____

____ ________

_ _ _ _ _______ __ _

-l r--

~

I ~ bullbull

p Jlt c v-I c d-shy - - - -

Allllcx urc- 15

II

II I

IV

i PAHT - --------- ~

Name of the CandldatC ===shy - middot----StSl11t1lltrn samphllj~middot~CM - _N Number and name or COl1 slitllcncy 63-s~ ~ - shy ---~-----Name ofStal(~liOn Tcrrit(~ V) _ Nature of Eleclion (please mention whetlllt~ r ~cral

Election to State Assel nI5Y I Lok Sabha f--_+--B~- elcction) ______

V Date of declarltltioll of resu lt - shy - _------shy --- shy

VI

VII

VII I

Dale

Plnlte

~ U --~~

~ I --1------shy - --_shy shy - shy

2 __ ___ _______ _ _________ Expenses ill public meeting rull) Illccs~inn ~t~ shyI a Expenses ill public meeting Iy cessioll

I etc (ie olher thml the ones with Slar Campnigtlcrs oC the 1ii ticQi P311Y

______ J2lclo~~r Sehcdule-I)______ _ __ I h ~rcnditu ein public lllCciillamp rail) procession etc wltll tile Star Cnl1lpninls) (ic other thall those thr gencml parly propaganda)

__ (Oncloso ns ~middot_Sclleduk-~_____II CUIll)1Iigl1 m ~tIrids other thlUl Iho ~ lIScU illlh~

public meeting rally prOCcoSlll1 ck ni~ntion~d in _ ____ S~o oovc(Enciosc as pcr Sched ~I ~~

Itl Campaign Ihrollgll print and clcctJn li(CJIlcdia including cnble network blilk SM~ ormiddotinternet and

Sodnlllleuia (EflC~OSC as per Sh~~gt4)LIV--_--i~pcllditu l middotc 011 calll~11 vchicfc(~) lIsed lL_

1111 AmI Illcmrco I IncurrctV Allth by IIl1lborizcd Candidate by Pot Electioll Pany agcllt(in (in Rs)

r-~~L--- ----shy~ 4

()lS1)tngt ~ ~ I

__ __ ______

_ ----f-----Ishy

13S~O=-I bull __ bull

---- ----t-- ___ ~___-_-_--_---_-_- _ __

J

AmI InclIrlc(il

())+(4)+(5 ) b) others ulltho r i t~d

(ill ls)

---- - ------- --shy-)_ ~---- -- -

3 0 1))t) ~ = ro -

______ _________ ___ bull _

--- - -j----- -- - - _______

b8~80 ~ ~ _~ bull

- -- - I

r shy

Schc_dulcs- I 109 De1ails of Elcrlions Funds il ntl Expenditllre r Cu niid rll

Sc ilccil lic - I

Expc ns~s ill pllblic Jleeting r~lly PIO(CSSiOll e lc_ (ie otiler (ilall th ose with Sial Call1paig ner~ or l ile l ol i tic~1 parry)

S_ No

~--- -

I

2

10

II

NallU-Cor Expendilure

- -- ------------------------ - - ----shy2

Ve hicles for Iransporting visitors

-Total Alllounl in R

illurred f Aulli by Candidale agent

--1- ----- - ------shy4

-------j------ shy

incurred by 101 Iriy with IHlllle

5 - - _ _-- shy

~

-_

Sdtedule- 2

--------------~---T --~-----------------------------------

Expcnclilnrc in public meeting mil) procc~siJn elc witli tile SlUr Campaigncr(s) as 3pponiolicu 10 candidate (i_c_ otiler IIHln those for genDral palty propaganda) ~------ - --- - - ----------__---_ _---- shy

-------70---- --- ------- ------ -- - ----- -

-l

TOlal

SdlCd ulc- 4

5 - ----1---f---

~-----~---- -~-- -- - - - - - -- - -

IDetails f cxpellditl1r~ on campaign matcriH~ like hiln(l~ill s ~~h_kiS pos lcr~ bull hO(I(lings banners cut-OlliS gatt~- L~--Ciles viele 11( alldlO cassetles ells DVDs LOlld stleakers ullltllillcrS (ligltal I V bolId dlstllay 3 Ll display etc for candldate-s e leClltln I cailipilign ( ic other Ihan those covereJ in Schedulc- I amp 2)

- -Il tNature of Expenses Total Amount ill IbS No Sources of EXtJellclilure i

- - - -----Anl By AmI Ely Anu By candidate Pol Pm1y others I agent

6 - - - ------- --shy

--- _------ shy - ~- - - -__----_-

Delails of expenditure Oil call1tlaign through print and clew onie Il lc(lia including clIble Ilctwork bulk SMS or illternet or social medin news itemsTVlmdio channel elc incilldiug the p~id Ilews so decided iJy MCMC 01 voluntarily 1Ic1lllitlcd by the candidate The dct~ils ShOltld ill~llIdc II expcmlitlll-e inClirreo on all sneh flews te ns ~ppea ring in privDtely owned new$pltlpersITVh~ldio chllllncis etc

