FORM.2A Nomin.do. hF EL.iih to tlE llrisl.riv.Asbly of J.mu rd K.lni. STruKE Ot? PAIIT I OR PAt{' II BEI.oll WHICIIE\'ER IlI NOT A'?LICAELE PARI I Oo bc !..d by conJidor. rl up by [email protected]po|ni.d Fnv) I lmiuc s ! o!did,n< ror.lernn, b rhc ltsislcirc arsbly from tr. llillas\- Almbl) t i.srr*mr. Crdid.rc s Ndl P.n ll (To h. u*d by cand att not sr up by EoSDisd F|ni.rl prv) w. h.rcby noninak .s crndid c fot €lerion to lhc &*oblv Co.trilu.trcv fom th' _sgs_ Asbly cdnkncl s f,r.Fd.r s. No, 1\\ ri'PbnNo. -\5 FdlEr.ltddlEir,Hab.rd s lM. \'.:r- s,. .\:.!$rqJ6- A1EhblY Cc u$.' Uldlo6l Roll No. ol l'roF)sr .is.m.Edrrs.No. A:jc- i. P.n No. \as oa L- \snbly Colrncrt. My t|dft b:! olP (Sisdatrc of t[. Pr.pG), F{heie/t{od.r's/Hcb.td! M. Hj3 M. i5 olcrld .l 5. No. s\6 - in P|n No rh. ctdtoblrelt for s F\ As$nrblv CoNtirEftv W. d..ld $'l w G dcbs ,t rlN ab.r. Assnbtv Conni0ftv and olr M6 G 6Lcd in rlF .lc|oBl oll fo, d. Alshl! ( rtrsritut! G hdicll.d b.low 3td s tpp'id ru 3'e[|lG b.low in !ol.n of subsribins ro rlir no ir\d n)n l P.nhr||6 ofln. poporr ind lh.i. rian.rls S. No. f ull NN Sisflw Dd.
17
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FORM.2A
Nomin.do. hFEL.iih to tlE llrisl.riv.Asbly of J.mu rd K.lni.
STruKE Ot? PAIIT I OR PAt{' II BEI.oll WHICIIE\'ER IlI NOT A'?LICAELE
I lmiuc s ! o!did,n< ror.lernn, b rhc ltsislcirc arsbly from tr. llillas\-Almbl) t i.srr*mr. Crdid.rc s Ndl
P.n ll(To h. u*d by cand att not sr up by EoSDisd F|ni.rl prv)
w. h.rcby noninak .s crndid c fot €lerion to lhc &*oblv Co.trilu.trcv fom th'_sgs_ Asbly cdnkncl
s f,r.Fd.r s. No, 1\\ ri'PbnNo. -\5
FdlEr.ltddlEir,Hab.rd s lM. \'.:r- s,.
.\:.!$rqJ6- A1EhblY Cc u$.'
Uldlo6l Roll No. ol l'roF)sr
.is.m.Edrrs.No. A:jc- i. P.n No. \as oa
L- \snbly Colrncrt. My t|dft b:!
olP(Sisdatrc of t[. Pr.pG),
F{heie/t{od.r's/Hcb.td! M.
Hj3 M. i5 olcrld .l 5. No. s\6
-
in P|n No
rh. ctdtoblrelt for s F\ As$nrblv CoNtirEftv
W. d..ld $'l w G dcbs ,t rlN ab.r. Assnbtv Conni0ftv and olr M6 G 6Lcdin rlF .lc|oBl oll fo, d. Alshl! ( rtrsritut! G hdicll.d b.low 3td s tpp'id ru 3'e[|lGb.low in !ol.n of subsribins ro rlir no ir\d n)n l
P.nhr||6 ofln. poporr ind lh.i. rian.rlsS. No.
f ull NN Sisflw Dd.
3.
J,
7.
E.
10.
N.B.: Tlft.lsld bc rodab^ rl rh. coniitEE' a FotEd.
