~ TEN 'm ;' RUPEES .' ,( " .

I

~.10 Rs.10

VhITTTBEFORE THE OATH COMMISSIONER MANIPUR, AT IMPHAL Sl':W[iP MANIPUR AFFIDAVIT I

FORM 26 (See ru le 4A)

Affidavit to be fil ed by the ca ndidate alongwith nomination paper before Ihe returnin g officer for election to 17·h Lok Sahba - 20 19 (nalli e of the Ii ouse) fmlll 2-01l1er IManipur (ST) Pll riiumenta ry constituenc)' (N a me of the Constituency)

I'ART-A

I Shri. K. James ··soniaaligRt@Fiwifeof(Late) K. Ngatangmi, Aged 56 years, resident of Tangkhul Hundung Khullen, Sub-Division Phungyar, Kamjong District. P.O. Lamlong & P.S. Litan. Maoipuf. Pin-795Q! 0 Presentl y residing at JIM Blessing! lome. Sangaiprou Mamang Leikai Airport Road, P.O. & 1>.5. Singjamei. Imphal West District. Manipur. Pio-795008 (mention full postal address), a candidate at the above election, do hereby solemnly affirm and Slate on oath as under:-

(1) 1 am a candidate set up by Indian National Congress (INC) ( .. name of the

I (2)

I (3)

at. L_f-<J'.haA ' l,G~a"'" De.'

political party)!" Hill eontesting as an Independent candidate. ( .. strike out whichever is not applicable) My name is enrolled in 43-Phungvar (ST), Manipur (Name of the constituency and the State), at Serial No. 615 in Part No. ~ My contact telephone number (s) is lare 9711199167 and my e-mail id (if any) is jameskashung62@ gmail.com and my social media account(s) (if any) is/are (i) Not Applicable. (0) Not Applicable. (ii i) Not Applicable,

Oath Commissipner JUOIcla\1 Man~ur

i

S1. No.

2

(4) Details of Permanent Account Nu mber (PA N) and status of filing of Income Tax return:

Names PAN

The financial year for which the Jast Income­tax return has been filed

,"COM~ ",'" .

Total income shown in lncometax return ( in Rupees) for the last five financial years (as on the 3 1'" March")

N.A. '" ·~; tJl '%.~ ~~~~~~~~----~~~-+---..~---+---..~--~ &5 2. g Spouse AHSPR8933J N.A. N.A.

Self AGCPJ0272F N.A.

N.A ~() ""'" ~ .~ A~ HUF (if the

~~ cand idate is Karla N.A

'* I\r}Ar~W~"""<--+"o;-fC",o=:p,a""",c"ine"")L-_h====,-t ___ ",,,c-__ -+ __ ----07'7 _ _ --I N.A

-if Dependent-! HKPPK8380D N.A. N.A.

5. Dependent-2 N.A. NA N,A.

6. Dependent-3 N.A N.A N.A

Note: It is mandatory for PA holder to mention PAN and ill case of no PAN, it should be clearly staled " No I)AN allotted" .

(5) Pending criminal cases

(0)

(b)

(c)

(i) I declare th at there is no pending crimina l case again st me. (Tick this aliemative if there is no criminal case pending against the Ca ndidate and write NOT APPLICABLE against alternative (ii) be low)

OR

(ii) The following criminal cases are pending against me: ( If Ihere are pcnding cri min al cases agai nst the candidate, then tick this alternative and score off altem:ltivc (i) above, and give deta ils of all pending cascs in th e Table below)

TABLE

FIR No. with na me and RC 4 (A) 90 SLC NOT NOT

address, of Ilolice Station SU PERINTENDENT OF REQUIREDI REQUIREDI

concerncd POLI CE NOT NOT

C BI :S PE:S ILCHAR AI'PLI CA IlLE AP I'UCAIlLE

(NOT NA MED IN TI-IE FIR)

