INDIA NON JUDICIAL - coa.delhigovt.nic.in

INDIA NON JUDICIAL

e-Stamp

Certificate No.

Certificate Issued Date

Account Reference

Unique Doc. Reference

Purchased by

Description of Document

Property Description

Consideration Price (Rs.)

IN-DL64864330965604P

30-Mar-2017 01 :03 PM

IMPACC (IV)/ d1724903/ DELHI/ DL-DLH

SUBIN-DLDL72490330336255994041 P

RITU DIWAf<AR

Article 4 Affidavit

Not Applicableo(Zero)

RITU DIWAKAR

Not Applicable

RITU DIWAKAR10(Ten only)

r ----- --

First Party

Second Party

Stamp Duty Paid By

Stamp Duty Amount(Rs.)

Statutory Alert:1. The authenticity of tllis Stamp Certificate Sllould be verifierJ at ··www.shcilestarnp.com". Ally discrepancy ;n the details on this Certificale and as

available on the website renders it invalid.2. The onus 01chec~ing the legltirnacy is on the lIsers of the certificate.3. In case of any discrepancy please inform tlte Cornpetent Authority.

FORM 21 (See Rule 18(2)

AFFIDAVIT TO BE FURNISHED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORETHERETURNING OF,FICER

For Election to the South Delhi Municipal Corporation of Delhi.

From Nangli Sakrawati (WARD NO.034-S), (No. and name of the Ward)

I, RITU DIWAKAR Wife of Sh. Ashok Diwakar aged 35 years, resident of eSA/G, Niranjan Park, Nangli Dairy,Nangli Sakrawati, New Delhi I (mentioned full postal address), a candidate at the above election, dohereby solemnly affirm and state on oath as under:-

1. I am not accused of any offence(s) punishable withimprisonment for two years or more in pending case(s) in whicha charge(s) has/have been framed by the court(s) of competentjurisdiction.

If the deponent is accused of any such offence(s) he shallfurnish the following information:-

(i) Case/First Information Report No./Nos NIL(ii) PoliceStation(s) NIL District(s) NIL State(s) NIL

iii)Section(s) of the concerned Act(s) and short descriptionof the offence(s) for which the candidate has been charged

NIL.(iv) Court(s) which framed the charge(s) NIL _(v) Date(s) on which the charge(s) was/were framed NIL(vi)Whether all or any of the proceeding(s) have been stayedby any court(s) of competent jurisdiction NIL

---

2. I h~n/have not been convicted of an offence(s)other than any offence(s) referred to in sub-section(l) orsub-section(2) or covered in sub-section(3)of section 8 of therepresentation of the people Act. 1951(43 of 1951) andsentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, heshall furnished the following information:

(i) Case/First Information Report No./Nos NIL---(ii) Police

p --;" Station (s)__ NIL District (s)_NIL_State (s)•."_ ii)"\,,_,Section(s) of the concerned Act (s) and short

~escription of the offence(s) for which the•I ,.',,.,.~,~".~,~;,-{rC<;indidatehas been charged __ NIL__

a \j,\~'~~" .7.\"" '

WI' l'.

(iv) Court(s) which framed thecharge(s) NIL _

(v) Date(s) on which the charge(s) was/werefra'med NIL

----------------(vi) Whether all or any of the proceeding(s) have been

stayed by any court(s) of competent JurisdictionNIL

Date: 30.03.2017Place: NEW DELHI

Signature~deponent

VERIFICATION

,I, the above named deponent, do hereby verify and declarethat the contents of this affidavit are true and correct tothe best of my knowledge and belief, no part of it is falseand nothing material has been concealed therein.

Verified at Delhi on this 30TH Day of MARCH 2017.