PARI IIII. dE €ndi!.t ngrioGd i. l'f vPrn lt /S.ril. out *l ch i3 mr .ppli6bl.,/ s to lhir
n@iEdd rd lEEby d.cle :
[STRIKE OUTUi) OR |]lirr ItLl.oW WIIICHEVER lS NOT APPLICABLE]
(b) (D rh.| I m sa up at rhis cl.dn'n b $.:(9t\Q pan}. which b F.srisdN.tiodl Pafiy/Sr.t. l1'd) in rhis Sd. &d |h!r $. srnbol @^rd for th. lbo* F.ty
(ii) rhd I m *l ut d rii" cr{rion by lh€cgisl.rc.l unrcc.str'scd polirical pany^hat I rm con|cating rhit clccdon $.nind.p.nd.n cdnrlidar ( Srih. out which b nol opplicabL) srd thll U. th. srnbok Ih.v. cho$. in ord$ oi DBr'cEn.c. c :
ld) lhll to lh. bd oanr rno\Lr!!e nnd b.li.l I) rr{,Lilrc.,nd bcli.l I m qElifi.d.nd notb.iry ch@n b fi ll rhc \'.n l rhr | (SBt.nkAshbt, ul lhs 9d..
! I funlEr&cl@rhd I dr r lirrrh.roartE r$Sch.dul.d Car. ofdE Slal. olrnDir. d (lstmn in Glarios !o ..o\ .(E)oflh l
I also d.clsrc rbst I har. r.,' l\r.r. rmj sholl nor bc noninaFd ss. clndid.rc 6r lh.Fenr lcRE|.l4rio/lh. h!..t|..,r, . l<'n! h.td {mut|redy. ro dE Lrgist jv. Asmbtyofil'!m!.nd rshhn fom n.E rtr,r h!, t:*mbt, Codiru4y ,< I ^
! Scoc ou fi. words mt .pplicuhtuN.B.: A -Gosni$d Dol'lical nr'r. n(.,n.x Dotni(at pan) Borlird 6,lh. Ltdioo Comnisio.llrc c rr(tro. synbots lR.rh , ,r,.,n,1^ltortu r(h.i t968 inJ.tmu!d Kahnn
PAtrT IV(1o b. fill.d b, ttc
'!'did!t')WharEr d!. C.ndnb. :-
(i) h.t b..n onvicrcd -(.) of uy offc.c(.) !.d.. tuFccrio. (l) of *rion 2' of fi' ,!rno dd Kahmir
R.DEs!.lim of lh. P.oPlc Acl l95l i or
Y"/No
lbl fd drownlid of dv lu lFifcd in Ffli$ lo $F*don (2) of $lid 24 of d€" jamt aad rsrrnir ncpe*nition ofrlE Fod' Act | 9t7 (lv of 1957) ard cn|Cnc'd ro
inFiei|Mt fot d 16 lhtr 3ix mnls : d(ii) hs ben onvicr.d for dt ods olIcft(t fdqhich h' nG b"' ' tr'd to inDnmnmt
for le )tdor '6Ifrh. .t|w t'Yc- . |h. @tdid.a thdt fmitlr rlE fotlo*iq infottrdion I
(i) CtldF'd i.tomlion EPon No /Nc \F{ii) Poli6 sr'do(t Ns Diitict(s)- sr-c-st'r(t)- \\L(iii) sdtionG) oltlF @m.tEd Ac(t.rd bricf&*ri!rio' ofthc otr'ncd3) for shi'h h' ha
b.donviccd sAD.r(s, ol conv'diod n sAC;unG) *hich convicl.d fi.6r|did!1. sc!Putri3hm.nrG) inpos.d lindic.r. t.riod ot imprisonn"(t lnd/or qu'ntum ol
(it Th. loltowins @rds) is@ prn,l,nccoSflaie hG br{ by lhe tuun (E6oo.od id irch(i) obovc) :
\\,B\, \662>s\1 \or\
;:ffi_*:*_j-eE;*r:,Tm&ri:"te!e,/p i; L,:#tffimHHgmld;tNt#ii:i:ilif;ffiimaq3, on whkh ,,8-6i;-, ,,;G;;
*T,tBTmtm
T1. dqlib;iGGE rne c -;
'6"e-
r.lcn cosnn ft.,r4rio!4ri;(s-r,F;rs,&d dcqiprion of dE of.!E{J) for f,hich
ocnits of appar<F6itiiiiiili-Gicvisiorl it hy, fit.d osnnr d{ ablte
(6) | lEk beD4EE rcr ben wv,q.d !r orfrnc.ii, { dhd lna oyotrdErt, Etfrd b in suFsnont tj {r 5ub-sdon r2,, d 6v.Edn slFcron (t). ot Krun ,2,t of th. Jdnu ,rd rchnrEFlsltion of rlE P@pk A.r.t9j7 (tv of t957) ,r! bi.!c.d ronpnedc ror oft y@ or hoa.
