e-stamp IN-DL P

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1 INDIA NON JUDICIAL., e-stamp.. ~{4=("'~~'"i~i.l 'W-I(l I, Ii.1 ' Certificate Certificate No, Issued Date Account Reference Unique Doc. Reference Purchased Description by of Document Property Description Consideration First Party Second Party Price (Rs.) Stamp Duty Paid By Stamp Duty Amount(Rs.) IN-DL P 31-Mar :21 PM IMPACC (IV)! d ! DELHI! DL-DLH SUBIN-DLDL P ABHA CHAUHAN Article 4 Affidavit Not Applicable o (Zero) ABHA CHAUHAN Not Applicable ABHA CHAUHAN 10 (Ten only), d:ll.,, I I, I.j"', Statlltory Alerl: 1. lne ;,tlhlcn:icily of II,'';; rlvilll,.t,i<l (}Il lik. "'b~i~ '''lll~j C""lticale 5hould he venfied at "''I'> W.shcile!>tilmp.com". '~nd.,. ; II invaifd Any discrepancy In th~ do;tails on lhis Certificate and <IS 2. The OIlU~ or r.ht.'ckim. t a'!li:!(11!i{.yis on lhe llsers ollhe certifledl.:!. J!rI caq; d ;Jny I!.~(:H, f ot~i'i~~eint'jrrn lllf~ C()lIll.el~:nl Allth::.rfly.

2 ,I E-STAMP CERTIFICATE NO.IN-DL6S668S002929S1P FORM -21[See Rule 18(2)] Affidavit to be furnished by the Candidate before the Returning officer for election to the South Delhi Municipal Corporation from 28-S, (Ward No.) Uttam Nagar (Name of the Ward) I, Abha Chauhan Wife of Ravinder Pal Singh aged about 46 years, resident of Q-107,Q-Block, Vikas Vihar, Uttam Nagar, New Delhi candidate at the above election, do hereby solemnly affirm/state on oath as under:- 1. I am not accused with imprisonment a pending case (s) been framed by jurisdiction. of any offence (s) punishable for two years or more in In which charge(s) has/have the court (s) of competent If the deponent is accused of any such offence(s) he/she shall furnish the following information:- (i) Case/First Information Report No./Nos.- NA (ii)police Station (s)-na -District (s)- NA- State(s)- NA (iii) Section (s) of the concerned Act (s) and short description of the offence(s) for which the candidate has been charged- NA (iv)court(s),which framed the charge(s)- NA (v) Date (s) on which the charge (s) was/were framed- NA (vi)whether all or any of the proceeding(s) have been stayed by any court(s) of competent jurisdiction- NO 2. I have not been convicted [other than any offence (s) E-STAMP CERTIFICATE NO.IN-DL6S668S002929S1P

3 E-STAMP CERTIFICATE NO.lN-DL6S P section (1) or sub-section (2) or covered in subsection (3), of section 8 of the Representation of the people Act, 1951 (43 of 1951)] and sentenced imprisonment for one year or more. If the deponent is convicted and punished as aforesaid, he/she shall furnish the following information: (i) Case /First Information Report No./Nos.- NA (ii)court(s) which punished- NA (iii) Police Station (s)- NA - District (s)- NA -State(s)- NA (iv)section (s) of the concerned Act(s) and short description of the offence (s) for which the candidate has been charged- NA (v) Date (s) on which the sentence(s) was/were pronounced- NA (vi)whether the sentence(s) by any competent jurisdictionhad/have court(s) NA been stayed of Place: New Delhi ~b~. Date: Signature of deponent VERIFICATION I, the above-named deponent, do Veri hi this 3rd day of April Signat~~~'deponent A<t... ed Belote Me S lenuuynul o Atte~ "0 3 APR 2017 \ NoM.t"l ~~\l~. DelhI I \ A'Q N. \-\,~ubiic' EntrY N6~... Od~ll

INDIA NON JUDICIAL ~<:>vernment of National Caeital Territory of Delhi I I.lli' : I '. :11:11! Certificate Certificate Account - - -{1-«l-q-q ~ No. Issued Date Reference Unique Doc.

