Affidavit. I, Ram Mohammad son of Shri Bhagwan Dass, aged 37 years, resident of V.

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t- Oro tyle7 41 [1/44;h1 AI-are riv - A "5 431 rallarl -:# ics S" ;54 ie"_ 4;- -ct-fgsar:sa ; TEN RUPEES Affidavit AE 874524 I, Ram Mohammad son of Shri Bhagwan Dass, aged 37 years, resident of V.

1 t- Oro tyle7 41 [1/44;h1 AI-are riv - A "5 431 rallarl -:# ics S" ;54 ie"_ 4;- -ct-fgsar:sa ; TEN RUPEES Affidavit AE I, Ram Mohammad son of Shri Bhagwan Dass, aged 37 years, resident of V. Mishriwala, Tehsil & District Jammu do hereby solemnly affirm and declare as under- 1. That I have filed my nomination paper(s) for the above election. 2 That, in connection with my candidature for the above election, I am submitting herewith the information under section 24 of the J&K Representation of the People Act, 1957, in the prescribed proforma. 3. That the information furnished in the enclosed proforma is true to the best of my knowledge and belief and that nothing material has been concealed therefrom. Deponent t 66`9?(Ir Verification:- Verified at Jammu on this 16 th day of November, 2012 that the above said statement is true and correct to the best of my knowledge and belief and nothing has been concealed therein and no part of it is false. Deponent KcATE ;IN DIA I Lie. No. 447 Solemnly Affirmed:Sworn. tall are tgt

AE 226051 Affidavit 'Before the Returning Officer for election to Upper House (M. L. C.) from Jammu-1 Constituency. I, Ram Mohammad son of Shri Bhagwan Dass, aged 37 years, resident of V.

2 AE Affidavit 'Before the Returning Officer for election to Upper House (M. L. C.) from Jammu-1 Constituency. I, Ram Mohammad son of Shri Bhagwan Dass, aged 37 years, resident of V. Mishriwala, Tehsil & District Jammu candidate of the above election solemnly affirm/state on oath that the information furnished hereinafter is true and correct to the best of my knowledge and nothing material has been concealed or suppressed:- 1. Whether the candidate is an accused of any offence punishable with imprisonment for two years or more in any pending case in which a charge has been framed by the court of competent jurisdiction. NO (If the answer is "Yes", the candidate shall furnish the following information):- Case/FIR Nos. N.A. ii) in) Police Station: N.A. District N.A. Sections of the Act for which the candidate has been charged: N.A. iv) Court(s) which framed the charges: N.A. v) Date on which charge(s) was/were framed: N.A. vi) Whether the proceedings have been stayed by any Court of competent jurisdiction: N.A. 2. Whether the candidate has been convicted of an offence (other than any offence referred to in sub-section(1) or sub-sect the Jammu and Kashmir (2) or covered in sub-section (3) of section 24 of 0,154 0).\\

3 292 kashmir Representation of P*4)Act. 1957) and sentenced to imprisonment for one ssar *au* YESTNOVe (II the answer is 'Yes'. the anirmilato AAfurnish the following information) : -A 1,i) Case/FIR No (ii) Police Station W 4PI District (iii) Dot eof convictioq % (iv) C obxt (Aug hid% tetttd kpaandwate 71 I % ) PuraAkwott(s) wo4(0-(vals1411trioti ^ (14 ; t tttutea j.iticattg.from pri4 (vii) Wax ancutppl4raiak-1aginnot the said'conviction Yesakin t./7 (viii) (ix) Name cl the Joittittbeifore mak4ithein peal/application for revision was furors --- bv Whethtr the said swami/004;mi* forre ision has been dispoct1 of or is pane int 114 Signature of the Caihdidaue (Deponent). I. the deponent above:ramedik..(mtents of this affidavit tnienedcrti and belief. no part of it brfatick andliet therefrom.,2 and declare that the at of my knowledge I has been concealed, rt., 64t1 Akvekt-L-0 %'erified at this the of 4 Place Date ibritt7"0/ 2- g e

AV A.4 Ca,ef r444.5".i:20111-4psi: RUPEES TFN `fit VI,' cr if. $ oteaa len- P Otre-r lea: } Lt t ia,.

