13
INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of Document Property Description Consideration Price (Rs.) First Party Second Party Stamp Duty Paid By Stamp Duty Amount(Rs.) 1N-PY02 69689409M 14 : Sf-lotL (Fl)/ pyshcl PUDUCHERRY/ PY-PU : SUBIN-PYPYSHCIL0102343441065181M : R SENTHIL KUMAR : Article 4 Affidavit : AFFIDAVIT TO THE RETURNING OFFICER PUDUCHERRY PARLIAMENTARY CONSTITUENCY 0 (Zero) : R SENTHIL KUMAR : THE RETURNING OFFICER PUDUCHERRY : R SENTHIL KUMAR 20 (Twenty only) Please write or type below this line ~' C A 0000143659 Statutory Alert: , 1. The authenticity of this Stamp Ceeificate should be verified at fwww.shcilestarnusforn". Any discrepancy in the details on available on the webslte renders it :valid. 2 The onus of checking the legitimacy is on the users of toe certificate 3. In case of any discrepancy please isforsn the Competent Authority. Certifs

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Page 1: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

INDIA NON JUDICIAL

Government of Puducherry

Certificate No

Certificate Issued Date

Account Reference

Unique Doc. Reference

Purchased by

Description of Document

Property Description

Consideration Price (Rs.)

First Party

Second Party

Stamp Duty Paid By

Stamp Duty Amount(Rs.)

1N-PY02 69689409M

14

: Sf-lotL (Fl)/ pyshcl PUDUCHERRY/ PY-PU

: SUBIN-PYPYSHCIL0102343441065181M

: R SENTHIL KUMAR

: Article 4 Affidavit : AFFIDAVIT TO THE RETURNING OFFICER PUDUCHERRY

PARLIAMENTARY CONSTITUENCY 0 (Zero)

: R SENTHIL KUMAR

: THE RETURNING OFFICER PUDUCHERRY

: R SENTHIL KUMAR 20 (Twenty only)

Please write or type below this line

~'C A

0000143659

Statutory Alert: ,

1. The authenticity of this Stamp Ceeificate should be verified at fwww.shcilestarnusforn". Any discrepancy in the details on available on the webslte renders it :valid .

2 The onus of checking the legitimacy is on the users of toe certificate 3. In case of any discrepancy please isforsn the Competent Authority .

Certifs

Page 2: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

Case/First Information Report No./Nos. together with complete details

of concerned Police Station/District/State

Section(s) of the concerned Act(s) and short description of the

offence(s) for which charged

Name of the Court, Case No. and date of order taking cognizance:

Court(s) which framed the charge(s)

No case is pending against

me

Not Applicable

Not Applicable

Not Applicable

(iii) A

C

D

FORM 26 (See rule 4A)

Affidavit to be filed by the candidate along with nomination paper before the returning officer for election to HOUSE OF THE PEOPLE (name of the House) from PUDUCHERRY constituency (Name of the constituency)

PART-A

I R.SENTHIL KUMAR -son/chatmihterivitife-of R.RAMANATHAN Aged 36 years, resident of No.33, SOUTH STREET, KURUVINATHAM POST, BAHOUR (VIA)., PUDUCHERRY - 607 402 (mention full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath as under:

(1) I am a candidate set up by ALL INDIA N.R.CONGRESS (**name of the political' party)/** am--eofttesting-as -an-l-n-dependefft--e-afrefifiete. (**strike out whichever is not applicable)

(2) My name is enrolled in BAHOUR constituency, PUDUCHERRY UNION TERRITORY (Name of the constituency and the State), at Serial No 653 in Part No 3

(3) My contact telephone number(s) is/are 0413-2633435, Mobile No: 96002-12345 and my e-mail id (if any) is rsenthilqmail.com and my Social Media account(s), if any are rrs.pondicherry

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

SL No. Names PAN

The financial year for which

the last Income —Tax return

has been filed

Total income shown in

Income-Tax return

(in Rs.)

R.SENTHILKUMAR BTU PS7133J 2012-2013 Rs.7,99,599/-

2. Spouse- R JANANI AGI PR7442K 2010-2011 Rs 4,20,461/-

Nil 3. Dependent-1 S.NIVAIISHNA Nil Not Applicable

(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 of any such offence(s) he shall furnish the following information:-

(i) The following cases(s) is/are pending against me in which charges have been framed by the court for an offence punishable with imprisonment for two years or more:-

Page 3: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

E Date(s) on which the charge(s) was/were framed Not Applicable F Whether all or any of the proceeding(s) have been stayed by any

Court(s) of competent jurisdiction Not Applicable

(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. and date of order taking cognizance:

No case is pending against

me in which cognizance has

been taken by the Court

B The details of cases where the court has taken cognizance, section(s)

of the Act(s) and description of the offence(s) for which cognizance

taken.

