INDIA NON JUDICIAL. IN-DL P 27-Mar :18 PM IMPACC (IV)/ di926203/ DELHI/ DL-DLH -SUBIN-DLDL P

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1 INDIA NON JUDICIAL Government of National Capital Territory of Delhi viti4 Certificate No. i 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.) IN-DL P 27-Mar :18 PM IMPACC (IV)/ di926203/ DELHI/ DL-DLH -SUBIN-DLDL P ANITA YADAV Article 4 Affidavit Not Applicable 0 (Zero) ANITA YADAV Not Applicable ANITA YADAV 10 (Ten only) Please write or type below this FORM-21 [See Rule 18(2)] Affidavit to be furnished by the candidate before the Returning Officer for election to the North Delhi/South Delhi/East Delhi Municipal Corporation from WARD NO 33 N, BEGUMPUR (No. and name of the Ward) Statutory Alert: 1. The authenticity of this Stamp Certificate should be verified at " ". Any discrepancy in the details on this Certificate and as available on the website renders it invalid.!;1 iv 2. The onus of checking the legitimacy is on the users of the certificate. Lje±/1.1,,,,ag 3. In case of any discrepancy please inform the Competent Authority.

2 I, ANITA YADAV w/o DHANRAJ aged about 48 years, resident of A-54, BLOCK A RAJIV NAGAR, DELHI at the above election, do hereby solemnly affirms/state on oath as under:- 1. I am not accused of any offence (s) punishable with imprisonment for two years or more in a pending case(s) in which charges(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) (ii) (iii) (iv) (v) (vi) Case/first information report No./NO. Police station(s) Section(s) of the concerned Act(s) and shorts description of the offence(s) for which the candidate has been charged Court(s) which framed the charged(s) Date(s) on which the charge(s) was/were framed Whether all or any of the proceeding(s) have been stayed by any court(s) of competent jurisdiction. 2. I have been/have not been convicted of an offence(s) [other than any inference(s) referred to in sub-section (1) or sub-section (2) or covered in sub-section (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 punishable as aforesaid, he shall furnish the following information: (i) (ii) (iii) (iv) (v) (vi) Case/first information report No./Nos Police station Section(s) of the concerned Act(s) and shorts description of the offence(s) for which the candidate has been charged Court(s) which framed the charged(s) Date(s) on which the charge(s) was/were framed Whether all or any of the proceeding(s) have been stayed by any court(s) of competent jurisdiction Reg r7' eatvoi V re

3 Place: - DELHI Date 31 tna-c-k-,2.0/7 3'14. D (7 Signature of deponent VERIFICATION I, the above-named deponent, do hereby verify and declare that the contents of the 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 in. Verified atael1-11._ this 3 1S-1 day of / 2, p o I; c.f\..jr> Signature of deponent AshoK Kumar R iii \,,k1s9c1, - No Reg... Date 31- ti3 73.ga. S CL tioe.qt F 'OtQi1Q, Polk,

4 ts,..kry 1;- iii INDIA NON JUDICIAL Government of National Capital Territory of Delhi e-stamp fled 3.1q Certificate No. Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of Document Property Description I Consideration Price (Rs.) First Party Second Party Stamp Duty Paid By Stamp Duty Amount(Rs.) IN-DL P 27-Mar :19 PM IMPACC (IV)/ di926203/ DELHI/ DL-DLH SUBIN-DLDL P ANITA YADAV Article 4 Affidavit Not Applicable 0 _(Zero) ANITA YADAV Not Applicable ANITA YADAV 10 (Ten only) Please write or type below th line_ '-' FORM 22 [See Rules 18(2)] AFFIDAVIT TO BE FURNISED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORE THE RETURNING OFFICER For Election to the North Delhi/South Delhi/East Delhi Municipal. From WARD NO 33 N, BEGUMPUR (No. and named of the Ward) Statutory Alert: 1. The authenticity of this Stamp Certificate should be verified at - Any discrepancy in the details on this Certificate and as available on the website renders it invalid. 2. The onus of checking the legitimacy is on the users of the certificate. 3. In case of any discrepancy please inform the Competent Authority.

