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ROPOLITAN) AT .A;$

FORM - 26 (See Rule-4A)

Affidavit to be filed by the candidate along with Nomination Paper before the Returning Officer for election to Assam Legislative Assembly Election (same of the House) from 50 No. Palashbari Constituency (Name of the Constituency)

Part-A

5&6 I, SRI PRANAB KALITA, son of Late Thanu Ram Kalita, aged about years, resident of Village Sr P.O. Rangamati, P.S. Palashbari in the distriet

of6Kirnrup, Assam, 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

Otrigce il 1(2r my name is enrolled in 50 No. Palashbari, Assam, at Serial No. 624 in

Part No 108 'X\ pleMaiiiignatiaictt telephone naiumi cboemr(s) anids m9y43s5004cia4l1m88edaind aacec-omaitlsidaries

uron o) yte ,,,, (lett itpplicable" t r••• (4)ifie Details of Permanent Account Number (PAN) and status of filing of p, income Tax return. Contd....

BEFORE THE

-2-

SI. No.

Names - PAN The financial

year for which

the last Income-

tax return has

been filed

Total income

shown in

Income Tax

Return (in

Rupees)

1. Self Sri Pranab Kalita ANIPK0047J 2014-2015 Rs. 544590.00

2. Spouse Smt Kalyani Kalita BOHPK44530Q Nil Nil

3. Dependent-I- Dhurjyoti

Nilarnav Kashyap Kalita

Nil Nil Nil

4. Dependent-2 -Adhbujya B.K.

Kalita

Nil Nil Nil

5. Dependent-3 Nil Nil Nil

(5) I am not accused of any offence(s) punishable with imprisonment for two years or more in a

pending case(s) in which a 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 :-

(1) The following case(s) is/are pending against me in which charges have been framed by the

court for an offence punishable with imprisonment for two years or more :-

(a) Case/First Information

Report No/Nos. Together

with complete details of

concerned Police

Station/District/State

Not Applicable

(b) Section(s) of the concerned

Act(s) and short description of

the offence (s) for which

charjed

Not Applicable

(c) Name of the Court, Case No.

and date of order taking

cognizance :

Not Applicable

(d) Court(s) which framed the

charge(s)

Not Applicable

-44.___

4 Date(s) on which the charge(s)

.. were framed , Not Applicable

lb, ei

1,4,7%,„.co

A... ker all or any of the

. 4 e.;: gs(s) have been

sta - . \ 1 any Court(s) of

i . , I: t jurisdiction

Not Applicable

case(s) is/are pending against me in which cognizance has been taken by the

K!theyfhan the cases mentioned in item (1) above] :-

a( a)::lime of the Court, Case No.

and date of order taking

cognizance :

Not Applicable

(b)

, , r

The details of cases where the

court has taken cognizance,

serrtitio(s) of the Act(s) and

Not Applicable

. • •

1 7 snug, Kent& romp (111.W.)• sualP1111! Reo. St. KAM-17 •

description of the offence(s) for which cognizance taken

(c) . Details of Appeal(s)/Application(s) for revision (if arty) filed against the above order(s)

Not Applicable

I have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951)] and sentenced to imprisonment for one year or more.

If the dependent is convicted and punished as aforesaid, he shall furnish the following information : In the following cases, I have been convicted and sentenced to imprisonment by a court of law

(a) The details of cases, Section(s) of the concerned Act(s) and description of the offence(s) for which convicted :

Not Applicable

(b) Name of the Court(s), Case No. and Date(s) of order(s)

Not Applicable

(c) Punishment imposed : Not Applicable (6) Whether any appeal was/has

h- en filed against the Not Applicable

...se 0, n ,,,,,,on order. If so, details •- • I1 .'1,1/4" ent status of the appe.. t \

below the details of the assets (movable and immovable etc.) o myself, dents :

ovable assets :

Note :1. ssets in joint name indicating the extent of joint ownership will also have to be given.

Note : 2. In case of deposit/Investment, the details including Serial Number, Amount, date of deposit, the Scheme, Name of the Bank/Institution and Branch are to be given.

Note : 3. Value of Bonds/Share/Debentures as per current market value in Stock exchange n respect of listed companies and as per books in case of non-listed companies should be given.

Note : 4. Deponent here has the same meaning as assigned in Explanation (v) under section 75 A of the Representation of the People Act, 1951.