----~ -

I(Hal Amount ill Rs SOllr~es of Expenditure (electronic I tlrint)

s No Nalllre OflllCdilllll Nallie ~nll Name alld address 01 acldress ofilledia agency reporter

und duration AmI 8y AmI Ily AmI By

Iclectronic SMS stringer company ortllovider (print

Pol I~llty others

voice cable

cltlndidJteallY person to whom ilgcntcharges cOlrtlllission Col (3) +(4)

etc raidlny~blc if elc) TV social Inedi

iallY _ shy -_ _-__----__---- I ------ - -shy

I 72 83 5~==~--~

-----r--- ---- - ---- shyS No Dilte anel Venlle

2

l-~-~- _~~-~------_~ - ~ ~-f~---+----~ ~T -- TOInI

Name of tile St~r ~1ll011nt at Expendillire~~~~ct i ll~ Relllarb Campaigncr(s) 8lt Name rally procession CIC with the Stu if ~tly of Party Caillpaigllcr(s) appolmiddottinned to Ihe cdidfllC

(A~ other than fo r ~encr~ I parry propaglIlela) in Rs

7~==-~p ----shy gt

lt~=~~__ __~~_~_~l___~~~~~gt_-_~_-_---- - - - shy---+-shy-- ------- ------ - -- _ 1 _ shy

i~~ ~7

r--~----~~ ---------------------I ~

v

- - --r---l

---~ bull4

Total

- - _ - - - - --c Sched ul e- 4

- --- - - -- --shyDetails ot cxpcllltiitlllt on cillnpnign through lliIIH and electronic media including enble network bulk SMS or internet or ~liltlr

media lIewsitcllIgtTVrndio chulinel etc inclI Jillg the ~1id news SO [kcidcd by tvlCMC or vollIlItarily admiucd by the cltlnciidate The dClitil s sholiid include the expenditure incurred on all such news items appearing inncwspapcrsTVlo-alio channels oWll ed by

---- - -~~--=~~ =-

-_ -- - shy - - L-shy

(electronic I print) and umnti on

2

f----c--__----- ----- --lt--------------~

Dellliis ofcxpenditllfc on campaign vehicle (sad pollexpcndilmc 011 vchicle(s) for candidateS elec tion campaign

the candidate 01 by the political pal1y sponsol ing the candidate

S Nmiddotmiddot-rN-a-II-lrmiddot-o-f -Ill-C-d-il~ Nnllle and Nill))c nnd address of

AmI 13) c~nctid(Jtea

Col (3) 1(1) ge nt

_ _ _ _ _________

5 6 7 8 - --shy-shy--f-shy - - - ---shy - shy -shy-shy- - shy ---shy -+- shy --shy--+-shy

f-shy --f- --- shy--shy middotmiddotshy- - shy - -shy1 2

- -shy --r-- - -Total

--7~------~--------- shy -shy -- shy shy ----t1-~-

Schtdllic 5 -

Reg~~-1Hiri~lg Cha ge~~rWh~~le SOllrce ofExpe~di~~-VehIcle amp Type or Veluclc lt II - - - - -shy

ate lor lIn g Fuel Ana By A II1I Gy lt111 Ill of vehicle I candidatel Pol Parry oille-r maintenance agent

covered

-shy- --__--shy - ----_shy

S-No shy

-

2

3

address of rnedi1 agency reporter provider (prilt Slringer company 01

IciectlOnic ISM S ~ny persoll (0 whom I voice cable cll~rgcs I commission

~~) SO_II_ e_ll_di~_ ~~~aidIl(yable if

3 4

-~No of -shyI[)~ys for

D llYer ~ I

c largc s

whichd

IIS~

(If lIot

middot_ - - ---_---_ _ 1ITotal Alllount in~ Sources of Expendi ture j

ToI HTllt

incurredtl au In

Rs

111l( ~ lJy 0)shy101 [arty Otlcrs [

~---- --I

____- 7

---- -

-------

I

f -~- I Tota l

Sdl CdulC- 6

IDelails of expenditure on Campaign workers f agents and on lundictlcS b(-~h s(kiosks) side polling Sial ions for distri blllio of

- - - shy ----- shy -shyS No Datc and Venlle

2

Ratc- - Nor autl In s

W Ollcrs agentsNo ilf Kiosks

Jb 3c

lilt fly AIll [1y

Pol Party Amt By other

7 _ --shy __--shy - - _ _ ---shy

Campaign workels ilonolaril)Ill salary etc

_ -------shy - - - ---+shy - -- shy --y-+~-T~__L--t----t- shy ----shyJ

4

5

Totnl

Scllcdulc- 7

----I Boarding

Lodging

Others

f)cta il ~ l Lump slim alllollllt received Ii-om the part) (ies) ill cash or lh~qLlc or DO or by Accou nt Tra nsfer

~lt~No - [N~ftllC nlC middot----middot= e- -- --r~D Cl~- ~1T~ 1shylo ltti c ~1 Plrty JI ~wec bunk I if~ny

1 Tn bull I _ __________ _ _ ____ _ ____t__ ____ _ ___---1

vulers ~Iips

S No CushDale

32 1-----middot_- -----1-- - ------1---middot----middot-- middotshy

- - -__----shy2

--- -- --shy

fd ~~-=---L==

_- _____-- - --shySchedule- 8

--- --- - ------ r----------- -- - - ---- shySources of Expend itureExpenses 011 Campaign workeis l otal arnt illcumd

Niltmc of

Exlenses

3a

Cand idates Uooths(Kiosks) set up for distribtltioll of voters slips

=~=--=

caJl(iidnte agent

5 -_-----+---- shy

iJetailsmiddot otAll1ount of own fund used for the election campaign ---------r--- shy -------shy --------shy