5 I, ANITA YADAV wife of DHANRAJ aged about 48, resident of A-54 BLOCK A, RAJIVNAGAR DELHI, (mentioned full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath as under:- (Strike out whichever is ). (1) I am candidate set up By INDIAN NATIONAL CONGRESS (named of the political party)/am contesting as an Independent candidate. (2) Detail of PAN and status of_ on income Tax r S.No. Name Permanent Account Number (PAN) The financial years for which the last income tax returns has been filed Total income Shown in income tax return (in rupees) 1. Self ANITA YADAV HIBPS5447B 2. Spouse DHANRAJ CEIPR2246R ,94,000/- 3. Dependent 1 4. Dependent 2 5. Dependent 3 (3) The following cases(s) is /are pending against me in which cognizance has been taken by the court- S.No. Offence Description (a) The details of cases where 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. and date of order taking cognizance: (c) Details of Appeal(s)/Application(s) for revision (if any) filed against the above order(s) *.N\ \L c.)1 \. c-yz?.) Reg- N G. J.. X. to.

6 (4) Cases in which I have been convicted be a court of law (other those referred to in Form 'A' (a) The details of cases, Sections of the Act and description Nil of the offence (b) Name of the Court(s), Caste No. and dates(s) of order(s): ( c) Punishment imposed: (5) That I given 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. 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 current market 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 Depende Depen Depend No. nt-1 dent-2 ent-3 (i) Cash in hand 30,000/- 40,000/- ter- --.r RI, 7.., -N. / _.... 1,/ ),,,..1., ' ;-, 14?.%).;-nal \ i 1 L nite i 1 ' - 3 I " en- -_ 7:r.j. ) \,,1 i.-o- -,,7 - N r--r ' -_,/..,::;-/ \ ,:c3:` t....-;,--).., 0.--., -k-1,--

7 Details of Deposit in Bank accounts(fdrs, 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 SAVINGS ACCOUNT: wij,,aya BANK BALANCE: Rs.1,580/- 2)STATE BANK OF INDIA BALANCE :Rs.2,488/- SAVINGS BANK ACCOUNT 1) SYNDICATE BANK: BALANCE: Rs.57,488/-.. (iii) Details of investment in Bonds, debentures/shares and units in companies/mutual funds and others and the amount. - (iv) Details of investment in NSS, Postal Saving, Insurance policies and investment in any Financial _ institution in Post office or Insurance Company and the amount. LIC POLICY: NO: POLICY AMOUNT :8,00,000J- (v) Personal loans/advance given to any person or entity including firm, company, Trust etc., and other receivables from debtors and the amount. _ / t r'''' I / '''``'G' A&Pil.. K: C. rou \ No. 30n7/ e

8 (5)n (vi) 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) 250 GM GOLD RS 7,50,000/- 90 GM GOLD 2,70,000/- (viii) Any other assets such as value of claims/interest (ix) Gross Total Value 7,84,068/- 11,67,488/- B. Details of Immovable Assets: (Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated 2. Each land or building or apartment should be mentioned separately in this format S.No. Description Self Spouse Depende nt-1 (i) Agricultural Land Location(s) Survey number(s) - Depende nt-2 Dependent-3 Area (total measurement in acres) Whether inherited property (Yes or No) rp:73-7-7= [Dato.,3.1.7:03:1244/1.1 _ NI,,40TATi) Ashok Kumar ovocate,,t,egd. No / "71 1 OF 1V2\)

9 Date of purchase in case of selfacquired 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 (ii) Non-Agricultural Land: Location(s) Survey number(s) Area (total Measurement in sq.ft.) Whether inherited property or No) (Yes Date of purchase in case of selfacquired property Cost of Land (in case of purchase) at the time of purchase 1,,',---,-c A -4- >--- / 1 t.:shok Kurcla \ J.:\dvocate Reg No. nn7 t7, d No. 3zi-,7 )`. el

10 Any investment on the land by way of development, construction etc. Approximate current market value III Commercial Buildings (including apartments)- Locations(s)- Survey number(s) Built-up Area (total Measurement in sq.ft.) Whether inherited property or No) (Yes Date of purchase in case of selfacquired property. Cost of property (in case of purchase) at the time of purchase Any investment on the property by way of development, construction etc. Reg No oate.. 3 /,' 7,-,--.4.).%) , st:j VOCZ e De.thi 1,,7egcl. No. 3907

