(

PART-II: ABSTRACT OF STATEMENT OF' ELECTION EXPENDITURE OF CANDIDA.TE

Sr. Particulars Amt. Incurred/ Amt. Incurred/ Amt. Incurred/ Total No. Auth. by auth. by Pol. auth. by others Election

Candidate/ Party (in Rs.) (in Rs.) expenditure Election agent (3)+(4)+(5)

(in Rs.) I Expenses in public meeting, N,\L- ·- "'1/L .-

rally, procession etc. :-

I. a : Expenses in public

meeting, rally, procession "' -

etc. (ie : other than the ones

with star Campaigners of the - Political party (Enclose as

per Schedule- I)

I. b : Expenditure in_public ~'~ "J.'L- - ,.--- meeting rally, procession etc.

with the Star Campaigner(s)

(ie: other than those for

general party propaganda)

(Enclose as per Schedule-2)

~ v..i (/\/\,._ \G~ Sl~~tur~f the Candidate Name \.11

L\_uj~ ~f.l\A_()J{\J ,,----

Date:

Place:

ABSTRACT STATEMENT OF ELECTION EXPENSES r-------<- ·-

, PART-I n , I

I Name of the Candidate Sh./S¢t.1Kf. 7 LlujQ...v.._ ~'-CA.rf'. 11 Number and name of Constituency (') G ~ M~r--e. -- m Name of State/Union Territory

~~OJ.;...D.._'

IV Nature of Election (Please mention whether (J

General Election to State +..~4 ~eili.~ •

Assembly I Lok Sabha I By- election

v Date of declaration of result I 'l 10 \I 4 . VI Name and Address of the Election Agent - VII If candidate is set up by a political party, Please N1L-. l~Ji~~)

mention the name of the political party - VIII Whether the party is a recognised political party Yes/No

/

/

II Campaign materials other CJ~on 0 r'c-0 - - ·- !han those used in the public

I

meeting, rally, procession etc. mentioned in S. No. I above (Enclose as per

Schedule-3)

III Campaign, through print and }0tL- «i.«: ,,__ - electronic media including

cable network, bulk SMS or . internet and Social media

(Enclose as per Schedule-4)

IV Expenditure on campaign (f ~S-o ~~f'\) ..-- ,.-

vehicles(s), used by

candidate (Enclose as per

schedule-5)

v Expenses of campaign S o o o r--- ~ ~ (j\)-:U workers/agents (Enclose as per Schedule-6)

VI Any other campaign

expenditure

Grand Total ~rs8~ ~ ~ cj) f1J ,.... ~

PART Ill : ABSTRACT OF SOURCE OF FUNDS RAISED BY CANDIDA TE

.... - Sr. Particulars Amount (in Rs.) No.

1 Amount of own fund used for the election campaign (;(!)O()O

(Enclose as per Schedule - 7) [I Lump sum amount received from the party (ies) in cash or cheque

etc. r--

(Enclose as per Schedule-8)

llI Lump sum amount received from any person/company/firm/associations/body of persons etc. as loan, - gift or donation etc.

(Enclose as per Schedule-9)

Total (C; (:) o ()CJ

• I

2.j_NOV 201~

day of this Solemnly affirmed/sworn on , Before me,

-(S-ign-a-tu-re_a_n_d_s-ea_l_o_f-th.e Attesting auth~i1?'·\ E. S 1E.0

held/suppressed there from (other than the expense on travel of 'Leaders' covered

by Explanation 1 and 2 under section 77( I) of the Representation of the People Act,

1951).

(5) That the Abstract Statements of Election Expenses annexed as Annexure II to the

said account also includes all expenditure incurred or authorized by me, my

election agent the political party which sponsored me, other associations/body of

persons and other individuals supporting me, in connection with the election.

( 6) That the statements in the foregoing paragraphs (I) to ( 5) are true to the best of my

knowledge and belief, that nothing is false and nothing material has been ~- concealed. \- _, I\/.' . ......_0-....,.,""" \LA.~ Deponent

. Q) . That the said account was maintained in the Register furnished by the Returning 'l' ,.,.,.. ' . . '•· '• h/ - '-·· Office- for the purpose and the said Register itself is annexed hereto with the ,,r .... ~ .. t , < ,

(/ >; ~~:--~uppo11ing vouchers/bills mentioned in the said account.

\\ r. -Thai the 'account of my election expenditure as annexed hereto includes all items

~J~ ·\ C>r-~elet~o~ expenditure incurred or authorised by me or by my election agent, the

politicY party which sponsored me, other associations/body of persons and

.connection with the election and nothing has been concealed of with

(2) That I kept a separate and correct account of all expenditure incurred/authWi[...d by

me/my election agent in connection with the above election ~5~-261~~ l q\1~t1~ c-(6-05-2014 (the date on which I was nominated) and the date of declaration of the

result thereof, both days inclusive .

