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INDIA NON JUDICIAL

Government of National CaP ital Territory of Delhi

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qiqt-{ qqeCertificate No.

Certificate lssued Date

Account Reference

Unique Doc. Feference

Purchased by

Description of Document

Property Description

Consideration Price (Rs.)

First Party

Second Party

Stamp Duty Paid By

Stamp Duty Amount(Rs.)

""1', ,,,, |N-DL10585672077837S , i: " : :

,:' 16-Jan-2020 11:36 AM

rr\4pAcc (rv)/ dr71340s/ DELHI/ DL-DLH

suBt N-DLDL71 34032990531 54261 865

SAHIBAM

Article 4 Affidavit

Not Applicable

0(Zero)

SAHIRAI\,4

Not Applicable

SAHIRAI\,1

1oo(One Hundred only)

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- Form 26(See rule 4A)

AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITHPAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO LEGISLATIYEASSEMBLY OF NCT oF DELHI (NAIvfE oF THE HOUSE) FROM AC-52TUGIILAKABAD (NAME OF THE CONSTITUENCY)

PART A

I SAHTRAM **sor/deughter*xife-of Late Shri Suraj MaI Aged 59 years, resident ofH' No' 321 churiya Mohalla, Tekhand village, New Delhi-110020 (mention full postaladdress), a candidate at the above election, do hereby solemnly affrrm and state on oath asunder:-

(1) I am a candidate set up byAAM AADMI pARTy

(*xname of the political party) / ** .

(**strike out whichever is not applicable)

name ls eprolled in AC- 52, TUGLAKABAD, NCT oF DJLHI (Nq{ne of the

and the state), at Serial No. l00S in part No. g6.+

telephone number(s) is/are 99r004g7g7 and my e-mail id (if any) is

@gmail.com and my social media account(s) (if any) is/arell'J

(i) Facebook: www.facebook.com/pehalwansahiram

(ii) Twitter: www.twitter.com/pehalwansahiram

(iii) Instagram: www.instagram. com/sahiram.tuglakabad

nor.o

zo

,Is.

gr/"*

v(4) Details of Permanent Account Number (pAIg* and status of firing of rncometax return:

E

l1tl

Names [rnehinancialfear forwhich thelastIncome-Taxreturnhas beenEled

five Financial Yearson 31st March)

lncomein Income Tax

Rupees) for the

(i) : Rs.3,75,580/-

(ii) 2018-19: Rs.3117,170/-

(iii) 01 7-18: Rs. 3,1I,530/:

F

a Ils

ofi

NoLDC!

Zo

29^ o.

(iv) 6-17: Rs.2,84,0901-

SelfRam) AACPR3838B 2019-20

(v) 5-16: Rs. 2,69,970/-

(i) NOT APPLICABLE

(ii) NOT APPLICABLE

(iii) NOT APPLICABLE

(iv) NOT APPLICABLE

2Spouse

(Smt Balesh) No PAN allotted ApprrcaernNOT

(v) NOT APPLICABLE

(0 NOT APPLICABLE

(ii) NOT APPLICABLE

(iii) NOTAPPLICABLE

(iv) NOT APPLICABLE

3HUF (If Candidate

Karta/Coparcener)ls NOT

APPLICABLE APPLICABNOT

LE

(v) NOT APPLICABLE

(i) NOT APPUCABLE(ii)

(iii) NOT APPLICABLE

(lv) NOT APPUCABLE

Fe

I NOTAPPLICABLE APPLICAB

LE

NOr

(v) NOT APPLICABLE

(i) NOT APPLICABLE5

il2

NOTAPPLICABLE

I NorAPPLICAB

LE (ii)NOT APPLICABLE

77

PAN

NOT APPLICABLT '

5*?,rL

!t

LJglJ.

a: i,

Eg7

tJo

2'_()i

.jIt is mandatory for PAN holder to mention PAN and in case of no PAN, it

should be clearly stated "No PAN allotted".

(5) Pending criminal cases

Q) lrdeclare that there is no pending criminal case against me.