11 Approximate current market value (iv) Residential 1) MIG FLAT NO. 1)VILLAGE Buildings 164 III FLOOR, BEGUMPUR (including POCKET GH 14/ apartments):- KHASRA NO Location(s)- G-17, PASCHIM 11/4 PLOT NO. Survey VIHAR number(s) 2) A-54 RAJIV A 91-A 94, NAGAR,BEGUM PUR,DELHI Area (total Measurement in sq.ft.) 1)900 2)1800 1) 5535 Built-up Area (total Measurement in sq.ft.) Whether inherited property (Yes or No) 1)900 2)3600 1)NO 2) NO NO Date of purchase in case of selfacquired property 1)22/03/2004 2)19/01/ /01/1986 Cost of property (in case of purchase) at the time of purchase 1)1,90,000/- 2)40,000/- 15,000/- S,OTA gz.),... ry- Acokfi:;i7te IkIj ".) tiff( C61./

12 Any investment on the Land by way of development, construction etc. Approximate current market value 1)66,24,000/- 2)1,00,00,000/- 1,53,75,000/- (v) Others (such as interest in - property) (vi) Total of current market value of (i) to (v) above 1,66,24,000/- 1,53,75000/- (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 Depend (i) Loan or dues to Bank/Financial InstitutionJs) Name of the 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 ent-3 mt. Grand total of liabilities it. tpl-z, 17.'s , i/ Ashok -tun-!..., >,- ; I I Li

13 311,-- (ii) Government Dues Dues to departments dealing with Government accommodation Dues to department dealing with supply of water Dues to department dealing with supply of electricity Dues to department dealing with supply of telephone/mobiles Dues to department dealing with government transport (including aircrafts and helicopters) Income tax dues Wealth tax dues Service tax dues Municipal/Property Tax Dues Sales tax dues Any other dues (iii) Grand total of all Government dues (7) Details of profession or occupation: (a) Self: HOUSE WIFE (b) SPOUSE : BUSINESS(PROPERTY ADVISOR) (8) My educational qualification is as under: 12TH CENTRAL BOARD OF SECONDRY EDUCATION, GOVT GIRLS SENIOR SECONDRY SCHOOL DELHI CANTT,1986

14 (Give details of highest School/University education with the 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 (1) TO (8) ABOVE 1. NAME OF CANDIDATE ANITA YADAV 2. Full postal address A-54, BLOCK A RAJIV NAGAR, DELHI 3. Number and Name of the DMC Ward WARD NO 33 N BEGUMPUR 4. Name of the Political party which set up the candidate (otherwise write 'Independent') 5. (a) Number of cases in which conviction order passed (other than those referred to in form 'A' (b) Total number of pending cases where the court(s) have taken cognizance. 6. PAN of Year for which last income tax return filed INDIAN NATIONAL CONGRESS Candidate: HIBPS5447B Total income Shown SPOUSE: CEIPR2246R ,94,000/- Dependents 7. Details of Assets and liabilities in rupee Description Self Spouse Dependent -I Depe ndent -II Depe nden t-iii A. Moveable Rs.7,84,068/- Rs.11,67,488/- Assets (Total Value) B Immovable Asset Rs.1,66,24,000/- Rs.1,53,75,000/- (i) Purchase Price and 38,30,000/- 12,00,000/- Development Cost of Immovable Property,N RY (Total Value) NsA 6\10Go. Reg... na lifitt D901 itao

15 (ii) Approximate Current Market Price of Assets (Total Value) Rs.1,66,24,000/- Rs.1,53,75,000/- 8 Liabilities Government dues (Total) Loans from Bank, Financial Institutions and others (Total) 9. Highest educational qualifications:- 12TH (PASS)CENTRAL BOARD OF SECONDRY EDUCATION, GOVT GIRLS SENIOR SECONDRY SCHOOL DELHI CANTT,1986 (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 VERFICATION 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:- (i) There is no case of conviction or pending case against me other than those mentioned in items 3 and 4above; (ii) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in item 5 and 6 above. Verified at ----.er-t\-i- This thelikt: Day of (Y) 41:q ?. 3 Li 01/ ---- No ''' Reg 0ateu- 1 s- 26t sookv`'ac cvocate P co\ r..3a X14 'ovr. ATTESTED Notary ublt of t. 31 MAR 2017

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