EB 131776 Affidavit to be Furnished by".candidate along with Nomination Paper Before the Returning Officer for election to Maharashtra Legislative Council (name of the House) from Maharashtra Legislative Assembly Constituency (Name of the Constituency) I, Chavan Prithviraj Oajisaheb son of Chavan Oajisaheb aged 65 years, resident of 243/0, Patan Colony, Shaniwar Peth, Karad, Taluka-Karad, Oistrict- Satara (mention full postal address) a candidate at the above election, do hereby solemnly affirm and state on oath as under:- (1) I am a candidate set up by Indian National Congress (name of the political party). I I Cont. - 2 -
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EB 131776
Affidavit to be Furnished by".candidate along with Nomination PaperBefore the Returning Officer
for election to Maharashtra Legislative Council (name of the House)from Maharashtra Legislative Assembly Constituency (Name of the Constituency)
I, Chavan Prithviraj Oajisaheb son of Chavan Oajisaheb aged 65 years,resident of 243/0, Patan Colony, Shaniwar Peth, Karad, Taluka-Karad, Oistrict-Satara (mention full postal address) a candidate at the above election, do herebysolemnly affirm and state on oath as under:-
(1) I am a candidate set up by Indian National Congress (name of the political
party).
I
I
Cont. - 2 -
The financial
years for which Total income shownSI. Permanent Account
Names . the last Income- in Income TaxNo. Number (PAN)
tax return has Return (in Rupees)
been filedI
1 Self ADCPC9048H 2009-2010 7,22,676
2 Spouse. AEPPC9222F 2009-2010 2,84,257
---------3 Dependent · No Dependent i Not Applicable Not Applicable
I
\ r' 2)\~ \'., \ .- ~
\'~V' I (I: l;
iiJ/\\."\0/0/. ;::
. /, .~/..~.
- 2 -
Details of PAN and status of filing of Income tax return:
Nil
(3) The followin casE'(s) is/ are pending against me in which cognizance
has be n taken by thf~court:
SI.No. Offence Description
(a) The details of :;ast?s where the court
has taken cognizance, Sections of
I ~he ,Act ?rd cies,:ri-:-tinn of tile offence
(b)
(c)
ame of the Court, Case No. and
Date of Order tal<i'lg cognizance:
, Details of Appeal(s) / Application(s)
I "'')r r .vision (if any) aoainst the above
I Nder(s} .
Not Applicable
Not Applicable
(4) Case~ in which I ha P, een con rieted by a court of law (other those
referred t in Form 26) :
-SI.No. Offence Description
(a) I The details of cases, Sections of the
ct and c!escri::>tio'l cf the off8'1c,_ for Nil
whic!' ~onvicted :
(b) I Name of the Court(s), Case No. and Not Applicable
'Jate(s\ of order(s) :-
(c) I Punishment imposed: Not Applicable
,Cont. - 3 -
3j tj;Jthat. I oive here in below the details of the as~et~ (immovable movable. bank balanceMl rJ of mvself mv soouse and deoend'ents :.
~tJ#DETAILS OF MOVABLE ASSETS:~~rr. CHAVAN PRITHVIRAJ D. MRS. CHAVAN SATVASHEELA P.