~'

Signature ~ponent

. 1\)\1

INDIA NON JUDICIAL

Government of National Capital Territory of Delhi~---'----"-'-'-'-'-'.--'-- -----..--.- -,_._-_ ..,_-_,-_---_.-._._.-_,_._-_ ..-.---_._ -_._-,_. -_._ '-'- ,--_... -_--- - .._-__ ... ,-- -_-

(l2"l8Cl ~

Certificate No.

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.)

e-Stamp

IN-DL64865416161124P

30-Mar-2017 01 :04 PM

IMPACC (IV)/ d1724903/ DELHI/ DL-DL

SUBIN-DLDL72490330338048505911

RITU DIWAKAR

Article 4 Affidavit

Not Applicableo(Zero)

RITU DIWAKAR

Not Applicable

RITU DIWAKAR10(Ten only)

~_..,...:: .Please write or type below this line .

Statutory Alert:1. The authenticity of this Stamp Certificate should be verified at ..WWW.sllcilestamp.com .•.Any discrepancy in the delails on this Certificate and ~s

available on the website renjets it Invalid.2. The OIlUSof checking the legitimacy is on the Llsers of the certiiicate3. In case of any discrepancy please inform the Competent Authority.

FORM 22

[See Rule 18(2)]AFFIDAVIT TO BE FURNISHED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORETHE

RETURNING OFFICER

For Election to the South Delhi Municipal Corporation of Delhi.

From Nangli Sakrawati (WARD NO.34-S), (No. and name of the Ward)

I, RITU DIWAKAR Wife of Sh. Ashok Diwakar aged 35 years, resident of CSA/G, Niranjan Park, Nangli Dairy,Nangli Sakrawati, New Delhi, (mentioned full postal address), a candidate at the above election, dohereby solemnly affirm and state on oath as under:-(Strike out whichever is not applicable).

(1) I am a candidate set up by Independent (name of the political party)/am contesting as an. Independent candidate.

(2) Detail of PAN and status of filing on Income tax return:S.No. Name Permanent The financial Total income

Account Number year for which shown in income(PAN) the last income tax return (in

tax return has rupees)been filed

1. Self AKAPD8370N 2011-12 Rs.3,10,OOO/-2. Spouse (Ashok Diwakar ) AUFPD6444C 2016-17 Rs.7,14,542/-3. Dependent 1 (Ayush Diwakar Not Applicable Not Applicable

,Not Applicable

4. Dependent 2 (Aanvi Diwakar Not Applicable Not Applicable Not Applicable5. Dependent 3 ..........NIL Not Applicable· Not Applicable Not Applicable

(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 Nil

of the Act and description of the offence for which cognizancetaken:

(b) Name of the court, case no. and date of order taking cognizance: Nil(c) Detail of Appeal(s)/Application(s) for revision (if any) filed against Nil

the above order(s)

(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 of the offence Nil

for which convicted:(b) Name of the Court(s), Case No. and date(s) of order(s):(c) Punishment imposed:

(5) That I give herein below the details of the assets (movable and immovable etc.) of myself, my. spouse and all dependents:

A. Detail 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 Bank/Institution and Branch are to be given.3. Value of Bonds/Share/Debentures as per the current market value in Stock Exchange in

respect of listed companies and as per books in case of non-listed companies should begiven.

4. Dependent, here means a person, substantially dependent on the income of thecandidate.

5. Details including amount is to be given separately in respect of each investment.)

S.No

Description Self SpouseAshokDiwakar

Dependent-lAyushDiwakar

NIL

Dependent-3

Dependent-2AanviDiwakar

(i) Cash in hand Rs.7S,OOO Rs.8S,OOO NIL Nil Nil(ii) Detail of Deposits in

Bank accounts (FDRs,Term Deposits and allother types of depositsincluding savingaccounts), Deposits withFinancial Institutions,Non Banking FinancialCompanies andCooperative societiesand the amount in eachsuch deposit.

