_T ? -i a TY c^ I L.1 c( (t I J Wry *gC ASSAM { 10AA 281937 Afrdavit to bc lilcd by the candidatc along\ .a$' ased t[ yesrs, rcsidenr of Vill- Rolqmonqwe. p0&p/$ Dlpbu. Wrrd NFS Ditt- if,o" -^_.1 ^^-, (mention full postal address), 8 csrdidatc ar the do hcrcby solcmnly affirm and strte on cth as urder: I caodidate sct up by Indh! Nrtiorl Conqrc$ flNCt prrty (..nsme of returdng ofrcer for el€ctiod to troulc of the people flrk $bhr) (n8me ofthc Hous€) from SA|ttonopour Dirtrict .(STt pdi|pctrbrv consttu€rrcy (Namc of the /,A coDsdoencl) J/- \ '^$ bxq),.$^f. 1 ,*r-^ "u$.;!t*t Tff@iff_Elt *nn t g$x , y,( or r.rtc xrl'rhcr Erlri ,rTg-Itlltfun vtV y "sm contcsting ss an Indep€ndent candidatc. (.. Strike out 2 f *hi#ver rs not spplicrbl€) tY- ,t ^'!!.t(!.tt ^'l! w*
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_T
?-ia
TY
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I
L.1
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J
Wry *gC ASSAM
{
10AA 281937
Afrdavit to bc lilcd by the candidatc along\
.a$' ased t[ yesrs, rcsidenr of Vill- Rolqmonqwe. p0&p/$ Dlpbu. Wrrd NFS Ditt-if,o" -^_.1 ^^-, (mention full postal address), 8 csrdidatc ar the
do hcrcby solcmnly affirm and strte on cth as urder:
I caodidate sct up by Indh! Nrtiorl Conqrc$ flNCt prrty (..nsme of
returdng ofrcer for el€ctiod to troulc of the people flrk $bhr) (n8me ofthc Hous€)from SA|ttonopour Dirtrict .(STt pdi|pctrbrv consttu€rrcy (Namc of the
/,A coDsdoencl)
J/- \ '^$
bxq),.$^f. 1 ,*r-^
"u$.;!t*t Tff@iff_Elt *nn t g$x , y,( or r.rtc xrl'rhcr Erlri
,rTg-Itlltfun vtV y "sm contcsting ss an Indep€ndent candidatc. (.. Strike out
2 f *hi#ver rs not spplicrbl€)
tY- ,t
^'!!.t(!.tt ^'l!
w*
-7-
(2) My name is enrolled in l9-Diph|| (ST) Lcsithtiv€ A$cmblv CooltitueN% Ars|o(N8mc of the constituency and th€ Sta!e), at Serial Nor 425 in psrl No!,!!E
(3) My contact telcphone numbe(s) is / are C!4!Z!!4!!(BL-9!5!!!S!E(M) and my e-nail id (if any) is ...... .................. NIL ...........andmysocialmedia accourts (ifsny) sre ... .........N&
(5) t fl6 / 8ln not accused ofany offenc{s) P||nishsble with irnprisonmcnt for two ycars or more
in a pending case(s) in which a charge(s) has / have been fiamed by the cout(s) of aomp€tcnt
jurisdiction.
Ifrhe deponent is ac{used ofany such offenc{s) he shall fimish th€ following informstion:-
(i) The following cis{s) is / arc pending against me in $tich charge hrve been framed by rhe
for an offcnce punishable with impri for
(ii) The following cas€(s) is / ar€ p€nding sgainst me in which cognizance has been taken bythe coun.