If thc d.ponor is Mvicr.d ard Dunished s !to@i4 lE 5luInnth |he followiq infomarioi:
h lhc folowiis c.s ,t h!?e b€.n .onvicr.d dt sEld bimFislMt bt c @un of law:
(D lllll I h.vc hfth b.low rh. dcbili df rh. d$G{ IwabL ..dimosbl. ctc) of my*lt my spoe Md dU dcp.!*Ld5
A, D.rlils of mvabL .gbNot :1. A3 ct! itr joi, lme indicndrs llE cxr.nr of joid oM.6hip
*ill de h.vc lo b. enen.
1-/U
(.) Th. dctaib of 6.s srion(s) of $c@Fau 4(3) ed d.sriprion of rheofi€sdt for *nich @trvic1ed
(b) N@ of rh€ coun(r) cse No lnd dir.(tgleds(t:
o Puiih.nt inpos.d(d) WlEttcr ey appal wos/hr becn fited
.gdnlr th. mviclion or.l... lf e. der.intnd lh. Dcmr 3t,tru of (N rDul
ln c& of d.Doriulnv6tna( tlE d.i!il3 imlutlinS sdi.l NMb6, Anoun d.r.of dcrdir th. shrE, Nn. ofdE B&t4Liitlio .dd BtuEh @ lo b. 8'@
V.tE of B@dtshc ha$es 6 pa cu@lin 6p+r of li.r.d cmp.d6.nd 6 p.r boLs
DcD.rd.nr IEe h8 1l* !.G trFins a Nigncd in Explodion(v) ud.rc6otr ?54 ofd!. RcDrwrlrlid ot lh. P€otl. Ac{.1951.
D.bils iftluditrs Imut B ro bG 8iv.n spmrcly in cpel of @c! inv.tuMl-
m.*.r vrl@ in /soct .xch..8pir cg of nGlbtc<l obpsliq
(9) D.tih of For..t@ 6@rid:(dsaf 9&Ar-$^(b) SpoE -S..-$,g.A-
(10) My .d!.ai@l $rlifidioo 'Ddas\\".9,lr.
( ci@ dcbils of hishd Sch@l'IJtrivdit, cd*nid ndtidirs th.tull fom of dE c.nifd.rdiplonu/dcrra @@, nh. of th.Sch@V colL8.rJnircRig &d tlE y6 in s,hich $c @uE *s
PART-BABSTRACT OF fiE DETAILS CIVEN IN O) TO (IO) OF PART
2.L NMba &d n'm of th.
Nnc of the politi.rlp.ny which $t up lh.odid.rc (orhflis wir.
3K RD?
t. (i)lot l .mbd ofF ding cG *l|Rclr46 hlvc be! Ae.dby th. Cod ao. o'IcI6pu.i5hblc wilnimpdenm for two
Tdtl NMber ofc'G inqni.h @nvicLd ed$m.n .dimpd$ifun ror oF ye&o' noF ( exc.pr foror.tg Ffcftd b inrukio(llD2) or (3)of sdon24 of J&|(R.Dtsbrior of rb.
.4e-
t. Dalib of A$a udLi.bilitias in Rupca
S.la r.lMoFdl. as$( Tot lvd*) \'\.'d
aL Psbt* prie of rlf&quir.d imov.lblc
@n5ustiotr @s ofimov@bl. pFpcny !n r
lll Apporind. c||ml
(!)S.lf-&quit!d elst
9,
(ii)Los from Bd&fio*i.l i.slrrurid $d
10,
(ii)Les fiod B.dqFiMci.l ilnilurioN ed
ll ridqr cdMlion
( Civc d.roih of hishen
.dErioo mcofioning rh.full rom of th€cenificalddiplomdd.sGcowi tmc of [email protected] th. t@ in which rlE
VERIFICATION
I, thc deFncot above nmed, do h.Eby vcrify &d dalN uar b. @ .nr3of thir rflidali N h& ed orer ro r!. b.sr of my bowt.ds. ed b.licf!,rd m t n of n is fd* aid rcthin8 mrdi.t hs b€n omal.<t rhGnon. I
(a) Tr'@ is m ce ofonvicrion or p.ndinS {4 against mc oth* thdmo* ncndon.d in nem 5 a.d 6 of pln A md B alovc.
(b) I, n, !poE, o. my d.Fn<hnls do rcr hls dy !sr.l o. liabitiry,orher rhe rhor edrion d in ircm 7 $d I of pan A ed n m 8,9 edI0ofpon B rbove.