(Tick this alternative if there is no criminal case pending against the Candidate and

write NOT APPLICABLE against alternative (ii) below)

OR

(ii) The following criminal cases are pending against me: NOT APPLICABLE

are pending criminal cases,against the candidate, thenitick this alternative

off alternative (i) above, and give details of all pending cases in the Table

Table

II

(iii) NOT APPLICABLE

(iv) NOT APPLICABLE

(v) NOT APPLICABLE

(i) NOT APPLICABLE

(iDNOT APPLICABLE

(iii) NOT APPLICABLE6

\TD(iv) NOT APPLICABLE

Dependent 3NOT

APPLICABLE

NOTAPPLICAB

LE

(v) NOT APPLICABLE

C,-{il./

Ci

cr

z onc;

aCzt-'lm

aroiJ-l}.o'(Dz=O=.

with name andof Police Stationt-r

NOT APPLICABLE

l-NOT APPLICABLE

APPLICABLE

iCase No. with Name of thelco,r.t

(b) NOT APPLICABLE NOTAPPLICABLE INoT

APPLICABLE

7

(c) Section(s) of concernedActs/Codes involved(give no. of the Section,

e.g. Section.......of IPC,etc).

NOT APPUCABLE NOTAPPLICABLE

NOT APPLICABLE

(d) Brief description ofoffence

NOT APPLICABLE NOTAPPLICABLE

NOT APPLICABLE

(e) Whether charges havebeen framed(mention YES or NO)

NOT APPLICABLE NOTAPPLICABLE

NOT APPLICABLE

(0

4If answer against (e)above is YES, thengive the date onwhich charges wereframed

NOT APPLICABLE NOTAPPLICABLE

NOT APPLICABLE

(g)

YES or NO)

beenthe

NOT APPLICABLE NOTAPPLICABLE

NOT APPLICABLE+

a".t'i

TH f;.

Sd,{-

7

(6) Cases of conviction

(i) .

('fiek tlds alternafive; iFthe eandidate has not been eonvieted and rvrite NOT

TPPLI€ \3r E *gainsFarternative (ii) belew)

OR

Gi\t{havebeen convicted for the offences mentioned below:,

Qf the candidate has been convicted, then tick this alternative and score off alternative

(i) above, and give details in the Table below)

FrR NO. 379t99

PS.: OIAState Vs. Bahadur &Ors"

FrR NO.127l97

PS:OIAState Vs. Sahi

Ram Pehalwan &Ors.

(a) Case No. FrRNO.534116Cr. Cases 1262812018

PS.: OIAState Vs. Sahi Ram Pehalwan &Ors.

Ms. Gurmohina Kaur,Ld" MM. Saket, ND

Order on Quantum ofSentence passed by Sh.

Anubhav Jain,Ld. MM,Saket, ND

Sh. DharmeshSharma, Ld. MM

(b)

./-

Name of the

Court

Sh. Samar Vishal, Ld"ACMIWPHCAID

Under Section| 47 / | 48/ 149 I 186133213

53 IPC

U/s 3 ofThe West BengalPrevention ofDefacement ofProperty Act,1976.

(c)

, '.;L!t

Under Section 3241341 I 506/34of IPC

Alleged involvement inan altercation at thetime of incident whendemolition drive was

being conducted byDDA with the help ofPolice.

Pasting of poster(d) Brief description

of offence for

which convicted

Wrongfully restrained andassault upon complainant byaccused for an issue ofconstruction of road by MCD inthe area.

(e)

*!

/ .'.

Order of Conviction:0s/07/2017

Order on Quantum ofFine:15/12/2017

30.07.1998& Lok Adalatorder dated02.08.1998

Dates of orders

of conviction

Order of Conviction:3r/a7/2018

Order on Quantum of Fine:06109/2018

Fine of Rs.3000/- andbenefit of section 428Cr.P.C.

Fine of Rs.1,000/-.[0.

?)r

Fine of Rs.2,00,50ry-.

NO NO(e) Whether any

Appeal has been

rES

Table

+

ZR:.

