I FORM 26(See rule 4A)

Affi avit to be filed by the candidate alongwith nomination paper before the returningoffi er for election to RAJYASABHA from West Bengal Legislative Assembly.

• PART-A

I Bikash Ranjan Bhattacharyya ... ,**son/daughter/wife of Late Nitya RanjanBhattacharyee. Aged 66 years, resident of 35, Purbalok, Kolkata - 700099 acandidate at the above election, do hereby solemnly affirm and state on oath asun r:-

2 JUL 2011I

fB I am a candidate set up by C.P.I (M) (** name of the political party)/**-amcontesting as an Independent candidate.

C'* strike out whichever is not applicable)

(2) My name is enrolled in 22 - Jadavpur Parliament Area in the segment of 150Jadavpur Assembly Constituency, West Bengal (Name of the constituencyand the State), at Serial No 705in Part No 97

(3) My contact telephone number (s) is fare 033 2426-5000, 9830320560 and mye-mail id (if any) is bikashranjanbh@hotmail.com and my social mediaaccount(s) (if any) is/are Twitter and Facebook

(4) Details of Permanent Account Number (PAN) and status of filing of IncomeTax return:

SI. Names PAN The financial year Total incomeNo. for which the last shown in Income-

Income-tax return tax return (inhas been filed Rupees)

Self Bikash Ranjan1. Bhattacharyya ~GTPB8171E ~O16-17 ~O,O53,483.92

Spouse - Ibha2. Bhattacharyya V\GCPB3689C ~O16-17 ~,84,299.003. Dependent-1 N·A. N·A. N.A.4. Dependent-2 N·A. N.A. N.A.5. Dependent -3 ....... N·A. N.A. N.A.

2 8 JUL 2017

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2 8 JUL 2011

(5) I am lam not accused of any offence(s) punishable with imprisonment for twoyears or more in a pending case(s) in which a charge (s) has/have been framed bythe court(s) of competent jurisdiction.

If the deponent is accused of any such offencets) he shall furnish the following informatiorr-

(i) The following case(s) is fare pending against me in which charges have been framedby the court for an offence punishable with imprisonment for two years or more :-

(a) Case/First Information ReportNo.! Nos. together with N.A.complete details of concernedPolice Station/DistricUState

(b) Section(s) of the concernedAct(s) and short description of N.A.the offence(s) for which charged

(c) Name of the Court, Case No. and N.A.date of order taking cognizance:

(d) Court(s) which framed the N.A.charge{s)(e) Date(s) on which the charge(s) N.A.was/were framed(f) Whether all or any of the

proceedings(s) have been N.A.stayed by any Court(s) ofcompetent jurisdiction

(ii) The following case(s) is fare pending against me in which cognizance has beentaken by the court [other than the cases mentioned in item (i) above]:-

(a) Name of the Court, Case No. and N.A.date of order taking cognizance:

(b) The details of cases where thecourt has taken cognizance,section(s) of the Act(s) and N.A.description of the offence(s) forwhich cognizance taken

(c) Details ofAppeal(s)/Application(s) for N.A.revision (if any) filed against theabove order(s)

(6) I have been/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), ofsection 8 of the Representation of the People Act, 1951 (43 of 1951)] and sentencedto imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, he shall furnish the followinginformation:

Page2 of 10

2 S JUL 2811,

In the following case, I have been convicted and sentenced to imprisonment by acourt of law:

(a) The Details of cases, section(s)of the concerned Act( s) and N.A.description of the offence(s) forwhich convicted

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

(c) Punishment imposed N.A.

(d) Whether any appeal was/hasbeen filed against the conviction N.A.order. If so, details and thepresent status of the appeal:

(7) That I give herein below the details of the assets (movable and immovable etc.)of myself, my spouse and all dependents:

A. .Details of movable assets:

Note: 1. Assets in joint name indicating the extent of joint ownership will alsohave to be given.

Note:2. In case of deposit/investment,the details includingSerial Number,Amount,date ofdeposit, the scheme,Nameof the Bank/Institutionand Branchare to be given

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

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

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

SI. Description Self Spouse Dependent-1 Dependent-2 Dependent-3No.i Cash in hand 19,000 .A. .A. .A.(ii) UBI SB

Account .A. .A. .A.o.