1.(FDR Yes Bank at DwarkaSec-12 Delhi Rs.7,50,OOO/-accountNO.0263988000004132.(FDR State Bank ofTravancore at NangliSakrawati Najafgarh, NewDelhi Rs.5,OO,OOO/- A/CNO.673306940853. Saving AccountNO.67311164200 branchoffice State Bank ofTranvancore at NangliSakrawati Najafgarh, NewDelhi balance RS.8402.204.lndian bank savingaccount No.6516171S47 atnajafgarh, branch balanceamount of Rs.1000/-

1.HDFC BANKATVASANT KUNJ,BRANCHCurrentAccount No.(in thename of Inter StateServices)02732000005481

balanceamount ofRs.6S,S79.44

NIL [5ukanya VojnalStatebank of

. travancorebranchnanglisakrawatiNajafgarh, NewDelhiRs.1,50,008.00.accountNo.67358339200

NIL

(iii) Detail of investment inBonds,Debentures/share andunits incompanies/MutualFunds and others andthe amount.

NIL NIL NIL NIL NIL

(iv) Details of investment inNSS, Postal Savings,Insurance Policies andInvestment in anyFinancial Institution in

NIL NIL NIL NIL

\<{

C

~"'~~GOV'1°'----..-.~.-

Post office or InsuranceCompany and theamount.Personal loans/advance NIL NIL NIL NIL NILgiven to any person or

(v) entity including firm,Company, Trust etc. andother receivables fromdebtors and theamount.

(vi) Motor (1) DL-3CBW-1986 (i)Toyota NIL NIL NILVehicles/ Aircrafts/Yacht Wagaswagon Polo Fortuner

s/Ships (detail of Make, Purchaseon Regd.No.DL-10CE-2874

Registration No. etc, dt.24.6.2013 Amount PurchaseonYear of Purchase and Rs.7,35,OOO/- 21.3.2016inamount.) Rs.15,80,000/-

(ii)Maruti AltoLxiRegd.No.DL-9SAR-1900,PURCHASEON15.6.2011RS.4,25,000/-(iii) RoyalEnfieldBulletRegd.No.DL-9SAR-3592,Rs.1,18,000/-purchaseon22.11.2013

(vii Jewelry, bullion and 230 Gram Gold 40 Gram NIL NIL NIL) valuable thing (give Of Rs.8,00,000/- Gold

details of weight and Rs.l,20,000/value) -

(viii Any other assets such as NIL NIL NIL NIL NIL) value of Claims/interest.(ix) Gross Total value Rs.27,94,402.20/- Rs.2393579. NIL Rs.150 NIL

44 008

B. Detail 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 Depend Dependent Dependentent-l -2 -3

(i) Agricultural NIL NIL NIL NIL NIL ", ~Land ""-Location(s)

-Surveynumber(s)

NILArea (Total NIL NILmeasurement in acres)

NIL NIL

Date ofpurchase incase of selfacquiredproperty

AnyInvestmenton the landby way ofdevelopment

constructionetc.

NIL NIL

NIL NIL

(ii)

Whether NIL NIL·inheritedproperty(Yes or NO)

NIL NIL NIL

NIL NILNIL

Cost of Land NIL NIL(in case ofpurchase) atthe time ofpurchase

Non-AgriculturalLand-Location(s)-Surveynumber(s)

NIL NIL

NIL NILNIL

Area (Totalmeasurementin sq.ft.)

NIL NIL

NIL NIL NIL

Approximate NIL NILCurrentmarket value

Whetherinheritedproperty(Yes or NO)Date ofpurchase incase of selfacquired

NIL NIL NIL

NIL NIL NIL

NIL NIL NIL

NIL NIL

NIL NIL

NIL NIL NIL

NIL NIL NIL

propertyCost of Land NIL NIL(in case ofpurchase) atthe time ofpurchase

NIL NIL NIL

AnyInvestmenton the landby way ofdevelopment

constructionetc.