Cnse No. with N:lInc of SPL. C. R. 629/C/2007 NOT NOT

the Courl SPEC IAL J UDIC IA L REQUIREDI REQUI REDI

I\'IAGISTRATE, GAU HATI NOT NOT API' LICABLE ,\PPLI CABLE

S«lion (s) of concerned UN DER SECTIO N NOT NOT

Acts/Codes invo lved 1208/420/467/46814 71 OF REQUIREDI REQUIREI)}

(g ive no. of the Seclion , IPC AND SECTION 13(2) NOT ;\'01' AI'PLI CA BLE AI'I' Li CABLE

c.g. Section •.. of IPC, IUV. SECTION 13( 1)(d) OF etc.) P.C ACT, 1988

,C g ~' l: G!.h;;; .. J De" Oath Commissioner JUOlclal \

. Manicur

(d) Brief offence

answer \1 1\>.ov, is YES. then give

date on which (.:ii/lt'"ges were framed

Appeal! Application revision has been

(6) Cases of conviction

any for

filed

3

C HEATI NG, FORGERY AND USING AS GENUINE A FORGED OOCUI\'IENT AND CRI MINAL MISCONDUCT BY A

SUl\1l\'ION AFTER THE CHA RGES HAS UEEN FRAME D. AS SUC H, TO THE BEST OF HI S KNOWLEDGE, HI E DATE ON WHI CH THE C HARG E IS FRAMED IS

REQUIREDI NOT APPLICA BLE

REQUIREDI NOT APPLICABLE

IlEQUIREDI NOT API'UCAULE

REQUIRED! NOT API'L1CABLE

REQUIRED! NOT APPLICABLE

REQUIRED! NOT APPLICABLE

(i) I declare that I have not been convicted for any criminal offence. (Tick this alternative, if

the candidate has not been convicted and write NOT APPLICABLE again st alternative (ii) below)

OR ( ii) I have been convicted for th e offences mentioned below:

(If the candidate hus been co nvicted, then tick this alternative and score off alternative

(i) a bov" ,nd giv' det,iI, in the T,bl, below)

(,) Case No.

(b) Name of the Court

(c) Sections of Acts/Codes involved (give no. of the

Section , c.g. Section .....

of lPC etc.).

(d) Brief description of offence fo, which

convicted

,(! ~~­l. Gli\1gar.'{ De"

Oath Commissioner JUOIClal \ Manlour

SPEC IAL CASE NO. 95 OF 2004

S PECIAL J UDGE, C BI , ADDITIONAL COURT NO. t, C HA N DMARl. GAU HAT I, KAMRUP

UNDER SECTION 12081420/468/471 OF IPe AND SECTION 13(2) R.W. SECTION 13(I)(d) OF P.C ACT,I988

CRIMI NAL

CONSPIRACY,

C HEATINC AND USING

AS GENUINE A FORGED

DOCUl\'I ENT AND

C RIMINAL

1\1 ISCONDUCT BY A

PUBLI C SERVANT

NOT NOT REQUIREDI REQU IREDI ,,"OT NOT AI'I'UCABLE AI'PLICABLE NOT NOT ItEQUlRWI ItEQUIRED! NOT NOT AI'I'LiCARLE AI'I'LICABLE

NOT NOT ItEQUIREDI REQUI REDI 1"OT NOT APPLI CA BLE APPLICABLE

NOT NOT REQUIRE))! REQUIRED! NOT NOT APPLICABLE API'LiCABLt:

(e)

(I)

Dates of orders conviction

Punishment imposed

4

of 27/0812013 • NOT REQUIREDI l"OT APPLICABLE NOT REQ UIRED! NOT APPLICABLE

NOT REQUIREDI NOT APPLI CABLE NOT REQUIRED! NOT APPLI CABLE

~~"COM~ ~!O~~ ~f.r~ r ;;' r~~f \ .,.

SENTENCE TO RIGOROUS IMPRI SONMENT FOR 2 YEA RS UNDER SECTION 468, 47101' IPC AND FINE OF RS. 10,000/- [AC t! COUNT AND FURHIER SENTENCE TO RIGORO US IMPRI SONMENT FOR ONE YEAR UNDER SECTION 120B AND 420 IPC ON EACH COUNT AND FINE OF RS. I 0,000/. EACH ON [ACIi COUNT. IN DEFAULT OF FINE TO 51 FOR THREE i\'10NTIfS ON EACH CO UNT

~~ (&~~ ~ ~~~~~lt'

rc(g~)--~~\v~h~e~th-e-'~.-n-Y-A~p-p-e-"71 7h-"-, t7Y~E~S~(~T~H7E~0~R~D~E~RC----+~NM'O~T~-----+~'~'O~Tc------DATED 27/08/2013 REQUIREDI REQUIREDI