Not Applicable

C Details of Appeal(s)/Application(s) for revision (if any) filed

against the above order(s) Not Applicable

Note :The details of all pending cases in which cognizance have been taken by the Court, irrespective of the

quantum of punishment or framing of charges will have to be disclosed (ECI's clarification No.3/4/2012/SDR

dated 26.09.2012).

(6) I have-been/have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section

(1) or sub-section (2), or cover 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.

If the deponent is convicted and punished as aforesaid, he shall furnish the following information: In the

following cases, I have been convicted and sentenced to imprisonment by a court of law:

A The details of cases, Section(s) of the concerned Act(s) and

description of the offence(s) for which convicted.

I have not been convicted by

any Court by Law

B Name of the Court(s), Case No. and date(s) of order(s): Not Applicable

C Punishment imposed Not Applicable

D Whether any appeal was/has been filed against the conviction order.

If so, details and the present status of the appeal: Not Applicable

vcr

Page 4: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

(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 will also 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 been given separately in respect of each investment.

SI.

No Description Self Spouse Dependent-1

I Cash in hand Rs.45,000 Rs. 25,000 Nil

II Details of deposit in Bank account

(FDRs. Term Deposits and all

(i). HDFC bank,

Santhome, Chennai.

(i) ICICI bank, Anna Nagar

West, Chennai. Savings

Nil

other types of deposits including Savings Account No: Account No:

saving accounts. Deposits with

Institutions, Non Banking

financial Companies and

03861610039415

Rs.39,445/-

(As on 28.03.2014)

039501507695,

Rs. 48,446.69

Cooperative societies and the (ii). ICICI bank, Besant

amount in each such deposit. (ii). HDFC bank,

45 Feet Road,

Nagar, Chennai. Savings

Account No.:

Pondicherry. 603301109604

Savings Account No: Rs.1538.23

12781930005060

Rs. 1970.21

(As on 28.03.2014)

(iii) State Bank of India,

ry. Manapet, Puducherry.

Savings Account

(th). State Bank of India,

Manapet, Pondicherry.

No:32816794908

Rs 18000.00

Savings Account No:

20071378504

Rs. 8751 /-

(As on 21.03.2014)

(iv). UCO Bank, Bazaar,

Pondicherry. Savings

Account No:

01300110008263

Rs. 24,930/-

(As on 24.03.2014)

Page 5: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

(v). UCO Bank, Cuddalore,

TN. Savings Account No:

06200100008455

Rs.86,000/-

(As on 02.04.2014)

(vi). Syndicate Bank,

Vilianur, Puducherry.

Savings Account No:

960322000023194

Rs. 2500/-

(As on 02.04.2014)

(vii). 10B Reddiarpalayam,

Puducherry. Savings

Account No:

Rs.5,000/-

(As on 31.03.2014)

(viii). Aswarya

Automobiles (50% Share)

Syndicate Bank, Vilianur,

Puducherry.

Current Account No:

96033070000158

Rs.1,29,545.85

(As on 31.03.2014)

(ix). Aswarya Automobiles

(50% Share) HDFC bank,

M.G Road, Puducherry.

Current Account No:

26112560000202

Rs. 1,17,135.20

(As on 31.03.2014)

(x). Vaiisheen Foods (65%

Share) 10B Bank,

Cuddalore, TN.

Current Account No:

135502000000689,

Rs.24,925/-

(As on 31.03.2014)

11 1 1-

.- cFk--k

N T L.'

Page 6: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

)11 Details of Investment in Bonds,

debentures /shares and units in

companies/mutual funds and other

and the amount

As on 31.03.2014,

AUROBINDO PHARMA

LTD Rs.2543.25/-

DALMIA BHARAT SUGAR

AND INDUSTRIES Rs.158

DALMIA BHARAT LIMITED

Rs.2590/-

NU TEK INDIA LIMITED

Nil Rs.200/- Nil

RELIANCE POWER

LIMITED Rs.2884.35

TATA CONSULTANCY

SERVICES LTD

Rs.756000/-

UTI GOLD EXCHANGE

TRADED FUND Rs.5280/-

Total-Rs.7,69,656/-

IV Details of investment in NSS. (i). LIC Policy, Number

Postal Saving. Insurance policies

and investment in any Financial

instruments in Post office or

43939561,

Rs.1, 00,000/- (Sum

Assured).