4 INDIA NON JUDICIAL ~<:>vernment of National Caeital Territory of Delhi I I.lli' : I '. :11:11! Certificate Certificate Account - - -{1-«l-q-q ~ No. Issued Date Reference Unique Doc. Reference Purchased Description by of Document Property Description Consideration First Party Second Party Price (Rs.) Stamp Duty Paid By Stamp Duty Amount(Rs.) e-stamp IN-DL P 31-Mar :21 PM IMPACC (IV)! d ! DELHI! DL.DLH SUBIN.DLDL ABHA CHAUHAN Article 4 Affidavit Not Applicable o (Zero) ABHA CHAUHAN Not Applicable ABHA CHAUHAN 10 (Ten only) P Statutory Alert: 1. The. aulhflnlicily of this Stamp Ce,rtificate should be verified at ". the details on this Certificate and as avallabl~ on the web:;'l!> renders It invalid. 2. The onus 01 Chockirlg til legltlfllacy is on the users altha certificate. 3. In Cd,,«01."1)'..;,scre,I(l.1 ~y please inlorm the Competent Authority.,

5 E-STAMP CERTIFICATE NO.IN-DL656680SS641872P FORM -22[See Rule 18(2)] Affidavit to be furnished by the Candidate along with nomination paper before the Returning officer For Election to be South Delhi Municipal Corporation of Delhi From Ward No. 28-5, Uttam Nagar (No. and name of the ward) I, Abha Chauhan Wife of Sh. Ravinder Pal Singh aged about 46 years, resident of Q-I07, Q-Block, Vikas vihar, Uttam Nagar, New Delhi-59 a candidate at the above election, do hereby solemnly affirm and state on oath as under: (1) I Party am candidate set up by Bharatiya (Name of the Political Party). Janata (2) Details of PAN and status of filling on Income Tax return: SL Names Permanent The Total No. Account financial income Number year for shown in (PAN) which the Income-Tax last return (in Income Tax Rs. ) return has been filled 1 Self-Abha AQVPC8658F /- Chauhan 2 ARNPS9109C /-

6 E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P Singh 3 Dependent 1- BBUPC1433K NO NO Kartik Chauhan 4 Dependent 2- BBUPC1432J NO NO Kritika Chauhan (3) The following case(s) is fare pending against me in which cognizance has been taken by the court:- S.No. Offence Description A The details of cases where NA the court has taken cognizance, Sections of the Act and description of the offence for which cognizance taken: B Name of the Court, Case No. NA and date of order taking cognizance: C Detail of NA Appeal(s)/Application(s) for revision(if any) filed against the above order(s) (4)Cases in which I have been convicted be a court of law (other than those referred to in Form 'A') A The details of cases, Sections the act and description of offence for which convicted: of the NA B Name of the Court (s), Case No. and NA date(s) of order(s): C Punishment imposed: E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P

E-STAMP CERTIFICATE NO.IN-DL6S668055641872P (5) That I give herein below assets (movable and immovable spouse and all dependents: A. Details of movable assets: the etc.

7 E-STAMP CERTIFICATE NO.IN-DL6S P (5) That I give herein below assets (movable and immovable spouse and all dependents: A. Details of movable assets: the etc. ) details of of myself, the my (Note: 1. Assets In Joint joint ownership will name indicating the also have to be given. extent 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. 3. Value of Bonds/ Share Debentures as per market value in stock exchange in of listed companies and as per books in case listed companies should be given. of current respect of non- 4. Dependent, dependent on here means a the income person, substantially of the candidate. 5. Details including amount is to be given separately in respect of each investment.) S. Description No Self Spouse Dependent - 1 Depende nt- 2 Abha Sh. Kartik Kritika Chauhan Ravinder Chauhan Chauhan Pal Singh l Cash in Hand Rs.1OOOO/ Rs.5000/ 1000/- NIL ii Detail of 1.Joint I.Saving l. Deposits in, Saving in account Joint Bank Accounts A/c in state Saving (FDRs, Term With bank of A/c Deposits and her India, With all other Dwarka her (

$,/ :1 \ \ E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P types of deposits Including saving accounts).$