PUnishmbnti ;rri,' .--- l J

1*g:* ,: ..,:,.1i'

:'.--- -. .-.. . . - ', '. -

'-'i,'.-;.,'.-'u'

filed against

conviction order

(Mention YES

or No)

(h) lf answer to (g)

above is YES,

give details and

present status of

appeal

CA.No.13612018Patiala House CourtSahi Ram Pehalwan & Ors Vs.StateDisposed off on 15.12.2018

APPLICABLE NOTAPPLICABLE

(64) I have given full and up-to-date information to mypolitical party about all pending criminal

cases against me and about all cases of conviction as given in paragraphs (5) and (6).

lHtwhom this Item is not applicable should clearly write NOT APPLICABLE

IN 5(i) and 6(i), abovel

be entered clearly and legibly in BOLD letters.

to be given separately for each case under different columns against each

3. Details should be given in reverse chronological order, i.e., the latest case to be

mentioned first and backwards in the order of dates for the other cases.

4. Additional sheet may be added if required.

5. Candidate is responsible for supplying all information in compliance of Hon'ble

Supreme Court's judgment in W. P (C) No.536 of 2011.

in joint name indicating the extent ofjoint ownership will also have to be given.

. ,, 17).,,,Ttat I giv. herciq h]o, * the:details of the assets (movqpfe and immovable etc.) of myself, my

of deposit/Investment, the details including Serial Number, Amount, date ofthe scheme, Name of Bank/Institution and Branch are to be given.

Bonds/Share Debentures as per the current market value in Stock Exchange incase of non-listed companies should befid

glveLof listed companies and as per books in

-{*/--

Note: 4. 'Dependent' means parents, son(s), daughter(s) of the candidate or spouse and any otherperson related to the candidate whether by blood or marriage, who have no separatemeans of income and who are dependent on the candidate for their livelihood.

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

Note: 6. Details should include the interest in or ownership of offshore assets.

Explanationr- For the purpose of this Form, the expression "offshore assets"

includes, details of all deposits or investments in Foreign banks and

any other body or institution abroad, and details of all assets and

liabilities in foreign countries' ;

Spouse(Smt. Balesh)

HUF Denendefit-r

Depe4de Denendeit-rS.

No.Description Self

(Sahi Ram)

-tr,--'

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

ffirin hand- \'r"\.:,- iir\. , \\*-\f;\1.

\\ ,\Rs.25,0004 Rs.25,000/-

(ir)

.

4pPoJ(O a900lz9o=.

h

a)Indian OverseasBank,Okhla Phase-lNcNo.1 58601 000001829Balance as ont5.01.2020

Rs.4,91,952.00

b) Bank of India,OkhlaPhase- 1,

A/c No.602910100009203Balance as on

T5:01.2070

Rs.8,580.54

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE ABLE

APPLICNOT

deposits includingsaving accounts),

Deposits withFinancial Institutions,

Non-Banking

Financial Companiesand Cooperative

societies and the

amount in each such

deposit

{

t-)

ln

of

/t Iil t

(FDRs,

and all

Bank of India,Okhla Phase-1

A/c No.

602910100013260

Balance as on

15.41.2020

Rs.8,850.70

b) HDFC Bank,

Okhla Phase-II,

A/c. No.

59109910049797

Balance as on

15.01.2020

Rs.3,93,743.00

c) Bank of India.Okhla Phase-l(Election Account)A/c.No.6029rc|W0r3264Balance as on

15.0r.2420Rs.5,10,000.00

NILNOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(ui) Details of investment

in Bonds,

Debentures/SharesNIL

:

<^iln/-*

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNIL

of investment

NSS, Postal

instruments

Post office or

the amount

in any

Company

Insurance

and

.-

EH

EOf*JDYG, .,+'./

o{

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

APPLICANOT

BLE

NILNIL

and the

tn

or

grven

Trust etc.

firm,

NOTAPPLICABLE

NIL

Motor Vehicles:

a) Maruti Swift VDIRegistration No.DLSCDTOOOTPurchase in 2015 forfi.s.6,80,000/-

Maruti BrezzaZDI

in 2018 fort0,24,783/-

ehicles/Aircrafts/

Make, registration

;oP

U)(:

-l

o

(Details

etc. year ofand amount

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

a) Gold-350gmValue approx.Rs. 13,45,000/-b) Silver-500gmValue approx.Rs. 27,000/-

alue alrprox"200gm

7,69,000/-thing(s)

details ofand value)

-"i"

md units in;ompanies/ Mutual

Funds and others and

the amount.

