received from any personlcompany/firmlassociations/body of persons etc. as loan' gift or

DD/ Cheque lMentionno. etc. with lwhether loan,details of lgift ordrawee bank ldonation etc'

S. I Name and address

121 lt- dlV

C tt-a^' v2aa