IFI PART41 : ABSTRACT STATEMENT OF ELECTION EXPENDITURE OF CANDIDATE
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1 ABSTRACT STATEMENT OF ELECTON EXPENSES PART- 524/ Name of the Candidate MOOLCHAND Number and name of Constituency Name of State/Union Territory Nature of Election V (Please mention whether General Election to State Assembly/Lok Sabha/Bye-Election) V Date of declaration of Result 54 Muradnagar Uttar Pradesh GENERAL ELECTON TO ASSEMBLY- Mar March-2017 V Name and Address of the Election Agent NL V f candidate is set up by a political party, Please mention the name of the olitical art ndependent NL V Whether the party is a recognised political party NL Date: 0 0, Sianature of the Candidate Place: `mil 2^ Name 1
2 PART41 : ABSTRACT STATEMENT OF ELECTON EXPENDTURE OF CANDDATE S24/54/1869 S. No Particulars Amt. Amt. Amt. ncurred/auth. ncurred/auth. ncurred/auth. by Election by Pot. Party(in by Others(in Candidate/Ele Expenditure Rs.) Rs.) ction agent(in (in Rs. ) F 11 Expensesin-public meeting, rail y,processfon etc-q. a: Expenses in public meeting, rally, procession etc. (i.e.: other than the ones with Star campaigners of the Political Party ( Enclose as per Schedule-l)) Expenses in public meeting, rally, Procession etc. :-. b: Expenses in public meeting, rally, Procession etc, with the Star Campaigner(s)(i.e.: other than those for general party propaganda)(enclose as per Schedule-2)) Campaign materials other than those used in public meeting, rally, procession etc. mentioned in S.No. (Enclose as per Schedule-3)) NL NL NL NL Campaign, through print and electronic media including cable network, bulk SMS or internet and Social media(enclose as per Schedule-4+4a)) Expenditure on campaign vehicle(s), used by candidate(enclose as per Schedule-5)) NL Expenses of campaign workers/ a gents ( E n close as per Schedule-6)) NL Any other campaign expenditure NL Grand NL
3 S. No PART- : ABSTRACT OF SOURCE OF FUNDS RASED BY CANDDATE Particulars Amount of own fund used for the election campaign(enclose as per Schedule-7) S24154/1869 Lump sum amount received from the party(ies) in cash or cheque etc.(enclose as per Schedule-8) Lump sum amounsfeceivedfromanyperson/company/firrn/associations/bodq of-persons elt. as loan, gift or donation etc.(enclose as per Schedule-9) 3
4 Schedide-1 Expenditure in public meeting rally, procession etc. (i.e. other than those with Star Campaigners of the Political Party) S24/54/1869 Source of Ex enditure Amt. Amt. mt. ncurred/auth. ncurred/auth. ncurred/auth by Candidate/ by Pol. Party(in y Others(in Election Rs.) ) recting Stage,Pandal & Furniture, Fixtures, Poles etc. 4rches & Barricades etc. osiers, Hand bills, Pamphlets, Banners, Cutouts, 6 -loardings igital TV-Boards Display, Projector Display, Tickers oards, 3D Display xpenses on celebrities, payment to musicians, other 9 Ortists remuneration etc. lumination items like serial lights, boards etc. xpenses on transport,helicopter/aircraft /vehicles/boats 11 t tr rharnac/f,r..f oarding & Lodging expenses of self,celebrity, party nctionary or any other campaigner including Star ampaigner ther expenses 6
5 Schedule- 2 NL S24154/1869 Expenditure in public meeting rally, procession etc. with the Star Campaigner( s) as apportioned to candidate (i.e.: other than hose for general party propaganda) S. No Amount of expenditure on public Date and meeting rally, procession etc. with the Name of the Star star campaigner Venue (s) apportioned to the -- - Campaigner ( s) & Name of Party candidate ( As other than-for-general Remarks,-if-any - 1 Source of Expenditure Amt. by Candidate / Amt. by rty Amt. by Amount Pol. Pa agent (in rty Others in (in Rs.) (in Rs) Rs) j Schedule- 3 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, digital TV/board display,3 D display etc. for candidates's election campaign (i.e. other than those