(iv)

APPLICABLE

NOTNOTAPPLICABLE

APPLICABLE

NOT

riirI

-

B. Details of Immovable assets:

Note: 1. Properties in joint ownership indicating the extent ofjoint ownership willalso have to be indicated

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

format

Note: 3. Details should include the interest in or ownership of offshore assets'

1[

I'

(YIurl other assets such

value ofNIL NIL

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

lix) Gross Total value Rs.34,1L,376.70 Rs.18,97,632,54 NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

Denenderit-s

DeneldeHUFSpouse(Smt. Balesh)Self

(Sahi Ram)DescriptionS.

No.

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILGram Dabas,

Ieh.HasanpuaP Nagar

(i) Apricultural Land

Location(s)Survey nurnber(s)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL0.315 acreArea (totalmeasurement in acres)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPTICABLE

NOinherited

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL24-05-2011

lnacquired

rrlq'iptNng

,LJNOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILRs. 1,60,ffi0/-WibrI-ana (in case

ofpurchase) at thetime of purchase

',tl-

I

NOTAPPLICABLE

Denenderit-r

NOTAPPLICABLE ,..,"

l'+

t{

H

r*

f-;

CNOTAPPLICABLE

NOTAPPLICABLENILNIL

Any Investment on the

land hy way ofdevelopment,construction etc.

NOTAPPLICABLE

NILRS.9,00,0001-Approximate Currentmarket value

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNO

(iD Non-AsriculturalLand

Location(s)Survey number(s)

NOTAPPLICABLE

NOTAPPLICABLE

CANILN/AArea (totalmeasurementin sq. ft.)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILN/Aes or

inherited

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILN/Aof purchase inofself- acquired

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNILCost of Land (in case

ofpurchase) at thetirne of purchase,.:i

a)

s

npoo,,,* * ryct [.- <

o=:a-J

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNIL

(.t)

Zr__l

J-I.:

.;J

Investment on the

land by way ofdevelopment,construction etc.

Any

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNOTAPPLICABLE

NILApproximate currentmarket value

NOTAPPLICABLE

NOTi{PPtICegrB ABLE

NOTAPPLICABI,ENIL

s)uding

NIL

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNILo

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNIABfrtt-lrp-$fea (total

moasuierir'ent in sq. ft .)---"", "i': /

|.- '-l

s

/_^

'1

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

iiiroperty

(iii)

-/::1tj

NOJAPPLIC

apartments)

ffi-ryt,

in sq. ft.)

I . :':.. j ::. :::

i

-

1

1),iirl;a

oai)i.J

d

I

NOTAPPLICABLE

NOTAPPLICABLE

CANILN/AWhether inheritedproperty(Yes or No)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILN/Aofpurchase inofself- acquired

NOTAPPLICABLE

CANILNILCost of propertY (incase ofpurchase) at

the time of purchase

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLENILNIL

Any Investment on theproperty by way ofdevelopment,construction etc.

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILNILApproximate currentmarket value

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL

a) H.NO 321

Churria MohallaVill. TehkandNew Delhi

b) T-56 TekhandExtn Delhi

s)(s)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLENIL

a) 7200 sq. ft.

b) 900 sq.ft.

I lu_ Area (Totalmeasurementin sq. ft)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL

a'57200 sq.ft.

b) 900 sq. ft.Built up Area (Totalmeasurementin sq. ft.)

NO.T, ,.:

APPLIC ]

ABLE

\Qf, .