(h)

been filed against conviction order (Mention YES or 0 )

If answer to (g) above is YES, give details and present status appeal

NOT NOT PASSED IN SPECIAL APPLICABLE APPLICABLE CASE No. 95 OF 2004 HAS BEEN SUSPENDED BY THE I-ION' BLE GAU HATI HIGH COURT PASSED IN CRIL, APPEAL NO, 300 OF 2013, CRIMINAL APPEAL NO. 300 OF 2013 AND THE SAME IS RESERVED FOR JUDGMENT AS PER ORDER DATED 12f03n 019 BY TUE GAU HATI HIGH CO URT.

NOT REQUIRE!)! 1"OT AI'I'li CABLE

NOT REQUIREDI NOT API'L1CABLE

(6A) I have given full and up-to-date infonnation to my poli tical party about all pending crimina! cases against me and about al! cases of conviction as given in paragraphs (5) and (6). [ ca ndidates to wh om this Item is not applicabl e sho uld clearly write NOT APPLICABLE IN VIEW O F ENTRIES IN 5(i) and 6 (i), abo\'eJ

NOle: I. Details should be entered clearly and legibly in BOLD letters 2. Details to be given separately for each caSe under different columns aga inst each

item.

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. Additiona l sheet may be added ifrequircd.

5. Ca ndidate is responsi ble for supplying all information in compliance of Hon ' ble Supreme Co urt ' sjudgment in W.P (C) No. 536 0(201 J.

~G~;;;7;::'-' ~0~ Oath Commissioner JUOICtal\

Maniour

5

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

SI. No.

(;)

(ii)

A. Details of movable assets :

Note: I . Assets in joint name indicating'the extent of joint ownership will al so have 10 be given.

Note:2. In case of deposit/Investment, the details including Serial Number, Amount, date of deposit, the scheme, Name of the Bank/Institution and Branch are to be given. Note:3. Value of Bonds/Share Debentures as per current market value in Stock exchange in respect of listed companies and as per books in case of non-listed companies should be

teA. 'Dependent' means parents, 50n(5), daughter(s) of the candidate or spouse and any er person related to the candidate whether by blood or marriage, who have no separate ans of income and who are dependent on the candidate for their livelihood.

ote:5. Details including amount is to be given separately in respect of each investment. Note:6. Details should included the interest in or ownership of offshore assets. Explanati on:. For the purpose of this Form, the expression " offshore assets" includes,

details of all deposits or investments in Foreign ba nks and any other body or institution abroad, and details of all assets and liabilities in foreign countri es.

Description Self Spouse UUF Dependent- ! ""'" (1" '1 J~~~ela ndenl Keishin .,

Cash in hand Rs. 11 ,86,0461- Rs.20.29,4701- N.A. N.A. NA

Details of deposit in (i) Axis Bank, N.A. PNB, N.A. Bank accounts(FDRs, Ch ingmeirong, (i) HOFe, Thangal

Ale No. Vikaspuri Bazar Term Deposits and all 114010 1000124 AleNa. A/e No. other types of deposits 9' 50 100230679 106700150 including saving Rs.37,406l- 30S 0036498 acco unts), Deposits with Rs. 14,000/. R,. Financial Insti tutions,

(i i) Axis Bank, 22,639/-Paltan Bazar,

Non-Banking Financial Guwahati (ii) Axis Companies and Ale No. Bank, Cooperative societies and 914 10 10028223 Vikaspuri

'" Ale No. the amount in each such Rs. 21,4021- 07901010005 deposit 3817 (iii) Axis Bank, Rs. 1,390/-Vikaspuri AleNa. 0790 101000 152 (iii) PNB, 24 Vikaspuri Rs. 40,50 11- Ale No.