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

\16 AttY sworn loots r

a Gotta.. rup (tWO). KMA-ii

00. •

-4-

S. No.

Description Self Spouse Dependent -1 Dependent-2 Dependent-3

(i) Cash in hand Rs. 45139.00 Nil Nil Nil Nil (ii) Details of Deposits in Bank

accounts (FDRs, Term Deposits and all other types of Deposits including saving accounts), Deposits with Financial Institutions,

(i) The Assam Co-Op. Apex Bank Ltd. Bijoy Nagar, SB A/c No. . 6210420100053

Non Banking Financial 74 amount Rs. • Companies and 2805/- Cooperative societies and (ii) SBI, • the amount in each such deposit

Panbazar, SB A/C No. 10823647142 amount of Rs. 71.10 (iii) SW, Dispur SB A/C No. 10821834086 amount of Rs. 1,77,476/- (iv) SBI, Mirza, SB A/C No. 30124380205 amount of Rs. 4,11,363.41 (v) Central " Bank of India, Mirza SB A/C No. 2189953442 amount of Rs. 11,837.70 (vi) Punjab

- National Bank, Rampur SB C A/C No. 3013001000691 86 amount of Rs. 1931/- • (vii) Central Bank of India, Bijoynagar CA No.

_ 2166356001(a) amount of Rs. 8476/-

1/0 a No *ro re-Svg,

51:(4119.41) c "ailta

.1.

*

(viii) Central Bank of India, Bijoynagar, SB

tlfr t °' 4.3 v

44 4.44b li ., att./, 20e,

is \.■ // -

A/C No. 3241046223 AVI --••

SOTARY 7 MAR 2016 viumt.z flegum Korner..

Xtunrup (Metro) Guwehat nowt Mo. KAM-1 /

•-- • • A

• 011-7( 1?-1#

amount of Rs. 3958.80 • (ix) ) Central Bank of India, Bijoynagar, RD A/C No. ' 3329540352 amount of Rs. 73500/-

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

Nil Nil Nil Nil Nil

(iv)

A 0

Details NSS, Insurance investment Instrument Insurance amount.

T

Postal of investment in

Saving, Policies and

in any Financial in Post Office or

Company and the

(1) SBI Life, Policy No. 56004381408 amount Rs. 1,00,000/- (ii) SBI Life Policy No. 56004380609 amount Rs. 1,00,000/- (iii) Bajaj Policy No. 0282350233 amount Rs. 1,10,900/- (iv) Bajaj Policy No. 0282327832 amount Rs. 19132/- (v) Bajaj Policy No. 0111488455 amount Rs. 23,842/- (vi) Bajaj Policy No. 0111495334 amount Rs. 25973/-

Nil Nil Nil .

Nil

'

..----

')i1a

'14 00c. a, W. 4,0.. t

r•-:---- A 5

• .9.3114771.° .4220

fit jr.w a._ 44

c 3

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

Car loan amount of Rs. 7,59,033/-from Central Bank of India, Bijoynagar

Nil Nil Nil Nil

(vi) Motor Vehicles/Aircrafts/ Yachts/ Ships (details of Make, Registration No. etc, year of Purchase ad amount)

(i) Scorpio Car Reg. No. AS-01/BL9898 purchased on 21.07.2014,

Nil Nil Nil Nil

.

-5-

l)W MAR 201 tE. 1(011011 •

Se:!terri het GUVia • op (Mtn • i.)3A..ty• ?mid.' hi.

J

-6-

value Rs. 11,55,000/- (ii) Inova Car Reg. No. AS-01/80- 3444(ob), value Rs.12,98,000/-

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

Two toles Value Rs.70,000/-

Eight tolas Rs. Three Lalchs Forty Thousa nd Four Hundre d

Nil Nil

•

Nil

(viii )

Any other assets such as value of Claims/interest

Nil Nil Nil Nil Nil

(ix) Gross Total value Rs. 46,19,558/- (approx)

Rs. 349400 /-

Nil Nil Nil

B. Details of Immovable assets ;

Note :1. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated.

Note : 2. Each land or building or apartment should be mentioned separately in this format.

S. No.

Description Self Spouse Dependent- 1

Dependent- 2

Dependent- 3 .

(i)

,,........„-:.

S o

Agricultural Land Nil Nil Nil Nil Nil Location (s) Survey number(s)

Area (Total

acres) measurement in

Nil Nil Nil Nil Nil

Whether inherited rty (Yes or

AiN.X,

Nil Nil Nil Nil Nil

.