DOCilqll~no elC with Total Amount ill Rs details of dlawce bank ~--- - -- ____-shy - - -_ shy __shy -4 5

- --7f- shy - shy ---shy ---

_ ----middot-1 - shy shy ---shy - ----- - shy

=shy_--shy ---shy _ ___ 1_- _---__-_ __

- ----- ---- ------ ---j

Remnrks

6

- - - shy

_ ___bull

---- - --

-----

--~ --- - - - shy- -_ _-__-- ~--

--- - --_------ - -_ _------__--- shy

---shy3

~rh c-~

- ---= --r-7---=~z~tt =~ I ~ - =- _ ~ --J=l-i - ~~~~~

Icccivcd from ~ y_~~~~lI~cu l ll pn)fil tl1nssO lntio~~)Od~ ofpe~sons etc as lonll ~~~ ~_~~n~ion c--=-_ Dnte Cash 001 Cheque no ()tc Mention whethel low I~ rtllnlk

I with details of loan gi ft or I dr~wce ban~ Idonation etc Am

---~--~ ------__-_-

t

2

(9(fI)s~~

--- --=~-~ Schedule- 9

-- ----Deln ih uf Lump s~~~~~~

S No Name and address

2

3

2

______

5 --- -- --- -_-

- _ _--

d~- ---- -

O Ull

_ _ _____ ___ ______ _ __ _________ _____ _____ ~IS I J 4

--_ _ +6 ____ I ~=__(- =-I--1-shy

+ shy - -=shy -middotmiddot~middotI---=-~j ---- ---+------ - -- ---- middot-1

I I I--_ _ ---- ___1__ __ - 1 __ bull _ __bull 1- -------bull- - --- -- ---- - - -shy

(a) copy of the order containing list of 11 vchkks for which pcnnit issued by the Rdnrning Officer to txmiddot et1clo~ed

(b) If the vehiCle is uwned by tlte canol i1ardhis relativeage11 ~rc used for election purpOse 1I0ti0I1111 e051 ill hire llf all such vehicles except aile vehicle if ownd and Ilsed by the cilndidatc noti(lli~1 cot or rod HI1C drivers silary Ior

stllch vehicle shall be included in tot~1 dInOlC1 of expcudiwrt ill the above table In (ill schedules if any expendilure 01) pod~ and services provided by the Political PMty or provilltd by any personl compallyl firmlassoeiaiiollsl bcldy or pcrsols etc 011 bch~lr Qf Iii candidate thell the 1I0tiollalll1arkcL lhlC of such goods or services arc to be ill(cMed in respective columns 3 III Part middot-llI tilC Lump-Slim omount of fnl1d received rro Ihc politic parly 01 others or the candidutes 011 Hinds shollid be ltwllioilcd date WisIO In 11 slich cases such JIllOlll1lS nre reqllired to be Jiri deposit ed ill th~ bHnk account of the CiUldidMc opcllcd rOI k cUoll expcIISCS 4 Loch j)ilgC of tilctl tract SratclllctI should be signcrt LJy thc cltlIlc1iltiatc

__

Ollnl

In Rs----____ _ --- shy

4 5 6 7

-3~ -- ~-----137tX7i- 870 tgt~ -II

1

1

2

t AtHAL PRADESH bull I

I

TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

--

I ~Il N bull bull ~~J5fbull L JPIlt IU a ~ 9

~l j~~ ~ ~~--~_ -tzt2~)=-=c=--= ~~ ~~ =5-r-t( s ~ lh~ middot- I ~- ~ Pu ~~ _~~ ~ tA ~ ~-

--

- Ll~)

jfn II erfP A 1- ~

DC f

rf

2

supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

J

l -

6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

I

-------70---- --- ------- ------ -- - ----- -

-l

TOlal

SdlCd ulc- 4

5 - ----1---f---

~-----~---- -~-- -- - - - - - -- - -

IDetails f cxpellditl1r~ on campaign matcriH~ like hiln(l~ill s ~~h_kiS pos lcr~ bull hO(I(lings banners cut-OlliS gatt~- L~--Ciles viele 11( alldlO cassetles ells DVDs LOlld stleakers ullltllillcrS (ligltal I V bolId dlstllay 3 Ll display etc for candldate-s e leClltln I cailipilign ( ic other Ihan those covereJ in Schedulc- I amp 2)

- -Il tNature of Expenses Total Amount ill IbS No Sources of EXtJellclilure i

- - - -----Anl By AmI Ely Anu By candidate Pol Pm1y others I agent

6 - - - ------- --shy

--- _------ shy - ~- - - -__----_-

Delails of expenditure Oil call1tlaign through print and clew onie Il lc(lia including clIble Ilctwork bulk SMS or illternet or social medin news itemsTVlmdio channel elc incilldiug the p~id Ilews so decided iJy MCMC 01 voluntarily 1Ic1lllitlcd by the candidate The dct~ils ShOltld ill~llIdc II expcmlitlll-e inClirreo on all sneh flews te ns ~ppea ring in privDtely owned new$pltlpersITVh~ldio chllllncis etc