Detailsof

deposit6,97,84,293

Bankin

Standard ndiaaccounts(FDRs, Chartered ccount

Bank o.ccount 1190049o. 336- 133- Rs.

aIl6~26557- ~2,041.Rs.12,38,598

deposits .59

Termepositsand

other typesof

including

accounts),Financial

saving ContaiDeposits with Co-

operative s.Institutions Bank 25.30

'Limited -

Financial f~·5,227.79

and

Non-Banking

Companies

Cooperative societies and Fixedthe amount in each such Deposit-onncit

2,11,21,5 ~,18,28,062.05 ~6.32

Fixed fixedDeposit - DepositsContai I- SBI-CO IRs.operative 19,09,946Bank-Rs. Fixed5,30,833 Deposit

pcalBank-~.~1,81,895

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2 8 JUL 2017

,

SINo.

l(iii)

Description . SpouseDependant - Dependant - Dependant -123

N.A. N.A.

l(iv)

Bajaj Allianz - Rs.1596792.61, Contai Coopertiave Bank LimitedRs. 7460.00, ICICIPrudential - Rs.2322800.00;SCB

Details of Securities India Limitedinvestment in Rs. 120422.10;BirlaBonds, Suniife - Rs. 600000.00;debentures/ shar Tata Equity Plan - Rs.es and units in 3,71,236;Mastergain - ICICI Bonds -companies/Mutu Rs. 5000; M.E.P. Rs. 30,000,al funds and 9,000; UGC- Rs. 10,000; Lloydsothers and the US'64 - Rs. 38497.16;SBI Finance-amount PPF - Rs. 9,66,175.61; 10,000; N.A.

Self

Details ofinvestment inNSS, PostalSaving, Insurancepolicies andinvestment inany Financialinstruments inPost office orInsuranceCompany andthe amount

LIC Single Premium -Rs. 5,00,000; NSC - Rs.55,349.00

NSC 8 issue-Rs. 1,85,409 N.A. N.A. N.A.

'vi)

I (vii)

ersonailoans/ advancegiven to anyperson or entityincluding firm,company, Trustetc., and otherreceivables fromdebtors and theamount

To Ibha Bhattacharyya-Rs. 62,00,000

N.A.

N.A.

N.A. N.A.

Jewellery, bullionand valuablething(s) (givedetails of weightand value) Nil

2 8 WUL 28600gmsvalued at Rs.6,79,400 N.A. N.A. N.A.

I(viii)

Motor Vehicles/Aircrafts/Yachts/Ships(D etails of Hyundai WB06M1438,Make, Year of purchase 2016-registration Rs. 33 Lakhs; Hyundainumber etc. year il0, year of purchase -of purchase and 2015 WB06L0399Rs. 6amount Lakhs

Any other assetssuch as value ofclaims/interest Nil

Rs.8,72,68,073.2

Nil N.A. N.A. N.A.

l(ix)IGross TotalValue Rs.I0,89,56,898

B. Details of Immovable Assets:

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

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

SI. Description SelfS ouseDepe ndent-1Dependr nt-2 Dependent-3No.(i) Agricultural Land

Location(s)Survey number(s)Area (totalmeasurement in acres)

Whether inheritedproperty (Yes or No)

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2 8 JUL 2817

Date of purchasein case of self-acquired propertyCost of Land (in caseof purchase) at thetime of purchaseAny investment onthe land by way ofdevelopment,construction etc.Approximate currentmarket value

(ii) Non-AgriculturalLand: Location(s)Survey number(s)Area (totalmeasurement insq.ft.) Whetherinherited orooertv(Yes or No) Date of ,

purchase in case ofself-acquired propertyCost of Land (in caseof purchase) at thetime of purchase

,

Any investment onthe land by way ofdevelopment, .construction etc.Approximate currentmarket value

(iii) Commercial Buildings(including apartments)-Locations(s)-Surveynumber(s)Area (totalmeasurement insq.ft.) Built-up Area(total measurement insq.ft.) Whetherinherited property(Yes or No) Date ofpurchase in case ofself-acquired property

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2 8 JUL 2817

Cost of property (incase of purchase) atthe time of purchaseAny investment onthe property by wayof development,construction etc.Approximate currentmarket value

(iv) Residential Buildings(including apartments):-Location(s)-Surveynumber(s)Area (totalmeasurement insq.ft.) Built-up Area(total measurement insq.ft.) Whetherinherited property(Yes or No) Date ofpurchase in case ofself-acquired propertyCost of property (incase of purchase) atthe time of purchaseAny investment onthe property by wayof development,construction etc.Approximate currentmarket value

