t f ·

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.)

-::<" / --. ·. ( .·• -··

.-

Statutory Alert:

INDIA NON JUDICIAL

Government of National Capital Territory of Delhi

e-Stamp

IN·DL66675624490555P

03-Apr-2017 02:35 PM

IMPACC (IV)/ dl854303/ DELHI/ DL-DLH

SUBIN-DLDL854303339445062592nP

ARUN KUMAR SHARMA

Article 4 Affidavit •

Not Applicable

0 (Zero)

ARUN KUMAR SHARMA

Not Applicable

ARUN KUMAR SHARMA

10 (Ten only)

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1 The • utti.nhoty ol lhts Slamp CertJfocate should be - ified et "Www.ir.hcileslamp com· . A.ny discrepancy In the deta1:s on ttws Ce<11f.a:e •nd as ev..i;obl• on the we1>s1te renders • rwahd

2 The onus ol checklf19 tne leg1t11nacy is on the users ol the ce<11fic;ite 3 In use ol 11/:ly discrepancy p1Hse intorm the Competent Authonty

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FORM22 (See Rule 11(2))

AFFIDAVIT TO BE FURNISHED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORE THE

RETURNING OFFICER for Election to the North Delhi I South Delhi/ East Delhi Municipal Corporation of Delhi.

From ....... WARQ 028 N RIDtAl.A (No. and name of the Ward)

I, ABUN KUMA8 SHARMA S/O SH. RAJ KUMAR SHARMA aged 40 years, resident of C· 20. SHARMA COL~NY BUOH YIHAR PHASE-II. DELttl-11008§ (Mentioned 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 BHARATIYA JANATA PARTY(name of the political party) (2) Detail of PAN nd f fll a statuso ln1 on Income tax return:

S.No. Name Permanent The financial year Account for which the last Number (PAN) income ta><

return has been filed

1. ARUN KUMAR SHARMA BRMPS02838 2009-2010 2. AARTI SHARMA N.A N.A 3. PIA PARASHAR N.A N.A 4. SAAJ PARASHAR N.A N.A s. Dependent 3 ........ N.A N.A

(3) The followin cases(s) is/are S.No. Offence (a) The details of cases where the court has taken cognizance,

Sections of the Act and description of the offence for which co nizance taken:

(b)

(c)

Name of the court, case no. and date of order taking c nizance: Detail of Appeal(s)/Application(s) for revision (if any) filed a ainst the above order(s)

Total income shown in income tax return (in ruoees) 1,41,980 N.A N.A N.A N.A

Nil

N.A

N.A

the court:-

(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 NIL offence for which convicted:

(b) Name of the Court(s), case No. and date(s) of order(s): N.A

(c) Punishment imposed: N.A

(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. ~alue of Bonds/Share/Debentures as per the current market value in Stock Exchange in . " ¥r . spect of listed companies and as per books in case -of .non-l:r:•ste ompanies should be

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4. uepenaent, nere means a person, substantially dependent on the income of the candidate. s. Details including amount is to be given separately in respect of each investment.)

S.No Description

(i) Cash in hand (ii) Detail of Deposits 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 amouent in each such deposit.

'

(iii) Detail of investment in Bonds, Debentures/share and units in companies/Mutual Funds and others and the amount.

(iv) Details of investment in NSS, Postal Savings, Insurance Policies and Investment in any financial Institution in Post office or Insurance Company and the amount.