----~ -

I(Hal Amount ill Rs SOllr~es of Expenditure (electronic I tlrint)

s No Nalllre OflllCdilllll Nallie ~nll Name alld address 01 acldress ofilledia agency reporter

und duration AmI 8y AmI Ily AmI By

Iclectronic SMS stringer company ortllovider (print

Pol I~llty others

voice cable

cltlndidJteallY person to whom ilgcntcharges cOlrtlllission Col (3) +(4)

etc raidlny~blc if elc) TV social Inedi

iallY _ shy -_ _-__----__---- I ------ - -shy

I 72 83 5~==~--~

-----r--- ---- - ---- shyS No Dilte anel Venlle

2

l-~-~- _~~-~------_~ - ~ ~-f~---+----~ ~T -- TOInI

Name of tile St~r ~1ll011nt at Expendillire~~~~ct i ll~ Relllarb Campaigncr(s) 8lt Name rally procession CIC with the Stu if ~tly of Party Caillpaigllcr(s) appolmiddottinned to Ihe cdidfllC

(A~ other than fo r ~encr~ I parry propaglIlela) in Rs

7~==-~p ----shy gt

lt~=~~__ __~~_~_~l___~~~~~gt_-_~_-_---- - - - shy---+-shy-- ------- ------ - -- _ 1 _ shy

i~~ ~7

r--~----~~ ---------------------I ~

v

- - --r---l

---~ bull4

Total

- - _ - - - - --c Sched ul e- 4

- --- - - -- --shyDetails ot cxpcllltiitlllt on cillnpnign through lliIIH and electronic media including enble network bulk SMS or internet or ~liltlr

media lIewsitcllIgtTVrndio chulinel etc inclI Jillg the ~1id news SO [kcidcd by tvlCMC or vollIlItarily admiucd by the cltlnciidate The dClitil s sholiid include the expenditure incurred on all such news items appearing inncwspapcrsTVlo-alio channels oWll ed by

---- - -~~--=~~ =-

-_ -- - shy - - L-shy

(electronic I print) and umnti on

2

f----c--__----- ----- --lt--------------~

Dellliis ofcxpenditllfc on campaign vehicle (sad pollexpcndilmc 011 vchicle(s) for candidateS elec tion campaign

the candidate 01 by the political pal1y sponsol ing the candidate

S Nmiddotmiddot-rN-a-II-lrmiddot-o-f -Ill-C-d-il~ Nnllle and Nill))c nnd address of

AmI 13) c~nctid(Jtea

Col (3) 1(1) ge nt

_ _ _ _ _________

5 6 7 8 - --shy-shy--f-shy - - - ---shy - shy -shy-shy- - shy ---shy -+- shy --shy--+-shy

f-shy --f- --- shy--shy middotmiddotshy- - shy - -shy1 2

- -shy --r-- - -Total

--7~------~--------- shy -shy -- shy shy ----t1-~-

Schtdllic 5 -

Reg~~-1Hiri~lg Cha ge~~rWh~~le SOllrce ofExpe~di~~-VehIcle amp Type or Veluclc lt II - - - - -shy

ate lor lIn g Fuel Ana By A II1I Gy lt111 Ill of vehicle I candidatel Pol Parry oille-r maintenance agent

covered

-shy- --__--shy - ----_shy

S-No shy

-

2

3

address of rnedi1 agency reporter provider (prilt Slringer company 01

IciectlOnic ISM S ~ny persoll (0 whom I voice cable cll~rgcs I commission

~~) SO_II_ e_ll_di~_ ~~~aidIl(yable if

3 4

-~No of -shyI[)~ys for

D llYer ~ I

c largc s

whichd

IIS~

(If lIot

middot_ - - ---_---_ _ 1ITotal Alllount in~ Sources of Expendi ture j

ToI HTllt

incurredtl au In

Rs

111l( ~ lJy 0)shy101 [arty Otlcrs [

~---- --I

____- 7

---- -

-------

I

f -~- I Tota l

Sdl CdulC- 6

IDelails of expenditure on Campaign workers f agents and on lundictlcS b(-~h s(kiosks) side polling Sial ions for distri blllio of

- - - shy ----- shy -shyS No Datc and Venlle

2

Ratc- - Nor autl In s

W Ollcrs agentsNo ilf Kiosks

Jb 3c

lilt fly AIll [1y

Pol Party Amt By other

7 _ --shy __--shy - - _ _ ---shy

Campaign workels ilonolaril)Ill salary etc

_ -------shy - - - ---+shy - -- shy --y-+~-T~__L--t----t- shy ----shyJ

4

5

Totnl

Scllcdulc- 7

----I Boarding

Lodging

Others

f)cta il ~ l Lump slim alllollllt received Ii-om the part) (ies) ill cash or lh~qLlc or DO or by Accou nt Tra nsfer

~lt~No - [N~ftllC nlC middot----middot= e- -- --r~D Cl~- ~1T~ 1shylo ltti c ~1 Plrty JI ~wec bunk I if~ny

1 Tn bull I _ __________ _ _ ____ _ ____t__ ____ _ ___---1

vulers ~Iips

S No CushDale

32 1-----middot_- -----1-- - ------1---middot----middot-- middotshy

- - -__----shy2

--- -- --shy

fd ~~-=---L==

_- _____-- - --shySchedule- 8

--- --- - ------ r----------- -- - - ---- shySources of Expend itureExpenses 011 Campaign workeis l otal arnt illcumd

Niltmc of

Exlenses

3a

Cand idates Uooths(Kiosks) set up for distribtltioll of voters slips

=~=--=

caJl(iidnte agent

5 -_-----+---- shy

iJetailsmiddot otAll1ount of own fund used for the election campaign ---------r--- shy -------shy --------shy