8 ,/ :1 \ \ E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P types of deposits Including saving accounts). Deposits with financial Institutions, Non-Banking financial Companies and Cooperative Societies and the amount in each such deposit. 2. Joint Saving Ale With his spouse in Sindicat e Bank, Uttam Nagar Branch, Ale No , in Sindica te Bank, Uttam Nagar Branch, Ale No Balance as on is Rs Joint account with her Spouse and daughte r namely Kritika Chauhan in Corpora tion Bank, Nawada Branch, Delhi, account no is Branch,a ccount no. is , Balance as on is RS Balance as on is Rs. ( ). 3. Joint account with his Spouse and daughter namely Kritika Branch, account no , account 2.Saving no is account in Oriental 4 and Bank of balance Commerce, as on account no is 17 1S Rs. ( ). Balance as on is Rs Parents in Corpora tion Bank, Nawada Branch, Delhi, account no. is 2 and balance as on Balance as on and balance as on is Rs Saving bank account in Yes Bank, C- scheme branch Jaipur, Rajasthan 2. Saving bank account in Bank of India, Uttam nagar Branch, Delhi vide account no. E-STAMP CERTIFICATE NO.lN-DL P

E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P 0101485 Chauhan 03-17 is 2017 is 4 and in Rs. Rs. balance Corporat 3382.25. 534.56 as on ion 06-02- Bank, 2017 is Nawada Rs.1193 Branch,.00. Delhi, 3.

9 E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P Chauhan is 2017 is 4 and in Rs. Rs. balance Corporat as on ion Bank, 2017 is Nawada Rs.1193 Branch,.00. Delhi, 3.FDR account no is for locker in and syndica balance te bank as vide on locker is no.79 Rs. (1193 operati.00). ng In joint name with her spouse vide FDR no /15 and amount is Rs Details of NIL NIL NIL NIL iii investment in Bonds A'J).,LO ~ E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P IJ;~~.. ~ k ~~~l'o\ ~'\ f;; ~I-,,1..,*,1" '0'\~ ~\'I\\", U ~~. :\0' fl\\j -. 't\c, ~( -I ~I;. ~e~' G~Cb ~Q"rA fr{ ~ I

E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P debentures/ shares and units in companies/ mutual funds and. others and the amount. iv Details of 1.LIC investment in Policy NSS, Postal no Saving.

10 E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P debentures/ shares and units in companies/ mutual funds and. others and the amount. iv Details of 1.LIC investment in Policy NSS, Postal no Saving Insurance 19 date policies and of investment ~n commenc any Financial ement instruments ~n post office or 2012 Insurance sum Company and assured the amount. ~s Rs /- and sur rend er value I.LIC Policy no. 1.LIC Policy no , date, date of of commencem commence ent 22- ment , , sum sum assured assured Rs. Rs /- 0/- and and surrende surrender r value value as as on on ~s 2017 is Rs. Rs /- on /- as LIC 17 is Policy Rs. no / LIC 8, date Policy of no date of commenc ement commence ment , sum LIC policy no. is date of commen ce ment and sum assure d is Rs /- and surren der value is Rs / E-STAMP CERTIFICATE NO.lN-DL6S6680SS641872P

E-STAMP CERTIFICATE NO,IN-DL65668055641872P Personal V. loans/ advance given to any person or entity including firm, Company, trust etc. and other receivables from debtors and the amount.

11 E-STAMP CERTIFICATE NO,IN-DL P Personal V. loans/ advance given to any person or entity including firm, Company, trust etc. and other receivables from debtors and the amount sum assured is Rs / - and sur rend er value as on is Rs /- NIL /- and surrende r value as on is Rs /- NIL NIL NIL vi Motor Vehicles/Aircr afts/yachts/ Ships (Detail of Make, registration no. etc, year of purchase and amoun t.) Tvs We go vide registr ation no. DL9SAJ5 859 and made on 2012 and E-5TAMP CERTIFICATE NO.lN-DL P Car ford NIL eco sports vide registra tion no. is DL10CF83 09 and ma~~ 2Q.'f~)fndT ~ /fl<j \~~i'\~: I! ::r: ~' (,r:j~,if"'!o _.J 1\' ~ '\-~~6~ Q~\Tf~)~ of ~,-:- c.,:;. 'l,., ~i>~ «;.b ~O"r J:,'i?--{.-...~~r \ NIL