(v) Others (such asinterest in property)

(vi) Total of current marketvalue of (i) to (v) above

(8) I give herein below the details of liabilities/dues to public financialinstitutions and government:-

(Note: please give separate details of name of bank, institution, entity orindividual and amount before each item)

2 ~ JUL 2817

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S.N( Description Self Spouse Oependent-1 Oependent-2 Dependent-3

(i) Loan or dues toBank/financialinstitution(s)Name of the Bank of

" financial institution,Amount outstanding,Nature of LoanLoan or dues to anyother individuals/entityother than mentionedabove Name(s), Amountoutstanding, nature ofloan Any other liability

Grand total of liabilities

(ii) Government dues:Dues to departmentsdealing with GovernmentaccommodationDues to department dealingwith supply of waterDues to department dealingwith SUDDlvof electricityDues to department dealingwith supply oftelephone/mobilesDues to departmentdealing with governmenttransport (includingaircrafts and helicopters)Income tax dues

Wealth tax dues

Service tax dues

Municipal/PropertyTax duesSales tax dues

Any other dues

(iii) Grand total of allGovernment dues

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2 8 JUL 2811

"

(iv) Whether any otherliabilities are in dispute, ifso, mention the amountinvolved and the authoritybefore which it is pending

(9) Details of profession or occupation:

(a) Self .

(b) Spouse , .

(10) My educational qualification is as under:-

(Give details of highest School/University education mentioning the full formof the certificate/diploma/degree course, name of theSchool/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 Sh.lSmt.lKum.Bikash Ranjan Bhattacharyya35, Purbalok, Kolkata - 700099

2. Full postal address

3. Number and name of theconstituency and State

4. Name of the political party whichset up the candidate (otherwisewrite 'Independent')

5. (i) Tot~I number of pending cases wherecharges have been framed by theCourt for offences punishablewith imprisonment for two yearsor more(ii) Total number of pending caseswhere the court(s) have takencognizance [other than the casesmentioned in item (i) above]

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2 8 JUL 2i1J

6. Total number of cases in whichconvicted and sentenced toimprisonment for one year ormore [except for offences referredto in sub-secti6ns(1),(2) or (3) ofsection 8 of Representation of thePeople Act, 1951].

7. PAN of Year for which last Total incomeincome tax return shownfiled

(a) Candidate.(b) Spouse

(c ) Dependents

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

I 11 IIIA. Moveable Assets

(Total Value)B Immovable Asset

I. Purchase price ofself-acquiredimmovableproperty

II Development /construction costof immovableproperty afterpurchase (ifapplicable)

III ApproximateCurrent marketprice of-(a) self acquired

assets (Totalvalue)

(b) inheritedassets (Totalvalue)

9 Liabilities(i) Government dues

(Total)(ii) Loans from Bank,

FinancialInstitutions and ,

Page 9 of 10

2 a JtJL 2817

'""

others (Total) I 110 Liabilities that are under dispute

(i) Government dues(Total)

(ii) Loans from Bank,FinancialInstitutions andothers (Total)

11 Highest educational qualifications:-(Give details of highest School/University education mentioning the full form ofthe certificate! diploma! degree course, name of the School!College! Universityand the year in which the course was completed.)

VERFICATION

I, the deponent, above named, do hereby verify and declare that the contents of thisaffidavit are true and correct to the best of my knowledge and belief and no part of itis false and nothing material has been concealed therefrom. I further declare that:-

(a) there is no case of conviction or pending case against me other thanthose 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 item 7 and 8 of Part A and items 8,9 and10 of Part 8 above.

8 JUL 2817Verified at This the Day of .

1."'1e"~·~'',11<'F'p·'("'-II P~i,:)C1t'!>•••••..• I .". J "... . • J'

Note:-1.Affidavit should be filed latest by 3.00 PM on the last day of filing Nominations.Note:2. Affidavit should be sworn before an Oath Commissioner or Magistrate of

the First Class or before a Notary Public.Note:3. All column should be filled up and no column to be left blank. If there is no

information to furnish in respect of any item, either "Nil" or "Not applicable",as the case may be, should be mentioned.

Note:4. The Affidavit should be either typed or written legibly and neatly."

2 E JUL 29J1

2 B JUL 2017