DOCilqll~no elC with Total Amount ill Rs details of dlawce bank ~--- - -- ____-shy - - -_ shy __shy -4 5

- --7f- shy - shy ---shy ---

_ ----middot-1 - shy shy ---shy - ----- - shy

=shy_--shy ---shy _ ___ 1_- _---__-_ __

- ----- ---- ------ ---j

Remnrks

6

- - - shy

_ ___bull

---- - --

-----

--~ --- - - - shy- -_ _-__-- ~--

--- - --_------ - -_ _------__--- shy

---shy3

~rh c-~

- ---= --r-7---=~z~tt =~ I ~ - =- _ ~ --J=l-i - ~~~~~

Icccivcd from ~ y_~~~~lI~cu l ll pn)fil tl1nssO lntio~~)Od~ ofpe~sons etc as lonll ~~~ ~_~~n~ion c--=-_ Dnte Cash 001 Cheque no ()tc Mention whethel low I~ rtllnlk

I with details of loan gi ft or I dr~wce ban~ Idonation etc Am

---~--~ ------__-_-

t

2

(9(fI)s~~

--- --=~-~ Schedule- 9

-- ----Deln ih uf Lump s~~~~~~

S No Name and address

2

3

2

______

5 --- -- --- -_-

- _ _--

d~- ---- -

O Ull

_ _ _____ ___ ______ _ __ _________ _____ _____ ~IS I J 4

--_ _ +6 ____ I ~=__(- =-I--1-shy

+ shy - -=shy -middotmiddot~middotI---=-~j ---- ---+------ - -- ---- middot-1

I I I--_ _ ---- ___1__ __ - 1 __ bull _ __bull 1- -------bull- - --- -- ---- - - -shy

(a) copy of the order containing list of 11 vchkks for which pcnnit issued by the Rdnrning Officer to txmiddot et1clo~ed

(b) If the vehiCle is uwned by tlte canol i1ardhis relativeage11 ~rc used for election purpOse 1I0ti0I1111 e051 ill hire llf all such vehicles except aile vehicle if ownd and Ilsed by the cilndidatc noti(lli~1 cot or rod HI1C drivers silary Ior

stllch vehicle shall be included in tot~1 dInOlC1 of expcudiwrt ill the above table In (ill schedules if any expendilure 01) pod~ and services provided by the Political PMty or provilltd by any personl compallyl firmlassoeiaiiollsl bcldy or pcrsols etc 011 bch~lr Qf Iii candidate thell the 1I0tiollalll1arkcL lhlC of such goods or services arc to be ill(cMed in respective columns 3 III Part middot-llI tilC Lump-Slim omount of fnl1d received rro Ihc politic parly 01 others or the candidutes 011 Hinds shollid be ltwllioilcd date WisIO In 11 slich cases such JIllOlll1lS nre reqllired to be Jiri deposit ed ill th~ bHnk account of the CiUldidMc opcllcd rOI k cUoll expcIISCS 4 Loch j)ilgC of tilctl tract SratclllctI should be signcrt LJy thc cltlIlc1iltiatc

__

Ollnl

In Rs----____ _ --- shy

4 5 6 7

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TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

--

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supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

J

l -

6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

I

r--~----~~ ---------------------I ~

v

- - --r---l

---~ bull4

Total

- - _ - - - - --c Sched ul e- 4

- --- - - -- --shyDetails ot cxpcllltiitlllt on cillnpnign through lliIIH and electronic media including enble network bulk SMS or internet or ~liltlr

media lIewsitcllIgtTVrndio chulinel etc inclI Jillg the ~1id news SO [kcidcd by tvlCMC or vollIlItarily admiucd by the cltlnciidate The dClitil s sholiid include the expenditure incurred on all such news items appearing inncwspapcrsTVlo-alio channels oWll ed by

---- - -~~--=~~ =-

-_ -- - shy - - L-shy

(electronic I print) and umnti on

2

f----c--__----- ----- --lt--------------~

Dellliis ofcxpenditllfc on campaign vehicle (sad pollexpcndilmc 011 vchicle(s) for candidateS elec tion campaign

the candidate 01 by the political pal1y sponsol ing the candidate

S Nmiddotmiddot-rN-a-II-lrmiddot-o-f -Ill-C-d-il~ Nnllle and Nill))c nnd address of

AmI 13) c~nctid(Jtea

Col (3) 1(1) ge nt

_ _ _ _ _________

5 6 7 8 - --shy-shy--f-shy - - - ---shy - shy -shy-shy- - shy ---shy -+- shy --shy--+-shy

f-shy --f- --- shy--shy middotmiddotshy- - shy - -shy1 2

- -shy --r-- - -Total

--7~------~--------- shy -shy -- shy shy ----t1-~-

Schtdllic 5 -

Reg~~-1Hiri~lg Cha ge~~rWh~~le SOllrce ofExpe~di~~-VehIcle amp Type or Veluclc lt II - - - - -shy

ate lor lIn g Fuel Ana By A II1I Gy lt111 Ill of vehicle I candidatel Pol Parry oille-r maintenance agent

covered

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S-No shy

-

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3

address of rnedi1 agency reporter provider (prilt Slringer company 01

IciectlOnic ISM S ~ny persoll (0 whom I voice cable cll~rgcs I commission

~~) SO_II_ e_ll_di~_ ~~~aidIl(yable if

3 4

-~No of -shyI[)~ys for

D llYer ~ I

c largc s

whichd

IIS~

(If lIot

middot_ - - ---_---_ _ 1ITotal Alllount in~ Sources of Expendi ture j

ToI HTllt

incurredtl au In

Rs

111l( ~ lJy 0)shy101 [arty Otlcrs [

~---- --I

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IDelails of expenditure on Campaign workers f agents and on lundictlcS b(-~h s(kiosks) side polling Sial ions for distri blllio of