4 AV A.4 Ca,ef r444.5".i: psi: RUPEES TFN `fit VI,' cr if. $ oteaa len- P Otre-r lea: } Lt t ia,..-- -: I':,Se ;4;:i 7ratwa'-' ':12"aL- aa,, 41"--M- C -'1C Midas he shed 16 the candidate alotw6ith Nomination Park A E licfore the Returning 011icer Nor election to _Trete (name of I louse) from Jcprk-66,-)0 _ Constittienc) (name of the Constituency) I. am) MC rvilnime.ct Silan to 43)-.100_5 Age- 3 -.) years, resident or kj M toekt, 'reeks ebratth c el! Lei NAR /A) (mention full postal address). a candidate at the ahme klection. do hereby solemnly affirm and state on oath as under (I) I (an a candidate set up by party)/am contesting as an Independent candidate. (2) Details of PAN and status of Ming of Income Tax return H (name of the political Sr. No _ (I. Names sell I spouse Dependent I Dependent 2 Dependent 3 Permanent Account Number (PAN) A-% P /9a7v. "the financial year for which the last Income-tax return has been flied zo n r 10 I fr.', /4 N - A Total income shown In Income Tax Return (in Rupees) kl),5-1) ceej, / r L N 1`) N, A. /M. A N, ra AI - A A. (3) The lotion ing ease (s) isaiie pending )111)611SI me in )1111))11 cog tiianec has heel] taken b the court Sr. No. 1 Offence (a) (b) The details of cases where the court has taken cognizance, Sections of the Act and description of the offence for which cognizance taken : Name of the court. case No. and Date of order taking cognizance Details of Apeal isilapplication (s) Ihr revision (ilan, ) filed against the (Time order (s): Description N A Cases in which I hay e been con eted he a court of I ins (other those referred to in form 26): (a) L (h) (c) the details of eases. Sections of the Act and description of the oftcnce for which convicted L um, or Hie Coon (s). Case No. and Date (s) of order (s): Punishment imposed: AI,.1)

5 (. 5; That.I give herein below the details of the assets' (movable and Immovable etc.) of myself, my spouse and all dependents: A. Detaib of movable assets : (Note: I. Assets in joint name indicating the extent of joint ownership will also have to be given 2. In case of deposit/investment, the details including Serial Number, Amount, Date of Deposit, the Scheme, Name of Bank/ Institution and Branch are to be given - 3. Value of Bonds/Share/Debentures is per the current ntariet value in Stock Exchange in respect of listed companies and as per books in case of non- listed companies should be given. 4. Dependent', here means a person, substantially dependent on the income of the candidate. 5. Details including amount is to be given separately in respect of each investment).. S. No. Description Self Spouse Dependent-1 Dependent-2 Dependent-3 (0 Cash in hand (ii) (iii) (iv) - (v) - (vi) Details of Deposits in Bank accounts (FDIts, Term Deposits and all other types of Deposits. including saving accounts), Deposits with Financial Institutions, Non Banking Financial Companies and Cooperative societies and the amount in each such deposit Details of investment in Bonds, Debentures/shares and units in _ c.ompanies/mutual Funds and others and the amount Details of investment in NSS, Postal Savings, Insurance Policies and investment in any Financial Instrument in Post office or Insurance Company and the amount Personal loans/advance given to any person or entity including firm, Company, Trust etc. and other receivables from debtors and the amount Motor Vehicles/Aircrafts/ Yachts/Ships (details of Make, Registration No. etc, Year of Purchase and amount ) (vii) Jewelry, bullion and valuable thing (give details of weight and value) (viii; Any other assets such as value of Claims/interest k ' j ec i i t h i,../ri i.,.& fig- r wr ---e (ix) Gross Total value k.t. qo tot B. Details of Immovable assets: 1 tcb Pi/ A Ai, A 041, 64 A), A N A Pvf - i A) A iki, 14. N -11\ - At A- 6\4 II /kj, A} A, /V ' A Ai A. Ai 4 0 I, A - A - t A N I x ft 7F1ct.e /.).A, ALA A ), A, Al.,-.A /All A M A A) -A1t- A),..4, r r 4- g ir te% AA t A, Al Pr ta, A) KA

6 rn. No` (I) 1. Description Self Spouse Dependent-1 AA Agricultural Land Location(s) Survey number(s) Area (Total measurement in acres) - Whether inherited property (Yes or NO) 0,), 4A- Dependent-2 L ALA, Dependent-3 HA, Date of purchase in case of self acquired property Cost of Land (in case of purchase)at the time of purchase Any Investment on the land by way of development, construction etc. Approximate Current market value (H) Non-Agricultural Land s-frikse S ats a kal Location(s) Survey number(s) Area (Total measurement in. n. sq. ft.) 1:L--- vwt9z.- l Is (iii) n- eilaaini...,n, A, Aii 4 ^ 6V vi t Whether inherited property Ai ^ A 11 A ' (Yes or NO) Date of purchase in case of self acquired property Cost of Land (in case of purchase) at the'time of purchase Any Investment on the land by way of development, construction etc. Approximate Current market value Commercial Buildings (including apartments) -Location(s) -Survey number(s) - - Built up Area (Total measurement n In sq. ft.) Whether inherited property (Yes or NO) '2-, ye.statearto IA, " hs.f La 7,_ tko,u.e cona.leld Ns it9, r 1,NR,- 4t-P Ho, c...6 mt,_1 twcf,--s M e. P e /fel i PS-Ce- 5-0, 3 e-c Si. ql ' :fr kottritc),t.2-s Date of purchase in case of self acquired property At -a, Cost of property(in cast of purchase) at the time of purchase Any Investment on the its _5 etnes Yist-t,7',4, A k_i A.,