7 Mk

16 pot ,„„%ts.

ra1Knons,,,„001 own)

ofiva

Date of purchase in cash of self acquired property

Nil Nil Nil Nil Nil

Cost of Land (in case of purchase) at the time of purchase

Nil Nil Nil Nil Nil

Any Investment on the land by way of development, construction etc.

Nil Nil Nil Nil Nil

(ii)

-. ' t3/4

kifizt 143, it ..._ (4,„

:I r' 4 -w°

Non-Agricultural Village - Rangamati,

Chayani, Kamrup, Assam, Dag No. 48 of Patta No. 272

Nil

Mouza

Nil Nil Nil Land Location(s) Survey number(s)

Area (Total measurement in sq.ft.)

1 Bigha 4 Kathas 7 Lechas

Nil Nil Nil Nil

Whether inherited property (Yes or No)

No No No No No

Date of purchase in case of self acquired property

16.07.1996 Nil Nil Nil. Nil

.

Cost of Land (in case of purchase) at the time of purchase

Rs. 94,000/- Nil . Nil Nil Nil

Any Investment on Constructed residential house

Nil Nil Nil Nil :-. and by way of r ev- n,

.n e t /IA ' co . se on etc.

N r•` I e ..: I ) markel

Rs. 13,60,000Met i c ..1 bk KR lki I'

" I

Nil Nil Nil Nil

J

-8-

urn h r Olt ' ArOttkati•lize:0-11

nu.

(iii) Commercial Nil Nil

.

Nil Nil Nil Buildings (including apartments) - Location(s) - Survey number(s) Area (Total measurement in sq.ft.)

Nil Nil Nil Nil NA

Built-up Area (Total measurement in sq.ft.)

Nil Nil Nil Nil Nil

Whether inherited property (Yes or No)

Nil Nil Nil Nil Nil

Date of purchase in case of self acquired property

Nil Nil Nil Nil Nil

Cost of property (in case of purchase) at the time of purchase

Nil Nil Nil Nil Nil

Any Investment on the property by way of development, construction etc.

Nil Nil Nil Nil Nil

Approximate Current market value

Nil Nil Nil Nil Nil

(iv)

44.,71 e 'bate bes

W. 3/4% o., ••

4 t, . , •/.. ' tA

€6a,_ ',....

. .—

Residential Village Rangamati, Mouza Chayani, P.S. Palashbari Karmup, Assam, Dag No. 48 of Patta No. 272

Nil •

Nil Nil Nil BuiS (including

- . ents,) <■-4.- • on(s) mi,t\ umber(s)

ft.

ir

-MR

coir: . . 4 l I - - . . r ent

:,. . )

in 1 Bigha 4 Kathas 7 Lechas

Nil Nil Nil Nil

ilt-up Area (Total measurement in WO

1 Bigha Nil Nil Nil Nil

Whether inherited property (Yes or

goi m pi( 7 i. ' i y"kri ts.

'al Nil Nil Nil

1, Ca

-9-

No)

Date of purchase in case of self acquired property

16.07.1996 Nil Nil Nil Nil

Cost of property (in case of purchase) at the time of purchase

Rs. 94,000/- Nil Nil Nil Nil

Any Investment on the property by way of development, construction etc.

Constructed residential house

Nil Nil Nil Nil

Approximate Current market value

Rs. 13,60,000/- Nil Nil Nil Nil

(v) Others (such as interest in property)

Nil Nil Nil Nil Nil

(vi) Total Current Market Value of (i) to (v) above

Rs. 13,60,000/- Nil Nil Nil Nil

8. 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.

Self Description Spouse Dependent-1 Dependent-2 Dependent-3

(i) Loan - or dues to Bank/Financial Institution(s) Name of the Bank Or Financial Institution, Amount outstanding nature

Rs. 610939/- Central Bank of India, Bijoy Nagar Branch, Car Loan

Nil Nil Nil Nil

-20 ot.

\ • -N..'" i ',.....:.,__

re ek- Ne.ickfmtu

s to any than

ve. s

. l),

it

Naafi.