4496000 1001 (iv) UOl, MO 28896 A venue Imphal Rs. 18,99 I/. AleNa. 025401 03 17454 Rs.6I ,709/-

~

(~;arln De,' Oa\h Commissioner Jualcl~: \

Maniour

-,,-' '"

-p--

""" ndent -3 N.A,

N.A.

t.lM/~a

~ .~~:.:. , ~~:>~ t ~f": ~ '" '\.,\ .. , '" ~l~~

~ , r ,

-;~ 'If"",,,

.~ MAl"

c(? ..e"""j """-- ' L. Ga(Jgar..n Dev'

Oath Cpmmissioner JU01Cla\ \ _ Maniour

6

(v) S81, Paona (iv) PNB, Bazar, lmphal Imphnl Ale No. Ne No 10383445542 10670001080 Rs. 23,4 1 1/· 68302

Rs. 1,00,000/. (vi) ICiCI Bank Ltd" (Total Silpurkhuri, Rs. l ,34.381/-) Guwahati Ne No. 210601502048 Rs. 17,206/.

(vii) Imphal Urban Co-Op. Bank, Kwakeithel Ne No. 8030061020066 93 Rs. 53,386/-

(viii) PNB , Vikaspuri Ne No. 4496000]00032 045 Rs.7,321-

(ix) PNB, Dchradun Ale No. 0111000 11 075 1 413 Rs. 2,865/-

I') PNB, ImphaJ Ale No. 1067000108042 766 Rs. 13,5001-

(xi) PNB, Zoo Road, Guwahati Ale No. 1907000101254 495 Rs.7,64/-

(xii) PNB , Dawrpui, Aizawl Ale No. 4782000100003 26 1 Rs.1,50 1/-

"n~

(t~ r'~~~ . ~. ' , f • . • 1'" -

~ ~ ,~

.MANWIl~ "

(i ii) Details of investment in

Bonds, debentures/shares

and units in

companies/Mutual funds

and others and the

amount

(i,) Details of investment in NSS, Postal Saving, Insurance policies and investment in any Financial instruments in

Post office or Insurance Company and the amount

(,) Personal loans/advance

given 10 any person or

entity including finn ,

company, Trust etc., and

other receivables from

debtors and the amount

(-G~;;~l;;;;' Oath Commissioner Juolclal'

Maniour

7

(xiii) Kalak, Vikaspuri Ale No. 609010017488 Rs.26,967/-

(xiv) ICICI Bank, Cannaught Place N,w Delhi

Al' No. 0007010 10219 Rs. 11 ,0301-(Total Rs. 3,12,3801. )

(i) Jim N.A. N.A. N.A. NA NA

Construction Pvt. Ltd. (50,000 shares @ Rs. 10) Share balance Rs. 5,00,000/-

( ii) Social Ecology Planting and Animal Rearing Development Pvt. Ltd. (5 .000 shares @ Rs.IO) Share balance Rs.50,000/·

(iii) SBI Mutual Fund Rs.6,OO,000/. Total 11 ,50,000/.

NA N.A. N.A. NA N. A N.A.

Rs. (i) Mise N.A. N.A. N.A N.A. 2,18,39,6051. as Investment housing loan Rs.

19,25.850/·

(vi) MOlor Vehicles/

AircraftslY achls/Sh ips (Details of Make,

registration number etc. year of purchase and amount)

(vi i) Jewellery, bullion and

valuable thing(s) (give details of weight and value)

(i) Hyundai Sonata

8

Regd No. MNOSA·5267 Year·20la Rs. 14.00,000/.

(ii) Toyota lnnova Regd No. DLACNE2094 Year-2009 Rs. 11 ,03.400/-

(i ii) Toyota Fortuner Regd No. ASOIAP3966 Year-20 lD Rs. 16,00.000/.

(iv) Hyundai Elantra Rcgd No. MNOSA-9737 Vear-20J3 Rs.7,00,000/· (v) Honda CR-V Regd No. MNOSA-5257 Year-2004 Rs. 4,00,000/.

(vi) Honda Odyssey Regd No. AS25Ll333 Year-200] Rs. 6,00.000/. (Total 58,03,400/-)

Rs. 14,6001-(Sgm)

(viii) Any other assets such as (i) NPB val ue of claims/interest Revolver C-32

Pistol No: 83567 Rs.2,75,ooo/-

(ii) NPB Pistoll Revolver Rs.3,2S.000/-

0) Sokodn N.A . Octavia Regd No. MN02A-3849 Year-201 0

"'. 11 ,00,000/.

Rs. 3,00.000/· N .A. (lOOgm)

N.A. N.A.