APPLICABLE

APPLICABLENIL

Whether inherited

K*,NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLENIL

NOT

NOTCABLEself- acquired

purchase in

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NILofproperty (inofpurchase) at

NOTCABLE

time of purchase

nd

ri

\IOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(iv1

RLE

$6J:.,,:APPLICA

{YPS . ,

bIYES

-

"*'--)

BaoZ

fr(i:al

f\ d

herein below the details of liabilities/dues to public financial

and government:-

(Note: Please give separate details of name of bank, institution, entity or

individual and amount before each item)

l) rb

r..l O"

b)NorAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLENIL

NOTAPPLICABLE

a) NIL

b) NrL

Any Investment on thetand by way ofdevelopment,construction etc.

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLENIL

NOTAPPLICABLE

a) Rs.60,00,000/-

b) Rs. 14,00,000/-

Approximate currentmarket value

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL(v) Others (such as

interest inproperty)

NIL

(Yi)

-: r.

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

RS. 83,00,000/- NILTotal of currentmarket value of (i) to(v)3bove

Denendefit-r

Def,ende DependenSnouse(Smt'. Balesh)

HTIF

(Sahiram)Self

S. No. Description

l

rl(NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

I\[ILr-i

lz-r€ ,>XCz

Loan or dues toBank/Financiallnstitution(s)

loan

tution,

-{NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NIL

dues to any

Name(s), Amountoutstanding, nature ofIoan

other thanabove. I\{IL

n

zo

,*r",, , ,

a

HE1

Any other liabilit-vNIL NIL

NOTAPPLICABLE

Grand total oftiabilities NIL NIL

NOTAPPLICABLE

H

A:lro

df .-5o. cl<cct-.za--i

-{

to departments (A)Has the Deponent been in occupation ofaccommodation provided by the Govemment at anytime during the last ten years before the date ofnotification of the current election ? NO

with

(B) If answer to (A) above is YES, the followingdeclaration may be furnished namely:-

(i) The address of the Government accommodation:

x

aCzUxl

(ii) There is no dues payable in respect of aboveGovernment accommodation, towards-

(a) rent; NOT APPLCABLE

(b) electricity charges; NOT APPLCABLE

(c) water charges; and NOT APPLCBLE

(d) telephone charges as on ...NOT APPLCABLE..(daIe)

fthe date should be the last date of the third month prior tothe month in which the election is notified or any datethereafter].

Note-' 'Nol Dues Certificatet... ,..:

fromthe' agenclesrespect of rent, electricity charges, water chargestelephone charges for the above Governmentaccommodation should be submitted.

to departmentwith

transportaircrafts

)NIL

NIL

and

.ir o(1")aa:n:4.O=.

-D\)

C\>:C)

iifi?:{].

' ..i

NOT [.lOT lNorAPPLTCA lePPuca lar nr,rcalBLE Ftr PENOr Nor NorAPPLTCA larrlrca laPPrrcenBLE FLE PE

/rzEs.aig/!1. tick tkrnnrnnriqfp

(ii)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

cJ

a

profession or occupation:

Social Worker/ Political Activist/Farmer

: Housewife

A) Details of source(s) of income:

(a) Self :l. Income from Salary2- lncome from House Property (for rental income from the owned properties)3. Income from other sources (for interest income from saving u""orrrtg.

Contracts with appropriate Government and anypublic company or companies

of conhacts entered by the candidate... ...ML... ....

of contracts entered into by q)ouse .... . .NIL. . . . . . . ..

of conkacts entered intobydependents ... lVL..

of contracts entered into byHindu undivided Family or trust in which the

/

I

{ s

(iv) Income Tax duesNIL NIL

NOTAPPLICABLE

NOTAPPLICABLENOTAPPLICABLE

(v) GST duesNIL ML

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(vi) Municipal/Property taxdues NIL NIL

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(vii) Any other duesNIL NIL

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(viii) Grand total of allGovernment dues NIL NIL

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

)

if so, mentionamount involvedthe authority

any other

which it is

NIL NIL

INOTlapprrcahr-e

Norhpprrcabr-B

Norlappucatsrp

APPLICABNor

LE

o"

i

\*,

(c) Source of income, if any, of dependentS,...... NOT

NOTAPPLICABLE

NOTAPPLICABLE

I

afe rn

3,8c- =rfIl:

*,a- .:' ia(r'lJ ft-ft' ):

a',.t

a:,

lgfi

,fcandidate or spouse or dependents have interest ... NIL

(e) details of contracts, entered into by Partnership Firms in which candidate or spouse ordependents are partners ... NIL

(f) details.of contracts, entered into by private companies in which candidate or spouse ordependents have share ... NIL ...:. :...