12 E-STAMP CERTIFICATE NO.IN-DL6S6680S P (L year of year of purchas purchase e was is and and purchase purchas price is e Rs. amount /- was and Rs.5107 current 0/- and market current value is market Rs value 0/- is Rs /- Jewelry, NIL NIL NIL NIL vi bullion and i valuable thing (give details of weight and value) Any other NIL NIL NIL NIL vii assets such as i. value of claims/ interest. ix Gross Total Rs. Rs. Rs. Rs. Value B. Details of Immovable Assets: (Note: 1. Properties extent of joint indicated. E-STAMP CERTIFICATE NO.IN-DL

13 E-STAMP CERTIFICATE NO,IN-DL6S6680SS641872P r) 2. Each land or building or apartment should be mentioned separately in the format.) S. No Description Self Spouse Dependent-l Dependent-2 Ii) Agricultural NIL NIL NIL NIL Land -Location(s) -Survey number(s) Area ( total NIL NIL NIL NIL measurement in acres) Whether NO NO NO NO inherited properly (Yes or No) Date of NA NA NA NA purchase in case of selfacquired property Cost of Land NIL NIL NIL NIL (in case of purchase) at the time of purchase Any NIL NIL NIL NIL investment on the land by way of development, construction It etc. ~AL~ \!{~~~.k ~ \l-t-"'':: (;O~\'~' '0'1 ove\'\i\ U 0\ SJ"Of;j\f;j"o,:j E-STAMP CERTIFICATE NO,IN-DL6S6680SS641872P. ~~C" ~ ~et).,\c ~QJ QtAP.'! «

14 E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P Iv.. Approximc1te current market value NIL NIL NIL NIL ) Iii Non- Agricultural Land: -Location(s) -Survey number(s) 1. NIL Plot in Lotus Green ci ty, Dharuhe ra, plot no- B6/11,B -Block, street no B-6. NIL NIL 2. Plot no. 64, Indrapr asth colony, Jagatpu ra Road,Bu dhsingh pura,sa nganer, jaipur. 3. Plot no. 65, Indrapr asth colony, Jagatpu ra E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P \

E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P Road,Bu dhsingh pura,sa nganer, jaipur, Area (total l. measurement 2691 In sq. ft.) ft. 2. sq NIL NIL NIL 2799.99 sq. ft. 3. 2799.99 sq. ft. Whether NO NO NO NO inherited property (Yes or No) Date of l.

15 E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P Road,Bu dhsingh pura,sa nganer, jaipur, Area (total l. measurement 2691 In sq. ft.) ft. 2. sq NIL NIL NIL sq. ft sq. ft. Whether NO NO NO NO inherited property (Yes or No) Date of l. NIL NIL NIL purchase in case of 2012 selfacquired 2. property Cost of Land l. (in case of Rs. purchase ) at the time E-STAMP CERTIFICATE NO.lN-DL6S6680SS641872P NIL NIL NIL ~. I \

E-STAMP CERTIFICATE NO.lN-DL6S668055641872P (G of purchase /- 2. 375000/ 3. 375000/ Any NIL NIL NIL NIL investment on the land by way of development, construction etc. Approximate l.

16 E-STAMP CERTIFICATE NO.lN-DL6S P (G of purchase / / / Any NIL NIL NIL NIL investment on the land by way of development, construction etc. Approximate l. NIL NIL NIL current market value / / /- (ii i) Commercial building (including apartments) NIL NIL NIL NIL -Location(s) -Survey number(s) E-STAMP CERTIFICATE NO.IN-DL P \!

E-STAMP CERTIFICATE NO.IN-DL65668055641872P Built-up NIL NIL NIL NIL Area (total measurement in sq. ft.