(ix) Gross Tota l Value /U·.3,()9,06,03JI. Rs.54,89, 7011- N.A .

of! ~"---! ~ " L. G~gardli De,'

Oath Commissioner JUClclal1 , Maniour

N.A. N.A N.A.

N.A. N.A N.A.

N.A. N.A N.A.

Rs.22,6J9/- N.A N.A.

SI. No.

0)

9

B. Details of Immovab le Assets:

Note: I. Properties in joint ownership indicating the extent of joint ownership will also

have to be indicated

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

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

Description

Agric ultura l Land Location(s) Survey number(s)

Self

i). New PatUl 329 Dag No.390/408 situated at village. No.90-Thangtek. lW( I),

ii. New Patla 341, DagNo.383/407 situated at village No.90·Thangtck. IW( I).

iii. New Palta No.76 Dpg NoAOO situated al village No.90.Thangtek, IW( I).

iv. New PaUa No. j8711j06, Oag No. 384/942, situated al village No. Sangaiprou, IW.

v . New Palta No. 164/778 Oag No. 43/463 vlllage No.45·Sangaiprou.

Spouse

i), New Pattn 289/489 Dag No.8l 4 situated al village. No.90-Thllngtek, IW(\).

ii. New Poua 2191 541, DagNo.IS3 situated at village No. 90· Thangtek. IW(\).

Hi. New I'atta No.376 Oag No.982 situated at village No.90· Thangtek. IW( I).

iv. New Palla No.1 12, Oag No. 18j situaled al village No.90· Thangtek.IW(I).

v. New I'nlta No. 269, Dag No. 186, silUated al village No.90.1ltnngtek. IW( I).

vi. New Palla No. 285. Dag No. 1881189. situated at vlJlage No.90· Thangtek, IW(I).

vii. New l'al1a No. 53, Dag No. 967/414. situated al vllloge No.90-Thallgtek, JW( I).

viii. New POlla No. 426. Oag No. 3861410/412. Situaled al village No.90· Thangtck., JW( J).

ix. New Palla No. 5(}4/544, Dag No. 378. silualed III village No.90· Thal1glck. IW( I).

~IUF

N.A

Dependent­I

N.A

"'" ,,>d, nt·2 N.A

"''' adent-3 N.A

{G~;1~ ' Oath Commissioner Juolclal '

Maniour

Area (total (i) 0.58/0.62

measurement in acres) ( 1.20) acres

Whether inherited

property (Yes or No)

Date of purchase in

case of self-acquired property

(i i) 0.3 1/0.27 (0.58 acres)

(iii) 0.26 acres

(iv) 00.68 acres

(v) 0.J85 acres

No

i). 17/06120 \3

ii) 17/0612013

iii) 05109120 14

rt fr ~, l. 'G~;~-dl Dev'

Oath Commissioner JUOIC1 .... ' ManiDur

10

x. New Palla No. 183, Dog No. 406/409, situated at village No.90-Thangtek.IW(1).

xi. New Patla No. 375, Dag No. 440. situated at village No.90-Thangtck, IW( I) .

. ~ii. New I)alla No. 258, Dog No. 707, situated ot village Saikot. Ccpur.

xiii. New I'nlta No. 257, Dag No. 707/861. situated at village Saikot, Ccpur.

0) 0.64 acres

(i i) 0.64 acres

(iii) 0.92 acres

(iv) 0.47 acres

(v) 0.92 acres

(vi) 0.26/0.1 3 ( 1.39) acres

(vii) 0.8313.25 (4.08) acres

(viii) 1.36/0.641.046 (2 .46) acres

( ix) 0.87 acres

(x) 0.40/0. 17 (0.57) acres

(xi) 0.58 acres

(xii) 2.24 acres

(xiii) 2.00 acres

No

N.A

N.A N.A

i). Regd. Gift Deed N.A N .A dated 30/0412015

ii. Regd. Gift Deed dated 30104120 15.

N.A N.A N.A

N.A N.A

N.A N.A

11

iv) 2210512004

v) 26/04/ 1996 ~~ ~~ .; 'l-r,.,.: . ~ -> , v

"~' . ~:. \ ~

~

~

\ . " ..., " . . ,

% ~ M~~~J

Cost of Land (in case i). Rs. 1,00,000/-

of purchase) at the time ii) Rs. 1,00,0001-

of purchase

iii. Rs. 50,000/-

iv_ Rs, 1,50,000/-

v. Rs. 4,00,000/-

Any investment on the N.A

land by way of development, construction etc.