- - - shy ----- shy -shyS No Datc and Venlle

2

Ratc- - Nor autl In s

W Ollcrs agentsNo ilf Kiosks

Jb 3c

lilt fly AIll [1y

Pol Party Amt By other

7 _ --shy __--shy - - _ _ ---shy

Campaign workels ilonolaril)Ill salary etc

_ -------shy - - - ---+shy - -- shy --y-+~-T~__L--t----t- shy ----shyJ

4

5

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Scllcdulc- 7

----I Boarding

Lodging

Others

f)cta il ~ l Lump slim alllollllt received Ii-om the part) (ies) ill cash or lh~qLlc or DO or by Accou nt Tra nsfer

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1 Tn bull I _ __________ _ _ ____ _ ____t__ ____ _ ___---1

vulers ~Iips

S No CushDale

32 1-----middot_- -----1-- - ------1---middot----middot-- middotshy

- - -__----shy2

--- -- --shy

fd ~~-=---L==

_- _____-- - --shySchedule- 8

--- --- - ------ r----------- -- - - ---- shySources of Expend itureExpenses 011 Campaign workeis l otal arnt illcumd

Niltmc of

Exlenses

3a

Cand idates Uooths(Kiosks) set up for distribtltioll of voters slips

=~=--=

caJl(iidnte agent

5 -_-----+---- shy

iJetailsmiddot otAll1ount of own fund used for the election campaign ---------r--- shy -------shy --------shy

DOCilqll~no elC with Total Amount ill Rs details of dlawce bank ~--- - -- ____-shy - - -_ shy __shy -4 5

- --7f- shy - shy ---shy ---

_ ----middot-1 - shy shy ---shy - ----- - shy

=shy_--shy ---shy _ ___ 1_- _---__-_ __

- ----- ---- ------ ---j

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- - - shy

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--- - --_------ - -_ _------__--- shy

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I with details of loan gi ft or I dr~wce ban~ Idonation etc Am

---~--~ ------__-_-

t

2

(9(fI)s~~

--- --=~-~ Schedule- 9

-- ----Deln ih uf Lump s~~~~~~

S No Name and address

2

3

2

______

5 --- -- --- -_-

- _ _--

d~- ---- -

O Ull

_ _ _____ ___ ______ _ __ _________ _____ _____ ~IS I J 4

--_ _ +6 ____ I ~=__(- =-I--1-shy

+ shy - -=shy -middotmiddot~middotI---=-~j ---- ---+------ - -- ---- middot-1

I I I--_ _ ---- ___1__ __ - 1 __ bull _ __bull 1- -------bull- - --- -- ---- - - -shy

(a) copy of the order containing list of 11 vchkks for which pcnnit issued by the Rdnrning Officer to txmiddot et1clo~ed

(b) If the vehiCle is uwned by tlte canol i1ardhis relativeage11 ~rc used for election purpOse 1I0ti0I1111 e051 ill hire llf all such vehicles except aile vehicle if ownd and Ilsed by the cilndidatc noti(lli~1 cot or rod HI1C drivers silary Ior

stllch vehicle shall be included in tot~1 dInOlC1 of expcudiwrt ill the above table In (ill schedules if any expendilure 01) pod~ and services provided by the Political PMty or provilltd by any personl compallyl firmlassoeiaiiollsl bcldy or pcrsols etc 011 bch~lr Qf Iii candidate thell the 1I0tiollalll1arkcL lhlC of such goods or services arc to be ill(cMed in respective columns 3 III Part middot-llI tilC Lump-Slim omount of fnl1d received rro Ihc politic parly 01 others or the candidutes 011 Hinds shollid be ltwllioilcd date WisIO In 11 slich cases such JIllOlll1lS nre reqllired to be Jiri deposit ed ill th~ bHnk account of the CiUldidMc opcllcd rOI k cUoll expcIISCS 4 Loch j)ilgC of tilctl tract SratclllctI should be signcrt LJy thc cltlIlc1iltiatc

__

Ollnl

In Rs----____ _ --- shy

4 5 6 7

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1

1

2

t AtHAL PRADESH bull I

I

TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

--

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~l j~~ ~ ~~--~_ -tzt2~)=-=c=--= ~~ ~~ =5-r-t( s ~ lh~ middot- I ~- ~ Pu ~~ _~~ ~ tA ~ ~-

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DC f

rf

2

supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

J

l -

6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

I

---- -

-------

I

f -~- I Tota l

Sdl CdulC- 6

IDelails of expenditure on Campaign workers f agents and on lundictlcS b(-~h s(kiosks) side polling Sial ions for distri blllio of