Affidavit

~~.i . dHAWI, . ...:T.J.\~~ Vff'tOOR

ifo~" (iM. Mr~••eu 1 AMH L~ ~

Before the District Election Officer Ambala (Haryana) (District, State/Union Territory) · ., Affidavit of Presently at _ I P.wan K\llDar son of J•i Mm aged ~ years, r/o V, P, 0, Binj ill pur, cistt, Jilibig(Ji hereby solemnly and sincerely state and declare .~s under :-

aA~ e.u..~ (I) That I was a contesting candidate at the general election to the Lok Sabha ~ ~ f

o~ M.uil.o..L~. Election-2014 of Haryana from-01 Ambala(SC) Parliamentary Constituency, the

resultofwhichwasdeclaredon l6w05-2014. l'l )1~f11.~ ~

)

Schedule- 1

Expenses in public meeting, rally, procession etc. (le: other than those with Star Campaigners of the Political party)

s. Nature of Expenditure Total Amount Source of Expenditure No in Rs.

Amt. incurred I · Amt. Amt. incurred Auth. by incurred I by others Candidate I by Pol. agent Party with

name

1 2 3 4 5 6

1 Vehicles for transporting visitors

2 Erecting Stage, Pandal & Furniture, Fixtures, poles etc. -:

~ Arches & Barricades etc. ./ ./

4 Flowers/ garlands "/ s Hiring Loud speakers, Microphone, amplifiers, /

comparers etc. / 6 Posters, hand bills, pamphlets, Banners, Cut- / outs, hoardings

7 Beverages like tea, Water, cold drink, juice etc. /

8 Digital TV -boards display, Projector display, 0\ :./

tickers boards, 30 display

9 Expenses on celebrities, payment to musicians, / other artists remuneration etc.

10 Illumination items like serial lights, boards etc./

11 Expenses on transport, Helko~ vehicles/ boats etc. charges ( for self, ebrity or any other campaigner other tha tar campaigner)

Power consumption/ gener¥ charges ... - 12

13 Rent for venue / 14 Guards & security g.c{rges , 15 Boarding & lodging expenses of self, celebrity,

party functionary or any other campaigner Including Star campaigner

16 Others expenses

Total

Schedule- 2 Expenditure In public meeting rally, procession etc. with the Star Campaigner(s) as apportioned to candidate (ie: other than those for general party propaganda)

Schedules- 1 to 9: Details of Elections Funds and Expenditure of Candidate

S. No Date and Name of the Star Amount of Expenditure on public meeting Remarks, if any Venue Campaigner(s) & Name of Party rally, procession etc. with the Star . campaigner(s) apportioned to the candidate

(As other than for general party propaganda) in Rs.

1 2 3 4 5 1

2 - -1 ') l \_....- 3 ------ ,,_ 4

Total

Schedule-3

Details of e~penditure on campaign materials, like handbills, pamphlets, posters, hoardings, banners, cut-outs, gates & arches, video and audio cassettes, CDs/ DVDs, Loud speakers, amplifiers, digital TV/ board display , 3 D display etc. for candidate's election campaign ( ie: other than those covered in Schedule- 1 & 2)

s. Nature of Expenses Total Amount Sources of Expenditure Remarks, if any No. in Rs.

Amt. By Amt. By Pol. Amt. By others candidate I Party agent

1 2 3 4 5 6 7 1 ~~ ~ree.,~~ ~ ~~CN· s~ - r:

2 y Cu.u.f) \ L\; ~Ci)O Se.~I v . 3 I \l .

4

Total c.ts-~ Schedule- 4

Details of expenditure on campaign through print and electronic media including cable network, bulk SMS or internet or social media etc. for candidate

s. Nature of Name and address Name aQ,_d address of Total Amount Sources of Expenditure No medium of media provider agency, reporter, stringer, in Rs.

(electronic I (print /electronic company or any person to Amt. By Amt. By Amt. By print) and /sms I voice/ cable whom charges I candidate/ Pol. others duration TV, social media commission etc. paid/ agent Party

etc.) payable, if any Col. (3) +(4)

1 2 3 4 5 6 7 8 1 _ ...... 2

1. ~I t ~ ________..- - ,_ - 3 --- 4

Total

Schedule -5

Details of expenditure on campaign vehicle (s) and poll expenditure on vehicle(s) for candidate's election campaign

s. Regn. No. of Hiring Charges of vehicle No. of Total amt. Source of Expenditure No Vehicle & Days for incurred/

Type of Rate for Fuel charges Driver's

which auth. in Rs. Amt. By Amt. By Pol. Amt. Vehicle

Hiring of (If not charges used candidate/ Party By

vehicle I covered (If not agent other maintenan under hiring) covered s ce under

hiring)