covered in Schedule- 1 & 2) EXPENDTURE NC(RRFP RY CANDDATE ON PAMPLET Details of expenditure on Campaign through print and electronic media including cable network, bulk SMS or intemet and Sociaf Media etc. for candidate Nature of S. N ame and Name and No medium( electro address of media address of Source of Expenditure nic/print) and provider(print/elect agency, reporter, str duration ronic /sms/voice/ ca inger,company or ble TV,social any person to Amount Amt. by whom (in Rs.) Candidate/ charges/commissi agent (in Rs) on etc. paid/ Amt. by Pol. Party (in Rs) Amt. by Others tal 7
6 Schedule- 4a NL S24/54/1869 Details of expenditure on Campaign through print and electronic media including cable network etc. ncluding the paid news so decided, by MCMC bulk SMS or intemet and Social Media or voluntarily admitted by the candidate. incurred all such news items appering in news papers TV/radio channels The details should include the expenditure, owned by the candidate or b y the political Pa rty sponsoring the S. No Nature of Name and Name and medium(electro address of media address of Source of Expenditure nic/print) and providerjprint/elect agency,reporterstr duration ronic/sms/voice/ca inger,company or ble TV, social any person to Amount Amt. by Amt. by Pol. Amt. by whom charges/commissi on etc. paid/ payable, f any (in Rs.) Candidate/ Party (in Rs) Others agent (in Rs) Schedule. 5 NL etails of expenditure on campaign vehicle(s) and poll expenditure on vehicle(s) for candidate's election campaign of vphinl. Kate tor Fuel n^.,.-... nays ror vehicle/ not rcnvpmii used maintena under hiring) under Source of Expenditure Amt. by Amt by Pol. Amt. by Candidate/ Party (in Others agent (in P^% 8
7 Schedule- 6 NL 524/54/1 869 Details of ex penditure on cam Camp aig n workers/a ents No Date and Venue Nature of Expenses Candidates boots( Kiosks)Setup Expenses on Compaign workers No. of Rate workers/ agents amt. incurred/auth. (in Rs.) Amt by Candidate/ agent (in Rs) Source of Expenditure Amt. by Pol. Amt. by Party (in Others Rc1 for distribution of Campaign workers honorarium/salary Boarding Lodging Others Schedule- 7 b etails of amount of own fund used for the election campaign S. No Date Cash (in Rs DD/Cheque no. e tc. with amount details of drawee bank in Rs. Remarks 1 NA 124-Jan EXPENDTURE ON FLNG OF NOMNATON Schedule- 8 NL etails of Lump Sur, amount received iron: fht uari''i ies in cash or cheque or DD or by Account Transfer Name of the Political Party DD/Cheque no. etc. with details of drawee bank amount in Rs. Remarks, if any 9
8 Schedule- 9 NL S24/54/1869 Details of Lump sum amount received form any person / company/ firm/ associations/ body of persons etc. as loan, gift or donation etc. DD/Cheque no. etc. Mention whether amount Remarks, f No Name and Address Date Cash with details of loan,gift or donation drawee bank etc. in Rs. any 1 10
9 Note: 1.n Schedulem5:- (a) Copy of the order containing list of all vehicles for which permit issued by the Returning Officer to be enclosed. (b) f the vehicle is owned by the candidate/his relative/agent 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 salary for such vehicle, shall be included in total amount of expenditure in the above table. 2. n all schedules if any expenditure on goods and services, provided by the Political Party; or provided by any person/ company/ firm/association/ body of persons etc. on behalf of the candidate, then the notional market value of such goods or services are to be indicated, in respective columns. 3. n Part-, the Lump-sum amount of fund received from the political party or others or the candidate's own funds, should be mentioned date wise. n all such amounts are required to be first deposited in the bank account of the candidate, opened for election expenses. S24/54/
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