NIL NIL NIL NIL NIL

Approximate NILCurrentmarket value

NIL NIL NIL NIL

(iii) Commercial NILBuilding(includingapartments)-Location(s)-Surveynumber(s)

NIL NIL NIL NIL

Built up area NIL(Totalmeasurement in sq. ft.)

NIL NIL NIL NIL

Whether NILinheritedproperty(Yes or NO)

NIL NIL NIL NIL

Date ofpurchase incase of selfacquiredproperty

NIL NIL NIL NIL NIL

Cost ofproperty (incase ofpurchase) atthe time ofpurchaseAnyInvestmenton theproperty by

NIL

NIL

NIL

NIL

NIL

NIL

NIL NIL

NIL NIL

way ofdevelopment,constructionetc.Approximate NIL NIL NIL NIL NILCurrentmarket value

(iv) Residential Nil (i)No.8A/6 NIL NIL NILBuildings Niranjan

(including Park, C-

apartments,) Block,

-Location(s) Najafgarh,New Delhi

-Survey (ii) A-47,number(s) Niranjan

Park,Najafgarh,New Delhi,

Area (Total Nil (i)area 900 NIL NIL NILmeasuremen . sq.ft.t in sq. ft.) (ii) area

2250 sq.ft.Built up Area NIL (i)area NIL NIL NIL(Total 3600 sq.ft.measuremen (ii) areat in sq. ft.) 4500 sq.ft:Whether NIL NO NIL NIL NILinheritedproperty(Yes or NO)

(V) Date of NIL (i}03.07.2009 NIL NIL NILpurchase in

(ii}29.03.2012

case of selfacquiredpropertyCost of NIL (i}Rs.8,OO,ooo/ NIL NIL NILproperty (in

-(ii)

case of Rs.30,OO,OOO/-

purchase) atthe time ofpurchaseAny NIL NIL NIL NIL NILInvestment .'--~-on the land v.-,,~y ,.

£.,. ,

by way of~

\-~ .•'development •..,.~.", e.\:'

{ -; ,«:~\

, -.: ~~~,{\ . ,

9Y ,\. '?t'-:;" .'.. '.- ' '~.•..

~

Q

constructionetc.

NIL (i)Rs.l,lO,OO, Nil Nil NilApproximate 000/-

Current(ii)Rs.l,80,00,00

market value 0/-

(v) Other (such NIL NIL NIL NIL NILas interest inproperty)

(vi) Total of NIL Rs.3,28,00,00 NIL NIL NILCurrent 0/-

Market Valueof (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 amountfor each item)

GovernmentDuesDues todepartmentsdealing withgovernmentaccommodation

Self Spouse(s) Dependent- De'pendent- Dependent-123

Any other liability NIL

S.No. Description

(i) Loan or dues toBank/FinancialInstitution(s)Name of Bank orFI AmountoutstandingNature of loan

NIL

NIL

HDFC Bank NILcar loanRs.9,OO,000/-

NIL

NIL NILRs.9,00,000/- NIL

NIL NIL

LiabilitiesGrand total of NIL

(ii) NIL

Loan or dues toanyindividual/Entityother thanmentioned in (i)above.Name(s)AmountoutstandingNature of loan

NIL NIL NIL

NIL

NIL NILNIL NIL

NIL NIL NIL

Dues to NIL NIL NIL NIL NILdepa rtmentsdealing withsupply of waterDues to NIL (i)C.A.No.1 NIL NIL NILdepartments 51519793,dealing with duesupply of Rs.110.13electricity (ii) CA

NO.102639026 dueRs.17779.18,(iii) CANO.151519790 dueRs.21,649.56(vi)CA.NO.151 ..519792due1221.87(v)CA.NO.151112665due3636.92(vi)CA.No.151510242due3875.05

Dues to NIL NIL NIL NIL NILdepartmentsdealing withsupply oftelephones/mobilesDues to NIL NIL NIL NIL NILdepartmentsdealing withgovernment /(~-R'ytransport D>(including

/~V"._~~-aircrafts andhelicopters)

,

" \,

1 ~' .' .'~~,:~"\>.._,,. ,.-,,:'_ ,

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~'" "•• . - ~ I I

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~/" r ~o~:""GOVT ~./....• ..'-..•..