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-

Self Spouse De pend Depe n I Depe nd I

Rs. 55,000 Rs. 15,000 ent-1 dent ·2 ent-3

1. THE KANGRA Nil Nil N.A

CO-OPP. BANK Nil LTD. A/CNO. 1570(SAVING) Amt. up to 01-04-2017 Rs. 1,451.16

2 . . THE KANGRA CO-OPP. BANK LTD. A/CNO. 4/195 (M.NO. 24934) (MEMBERSHIP) Amt. up to 01-04-2017 Rs.30,753

2. ICICI BANK A/CNO. 006501058616 (SAVING) Amt. up to 02-04-17 Rs. 6,587 .45

TOTAL AMT Rs.38,791.61

NIL

1) LIC POL. N0.114173400

Rs. 4569 YEARLY PREMIUM WITH SUM ASSURED ONE LAC 2) UC POL N0.114768373 Rs. 3764 YEARLY PREMIUM WITH SUM ASSURED ONE LAC

NIL

T HE KA NGR A CO-OP P. BA NK LT D. A/C NO. 1570(5 AVING} Amt. up to 01-04-2017 Rs. 11,607

TOTAL AMT Rs. 11,607

NIL

LIC POL. N0.11417636

1 Rs. 1315 OUATERLY PREMIUM WITH SUM ASSURED ONE LAC

N.A

THE N.A KAN G RA CO-OP P. BA NK LTD. A/C NO. 1570(5 AVING }Amt. up to 01-04-2017 Rs. 11,476

TOTAL AMT Rs. 11,476

NIL

N.A

N.A

N.A

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(v) Personal

loans/advance given to any person or entity including firm, Company, Trust etc. and other receivables from debtors and the amount.

(vi) Motor

Vehicles/ Aircrafts/Vac hts/Ships (detail of Make, Registration No. etc, Year of Purchase and amount.)

(vii) Jewelry, bullion and valuable thing (give details of weight and value)

(viii) Any other assets such as value of Claims/interest.

.(ix) Gross Total value

8. Detail of Immovable assets: (Note:

3) LIC POL. N0.115 708814 Rs.10,000 YEARLY

PREMIUM WITH SUM ASSURED ONE LAC 4) LIC POL.

N0.115708813 Rs.10,000 YEARLY PREMIUM WITH SUM ASSURED ONE LAC

N.A N.A N.A N.A N.A

N.A N.A N.A N.A N.A

N.A N.A N.A N.A N.A

N.A N.A N.A N.A N.A 4,93,791.61 1,15,000 11,607 11,476 Nil

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 Depe Depe Depende ndent ndent nt-3 -1 -2

(i) Asri~ultyml bind -Location(s)

-Surve number(s N.A N.A N.A N.A N.A

Area (Total N.A N.A N.A N.A N.A ement in acres)

· herited N.A N.A N.A N.A .A

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(Yes or NU)

Date of purchase In N.A case of self acquired N.A N.A N.A N.A property

Cost of Land (in case of N.A purchase) at the time N.A N.A N.A N.A of purchase

Any Investment on the N.A N.A land by way of N.A N.A N.A

development, construction etc. Approximate Current N.A N.A market value N.A N.A N.A

(ii) Non-Agricultural Land N.A -Location(s)

N.A N.A N.A N.A

-Survey number(s) Area (Total N.A N.A N.A measurement in sq.ft.)

N.A N.A

Whether inherited N.A N.A N.A N.A N.A property (Yes or NO)

Date of purchase in N.A N.A N.A N.A N.A case of self acquired property

Cost of Land (in case of N.A N.A N.A N.A N.A purchase) at the time of purchase

Any Investment on the N.A N.A N.A N.A N.A land by way of development, construction etc. Approximate Current N.A N.A N.A N.A N.A market value

(iii) Commercial Building N.A N.A N.A N.A N.A

(including apartments) -Location(s) -Survey number(s)

Built up area (Total N.A N.A N.A N.A N.A

measurement in sq. ft.) Whether inherited N.A N.A N.A N.A N.A

property (Yes or NO)

Date of purchase in N.A N.A N.A N.A N.A

case of self acquired

property

Cost of property (in N.A N.A N.A N.A N.A

case of purchase) at the time of purchase p-, y •ny Investment on the N.A N.A N.A N.A N.A

;...~1r;g erty by way of . -. · . · 'l d ve >pment, . \

·· · , - -. ·· .co stt lJction etc. N.f{\ \ \ ' · .• .''\ : ;Ap~r~Jeimate Current N.A N.A N.A N.A

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........... ---~ -market value - !.aldentlal N.A N.A N.A N.A N.A

.M ty!ldlna(including apartments,) -Location(s) -Survey number(s) Area (Total N.A N.A N.A N.A N.A

measurement in sq. ft.) Built up Area (Total N.A N.A N.A N.A N.A

measurement In sq. ft.) Whether inherited N.A N.A N.A N.A N.A

property (Yes or NO) Date of purchase in N.A N.A N.A N.A N.A

case of self acquired property Cost of property (in N.A N.A N.A N.A N.A

case of purchase) at the time of purchase Any Investment on the N.A N.A N.A N.A N.A

land by way of development, construction etc.