(10) My educational qualification is as under:

1lft class from Govt. Boys. Sr. secondary School Badarpur, New Delhi, 19g0

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

T

'-,

Iil

o

d:

.l-.,1

i "rl

]

<vi5

-t

l\C\

ii;

a"

t,

! PART _ B

(11) ABSTRACT OF TIIE DETAILS GIYEN IN (1) TO (10) oF PART - A:

SAHI RAMof the candidate

Mohalla, Tekhand Village, NewH. No.321 ChuriyaI 10020

postal address

AC-52 Tuglakabad, NCT of Delhiconstituency andand name of the

AamAadmi PartYof the political PartYcandidate (otherwise write

which set uP

Independent')

NILotal number ofpending criminal cases

03 (Three)Number of cases in which convicted

Total Income ShownYear for which last Income TaxReturn filedPAN of

Rs.3,75,580/-2019-20AACPR38388

NILNILNo PANallotted(Smt. Balesh)

NOT APPLICABLENOTAPPLICABLE

HUF

NOT APPLICABLENOT APPLICABLENOTAPPLICABLE

Dependent

-31Spouse

(Smt.Balesh)

Not NotNotb

Notoxfrlt"Rs.18,97,632.54Rs.34,11,376.70

Moveable Assets(Iotal value)

NotNot NotAnnlic

dEte

NotAonlicitite

NIL,60,000/-

I

ame

and tiabilities.: (inctuding !,,ff,{ory assets) in

LLrP1es, :',

flonendl)pnendent'-2

SelfDescription

A.

B.

Annflicab ApplicableI

-

!

II

(a) Self-acquiredassets(Iotal Value)

(b) Inherited assets(Total Value)

NIL

IU

&

{_)

d

NIL NotAnnlic

dEIe

NotApplica

bIe

Not

fotl"

RS.9,00,000/-

RS.74,00,000/

NIL

NIL

*#X"Not Not

Applica-6IeNot

TdX"Not

bilities

duesotal) NIL NIL

OT

NIL NILLE

dues

NIL NILfrom Bank,al Institutions

others (Total) NIL NILLE

1 I e class from Govt. Boys Sr. Secondary Schoor, Badarpur, New Derhi, I9g0

highestVE

course,details of

educational qualification

)

x.t

/

Not

\ ->',; .*- ^

(l'.t

that are under dispute

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(IIJ NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

['.lOTAPPLIC

Schoolnanoe

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!

VERIFICATION

- ---: :-.::,ilt. 3bo\,e named, do hereby verify and declare that the contents of this affidavit

-: :-: 1-.,: .::rilr to the best of my knowledge and belief and no part of it is false and nothing

::,:-=:.'-: -; 'reen concealed there from' I further declare that:-

: , -i:ere rs no case of conviction or pending case against me other than those mentioned in items 5

=d 5 of Part A and B above;

(b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in

it..ni Z una S of Part A at a items 8, 9 and 10 of Part B above'

Verified at...New Delhi.. this the. ..20th...day of...... January, 2020""'

DEPONENT

ru Y ptlBx,tr{-

ll rAN zoza

Note: 1. Affidavit should be frled latest by 3.00 PM on the last day of filing nominations'

Note: 2. Affidavit should be sworn before an oath commissioner or $agistrate of the First-

Ciass oib"for" a NotarY Public'

Note: 3.All columns should be filled up and no column to be left blank' If there is no

information to fumish in respect of any item, either "Nil" or "Not applicable", as the

case may be, should be mentioned.,

Note: 4. The affrdavjt should be either t}'ped or writtenlegibly and neatly'

Note: 5. Each page of the Affidavit should be signed by the deponent and the Affrdavit should

bear on each page the stamp of the Notary or oath commissioner or Magistrate before

hom the Affidavit is sworn.

1.J,?

H

7

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