1 2 3a 3b 3c 4 5 6 7 8

1 . ~J~, b -~ «o , 2 lblL?....l. ~(')?()

3

4 Lf~s:ti Total

Sched&,1le- 6

Details of expenditure on Campaign workers / agents

s. Date and Expenses on Campaign workers Total amt. Sources of Expenditure No Venue

Nature of Expenses Qty. No. Of workers incurred/

Amt. By Amt. By Pol. Amt. By I agents auth. In Rs.

candidate/ Party others agent

1 2 3a 3b 3c 6 7 8 9 1 Campaign workers

honorarium/ salary etc.

2 Boarding

3 Lodging ~r;w.. .s 0 0-0 4 Others -

Total ~000 Schedule- 7

Details of Amount of own fund used for the election campaign

S. No. Date Cash DD/ Cheque no. etc. with Total Amount in Remarks details of drawee bank Rs.

1 2 . 3 4 5 6 1 JI h t \) b~ !'elO bt:l<r'!tOO r+r-

I I I 2

3

4

Total

Schedule- 8 Details of Lump sum amount received from the party (ies) in cash or cheque or DD or by Account Transfer

s. Name of the Political Party Date Cash DD/ Cheque no. etc. Total Amount Remarks, if No. with details of drawee in Rs. any

bank

1 2 3 4 5 6 7

1 2

' I \ t, L-- 3 »>: f'J I

4 ------- Total

Schedule~ 9

Details of Lump sum amount received from any person/company/firm/associations/body of persons etc. as loan, gift or donation etc.

s. Name and address Date Cash DD/ Cheque Mention Total Amount Remarks No. no. etc. with whether loan, in Rs.

details of gift or drawee bank donation etc.

1 2 3 4 5 6 7/ 8

1 -> 2 ~)\"-' 3 »-> I

4 < Total

Post Value Details Chq.No. Debit Credit Balance Date Date

BROUGHT FORWARD : 0.00

25/06/12 25/06/12 CSH DEP 26000.00 26000.00Cr CASH DEPOSIT SELF

25/06/12 25/06/12 OWN CHQ XFER DP 051690 2000.00 28000.00Cr BT

TRF FR 0031124525053 30/06/12 30/06/12 INTEREST CREDIT 18.00

28018.00Cr 99999

02/07/12 02/07/12 CSH WDL 5000.00 23018.00Cr CASH WDL SELF

03/07/12 03/07/12 ATM WDL 500.00 22518.00Cr 04292 ATM SWITCH CEN ATM 6636 SBI M M U

04/07/12 04/07/12 ATM WDL 12000.00 10518.00Cr 04292 ATM SWITCH CEN ATM 9727 SBP ANAJ

07/07/12 07 /07 /12 ATM WDL 200.00 10318.00Cr 04292 ATM SWITCH CEN ATM 7075 AXIS BANK

11/07 /12 11/07 /12 ATM WDL 1000.00 9318.00Cr

04292 ATM SWITCH CEN ATM 7883 AXIS BANK

12/07/12 12/07/12 ATM WDL 5000.00 4318.00Cr

04292 ATM SWITCH CEN ATM 8574 AXIS BANK

12/07/12 12/07/12 ATM WDL 1000.00 3318.00Cr

04292 ATM SWITCH CEN -e:

·~U...4A~ ATM 7205 AXIS BANK

\ q_~A 14/07/12 14/07/12 ATM WDL 300.00 3018.00Cr

Page No.: 1 Statement From 25/06/2012 to 21/11/2014

Nominee Name : SUMAN BALA Int. Rate : 4.00 % p.a.

0.00 Drawing Power: 0.00 Limit:

0.00 +MOD Bal:

0.00 Uncleared Amount: 0.00 Cleared Balance :

E-mail: Time: 13:18:46

Currency : INR

MULLANA Branch Code : 11843 Branch Phone : IFSC: SBINOO 11843 MICR: 133002012

Account No. : 32393266034 Product : SBCHQ-GEN-PUB IND-

Mr. PAWAN KUMAR PAWAN KUMAR SO JAi RAM VPO BINJALPUR AMBALA

NONRURAL-INR AM BALA 133206

Date : 21/11/2014

UNIVERSITY

STATE BANK OF INDIA MULLANA MAHARISHI MARKANDESHWAR

STAT':MENT OF ACCOUNT

In Case Your Account ls Operated By A Letter Of Authority/Power Of Attorney Holder, Please Check The Transaction With Extra Care. ***END OF STATEMENT***

65,547.00 65,547.00 Statemer1t Summary Dr. Count-"41 Cr. Count 15

0.00 CLOSING BALANCE