rvr Name and Address of the Election Sh. Sher Mohd S/0 Sh Sehzad Khan,

Transcription

1 1--. ABSTRACT STATEMENT OF ELECTION EXPENSES PART-I I Name of the Candidate Sh. Aftab Ahmed II Number and name of Constituency 79-Nuh III Name of State/Union Territory Haryana TV Nature of Election General State Assembly (Please mention whether General Election to State Assembly /Lok Sabha/Bye-election) jv Date of declaration of result rvr Name and Address of the Election Sh. Sher Mohd S/0 Sh Sehzad Khan, Agent village and P.O. Bisru, Tehsil, Punhana. VII If candidate is set up by a political Indian National Congress party, Please mention the name of the political party VIII Whether the party is a recoginised Yes political parg A-u-~J Jrw. Si~rr~ of the Candidate Place: N u h Aftab Ahmed Proforma S.K

2 ". PART-II: ABSTRACT OF STATEMENT OF ELECTION EXPENDITURE OF CANDIDATE Sf. Particulars Amt. Amt. Amt. Total Election No. Incurred/ Auth. Incurred/ Autho Incurred/ Expenditure by candidate/ rized by Pol. authorized (3)+(4)+(5) Election agent Party (in Rs.) by others (in Rs.) (in Rs.) I Expenses in public meeting, rally, Self Self - procession etc:- Rs /- Rs /- 1. a: Expenses in public meeting, rally, procession etc. (ie: other than the onces with Star Compaigners of the Political party (Enclose as per Schedule-I) Lb: Expenditure in public meeting rally, Self Self - I procession etc. with the Star Rs /- Rs /- COll1p;llgner(s) (ie: other than those for i gclleralpam' propaganda) (Enclose as per Schedule-2) 11 Compaign materials other than those Self Self - used in the public meeting, rally, Rs.1940/- Rs.1940/- procession etc., mentioned in S. No.1 Rs /- Rs /- above (Enclose as per Schedule-3) III Compaign, through print and electronic Self Self - media including cable network, bulk Rs.65412/- Rs.65412/- SMS or internet and asocial media (Enclose as per Schedule-4) IV Expenditure on compaign vehicle (s), Self Self - used by candidate (Enclose as per Rs /- Rs /- schedule-5) V Expenses of campaign workers/agents Self Self - (Enclose as per Schedule-G) Rs.37135/- Rs.37135/-.~ I \ I :\11\' other cornpaign expenditure Self Self - Rs /- Rs.700/- Rs /- Rs.700/- Grant Total Rs Rs

3 PART III:ABSTRACT OF SOURCE OF FUNDS RAISED BY CANDIDATE Sr. Particulars Amount (In Rs.) No I Amount of own fund used for the election compaign Rs (Enclose as per Schedule-7 II Lump sum amount received from the party ies) in Nil cash of cheque etc. (enclose as per Schedule-S I TTT J,ump sum amount received from any Rs I person/ company / firm/ associations/body of (Enclose as_e_erschedule-9 TOTAL I!3 6Z I Is00 Profonna S.K

4 PART-IV ",FORM OF AFFIDAVIT Before the District Election Officer Mewat (Haryana) Affidavit of Sh. Aftab Ahmed S/O Sh. Khurshid Ahmed aged.!-t,$. years R/o Vill. Khanpur Tehsil Nuh District Gurgaon do hereby solemnly and sincerely state and declare as under :- 1. That I was a contesting candidate at the General Election, Legislative Assembly- 79 Nuh Assembly Constituency, that the result was declared on 19/10/ That 1/my election agent kept a separate and correct account of all expenditure incurred/ authorized by me/my election agency in connection with the above election between "t\ l't /09/2014 and the date of-declaration of the result of thereof, both days inclusive. 3. That the said account was maintained in the Register furnished by the Returning Offcer for the purpose and the said Register itself is annexed hereto with the supporting vouchers/bills mentioned in the said account. 4. That the account of my election expenditure as annexed hereto includes all items of election expenditure incurred or authorized by me or by my election agent, the political party which sponsored me, other associations/body of persons and other individuals supporting me, in connection with the election and nothing has been concealed or withheld/suppressed therefrom (other than the expese on travel of leaders covered by Explanations 1 and 2 under section 77 (1) of the representation of the People Act That the abstract statement of election expenses annexed as Annexure -II to the said account also includes all expenditure incurred or authorized by me my election agent, the political party which sponsored me, other associations/body in connection with the election. of persons and other individuals supporting me, 6. 'That the statement sin the foregoing paragraphs (1) to (5) are true to the best of my knowledge and belief, that nothing is false and nothing material has been concealed. ",nested

5 Schedule- 1 to 9: Details of Elections Funds and Expenditure of Candidate Schedule-1 Expenses in public meeting, rally procession etc. (ie other than those with Star Compaigners of the Political Party) Sr. Nature of Expensiture Total Amount Source of Expenditure No. in Rs. Amount. Amt. incurred/ Amt. incurred Incurred/ Auth. by Pol. Party by others. By Candidate with name aeent I. \' chicle for transporting visrtors ') _. h'ecrjng Stage, Pandal & Furnirure, Fixtures, poles etc. 3. Arches & Barricades etc. Nil Nil - 4. Flowers/ garlands Nil Nil - 5. Hiring Lud speakers, Microphone, amplifiers comparares etc. 6. Posters, hand bills, pamphlets, Banners, cut outs, hoardings Baverages like tea, water, cold dring, juice etc Digital TV-boards display, Nil Projector display, tickers Nil - boards, 3d display 9 Expenses on celebrities, payment to musicians other artists remuneration etc. 10 Illumiuation items like serial Nil lights, boards etc Nil Expenses on transport, Nil Helicopter/ aircraft/vehicles/ Nil - boards etc charge (for self, celebrity or any other campaigner other than Star campaigner) 12. Power consumption/ generator charge Nil Nil - 13 Rent for venue Nil Nil - 14 Guards & Security Charges Nil Nil 15 Boarding & lodging expenses Nil Nil - of self, celebrity, party functionary or any other campaigner including star campaigner 1(, Others expenses Nil Nil Tora! Schcdule-Z Expenditure in public meeting raily, procession etc. with the Star Compaigner (s) as apportioned to candidate (ie: other than those for general party propaganda). I k)~kw Proforma S.K