Insurance company and the

amount

(ii). LIC Policy Number

730561172,

Rs. 2, 50,000/- (Sum

Nil Nil

Assured).

V Personal loans/ advances given to (i).Rs. 20,00,000/- Sri Vinayaga Educational Nil

any person or entity including firm,

company, trust etc., and other

Unsecured Loan -

Receivable from

and Charitable Trust,

Registration Number:

receivables from debtors and the

amount

In and Out Constructions,

Chennai

877/2010.

Rs 5,50,000/-

(ii) Rs. 10,00,000/-

Unsecured Loan —

Receivable from

Sri Vinayaga Properties,

Trichy

(iii) Rs. 2,00,000/-

Unsecured Loan -

Receivable from Vaiisheen

Foods, Cuddalore.

Page 7: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

VI Motor vehicles/ Aircrafts / Yachts /

Ships. (details of make, registration

number etc., year of purchase and

amount)

(i).Maruti Ritz VD! ABS

PY-01-BG-4246

20.01.2011

Rs.5,26,000/-

(ii) Honda Activa

PY-01-BJ-5692

20.05.2011

Rs. 49,000/-

Nil Nil

VII Jewellery, bullion and valuable

thing(s). (Give details of weight

and value)

As on 28.03.2014

300 gms of Gold Jewellery

value (Rs.2600/- per gm)

Rs.7,8,0000 /-

As on 28.03.2014

1250 gms of Gold

Jewellery value (Rs.2600/-

per gm) Rs. 32,50,000 /-

and l5kgs of Silver value

(Rs. 44000/- per kg)

Rs.6,60,000

As on

28.03.2014

200 gms of

Gold Jewellery

value

(Rs.2600/- per

gm)

Rs 5,2O,000/-

VIII Any other assets such as value of

claims/interest

(i).Aswarya Automobiles

(50% Share)

Capital account balance

as per books as on

31.03.2013

Rs. 19,82,340.21

(ii) Samara Enterprises

(31.52% Share)

Capital account balance

as per books as on

31.03.2010

Rs.1,50,000/-

(iii) Vaiisheen Foods

(65% Share)

Capital account balance

Rs. 65,000/-

Sri Vinayaga Infrastructure

(9.09% Share)

Capital Account balance

as per books

Rs. 2,50,000/-

.

Nil

IX Gross Total Value Rs.74,55,478/- Rs.55,72,640.92 Rs.5,20,000/-

sAt

Page 8: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

. B. Details of Immovable assets:

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.

SI.

No Description Self Spouse Dependent-1

Agricultural Land: (as on 28.03.2014)

Locations (s)

(i). Kuruvinatham Revenue

Village (1/5th Share)

(ii). Kuruvinatham Revenue

Village (100% Share)

Nil Nil

Survey Number(s)

(i).114/2, 113/1, 115/2,

116/1, 115/3, 117/1, 109/5,

109/6, 118/3, 106/7, 106/5,

106/6,

00.109/2, 131/1, 131/2,

133/1

Nil Nil

Area (Total measurement in acres)

(i) 21 acres 48 cents (1/5m

Share)

(ii).10 acres 3 cents (100%

Share)

Nil

.

Nil

Whether inherited property? (Yes

or No)

(i).Yes

(ii).Yes

Nil Nil

Date of purchase, in case of self

acquired property Not Applicable

Nil Nil

Cost of land (in case of purchase)

at the time of purchase Not Applicable

Nil Nil

Any investment on the land by way

of development, construction etc., Nil

Nil Nil

Approximate current market value

(i). Rs.6,89,84,600/- (1/5th

Share-1,37,96,920/-)

(ii).Rs.1,91,19,400/- (100%

Share)

Nil Nil

II Non-Agricultural Land: (as on 28.03.2014)

Location(s)

(i). Udhagamandalam, The

Nilgirs, TN (100% Share)

(ii). Polachery Village

Chinglepet Taluk,

Kancheepuram Dist,

(31.52% Share)

MM Nagar,

Trichy Dist,

(9.09% Share) Nil

Survey Number(s) (i).H4/29/1A1A

(ii).S .No.55/2B part 77/1A, 77/1B Nil

Page 9: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

Area (Total measurement in sq.ft)

(i).1962 Sq.ft.