- - - shy ----- shy -shyS No Datc and Venlle

2

Ratc- - Nor autl In s

W Ollcrs agentsNo ilf Kiosks

Jb 3c

lilt fly AIll [1y

Pol Party Amt By other

7 _ --shy __--shy - - _ _ ---shy

Campaign workels ilonolaril)Ill salary etc

_ -------shy - - - ---+shy - -- shy --y-+~-T~__L--t----t- shy ----shyJ

4

5

Totnl

Scllcdulc- 7

----I Boarding

Lodging

Others

f)cta il ~ l Lump slim alllollllt received Ii-om the part) (ies) ill cash or lh~qLlc or DO or by Accou nt Tra nsfer

~lt~No - [N~ftllC nlC middot----middot= e- -- --r~D Cl~- ~1T~ 1shylo ltti c ~1 Plrty JI ~wec bunk I if~ny

1 Tn bull I _ __________ _ _ ____ _ ____t__ ____ _ ___---1

vulers ~Iips

S No CushDale

32 1-----middot_- -----1-- - ------1---middot----middot-- middotshy

- - -__----shy2

--- -- --shy

fd ~~-=---L==

_- _____-- - --shySchedule- 8

--- --- - ------ r----------- -- - - ---- shySources of Expend itureExpenses 011 Campaign workeis l otal arnt illcumd

Niltmc of

Exlenses

3a

Cand idates Uooths(Kiosks) set up for distribtltioll of voters slips

=~=--=

caJl(iidnte agent

5 -_-----+---- shy

iJetailsmiddot otAll1ount of own fund used for the election campaign ---------r--- shy -------shy --------shy

DOCilqll~no elC with Total Amount ill Rs details of dlawce bank ~--- - -- ____-shy - - -_ shy __shy -4 5

- --7f- shy - shy ---shy ---

_ ----middot-1 - shy shy ---shy - ----- - shy

=shy_--shy ---shy _ ___ 1_- _---__-_ __

- ----- ---- ------ ---j

Remnrks

6

- - - shy

_ ___bull

---- - --

-----

--~ --- - - - shy- -_ _-__-- ~--

--- - --_------ - -_ _------__--- shy

---shy3

~rh c-~

- ---= --r-7---=~z~tt =~ I ~ - =- _ ~ --J=l-i - ~~~~~

Icccivcd from ~ y_~~~~lI~cu l ll pn)fil tl1nssO lntio~~)Od~ ofpe~sons etc as lonll ~~~ ~_~~n~ion c--=-_ Dnte Cash 001 Cheque no ()tc Mention whethel low I~ rtllnlk

I with details of loan gi ft or I dr~wce ban~ Idonation etc Am

---~--~ ------__-_-

t

2

(9(fI)s~~

--- --=~-~ Schedule- 9

-- ----Deln ih uf Lump s~~~~~~

S No Name and address

2

3

2

______

5 --- -- --- -_-

- _ _--

d~- ---- -

O Ull

_ _ _____ ___ ______ _ __ _________ _____ _____ ~IS I J 4

--_ _ +6 ____ I ~=__(- =-I--1-shy

+ shy - -=shy -middotmiddot~middotI---=-~j ---- ---+------ - -- ---- middot-1

I I I--_ _ ---- ___1__ __ - 1 __ bull _ __bull 1- -------bull- - --- -- ---- - - -shy

(a) copy of the order containing list of 11 vchkks for which pcnnit issued by the Rdnrning Officer to txmiddot et1clo~ed

(b) If the vehiCle is uwned by tlte canol i1ardhis relativeage11 ~rc used for election purpOse 1I0ti0I1111 e051 ill hire llf all such vehicles except aile vehicle if ownd and Ilsed by the cilndidatc noti(lli~1 cot or rod HI1C drivers silary Ior

stllch vehicle shall be included in tot~1 dInOlC1 of expcudiwrt ill the above table In (ill schedules if any expendilure 01) pod~ and services provided by the Political PMty or provilltd by any personl compallyl firmlassoeiaiiollsl bcldy or pcrsols etc 011 bch~lr Qf Iii candidate thell the 1I0tiollalll1arkcL lhlC of such goods or services arc to be ill(cMed in respective columns 3 III Part middot-llI tilC Lump-Slim omount of fnl1d received rro Ihc politic parly 01 others or the candidutes 011 Hinds shollid be ltwllioilcd date WisIO In 11 slich cases such JIllOlll1lS nre reqllired to be Jiri deposit ed ill th~ bHnk account of the CiUldidMc opcllcd rOI k cUoll expcIISCS 4 Loch j)ilgC of tilctl tract SratclllctI should be signcrt LJy thc cltlIlc1iltiatc

__

Ollnl

In Rs----____ _ --- shy

4 5 6 7

-3~ -- ~-----137tX7i- 870 tgt~ -II

1

1

2

t AtHAL PRADESH bull I

I

TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

--

I ~Il N bull bull ~~J5fbull L JPIlt IU a ~ 9

~l j~~ ~ ~~--~_ -tzt2~)=-=c=--= ~~ ~~ =5-r-t( s ~ lh~ middot- I ~- ~ Pu ~~ _~~ ~ tA ~ ~-

--

- Ll~)

jfn II erfP A 1- ~

DC f

rf

2

supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

J

l -

6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

I

---- - --

-----

--~ --- - - - shy- -_ _-__-- ~--

--- - --_------ - -_ _------__--- shy

---shy3

~rh c-~

- ---= --r-7---=~z~tt =~ I ~ - =- _ ~ --J=l-i - ~~~~~

Icccivcd from ~ y_~~~~lI~cu l ll pn)fil tl1nssO lntio~~)Od~ ofpe~sons etc as lonll ~~~ ~_~~n~ion c--=-_ Dnte Cash 001 Cheque no ()tc Mention whethel low I~ rtllnlk