Approximate current (i) Rs. 4,00,0001-

market value il) Rs. 2,00,000/-

iii) Rs. 3,00,000/-

iv) Rs. 3,00,0001-

v) Rs.7,OO,00O/-

r/l .t"'-l~ , L. G~ngart4n Dev!

Oath Commissioner JuaK .~:\ .- Maniour

iii. Regd. Gift D~d dated 30/0412015

". Rcgd. Gift D=l dated 30/0412015

v. Regd. Gift Deed dated 30/0412015

vi. Regd. Gift D,'" dated 30/0412015

vii. Regd. Gift "',d dated 30/0412015

viii. Regd. Gift Deed dated 30/0412015

ix. Regd. Gift Deed dated 30/0412015

x. Regd. Gift Deed dated 30/04120 I S.

xi. Regd. Gift D~d dated 30/0412015

xii. Regd. Gift Deed dated 30/0412015.

xiii. Regd. Gift DL-ed dated 30/0412015,

N.A NA N.A NA NA

N.A N.A N.A N.A N.A

Rs. 14,00,000/· N.A N.A N.A N.A

12

~(ii)~~~=!~~~~~n=~~ L a nd , ""-'- ~451~';:;; p~~; I ;,:,,;,,P~:' I~T N.A ---;jNiW"'m N.A NA

Location(s) No.332/S\S situated at village 14350ng S situated at \'ilIage. No.90-Thangtek.

urvey number(s) NO.82.GharL tW. lW(l). No 5657/5744

' , .. I measurement in sq .ft.)

I!. .e~~­l. GaijgardA De1l1

ii. New Patta 745/ 1065 Dag No.895/ 1255 situated at vi1Jagc. No.82-Ghari. tW.

Iii. New Palla 745/ 1066 Dag No. 897/ 1256 situated at village. No.82-Ghari, [W.

iv. New Palla 745/1067 Dag No.332/896 situated at village. No.S2·Ghari. rw.

v. New Paua 345 Dag No. 332, 323/494 si tuated at village. No.82-Ghari, IW.

I i. 0.03 acres

ii. 0.056 acres

iii. 0.06 1 acres

iv. 0.02691 acre

v. 0.2 11 acres

Oath Commissioner JUDJC,,,,,;­_ ManioUf

ii. New I'atta No. 184/586, Oag No. 415 , si tuated at village No.90· Thangtek, tW(I).

iii. New Paua No. 5861595, Dag No. 4 J 5/492, situated at village No.90· Thangtek.IW(I).

iv. New Patta No. 149n19. Dag No. 279, si tuated al village A lI'angphoij ing.

v. New Il AlIa No. 22 1, Dog No. 1241, situated al village Sanwtampak.

vi. New Palla No. 217/992, Dag No. 3699/3966, situated Ilt Biyang, CCpur.

vii. New Palla No. 7.S3, Oag No. 272, situated at village Khupibung, CCpur.

viii. New Palla No. 485/ 1403, Oag No. 317150 I. situated at village Khupibung. CCpur.

(i i) 0.44 acres

(ii i) 0.21 acres

(iv) 0.59 acres

(v) 00.07 acres

(vi) 0.08 acres

(vi i) 0.08 acres

(vi ii ) 0.05 acres

S ll ual~'<l at

village.

No.26(A}

Nongpok

Ingkhol.

"10.04 "'" N.A N.A

,

=

(iii)

Whether inherited

property

(Yes or No) Date of purchase in

case of self-acquired property

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

Any invcstmenl on the

land by way of

development,

construction etc.

Approximate current market val ue

Commercial Huildings

(including apartments) - Locations(s) - Survey numbcr(s)

,(! ~4--7 ""- '

13

No

i.22105nO I8

ii.2210sn OI8

iii. 22lO5n Ol8

iv. 2210512018

v.2210512018

Total Cost of Land Rs.3,80,OOO/-

No

Total Approximate

current market value Rs.4,OO,OOO/-

50% share in 72 Halesworth Road Reydon Suffolk

l G~gar dA De ... ' Oath CommIssioner JuOlC,. ._.'