(0).31,799 Sq.ft. (31.52 %

Share-10032 Sq.ft)

79062 Sq.ft

(9.09% Share — 7187

Sq.ft) Nil

Whether inherited property? (Yes

or No)

(i). No

(ii). No

No Nil

Date of purchase, in case of self

acquired property

(1).26.08.2010

(0).14.07.2008 22.09.2010 Nil

Cost of land (in case of purchase)

at the time of purchase

(i).Rs.7,16,130/-

(100% Share)

(ii).Rs.3,97,980/-

(31.52% Share-

Rs. 1,25,443/-)

Rs.25,00,000/-

(9.09% Share-

Rs.2,27,250/- Nil

Any investment on the land by way

of development, construction etc.,

(i).No

(ii). 7623Sq.ft given for

Land Development

(31.52% Share-2403 Sq.ft)

Nil Nil

Approximate current market value

(i).Rs.9,81,000/-

(100% Share)

(ii).Rs.2,41,76,000/-

(31.52% Share-

Rs.76,20,275/-)

Rs.9,48,74,400/-

(9.09% Share-

Rs.86,24,083/-) Nil

III Commercial buildings (including Apartments): (as on 28.03.2014)

Location(s)

(i). Old No.167, Nethaji

Road, Manjakuppam,

Cuddalore, TN (100%

Share)

Nil Nil

Survey Number(s) (i).T.S.No.1373, 1374,

1375/2 Nil Nil

Area (Total measurement in sq.ft) (i).9972 Sq.ft. (100% Share) Nil Nil Built-up Area (Total measurement

in sq.ft)

(i).22,000 Sq.ft. (100%

Share) Nil Nil

Whether inherited property? (Yes

or No) (i).Yes. Nil Nil

Date of purchase, in case of self

acquired property Not Applicable Nil Nil

Cost of land (in case of purchase)

at the time of purchase Not Applicable Nil Nil

Any investment on the land by way

of development, construction etc., Not Applicable Nil Nil

__---._

Approximate current market value (i)2,50,00,000/- (100%

Share-Land & Building) Nil Nil

Page 10: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

.AI Residential buildings (including Apartments): (as on 28.03.2014)

Location(s)

45, Pudupalayam Main Rd,

Pudupalayam. Cuddalore

Town, Cuddalore Dt.

(50% Share)

Nil Nil

Survey Number(s) T.S. No 497

Nil Nil

Area (Total measurement in sq.ft) 6242 Sq.ft (50% Share Nil Nil

Built-up Area (Total measurement

in sq.ft) 3000 Sq.ft (50% Share) Nil Nil

Whether inherited property? (Yes

or No) No Nil Nil

Date of purchase, in case of self

acquired property 24.08.2011 Nil Nil

Cost of land (in case of purchase)

at the time of purchase

Rs.62,43,000/- (both land

and budding) (50% share —

Rs.31,21,500/-) Nil Nil

Any investment on the land by way

of development, construction etc., No Nil Nil

Approximate current market value

Rs.1,12,35,600/-

(50% Share —

Rs. 56,17,800/-) Nil Nil

V Others (such as interest in

property) Nil Nil Nil

VI Total of current market value of (I)

to (V) above Rs.7,21,35,395/- Rs. 86,24,083/- Nil

8. I give herein below the details of liabilities/dues to public financial institutions and government.

Note: Please give separate details of name of bank. Institution, entity or individual and amount

before each item.

SI.

No Description Self Spouse Dependent-1

I Loans or dues to Bank/Financial institutions(s):

Name of the Bank or Financial

institution

(i). State Bank of India,

Manapet, Puducherry

(ii). Syndicate Bank,Villianur

(iii). HDFC Bank

State Bank of India,

Manapet, Puducherry Nil

Amount Outstanding

(i). Rs.1,02,720/-

00. Rs.3,07,159.62/-

(iii). Rs.1,22,893/- ( As on

03.03.2014)

Rs. 3,01,570/- Nil

„ox so/c"

Page 11: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

Nature of loan

(i). Jewel loan

(ii). Jewel loan

(iii). Credit Card

Jewel loan Nil

II Loans or dues to any other individual/entity other than mentioned above:

Name(s) Ft Santhanalakshmi Nil Nil

Amount Outstanding Rs. 68,00,000/- Nil Nil

Nature of loan Personal Loan Nil Nil

Any other liability Nil Nil Nil

Grand total of liability Rs.73,32,773/- Rs.3,01,570/- Nil

II Government Dues:

Dues to departments dealing with

government accommodation

Nil Nil Nil

Dues to departments dealing with

supply of water

Nil Nil Nil

Dues to departments dealing with

supply of electricity

Nil Nil Nil

Dues to departments dealing with

supply of telephones/mobiles

Nil Nil Nil

Due to departments dealing with

government transport (including

aircraft and helicopters)

Nil Nil Nil

Income tax dues Nil Nil Nil

Wealth tax dues Nil Nil Nil

Service tax dues Nil Nil Nil

Municipal/Property tax dues Nil Nil Nil

Sales tax dues Nil Nil Nil

Any other dues Nil Nil Nil

III Grand total of all Government dues Nil Nil Nil

IV Whether any other liability are in

dispute, if so, mention the amount

involved and the authority before

which it is pending

Nil Nil Nil

9. Details of profession or occupation

(a) Self: Agriculture and Business

(b) Spouse: House Wife

10. My educational qualification is as under: Master of Science, Drexel University, USA -2004

(Give details of highest School/University education mentioning the full form of the certificate/ diploma/degree course,

name of the School/College/University and the year in which the course was completed).

k(/

Page 12: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

PART-B

11. ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A:

Name of the candidate Thiru/TIMplyi. R. SENTHIKUMAR.

2. Full postal address No.33, SOUTH STREET, KURUVINATHAM POST,

BAHOUR (VIA), PUDUCHERRY - 607 402

3. Number & name of the constituency and state PUDUCHERRY

4. Name of the political party which set up the

candidate (otherwise wise "Independent') ALL INDIA N.R.CONGRESS

5(i)

Total number of pending cases where charges have

been framed by the Court for offences punishable

with imprisonment for two years or more

Nil

50i)

Total number of pending cases where the Court(s)

have taken cognizance (other than the cases

mentioned in item (i) above)

Nil

6.

Total number of cases in which convicted and

sentenced to imprisonment for one year or more

(except for offences referred to in sub-sections (i), (2)

or (3) of section 8 of the Representation of the

People Act, 1951)

Nil

7. PAN of Year for which last

income tax return filed

Total income shown

(a) Candidate -R.SENTHILKUMAR BTU PS7133J 2012-2013 Rs.7,99,599/-

(b) Spouse -R.JANANI AGIPR7442K 2010-2011 Rs.4,20,461/-

(c) Dependents- S.NIVAIISHNA Nil Nil Nil

Description Self Spouse Dependent-1

A. Movable Assets (Total Value) Rs.74,55,478/- Rs.55,72,640/- Rs.5,20,000/-

B. Immovable Assets

(i) Purchase price of self acquired immovable property Rs.39,63,073/- Rs.2,27,250/- Nil

(n) Development/construction cost of immovable

property after purchase (if applicable) Nil Nil Nil

(iii) Approximate current market price of

(a)Self acquired assets (Total Value) Rs.1,42,19,075/- Rs.86,24,083/- Nil

(b)Inherited assets (Total Value) Rs.5,79,16,320/- Nil Nil

sYt TycK.

Page 13: Government of Puducherry · INDIA NON JUDICIAL Government of Puducherry Certificate No Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of

act this the day of

DEPONENT

Verified at..T.

NED EFORE ME

0

G.M. BA 4 ,B,A.,L.L.B.,Re P.G. DHFOS

MY 4.1 & Notary, G. . of India

No.24 & 25, find Cross St, R.. avendra Nagar, Navandarn, Lawspet,Pondicherty-605008.

9. Liabilities

(i) Government dues (Total) Nil Nil Nil

(H) Loans from Bank, Financial Institutions and others

(Total) Rs.73,32,773/- Rs.3,01,570/- Nil

10. Liabilities that are under dispute:

(i) Government dues (Total) Nil Nil Nil

(ii)' Loans from Bank, Financial Institutions and others

(Total) Nil Nil Nil

11. Highest educational qualification Master of Science, Drexel University, USA -2004

Note: Details of all pending cases in which cognizance has been taken by the Court, irrespective of the quantum of

punishment of framing or charges will have to be disclosed. (ECI's clarification No.3/9/2012/SDR dated 26-9-2012)

VERIFICATION

I, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct

to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there from. I

further declare that-

(a). There is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of

Part-A and B above:

(b). I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7

and 8 Part-A and items 8, 9 and 10 of Part-B above.