Income Tax Dues NIL NIL NIL NIL NILWealth Tax Dues NIL NIL NIL Nil NILService Tax Dues NIL NIL NIL NIL NILMunicipal/Proper NIL NIL NIL NIL NILty Tax DuesSales Tax Dues NIL NIL NIL NIL NILAny other Dues NIL NIL NIL NIL NILGrand Total of all NIL 48272.71 NIL NIL NILGovt. Dues

(7) Details of profession or occupation:a. Self...HOUSE WIFEb. Spouse BUSINESSMAN

(8) My educational qualification is as under:(Give details of highest School/University education with full form ofthecertificate/diploma/degree course)(Name of the School/College/University and the year in with the course was completed.)10+2 pass in the year 2001 (CBSEDelhi) from Sarvodaya Girls SSSMoti Bagh-I, Ne,w Delhi

(9) ABSTRACT OF THE DETAILSGIVEN IN (1) TO (8) ABOVE:1. Name of the Candidate Ritu Diwakar2. Full postal address eSA/6, Niranjan Park, Nangli Dairy, Nangli

Sakrawati, New DeJ.hi,

3. Number and Names of the DMC Ward 34-S4. Name of the Political party which set up the candidate Independent

(otherwise write 'Independent'5. (a) Number of cases in which conviction order passed NIL

(other than those referred to in Form 'A'(b) Total Numbers of Pending cases where the court(s) NILhave taken cognizance

6. PAN of Year for which last Total Incomeincome Tax ShownReturn filed

Candidate 2011-12 Rs.3,10,OOO/-Spouse: 2016-17 Rs.7,14,542/-Dependents NIL NIL

7. Details of Assets and Liabilities in rupeeDescription Self Spouse Dependent- Dependent- Dependent-

I II IIIA. Moveable Rs.27,94,402 .20/- Rs.2393579.44 NIL RS.150008 NIL

Asset (Totalvalue)

B. Immovable NIL Rs.3,28,OO,OOO/- NIL NIL NILAsset __.

"

(i) Purchase Price NIL NIL NIL~~R

)flL ,,~~,

and ...•.

~~

,Development

..\ ... .-( "/ ~~

, \

~,~.-, \

W,..~'a, '.l .''.:' ~. ~\'Ii' ..•....

••• V~,/-,,, ~r ",f~· ~

I Cost ofImmovableProperty (TotalValue)

(ii) Approximate NIL Rs.3,28,OO,OOO/- NIL NIL NILCurrent MarketPrice of Asset(Total Value)

8. Liabilities NIL NIL NIL NIL NILGovernment NIL 48272.71 NIL NIL NILDues (Total)Loans from NIL Rs.9,OOO,OO/- NIL NIL· NILBank, FinancialInstitutions andothers (total)

9 Highest educational qualification:Illiterate person but can sign in Hindi & English(Give details of School/University education with full formof the certificate/diploma/degree course)

(Name of the School/College/ University and the year in which the course was completed.)10+2 pass in the year 2001 (CBSEDelhi) from Sarvodaya Girls SSSMoti Bagh-I, New Delhi

VERIFICTION

. ~

SIGNATU~EPONENT

The deponent, above named, do hereby verify and declare that the contents of this affidavit are trueand correct to the best of my knowledge and belief, no part of it is false and nothing material has beenconcealed there from. I further declare that:

i) There is no case of conviction or pending case against me other than those mentioned initem 3 and 4 above;

ii) . I, my spouse, or my dependents do not have any asset or liability, other those mentioned initems 5 and 6 above.

Verified at NEW DELHI, this the 30th day of March 2017

9VSIGNATURE OF DEPONENT