(The details of atl pending cases in which cognizanc€ have been tEken by th€ Coun,
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4 Details ofPermancnt Account Number (PAN) and status offillinc of income trx reitm.sl.No
Names PAN The financial yearfor which the lastrncome I8x rcum
has been filed
Total income shownin income Tax rctum
(in Rs.)
l. SelfShri Biren Sircb Encti AALPE 3{IE!'E asts- aoL4 F-. c rstu.hs
2.Spouse NIL .b('/ .\\ 1-z
3. D€pcndent - IMilr Kriok EtrcaiDi
ABAPE 482'C N'2-.t J..$12
4.Depend€nt - 2 .IO'S N\T NJ"2
5.Dependent - 3 C\rU N?, Nd
court tor an two yea$ or more:-
Case / First information Rcpon No. / with complete
details of concemed Policc Station / N1g
BS€ction(s) of the conc€med A9(9 and short description of the
offenc{s) for which charg/ rs'tP
Name ofthe Court, C96 No. and date oforder taking cognrzance: JslgD Coun(s) which qllled the charg{s) Ni4.E Dat{s) on wltfch the charge(s) was /were fi'amed N1,t
Whethe;zfll or any of the Foc€eding($ h8ve b€€n stayed by 8ny
co)f(s) of competeot j urisdiction.N1.0
ive ofthe ishme ot inc of should be m€ntioned.
d;*i*::T"'**
Name ofthe Cou4 Cas€ No. and
The &tails of cascs wlpre
section(s) ofthe Ac(s)
has ta&en cognizance,
.* \\2,l<Vtw
Applican(s) for revision (ifany) field
Sikha B
RegO t{o..Dpil
(6) I ffii/have not b€en convicted of an offenc{s) [other thsn any ofence(s) referred
!o in sutr's€ction (l ) or sub-s€ction (2), or cover in suLsection (3), of section 8 ofthe
Representation ofthe People Act, l95l (43 of l95l )land sentenced to imprisonment for one year
or more.
Ifthe deponent is corvicted and punished as aforesai4 b€ shall fumish the following
infornation : ln the following cases, I have been convicted and s€ntenc€d to imprisonmenl by a
coud of law.
(7\ That I give hercin below the details of the assets (movable and immovable etc.) ofmys€lf, my spous€ and all dependents :
A. Deteils of movable ass€ts:
Note : l. Ass€ts in joint name indicating the extent ofjoint ownership will also hsve to be given.Note : 2. In case of deposit/lnvestmen! the details iocluding Serial Number, Amourt, dale of
deposit the scheme, Name ofthe BanMnstitutioo and Branch are to be givenNote :3. Value of Bonds /Share Debenhles as pe. curlent rDarket value in stosk exchange itl
rcspert of listed companics and as per books in case of nonlisted comDsnies should begrven.
Note ;4. Dependent h€re has the sam€ meaning as assigned in Explamtion (v) under section 75 Aofthe Repres€ntation ofthe peopl€ Act l95l.
Note :5. Details includiog amourt is to be given separalcly in respect ofeach invesunent.
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The d€tails ofcas€s, Section(s) ofAc(s) and description of the N ?.2
(a) selfgg!_g!!f,&(IaLsru). (b) spouse.............. NrL(10) My educatioDl qualificalion is as und€r :
l. P$!ed Mrtric Eram h the y€rr from Borhrppurc Eish School
2. Pr$cd B.A. Errm ir the ycrr 1967 from Nowtrot Coll€qe
(Give d€tails of higbcs Schoolruniversity education mentioning thc full form of thec€rtificatddiplomr/d€g€e course, name ofthe SchooVCollege,/Univenity and the ycar in whichth€ clurse wss completed)
.'-
We8lth tsx dues I'IL A{IL NIL NIL NIL
Servic€ l8x dues NIL NIL NTL NIL NIL
MunicipaYproperty
Tax duesI{IL I'IL NIL NIL fatl,
Sales Tax dues NIL NIL NIL NIL NIL
Any other dues^lIL
tul, NL I\tIL NIL
lll Gland total of all
Gov€mmetrt duesNIL NIL NTL taL IL
Whether any other
lisbilities arc in
dispute, if so, mention
lhe smount involved
and the sdhority
before which it is
pendiqg
I\IlL ML NIL NIL ML
'sikna goruanrAle€-I. sati Anglrtlg
n"io nu.'oe'''oz
PART-B
(t l) ABSTRACT OF THE DE-IAILS GMN IN (l) TO (l0) OF PART -A