7 Airoximate Current market t* :s R_Acell value (iv) Residential Buildines (including th s yv,r_v_44.3 apartmcnts,) et-kg-tip -Location(s) Ki.724cirt cd - Survey number(s) /..n cs Area (Total measurement in S ts,a21_ sq. ft.) "I wsx...1sts Built up Arca (Total. measurement in sq. ft.) 41-7-r 4 ' Whether inherited property (Yes or NO) Date of purchase in case of self acquired property Cost of property (in case of purchase) at the time of purchase Any Investment on the land by way of development, construction etc. Approximate Current market value (v ) Others (such as interest in property) (vi) Total of Current Market Value of (i) to (v) above (u 141.s bies lisiss-in Ce-raf512-u frvi, s he, f\/ ra S Act e-s (6) 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 for each item) S. No. Description Self Spouse(s) Dependent-1 Dependent-2 Dependent-3 (0 Loan or dues to Bank/Financial Institutionfsl Name of Bank or Fl Amount outstanding Nature of loan Loan or dues to any individuals/ Entity other than mentioned in (I) above. Name(s) Amount outstanding Nature of loan Any other liability Grand total of liabilities (ft) Government Dues: Dues to departments dealing with government accommodation Dues to deputmatts dealing with supply of water

$7Ducs to departments dealing with supply of electricity r L _ Ducri departments dealing with, supply of V \ \A tclephones/mobiles Dues to depattments dealing with government transport' (including$

8 7Ducs to departments dealing with supply of electricity r L _ Ducri departments dealing with, supply of V \ \A tclephones/mobiles Dues to depattments dealing with government transport' (including aircrafts and helicopters). Income Tax Dues Wealth Tax Dues \ 4), Service Tax Dues NjosK f Municipal /Property Tax Dues IN), i A ' Sales Tax Dues Any other dues P R Grand total of all Govt. dues kni At (7) Details of profession or ocapadon: a. Self b. Spouse :.c7't"-SL-e' vat1 (8) My educational qualification is as under:. sc_ t Lf?. (Give details of highest School / University education with full form of the certificate/ diploma/ degree course) (Name of the School /College/ University and the year in which the course was completed.) 9). ABSTRACT OF THE DETAILS GIVEN IN (I) TO (8) ABOVE: 1. Name of the candidate Sh./SmtJKum. RAM HD nar-lrol b 2. Full postal address V..).g?. b. Min-) R )toala;tilmmu /NI( 3. Number and Name of the constituency and state 3. Name of the Political party which set up the candidate (otherwise write 'Independent') 4. (a) Number of cases in which conviction order passed (other than those referred to in Form 26) (c) Total number of Pending cases where the court (s) have taken cognizance ig,ta-polu (3 A k )!Nth 6 Pe ALI* Wr 5. PAN of A r Gi p, ti s- ci Thy a Year for which last Income Tax-Return filed (a) Candidate A trn' PP-151'3-0 la 0-e r) r '2- JuL.- k -srottis_ (b) Spouse: (c) Dependents N'- P ----TT-- 6. Details of Assets sod Liabilities in rupees Description Self Spouse Dependent-I Movable N; L (MI t t1/41, 1 t_ Asset (Total value) B. Immovable Asset r Dependent-11 P..) I t-- Total Income Shown Dependent-Ill ikr / L. k g t Nes M tt it\i\ 1.1 1\1 1 t Mi.--

9 i) Purchase Price and Development Cost of Immovable Property Total Value ii) Approximate Current Market Price of Asset otal Value 8. (ii) Loans from Bank, Financial Institutions anc others Tota Highest educational qualification: Lt B. (Give details of School / University education with full form of the certificate/ diploma/ degree the course was completed.) course) (Name of the School /College/ University and the year in which VERIFICATION affidavit are true and correct to the 1, the deponent, above named, do hereby verify and declare that the contents Of this concealed there from. I further knowledge and belief, no part of it is false and nothing material has been best of my declare that : (a) there is no case of conviction or pending case against me other than those mentioned in items 3 and 4 above; (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 5 and 6 above. V epu. 2oik Verified at.j 0 "1 "-n" this the t day of Ato1 11". DEPONENT Note: 1. Affidavit should be filed latest by 3.00 PM on the last date of Ming nominations. the First Class or before a Notary Affidavit should be sworn before an Oath Commissioner or Magistrate of 2. Public. no information to furnish in respect of All columns should be filled up and no column to be left blank. If there is 3. be mentioned any item, either "Nil" or "Not applicable", as the cage may be, should 4. The affidavit should be either typed or written legibly and neatly.

FORM 26 (See rule 4A)

FORM 26 (See rule 4A) Please affix your recent passport size photograph here Affidavit to be filed by the candidate alongwith nomination paper before the returning officer for election to... (name of the