Approximate Current N.A N.A N.A N.A N.A

market value (v) Other (such as interest N.A N.A N.A N.A N.A

in property)

(vi) Total of Current N.A N.A N.A N.A N.A

Market Value of (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 amount for each item)

S.No Description

(i) Loan or dues to Bank/Financial lnstltution(s) Name of Bank or

Fl Amount outstanding

Nature of loan

loan or dues to any Individual/Entity other than mentioned In (I) above.

Self

NIL

Nil

Spouse(s) Depende nt-1

NIL NIL

Nil NIL

, It

'~· .....

Dependen t-2

NIL

Nil

Depend en t-3

NIL

Nil

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}-rName(s) .4111ount

,. 1 outstanding

I I Nature of loan

Any other liability NIL NIL NIL Grand total of NIL Nil NIL NIL NIL NIL Liabilities NIL

(ii) §Qytmm1ni 12!i!li NIL NIL NIL Dues to NIL NIL

departments dealing with government accommodation Dues to NIL NIL NIL NIL departments

NIL

dealing with supply of water

Dues to NIL NIL NIL NIL NIL departments dealing with supply of electricity

Dues to NIL NIL NIL NIL NIL departments dealing with supply of telephones/mobil es Dues to NIL NIL Nil NIL Nil departments dealing with government transport (including aircrafts and helicopters) Income Tax Dues Nil Nil Nil Nil Nil Wealth Tax Dues Nil NIL Nil Nil Nil Service Tax Dues Nil Nil Nil Nil Nil Municipal/Propert Nil Nil Nil Nil NIL yTax Dues Sales Tax Dues Nil Nil Nil NIL Nil Any other Dues Nil Nil Nil Nil Nil Grand Total of all Nil Nil Nil Nil Nil Govt. Dues

(7) Details of profession or occupation: a. Self Computer Job Work b. Spouse. House wife My educa · el qua 1 tion Is as under: 12TH PASSED, National Open School, New Delhi, Year 2 ·· . •

GRADU J ION '{lst Y¢AI\

··~,· .\ a \ '., ,.. ~ r ::-.,.. t< .I > ........

.If , • • o« ( /QV1·

D, lllrd YEAR PASSED, llnd ~~~ p~~~r result awaited) f" ( .. ~':·,~. ~ @r=~rnt

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(8)

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J

J. c1et1ilS of highest School/University education with full form of the r, are/diploma/degree course)

,llf~ of the School/College/University and the year in with the course was completed.) (NI"-9

ABSTRACT OF THE DETAILS GIVEN IN (1) TO (8) ABOVE: Ii .,. of the Candidate SH.ARUN KUMAR SHARMA NI

C-20, SHARMA COlONY,BUOH 'fujl postal address VIHAR PHASE·ll,DElHl· 110086 ~-- Number and Names of the DMC Ward 028 N RITHALA f-- Name of the Political party which set up the BHARATIYA JANATA PARTY

candidate (otherwise write 'Independent'

5. (a) Number of cases in which conviction order Nil

I

6.

7

A

B

8.

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

PAN of

Candidate Soou.se : Dependents

Details of Assets and liabilities in rupee Description Self

Moveable Asset (Total value) Immovable Asset

(i) Purchase Price and Development Cost of Immovable Property (Total Value)

(ii Approximate Current ) Market Price of Asset

(Total Value) Liabilities

Government Dues (Total)

loans from Bank,

Financial Institutions and others (total)

4,93,791.61

NIL

Nil

NIL

NIL Nil

Nil

Nil

Year for which Total Income

last income Tax Shown Return filed 2009-2010 1,41,980

Nil Nil

Nil Nil

Spouse Oepen Oependen Oependen dent I t t

II Ill 1,15,000 11,607 11,476 NIL

Nil NIL NIL NIL

NIL NIL NIL NIL

NIL NIL NIL NIL

NIL NIL NIL Nil Nil NIL NIL Nil

Nil Nil NIL Nil

9 Highest educational qualification: 12TH PASSED, National Open School, New Delhi y G~DUATl~N (1st YEAR P~SED,. lllrd YEAR PASSED, llnd one paper result awaited' ear 2000 (G•v:~~. of School/Un1vers1ty education with full form of the certificate/di 1! /d

cours..,.."H"'e-ef the School/College/ University and the year in which th P ma egree f -........... '~ e course was completed.)