Manlour

No N.A

i. Regd. Gift Deed N.A dated 30104n OIS

ii . Regd. Gift Deed d3lcd 30104n 015

ii i. Regd. Gift Deed dated 3010412015

iv. Regd. Gift Deed dated 30/0412015

v. Regd. Gift Deed daled 30/0412015

vi. Rcgd. Gift Deed dated 3010412015

vii . Regd. Gift Deed dated 30104n Ol5

viii. Regd. Gift Deed dated 30J04n015

N.A

N.A

N.A

N.A

YES N.A N.A

N.A N.A N.A

N.A N.A N.A

N.A NA NA

Total

Approximate current market value Rs. I 0.00,000/-

N.A Rs.26.00.0001- N.A N.A

(i) Shop No. 7 to II Millennium Centre Authority, Aizawl. Second Floor. Oi) 50% share in 72 Ha[esworth Road Reydon Suffolk

N.A N.A N.A N.A

Area (total

measurement in sq. ft.)

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

Whether inherited f=~

14

3067 sq. feel

N.A.

NO

(i) 1500 sq. fect. N.A N.A N.A N.A

Oi) 3067 sq. feet

1500 sq. feet. N.A N.A N.A N.A

NO N.A N.A N.A NA

,,~~~/~, ope;:NO)

~~~/ '~'~fI"~'~'~'" .rei~~f~P~"~';C"h~~e~;~n---lr2~O~I~2,--------tCC;')'2"OO~7,------t'N~.A.t---'N~.A'---+>N~.A.t~N'.A.i :: .. 1 c .. :.G-. self-acquired (ij) 2012 .... _, ~ " ... 't:" .- _1>t :., pr - tty

~; ~ _ ~-~ t.7conFJJ.!-:p:::m:Cpe=rt'-'y,(CCj n:---I,",;-;;--. '3," 'I ,"25<'C,OOiOOW/.+;") OC.,".9"7",3"O,'"000I""'.--hcN•.Ac+--·N".A.-----hcN',Ac+"N;-.A.--I

~,Jfo ".4'" ti~.J f purchase) at the ii) Rs. 3,41 ,2S,OI'XW-

~. MA.1lW~e of purchase Any investment on the NO N.A N.A N.A N.A N.A

property by way of

development,

construction etc.

Approximafe current

market value

Rs, 3,4 1,25,000/- Rs.4,38,S5,OOO/- N.A N.A

Ov)

(v)

(vi)

Residential Duild ine:s (including panments):

- Location(s)

- Survey nurnber(s)

i. New Paua No. 741827, Dag No. 3071979, situated at village No. Ghari.IW.

Area (total 3920 sq feet

measurement in sq. ft.)

Built-up Area (total 3920 sq feet

measurement in sq.ft.)

Whether inherited

property

(Yes or No)

Date of purchase in case of self-acquired

property

Cost of propeny (in

case of purchase) at the time: of purchase:

No

23/03nO l8

Rs.1 ,98.000/-

Any investment on the Rs.7,00,000/-

propeny by way of

development,

construction etc.

Approximate current Rs. 12,00,0001-

i. Building at Rengkai, Churachandpur, Manipur.

2700 sq feet.

2700 sq feet.

No

1995

RS.24,00,000/-

Rs.27,00,000/-

Rs.63,OO,000J· market value approx.

Others (such as interest N.A. N.A.

in property)

Total of current market Rs. 3,76,15,0001- Rs. 5,15,55,0001-

value of 0) to (v)

above

I! .Ir <>--7 "" "" -L G,*-g.rdri De.'

Oath Commissioner JUOK , .... . ' Maniour

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A Rs. 16,00,000/-

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

N.A N.A

~~ .,.:: .~

~ '" ~ "

15

(8) J give herein below the details of liabilities/dues to public financial instituti ons and

government:-

(Note: please give separate details o f name of bank, institution, entity o r individual and amount

before each item)

S.No Descri ption Self Spouse HUF Depende Depend Dcpende nt- I cnt-2 nt-3

(i) Loan or du es to N.A N.A N.A NA N.A N.A Ba nk/fin a ncial

~/SS inst itution(s)

me of the Bank of

~",'" 1 n1outstanding, ~-... 'tJ~

~1''' of La an

' . ./' l ~, ~r dues to any N.A N.A N.A N.A N.A N.A fW - - - individuals! . - "\ -;"" ~~l" .,.. Y othel' than

/. M~a\~\l ~ntio ned above

arne(s), Amount outstanding, nature of loan Any other li ability NA N.A N.A N.A N.A N.A

Gra nd total of N.A. N.A. N.A. N.A.

liabilities (ii) Government dues: (A) Has the Deponent been in occupation of YESfNO(

Dues to departments PI. tick