I with details of loan gi ft or I dr~wce ban~ Idonation etc Am

---~--~ ------__-_-

t

2

(9(fI)s~~

--- --=~-~ Schedule- 9

-- ----Deln ih uf Lump s~~~~~~

S No Name and address

2

3

2

______

5 --- -- --- -_-

- _ _--

d~- ---- -

O Ull

_ _ _____ ___ ______ _ __ _________ _____ _____ ~IS I J 4

--_ _ +6 ____ I ~=__(- =-I--1-shy

+ shy - -=shy -middotmiddot~middotI---=-~j ---- ---+------ - -- ---- middot-1

I I I--_ _ ---- ___1__ __ - 1 __ bull _ __bull 1- -------bull- - --- -- ---- - - -shy

(a) copy of the order containing list of 11 vchkks for which pcnnit issued by the Rdnrning Officer to txmiddot et1clo~ed

(b) If the vehiCle is uwned by tlte canol i1ardhis relativeage11 ~rc used for election purpOse 1I0ti0I1111 e051 ill hire llf all such vehicles except aile vehicle if ownd and Ilsed by the cilndidatc noti(lli~1 cot or rod HI1C drivers silary Ior

stllch vehicle shall be included in tot~1 dInOlC1 of expcudiwrt ill the above table In (ill schedules if any expendilure 01) pod~ and services provided by the Political PMty or provilltd by any personl compallyl firmlassoeiaiiollsl bcldy or pcrsols etc 011 bch~lr Qf Iii candidate thell the 1I0tiollalll1arkcL lhlC of such goods or services arc to be ill(cMed in respective columns 3 III Part middot-llI tilC Lump-Slim omount of fnl1d received rro Ihc politic parly 01 others or the candidutes 011 Hinds shollid be ltwllioilcd date WisIO In 11 slich cases such JIllOlll1lS nre reqllired to be Jiri deposit ed ill th~ bHnk account of the CiUldidMc opcllcd rOI k cUoll expcIISCS 4 Loch j)ilgC of tilctl tract SratclllctI should be signcrt LJy thc cltlIlc1iltiatc

__

Ollnl

In Rs----____ _ --- shy

4 5 6 7

-3~ -- ~-----137tX7i- 870 tgt~ -II

1

1

2

t AtHAL PRADESH bull I

I

TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

--

I ~Il N bull bull ~~J5fbull L JPIlt IU a ~ 9

~l j~~ ~ ~~--~_ -tzt2~)=-=c=--= ~~ ~~ =5-r-t( s ~ lh~ middot- I ~- ~ Pu ~~ _~~ ~ tA ~ ~-

--

- Ll~)

jfn II erfP A 1- ~

DC f

rf

2

supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

J

l -

6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

I

1

1

2

t AtHAL PRADESH bull I

I

TE RUPEES

11AA 584076

AFFIDAVIT APPENDIX-3

Before the District Election Officer b3ShYmq~ constituency District Shim la State

HP Union Territory)

Affidavit of Shri Sanjay Chauhan age 50 years 50 Late 5h 55 Chauhan Resident of

K M Bhawan Nr Chitkara Park Lower Kaithu Shimla-3Tehsil amp Distt Shimla HP do

hereby iolemnly affirm declare as under shy

That I was a contesting candidate at the gen~al ~Iectionbye election to the House

of the People Legislative Assembly of Himachal Pradesh from

63Sh~~ HP Parliamentary ASSe~IY Constituency the result of

which was declared on 18-12-2017

Rat I my election agent kept a separate and correct account of all expenditure

rn~TTe9 ~ ~ized by mel election agent in connection with the above election

I r ~etwe~rt ~ll~l ~~t)-h-g l-))-(the date on which I was nominated) and the date

of declaration of the result thereof both days inclusive

3 That the said account was maintained in the Register furnished by the Returning

Officer for the purpose and the said Register itself is annexed hereto with the

~upporting vouchers bills mentioned in the said account

4 That the account of my election expenditure as annexed hereto includes all items of

lection expenditure incurred or authorized by me or by my election agent the

political party which sponsored me other associations body of persons and other

individuals

Cont 2

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supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

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6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

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supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

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6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

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supporting me in connection with the election and nothing has been concealed or

withheld suppressed there form( Other than the expense on travel of leaders covered

by Explanations 1 and 2 under section77(1) of the Representation of the People

Act1951)

0 That the abstract Statement of Election Expenses annexed as Annexure II to the said

account also includes all expenditure incurred or authorized by me my election agent

lGn8~h Sr ~RfHligtolitical party which sponsored me other associations body of persons and other

d~ 0middotmiddot -~ _ ifidjviiWalSlslT~Iting me in connection with the election - bull rl Pmg-Snogt

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6 That the statements in the foregoing paragraphs (1) to (5) are true to the best of my

knowledge and belief that nothing is false and nothing material has been concealed

Verification shy D~ I above named deponent do hereby confirm the above contents are true and

correct to the best of my knowledge amp belief amp that nothing has been concealed Signed

and verified at Shimla on this jpound day of Z~ 2018

D~

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