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above named, do hereby verify and declare that the contents of this affidavit are true and ,tt11tl,est of my knowledge and belief, no part of it is false and nothing material has been

'°the re from. I further declare that:

l ied ~:ere is no case of conviction or pending case against me other than those mentioned in item 3

I and 4 above;

•• 1, mY spouse, or my dependents do not have any asset or liability, other those mentioned in u) items 5 and 6 above.

verified at ... DELHl ... this the ...... 3rd ... day of ... APRIL. .. 2017 ......

ATTESTED ~~ \.

NOTArW t' UGUC DELHI

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I j

,J ~~

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.)

INDIA NON JUDICIAL

Government of National Capital ~errit~ry of_Qelhi

e-Stamp

IN-DL66666540458851P

03-Apr-2017 02:23 PM

IMPACC (IV)/ dl854303/ DELHI/ DL-DLH

SUBIN-DLDL85430333936473412409P

ARUN KUMAR SHARMA

Article 4 Affidavit

Not Applicable

0 (Zero)

ARUN KUMAR SHARMA

Not Applicable

ARUN KUMAR SHARMA 10 (Ten only)

.... -. --. ·--.... ............................ .... -........... ..

St• tutory Alert: t lllO nuth<lntld ty ol thl• SL,mp Con1l1ca10 'hould bo vonfiod ot "wWW.shcilastomp.com'. Any discrepancy m lho delails on this Conir.cato ond ns

ovo1tnblo on tho wob"to rondors 11 tnv;thd. 7 Tllo onu• of cl10cl.lng tho logillmocy 13 on lho usors of lho conlficale. J. In COllO t>f any d1setopancy ploilso Inform tho Competont AuthOrity.

...

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AFFIDAVIT

FORM-21 [See Rule 18(2)]

tfidavit to be fumi~hed by the candidate before the returning officer for election to the North Deihl ~unicipal Corporation from WARD No. 028N RITHALA(No. and name of the Ward)

1 .~UN KUMAR SHARMA S\O SHRI RAJ KUMAR SHARMA aged 40 years, resident of

c-20.SHARMA COLONY, BUDH VIHAR PHASE-II, DELHI ·110086 candidate at the above election do hereby solemnly affirms/state on oath as under:- '

1. 1 am not. accu.sed of any offence( s) punishable with imprisonment for two years or more in a pending case(s} m which charge(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) Case/First formation report No./Nos ...... N.A .... .. (ii) Police station(s) ... N.A .... District(s) ...... N.A. .. .... State(s) ... .. .... N.A ..... . (iii) Section(s) of the concerned Act(s) and short description of the offence(s) for which the candidate

has been charged ...... N.A ....... (iv) Court(s) which framed the charge(s) .. .. .. N.A ........ . (v) Date(s) on which the charge(s) was/were framed .. .... N.A .... (vi) Whether all or any of the proceeding(s) have been stayed by any court(s) of competent

jurisdiction ... N.A.......... . 2. I have been/have not been convicted of an offence(s) [other than any offence(s) referred to rn sub­

section (1) or sub-section (2) or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43of1951)) and sentenced imprisonment for one Year or more.

If the deponent is convicted and punished ~s aforesaid, he :;b:'!ll furnish the following information:

(i) (ii) (iii) (iv)

(v) (vi}

CaseJFirst information report No./ Nos ... N.A .. . Court(s) which punished .. ....... N.A. ................ .. Police station(s) ... NA ... District(s} ...... N.A ........ State(s} ... N.A...... . . Section(s) of the concerned Act(s} and short description of the offence(s} for whrch the candidate has ever been charged ...... N.A ... ... Date(s) on which the sentence(s} was/were pronounced ...... N.A .........

~=~~c~~o~.~. ~~~t.~.~~.~~~.> .. ~~~~have been stayed by any court(s) of competent r PLACE:DELHI ~~~1'\ DATE : 03.04.2017 \...)~

VERIFICATION

Sig · ,bf deponent •\ ;.?', ' ~ l '

·j " ~:r.~:·,~.IJ . ~if.?7.1!" .

,,~JI/ti '.

1 the above-named deponent, do hereby verify and declare that the contents of the affidavit are true ~nd correct to the best of my knowledge and belief, no part of it is false and nothing mat~I has been concealed there in. \. .

Verified at New Delhi this 3rd day of April 2017 @.~

,, , /

I

' . , '~___;, . "

ATTESTED

NOTA~~;Llf.t

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