~ no. D' f (SELF) (SPOUSE)escnp IonAmount AmountParticulars (Rs) Particulars (Rs)
(i) Cash in hand 1,50,821 1,35,800-----,-----------------------------1----------- --(Ii) Details of Deposits of I FOR With State Ban~ of India 2,69,784 FOR With Bank of India 2,79,020
Bank accounts (FO s, , .Term Deposits and a;' t-FDR Witn ICICI Bank 47,783 Bank of India, Khan Market, 1,89,553other types of Deposits New Delhi SIB Alcincluding saving Bank of India Okhla SIB Ale 12,734 Bank of India, Miraj Br., 4,74,7 44accounts), D~posits Maharashtra SIB Alewith Financial ICICI bank dmat ale
I'19,589 ICICI Bank, Connaught 89,779
Institutions, Non Place, New Delhi SIB Ale-Bank.ing, Financiai i ICICI ban~ Naida S/8 Ale I 14,019 - -Companies and Co- S'ate Bankof India KaradSIB Ale I 8,08,076 - -operative societies and ~.:3tate Bank of !nd:~ Parliament 16,74,919 - -the amount in each House SIB Alesuch deposit. Provident t-und 47,18,809 - -
I-
(iii) Details of investment in : SBI Mutual Fund 91,200 Shares of lOBI Bank 19,000Bonds, Debentures I S'1ares of Applied Electro 3,18,82,512 Sha~es of Applied Electro 2,30,866Shares and units In lViagnetics, Pvt. Ltd. (4,14,298 Magnetics, Pvt. Ltd.companieslMutual S~are of RS.10 each) (3,000 Share of RS.10Funds and others and ! each)the amount. -=.hares of HPCl (150@373/-) 55,950 Shares of T. Star Share 5,000
Snares of Hindustan lever I 13,800 I - -. (50@276/-) .
426TI Shares of Lohia Machine Ltd. - -203nares) I--- -----
,shares of Urllabex Alloy 3,750 - -__ P.-oduct,25@l501-)
(iv) Details of investment in Kisan Vikas PatraI
20,000 - -NSS, Postal Savings, ------_._-- -
18,824 IInterest on KVP - -Insurance Policies and National Savinq Scheme 2,35,419 - . -- .~ . -investment in any Surrender Value of L1C 5,46,864 Surrender Value of L1C 3,79,048financial Instrument in C'')!ir:ies as ')11 31 March 2011 I policies as on 31 MarchPost Office of Insurance . ' 2011Company and the amount .•
-- --- --- - --- -(v) Motor Vehicles (details Maruti Esteem 'vXI Model 2004;
of make etc.) Regn. No MH-1Z-DS-8865 1,00,000 I - ---
5,00~OOO I Gold ornaments 800(vi) Jewellery (give details Gold 250 gms@ 2000/- gm. 16,00,000of weight and value) .l9rnam_ents L ~~20001-
Sil"er Utensils 11 50~g 6,32,500 - -@550001- kg. I
(vii) Any other assets, sllch as Nil Nil I Nil Nilvalues of c1aimslinterest. i-_.- ------------_._-
(ix) Gross Total Value 4,18,17,719 I 34,~2,810Cont. - 4 -
Satara.Survey number(s) AS PER ANNEXURE· A 61/4Area (Total measurements in acres) 3 16 Hact.
-------- ----- ...• - -- ------- -- - ---- ._--Wheather inherited property'(Yes/No) AS PER ANNEXURE· A YesDate of purchase in case of self acquired AS PER ANNEXURE· A Not Applicableproperty
~---------.------Cost of Land (in case of self purchase) 'AS PER ANNEXURE· A INot Applicableat the time of purchase
--------------.-.Any. investment on the land by way of Nildevelopme, t constructlor etc.- ._-- ---- --_.__ . ------ - -- -----------Approximate Current market value Av PER A EXURE • A Rs. 8,25,0001-
--- _._-- -------..--- -- - -----------(ii) Non·Agricultura .and AS PER ANNEXURE· B NIL
Date of purcha~e " case '" sel acquired j\~c' a,D..Ai •.lb .~property
Cost of Land (in case of self purchase) Not A plicableat the time of purchase
Any investment on the land by way ofdevelopment constructior' etc-~--- - - ----------------Approxi~atp:_~_~~~_nt ~_~:~:~t_~~u_~ ._ . _ _ N..o__t.A_pplicable