Nil Nil Nil Nil Nil

A 3, fi ability Nil Nil Nil Nil Nil G total of liabilities

Rs. 610939/-

%

Nil Nil Nil Nil

(ii) Government Dues.; 1 Ikill‘k 1- Nile,/ Nil Nil Nil 44Ura AtAStt,

MM.." itell•

--"---

Dues to departments dealing with government accommodation Dues to departments dealing with supply of water

Nil Nil Nil Nil Nil

Dues to departments dealing with supply of electricity

Nil Nil Nil Nil Nil

Dues to departments . dealing with supply of telephones/mobiles

Nil Nil Nil Nil Nil

Dues to department

dealing with government transport (including ' afts and e • ... ,- s

Nil Nil

•

Nil Nil Nil

eumtaz taro (

Etc Th.

, Dues Nil Nil Nil Nil Nil Wealth - sues Nil Nil Nil Nil Nil

,kyvice es Nil Nil Nil Nil Nil II it , perty

. bnIcate Nil Nil Nil Nil Nil

l..„. ttlglicr - s Nil Nil Nil Nil Nil

es ' Nil Nil Nil Nil Nil SO;

----Glerunent - dal of all

dues Nil Nil Nil Nil Nil

(iv) Whether any other liabilities are in dispute, if so, mention the amount involved and the authority before which it is pending.

Nil Nil

.

Nil Nil Nil .

-10-

V\

11/4 um Katit..

MSc. Gauhati University, Guwahati in the year .1.9. R h.... auvan-, \titid:.44.:-.;:04_17

Details of profession or occupation :

Self Ex MLA

Spouse Housewife

My educational qualification is as Aar : Na /016

(Give details of highest School/University education mentioning the full form of the certificate/diploma/degree course, name of the School/College/University and the year in which the course was completed.)

PART-B

(11) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A :-

1. Name of the candidate Sri Pranab Kalita 2. Full postal address Village & P.O. Rangamati, P.S.

Palashbari, District Kamrup, Assam, PIN-781122

3. Number and name of the constituency and state 50 No. Palashbari 4. Name of the Political party which set up the candidate

(otherwise write 'Independent') Bharatiya Janata Party

5. (i) Total number of pending cases where charges have been framed by the Court for offences punishable with imprisonment for two years or more.

Nil

(ii) Total number of pending cases where the court(s) have taken cognizance [other than the cases mentioned in item (i) above

Nil

6. :,....„.--t - ‘..\

%/tar

Total Number of cases in which convicted and ..---t--- - ..to imprisonment for one year or more

• `, • ,b. ences referred to in sub-sections (1), (2) %,

or (3) o z . ? 8 of Representation of the People Act,

Nil Nil

4.1►°) Raft ixP \

Not guni kailta No r°) G41,0fra

01..e. klAisi7 '37'2,

PAN of Year for which last Income Tax Return filed

Total Income Shown

(a) Can. • ck- ANIPK0047J 2014-2015 Rs. 544590/- r , . - BOHPK4630Q ' Nil .Nil '.....1( ents Nil Nil Nil

8. Details of Assets and Liabilities in rupees Description Self Spouse Dependent-

I Dependent- II •

Dependent-Di

A Movable Asset (Total value)

Car loan Rs. 610939/-

Nil Nil Nil Nil

B Immovable Asset Nil Nil Nil Nil Nil

I. Purchase Price of Self- acquired immovable property

Nil Nil Nil Nil Nil

II. Development/Construction cost of immovable property after purchase (if applicable)

Nil

.

Nil Nil Nil Nil

III. Approximate Current Market Price of -

Nil Nil Nil Nil Nil

(a) Self-acquired assets Nil Nil Nil Nil Nil

................00164 1401/1 /4n nom gesum„man#

tp .ki01. '-i— ... 11 l• ' 1A-1 1 Itsffin-t ,..1.403. SA

WA&

U 7 MAR 7016

Advocate, Guwahati

s a

.

4

.

k

8

a sc

4 rak a

*

SAP1CA a" '41-204•0 ■

Signed before the Notary, Kamrup (Metro) at Guwahati

00110.1 viall.0(010

ni GS * me i 11.10 ‘1-00.

tto,•

%VP.

t 11 MAR

DEPONENT

-12-

(Total Value) (b) Inherited assets (Total Value)

9 Liabilities Nil Nil Nil Nil Nil (i) Government dues (Total) Nil Nil Nil Nil Nil (ii) Loans from Bank, Financial

Institutions and others (Total)

Central Bank of India, Bijoy Nagar Branch, ' Car Loan Rs. 610939/-

Nil Nil Nil. Nil

10 liabilities that are under dispute

(i) Government dues (Total) Nil Nil Nil Nil Nil (ii) Loans from Bank, Financial

Institutions and others (Total)

Nil Nil Nil Nil Nil

11 Highest Educational qualification : MSc. in Zoology from Gauhati University, Guwahati in the year (Give details of highest School/University education mentioning the full form of the certificate/diploma/degree course, name of the School/College/University and the year in which the course was completed.)