6 ,. 1"'i Sr. No. Date and Name of the Star Compaigner(s) Amount of Expenditure on Remarks, if Venue & Name of Party public meetin rally, procession any etc. with the Star Compaigner (s) apportioned to the candidate I (As other than for general party propaganda) in Rs Ch. Bhupender Singh Nuh Hoods, Indian National Congress do Nuh 3 4 Total Schedule-3 I Details of expenditure on compaign material, like handbills, pamphlets, posters,. hoardings, banners, cut-outs, gates & arches, video and audio cassettes, CDs/DVDs, Lud speakers, amplifiers, digital TV /board display, 3 D display etc. for candidate's election compaign (ie: other than those covered in Schedule-1&2 Sr. Nature of Total Amount in Sources of Expenditure Remarks, No. Expenses Rs. Amt. By if any Amt. by Amt. by candidate/ Pol. Party others agent Loud speakers Self Flag etc Self Video Self CD. for Self video Total Proforma S. K

7 Schedule-4 Details of expenditure on compaign through print and electronic media including cable network, bulk SMS or internet or social media etc. for candidate Sr. No. Nature of Name and Name and Total Sources of Expenditure medium addrss of address of Amount in (electronic/ media agency, Rs. (Col. Print) and provider reporter, (3)+ (4) duration (print/ stringer, electronic company or /SMS/ any person to Voice/ whom Cable TV, charges/ Social commission media etc. Amt. by Amt. by Amt. By candidate/ Pol. Party others. agent etc. paid/ payable, if any 1 I Print News Danik Self - - paper Jagran Mewat Edition 2 Redio Radio Smrat Self - - Mewat Radio Mewat I Total Prolonuu S,I-:.

8 j' ti1 I Schedule-5 Derails of expenditure on compaign vehicle (s) and poll expenditure on vehicle (s) for candidate's election cornpaign. Sr. Regn. No. Hiring Charges of vehicle No. of Total Source of Expendiutre. No. of Vehicle Daays amt. & Type of Reate for Fule Driver's for incurred/ Vehicle hring of charges charges which auth. In vehicle/ (if not (if not Amt. by Amt. Amt. used Rs. maintenance covered covered candidate/ by Pol. By under under agent Party others. hiring) hiring) 1 2 3a 3b 3c CH Self - - Tep HR-74A- -do Self ). CH-Ol :-\K- -do Self I ()c)() [R do Self HR-29AD do Self DL-10CH- -do Self UP-13T- -do Self HR-55H do Self HR-74A- -do Self io UP-13J-I- -do Self II I [R-27-30()3 -do Self HR-27- -do Self HR-74A Self HR-27A Self CH-Ol-AK- -do Self HR-55H- -do Self CH-01- -do Self - - TEpm HR-29AD- -do Self Profonua S, K

9 , '..A- 19 DL-10-CH- -do Self UP-13H- -do Self HR- -do Self A/ HR-27A- -do Self HR74A do Self HR13T (In -do Self - - J.iuc of 2534) 25 HR-55-B- -do Self HR-74A- -do Self HR-29AD Self DL-10-CH Self - - Total Proforma s.k

10 Schedule-6 Details of expenditure of Compaign workers/agents. Sr. Date Expenses on Compaign Workers. Total Sources of Expenditure. No. and Nature of Qty. No. of amt. Venue Expenses Workers/ incurred/ Amt. by Amt. by Amt. By agent auth. in candidate/ Pol. Party others. Rs. agent 1 2 3a 3b 1. Compaign 3c workers honorarium/ Salary etc. 2. Boarding.~ Lodging.f. Others. (Tea) Self - - Total Schedule-7 Details of amount of own fund used for th election Compaign Sr. Date Cash DD/Cheque no. etc. with details Total Amount in Remarks. No. of drawee bank Rs (J J( 1.()<) "7 ()11O.2U R Nil Nil?' _J Nil Nil Total Proforma S.K ~~

11 Schedule-7 Details of amount of own fund used for th election Compaign Sr. Date Cash DD/Cheque no. etc. with details Total Amount in Remarks. No. of drawee bank Rs SBI, Nuh 2 04' SBI, Nuh SBI, Nuh Cash Total Profcnua S.K

12 Schedule-8 Details of Lump sum amount received from the party (ies) in cash or cheque or DD or by Account Transfer. Sf. Name of the Political Date Cash DD/Cheque Total Remarks, if no. etc. with Amount in any No. Party details of Rs. rawee bank Nil Nil Nil Nil Nil Nil 2 Nil Nil Nil Nil Nil Nil 3 Nil Nil Nil Nil Nil Nil 4 Nil Nil Nil Nil Nil Nil Total Nil Nil Nil Nil Nil Nil

13 Sched ule-9 Details of lump sum amount received from any person/ company / firm/ associations/body of persons etc. as loan, l!ift or donation etc. Sr. Name and Date Cash DD/Cheque Mention Total Remarks. No. address no. etc. with whether Amount in details of loan, gift or Rs. drawee bank donation etc eh. Khurshid Gift Ahmed, Village Khanpur, Tehsil Nuh 2. -do do do do do do Total, \-l(w Proforma S.K