(iii) Commercial Buildings NIL(including apanrnellIs)- Location(s)- (Survey number(s------~------_. - ....-.--- --- --_. - -- ----Built up Area (Total meaC::JrprYlentin sq ft) ~I"tApolicable Not Applicable
Wheather !l1nented oropp", Y"'S'NO) Nc App!IC::lf:"c: ~Iot Applicable-- ----- - ---- --------Date of PUW13, e -. case OTsel acqUirea MPP"catJle lot Applicableproperty
Cost of Land (in case of self purchase) Nor Applicableat the time of purchase
Any investment on the la"d oy wey ofdevelopmenl conSTructlo - t'-- ---- - -- - ._---- ------~. ------Ap_p_ro_x_im_~t,:-~u~Q~t.~,:ar .:'_~~I'_e_ .. : !::.!y_!ica_~l. i ot Applicable
Cont. - 5 -
- 5 -
NIL
Not ApplicableI
Not ApplicableNot ApplicableNot Applicable
(iv) Houses/Apartments etc. . AS PER ANNEXURE· C. ) . eluding apartments)o~' Location(s)
- Survey number(s)Built up Area (Total measurement in sq ft) lAS PER ANNEXURE· CWheather inherited property (Yes/No) Yes
Date of purchase in ca<:e of self acquired JLII}' '003property
Cost of property (in case of purchase) RS.52,00,000/·at the time of purchaseAny investment on the lana by way of '"' DE~ ANiVr:.XIJR.E • Cdevelopment consTruction etc. tApproximate -Cu-rre-nt~-a-rk-e-t-v-a-Iu-e--A-S--P-E-R-A-N-N-E-X-U-R-E-.-C-1Not Applicable
-~--------------~_. _.- -----------,.
(v) Others (Such as interest in property) ~IL 't.JIL-_. ------ ._----_._------------(vi) Total of Current Market V81ue of Rs. 2,21,30,000/· RS.8,25,000/·
(i) to (v) above
Cont. - 6 -
- 6 -ANNEXURE· A
DETAILS OF AGRICULTRUAL LAND
Location(s)
Agricultural Land At. RC'hJdi,Tehsil.Phalatan, Dist. Satara, Maharashtra
Area in Approximately Inheritance Yes / Noacres Value in Rs,6.00 6,30,000 Yes
2 Agricultural Land At. Maldan, Tehsil.Patan, Dist. Satara, MahashtraTotal
3.50 8 00,000 Yes
14,30,000
ANNEXURE·B
DErAILS OF NON AGRICULTRUAL LAND
Sr. Location(s)I
Area in Approximately Inheritar:JceYes / NoSq. ft. Value in Rs
Sr. Location(s) Area in Sf'! I Approximately Inheritance Yes / Noft. present
Value in Rs,1 Flat No. B-601, Kaveri, Appts. 1300 80,00,000 Yes
Alaknanda, Delhi-09I
2 Flat No. 201, Venus BhCJ:'.: I ~OJ2
I~2,OO, ~OONot by inheritance.
Park, Wadala (East), Mumbai Purchased from Anik DevelopmentI I~orp. Bhakti Park, Wadala (East),II Mumbai on July 2003
3 House At. 243/0, Patan I 5992 60,00,000 YesColony, Shaniwar PetnKarad, Dlst. Satara, IMaharasiltra-4'j 5'j 10Total I 1,92,00,000
----
Cant. - 7 -,
J'
- 7 -(6) I give here in below the detail of my liabilities / dues to public financial institutions andgovernment:-
MRS. SATVASHEELA P. CHAVAN(SPOUSE)
Name and address of Amount Outstanding. Bank Financial as on 20.04.2011
Institution(s)/Oepartment(s)
NOT APPLICABLE NIL
NOT APPLICABLE NIL
NOT APPLICABLE NILNOT APPLICABLE NIL
NOT APPLICABLE NIL
NOT APPLICABLE NIL
I
If 'OT APP ICABLE NIL
II NOT APPLICABLE NIL
I N-Or APPLICABLE NIL
NIL
NIL
NIL
NIL
NILNIL
NIL
NIL
NIL
Amountoutstanding ason 20.04.2011
NOT APPLICABLE
NOT APPLlCA'3LE
PRITHVIRAJ CHAVAN(SELF)
Name and addr.ess ofBank FinancialInstitution( s)/
Department(s)I NOT APPLICABLE
Description
(i) Loan or dues to Bank IFinanciallnstitution(s)Name of Bank or FIAmount outstandingNature of Loan
Loan or dues to any I NOT APPLiCABLEindivid~als/Entity other thanmentioned in (i) above.Name(s)Amount outstanding INature of Loan I