17 E-STAMP CERTIFICATE NO.IN-DL P Built-up NIL NIL NIL NIL Area (total measurement in sq. ft. ) Whether NO NO NO NO inherited property (Yes or No) Date of NA NA NA NA purchase In case of self acquired property Cost of NIL NIL NIL NIL property (in case of purchase) at the time of purchase Any NIL NIL NIL NIL investment on the land by way of development, construction etc. Approximate NIL NIL NIL NIL current market value Residential Residen NIL NIL NIL (iv Buildings tial ) (including house apartment) :- NO.Q- Location(s)- 107, Q- l~-t~~~'i- "..p..l O~ Survey Block, { number(s) Vikas :::1: 0' - - N" Vihar,... ~""~,,~o~\~'.-.'o ~ '!.:c,"\ fr" "1j E-STAMP CERTIFICATE NO.IN.DL P '"" v: ' l1j. W,"l" C-,:). ~" ~. 'Pr A~-{ 'x "..,/ " / \

E-STAMP CERTIFICATE NO.JN-DL6S668055641872P Uttam nagar, New Delhi- 59. Area (Total 486 NIL NIL NIL measurement sq.ft. in sq. ft.

18 E-STAMP CERTIFICATE NO.JN-DL6S P Uttam nagar, New Delhi- 59. Area (Total 486 NIL NIL NIL measurement sq.ft. in sq. ft. ) Built up 486 sq. NIL NIL NIL area (Total ft. measurement In sq. ft. ) Whether NO NO NO NO inherited property (Yes or No) Date of NIL NIL NIL purchase In 1998 case of self acquired property Cost of Land Rs. NIL NIL NIL (in case of 70000/- purchase ) at the time of purchase Any NIL NIL NIL NIL investment on the land by way of development, construction etc. Approximate Rs. NIL NIL NIL current market value /- ~~ ~~O~ ~ E-STAMP CERTIFICATE NO,IN-DL P.I''::':' }.'1~~~f' 0\ olj.' f}~, ilr~ Lc~\,~,-.. '~'\ \) QlI''\'i U, l'.'v':>e,' 'J"~\~ ~ 0. "~C9;1,.'i'-~' ~..::>, 1'OiAr,~

19 E-STAMP CERTIFICATE NO.IN-Dl P 1 Others (such NIL NIL NIL NIL (v) as interest in property) ) (vi Total of Rs. NIL NIL NIL current market value 0/- of (I) to (V) (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) Ii) Loan or dues Bank/financial insti tution (s) Name of the Bank or FI amount outstanding nature of loan to Loan against propert Car loan from y from ICICI Diwan Housing finance bank vide loan no corpora tion LADELOO and 65 and loan code outstan ding no. is balance as on 9 and total Depen dent- 1 NIL Depen dent- 2 NIL E-STAMP CERTIFICATE NO.IN-Dl P

20 fṭi E-STAMP CERTIFICATE NO.IN-Dl6S6680SS641872P outs tan ding Rs / balance as on Educati 2017 is on loan Rs. from / Avanse Financi 2. al Service Loan from PNB housing finance ltd., loan account no. is and outs tan ding balance loan no. is DEL/OOO 892 and outstan ding balance as on ls RS /- as on is Rs In the both loans her spouse is co applica 5 Ltd. 3. Educati on loan from corpora tion bank, Nawada Branch, Delhi and loan account no ls CVDFS/O E-STAMP CERTIFICATE NO.IN-Dl6S6680SS641872P i

rtl....- E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P nt. 1/16000 1 and outs tan ding amount is Rs.

21 rtl....- E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P nt. 1/ and outs tan ding amount is Rs / - Loan or Dues to any NIL NIL NIL NIL Other individual/ entity other than mentioned in (i)above. Name (s) Amount outstanding nature of loan Any other liability NIL NIL Savin NIL g Bank accou nt negat ive balan ce Rs Grand total of Rs. Rs. Rs. NIL liabili ties Government Dues NIL NIL NIL NIL (II) Dues to departments dealing with government /t ~~);O~ ~., E-STAMP CERTIFICATE NO.IN-DL6S6680SS641872P ~ },.~~~\): fj;~ 'f...~ 'Irl QP ~\\\~ ~ ~~. :\ 0\ ~~ -.I. '(\c:. 'l\o~ Q:J ~fia' ~~...). ~Q;At\'{