VERIFICATION

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

(a) There is no case of conviction or pending case against me other than those mentioned in items 5 and 6 Part A and B above ;

(b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and 10 of Part B above.

Verified at Guwahati this the 17th day of March, 2016 at Guwahati

Identified by 9.1.1ge,

kOLlifijA

TMMMMWMM

5.6.1:WirffUnsith,:,;;!: 111114

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a4A2A4vis

\T 44 ASSAM

. No

Dati, BEFORE THE NOTARY :: KAMRUP AT GUWAHATI

25AA 989607

p

R

A

AFFIDAVIT

e

j

Election to Assam legislative Assembly Election ( Name of the

House ),From 50 No Palasbari Constituency.

ri Pranab Kalita, son of Late Thanuram Kalita, aged

J5; years, resident of Vill + P.O. - Rangamati, P.S.- Palasbari, Dist -

'IT Co/ amrup a candidate at the above election, do solemnly affirm and

state on oath as under :-

(i)1 have not been allotted any govt. accommodation at any time during

3-7-TIT ASSAM

11AA 448326

the period of last 10 years prior to the date of notification of the curren

election.

(ii)"No dues certificate" from the agencies concerned are attached hereto.

VERIFICATION

I, the deponent above named, do hereby verify and declare that the above

Col tatements are correct to the best of my knowledge, and no part of it is false.

CO/ Verified at Amingaon this the it day of March 2016

Pni-o-.4. 4 Aot-t-v61-s

DEPONENT

Identified by

Advocate, Guw

v

ahati High Court

„et.;

cti oyd„,,, teat Ay” -

„it

I ssitecit

taktagglY.•.Md

aR-04 ASSAM 25AA 989610

4;;;;?AsZeirt,N.".;•55:7;• wit r it fivitc:;;;:ept<ervazingif

rf.minuitrifiatitim

61;r4ilitifitthrigkiltrinfuth

j#16a64 44141/4

19)

10C 01/4% BEFORE THE NOTARY:: KAMRUP (METROPOUTAN) AT GUWAHATI

ANNEXURE IX C (CHAPTER V, PARA-7.2) FORM 26 (SEE RULE 4 A)

I k . 11000111( W M urAmt

moo: iwitotko \ 0 Re54.11°' RANAB KALITA, son of Late Thanu Ram Kalita, aged about 55

Q I esident of Village & P.O. Rangamati, P.S. Palashbari in the district of up, Assamcandidate at the above election, do hereby solemnly affirm/

to on oath as under :

1. I am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has been framed by the court(s) of competent jurisdiction.

I have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section

la of section 8 of the Representation of the People Act, 1951 (43 of mufmn,m,.%), Gam, and sentenced to imprisonment for one year or more.

+caroms' ■ gots' Contd

17 h AR 7(11b

\*1

fidavit to be furnished by the candidate before the Returning Officer ion to Assam Legislative Assembly Election (name of the House)

o. Palashbari Constituency (name of the constituency). •

3

• \

It N 1,aSePirealta yam 0 'mato)

0\ Regd. win

nc.j>Verified at Guwahati this 17th day of March, 2016

ExP

7jriva_ Signature of deponent

VERIFICATION above named deponent, do hereby verify and declare that the

o\ this affidavit are true and correct to the best of my knowledge l ino part of it is false and nothing material has been concealed

!11 1N amicr ASSAM I I AA 448323 -2-

Place Guwahati date 17th day of March, 2016.

Identified by

Wtet5A Advocate, Guwahati

kAit:4-; D EP ON EN T

Solemnly affirmed before me on this 17"' day of March, 2016 who is identified by Rita Kalita Das, Advocate, I certify that I read over and explained the contents to the declarant and that the declarant seemed perfectly to understand em.

soffee isms. suit•fmeagstfein1010

NOTARYnakRISPI1C GLIWAHATI.

17 MAR 7016