(ii) Government dues:- NOT APPLICABLE._--- --- ------------~--
Dues to departments dealinq NOT APPLICABLEwith governmeptaccommodationDues to departments dealingwith supply of water
Dues to departments dealing I NOT APPLICABLE I
with supply of electridty_. _._----------
Dues to departments al!, ~ NOT APPLICABLEwith telephones I Mobiles
Dues to departrnents dealingwith government transport(including aircrafts and I Ihelicopters) IIncome Tax Dues - ---- - -~O:- AP':)~-0A3LE i
Wealth Tax JuesMunicipal/Property Tax DuesSales Tax DuesAny other dues
(iii) Grand Total of all Govt. Dues
NOT APPLICABLENIL
NOT APPLICABLENOT APPLICABLE !NOT APPLICABLE i
NILNILNILNIL
NIL
I
I NOT APPLICABLEI NIL
NOT APPLICABLEi NOT APPLICABLE
I NOT APPLICABLE
NILNILNILNIL
NIL
Cant. - 8 -
- 8 -
(7) Details of profession OR occupation:a. Self: Industrialist and Farmerb. Spouse: House-wife
(8) My Educational qualifications is as under:
(Give details of highest schooll 'niversity educationwith full fO(1fI of tl18 c.entfiL.ate/dlploma/degrE:e course)(Name of the School/ College/University andthe year in ..vl1ichthE:cOurse was completed)
L-- _
1) B.E. (Mechanical) in 1967 from Birla Instituteof Technology Pilani, India2) M.S. in 1969 from University of California,
I Berkeley, USA.
(9) A STRACT F rHE Dt: TAilS GIVEN IN (1) TO (8) ABOVE:
---_._--- --Chavan Prithviraj Oajisaheb1 Name of the Candidate
- - - --2 Full postal address 243/0, Patan Colony, Shaniwar Peth, Karad,
Taluka-Karad, Oistrict-SataraMaharashtra
3 Number and Name of the Constituency and Legislative Council of the State of MaharshtraState elected by lvIembers of Legislative Assembly
-4 Name of the Political party which set up the Indian National Congress
5 (a) Number of cases in which conviction order Nilpassed (other than those referred to in Form26)
------- ----l--1----- -- -- -------(b) T0!31 '1'Jr'1btr of Perv1ing f'ase~ where the I ilcourt(s) have taken cognizance !------ ------- I Years for which last6 PAN of Total Income Shown
As per An'1exure A-B-C allthe properties except VenusBhakti Park, Wadala"
I Mumbal (Purchased for Rs.3.58 lacs) are by inheritance
I -.----(ii) Approximate CurrentMarket Fl"iceor Asset(Total Value)--------
8 Liabilities-------- ._-------
(i) Government .-lues(Total)(ii) 'Loans from BankFinancial Institutions andothers (Total)
----------9 Highest edu (!tio!'1a! qualification'
(Give details of highest school/L ni iersity education 1) B.E. (Mechanical) in 1967 f'om Birla Institute ofwith full form of the certificate/dl:>loma c.egree course) Technology Pilani, India(Name of the School! College/University and 12) M.S. in 1969 from Berkeley University, California,the year in w~icr the course wa3 completed) I USA .
7 Details of Assets and Liabilities in rupeesDescription
I, the deponent, above named, do hereby verify and declare that thecoments of this affidavit are True and correct to the best of my knowledge andbelief; no part of it is false and nothing material has been concealed there from. Ifurther dA Jare thS>.t.(a) there is no case of conviction or pending case against me other than thosementioned in items 3 and 4 abovE::;(b) I, my spouse, or my dependents do not have any asset or liability, otherthan those mentioned in items 5 and 6 above
Verliled at Mumbai ~his tne 2Ct •.. day of April, 2011.