22 E-STAMP CERTIFICATE NO.lN-Dl P accommodation Dues to department NIL NIL NIL NIL dealing with supply of water Dues to department NIL NIL NIL NIL dealing with supply of electricity Dues to department NIL NIL NIL NIL dealing with supply of telephones/mobiles Dues to department NIL NIL NIL NIL dealing with government transport (including aircrafts and helicopters) Income Tax Dues NIL NIL NIL NIL Wealth Tax Dues NIL NIL NIL NIL Service Tax Dues NIL NIL NIL NIL Municipal/Property NIL NIL NIL NIL Tax Dues Sales Tax Dues NIL NIL NIL NIL Any other dues NIL NIL NIL NIL Grand Total of all NIL NIL NIL NIL Government dues (7) Details of profession or occupation: ( 8 ) (a) Self - Social Worker and house wife. (b)spouse- Working in Fortis Memorial Research Institute, Gurgaon as a senior Manager & HOD in clinical per fusionist.

23 E-STAMP CERTIFICATE NO.IN-DL P 7) (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 with the course was completed.) Degree University/School Year of Completion 1.B.A. 1.Kanoria College, l Rajasthan University, Jaipur. 2.B.Ed. 2. M.D. University , Rohtak, Haryana (9) Abstract of the Details Given in (1) to (8) Above: S.No. Description Details l. 2. Name of the Candidate Full Postal Address Abha Chauhan Q-107, Q- Block, Vikas Vihar, Uttam Nagar, New Delhi Number and names of the 028- S, Uttam Nagar DMC Ward 4. Name party the of the which (otherwise 'independent' political Bharatiya Janata Party set up candidate write 5. (a) Number of cases in NIL which conviction order passed (other E-STAMP CERTIFICATE NO.IN-DL P

$E-STAMP CERTIFICATE NO.JN-Dl6S6680SS641872P than those referred to in Form \A' ) (b) Total Numbers of NIL Pending cases where the court (s) have taken cognizance 6.$

24 E-STAMP CERTIFICATE NO.JN-Dl6S6680SS641872P than those referred to in Form \A' ) (b) Total Numbers of NIL Pending cases where the court (s) have taken cognizance 6. PAN of Year for Total Income which last Shown Income Tax Return filed Candidate- AQVPC8658F Rs /- Abha Chauhan Spouse- ARNPS9109C Rs /- Ravinder Pal Singh Dependent 1- BBUPC1433K NO NO Kartik Chauhan Dependent 2- BBUPC1432J NO NO Kritika Chauhan 7. Details of Assets and Liabilities in rupee Description Self Spouse Depe Depe nden nden t-l t-2 A. Moveable Assets (Total value) Rs. Rs. Rs. Rs B. Immoveable Assets E-STAMP CERTIFICATE NO.IN-Dl6S6680SS641872P

25 E-STAMP CERTIFICATE NO,IN-DL P Purchase Price Rs. NIL NIL NIL (I) and Development /- Cost of Immovable Property (Total Value) Approximate Rs. NIL NIL NIL (II) Current Market / Price of Asset - (Total Value) 8. Liabilities Government Dues (Total) NIL NIL NIL NIL Loans from Bank, Rs. Rs. NIL NIL Financial Institutions and others (Total) E-STAMP CERTIFICATE NO.lN-DL6S P k\ ". \

, E-STAMP CERTIFICATE NO.lN-DL6S6680S5641872P 9.

26 , E-STAMP CERTIFICATE NO.lN-DL6S6680S P 9.Highest Educational qualification: (Give details of 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. ) Degree University/School Year of Completion 1.B.A. 1.Kanoria l Collage, Rajasthan University, Jaipur 2.B.Ed. VERIFICATION 2.M.D. University, Rohtak, Haryana 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, no part of it is false and nothing material has been concealed there from. I further declare that:- (a) There is no case case against me other item 3 or 4 above; (b) I, my Spouse, or my dependents any asset or liability, other mentioned in items 5 and 6 above. of conviction or pending than those mentioned in do not have than those Verified at New Delhi this 3 rd day of April 2017

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