dealing with accommodation provided by the Government at <h'

appropria Gove rnment any time during the last ten years before the date " accommodation

o f notifi cation of the current election? altemativ 0)

(8) lfanswer to (A) above is YES, the following No<

declaration may be furni shed namely: -Applicable

0) The address of the Government accommodation : No< Applicable .. .......... .... ..... .......... .......... ....... . .. ....

... ............ ......... ....... .......................... ................. ....... .................... .............

( ii ) There is no dues payable in respect o f above No< Applicable

Government accomm odation, towards-

(a) rent;

(b) electricity charges;

(e) water charges; and

(d) telephone charges as on

(date)

[the date should be the last date of the third month

prior to the month in whic h the e lect ion is not ified or

tt. ~~Ar>~' L. G~gardrY Del/'

Oath Commissioner JUOI( . ~ .. ' Maniour

-=- 16 ~tOMM/.~

.. ,,~ .. /0

<> , r;®". ",~ any date thereafter]. ~<\ t;? ~v

~rr-~ ~ --'No Dues Certificate' from the '" Notc agencIes

• 1 ~ e' . -Cd '~J . , concerned '" respect of rent, electricity charges,

~¥. ~.a ' ~~ water charges and telephone charges for the above

~' MA\~~ Government accommodation should be submitted.

(iii) Dues 10 department dealing with N.A N.A N.A N.A N.A N.A government transport (including aircrafts and helicopters)

I (i'l Income lax dues N.A N.A N.A N.A N.A N.A Self Spouse HUF Oepende Depend Oepende

nt- l cnt-2 nt-3

I ('l GST dues N.A N. A N.A N.A N.A N.A (vi) MunicipallProperty N.A N.A N.A N.A N.A N.A

Tax dues I (vii) Any other dues N.A N.A N.A N.A N.A N.A

(viii ) Grand total of all N.A N.A N.A N.A N.A N.A Government dues

(ix) Whether any other N.A N.A N.A N.A N.A N.A liabilities are in dispute, if so, mention the amount involved and the authori ty before which it is

I pending

(9) Details of profession or occupation: (a) Self Retd. Finance Officer (MFS)

(b) Spouse Ex. Lecturer, G.P. Women College, Impha lj now Director in 4 (four)

Companies (9A) Details of sources of income:

(a) Self By Contribution from Family Income.

(b) Spouse From the profit of the company

(c) Source of income, if any, of dependents, NOT APPLICABLE

(98) Contracts with appropriate Government and any public company or companies

(a) detail s of contracts entered by the candidate NOT APPLICABLE

(b) details of contracts entered into by spouse NOT APPLICABLE

(c) details of contracts entered into by dependents NOT APPLICABLE

(d) details of contracts entered into by Hindu Undivided Family or trust in whi ch the candidate or spouse or dependents have interest NOT APPliCABLE

.;; .!r~,J,-' t~ G~ga"dn DC-v!

Oath Commissioner JUOlC., ~ .. ' Maniour

•

, , .

•

17

(e) details of contracts, entered into by Partnersh ip Firms in which candidate or

spouse or dependents are partners NOT APPLIC ABLE

(f) Details of contracts entered inlO by private companies in which candidate or

spouse or dependents have share NOT APPLICA BLE

(10) M y educational qualification is as undCI':-

Degree of Bachelor of Arts in th e vea r 1984 from Mallipur College under Mallipur

Universitv.

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

.. '~ COM41, PART-O ~ ....---....:..:: J"~

t~' ~\ .,

ABSTRACT OF THE DETAILS GIVEN IN (I) TO (10) OF PART-A,

'F:1 (:5 " Name of the Candidate ShJSffiIJKl;Iffi. K. James Sub-Full postal address Tangkhul Hundung KhuJlen, Phungyar

~ w.;:j"!fa~ :-": Division, Kamjong District, P.O. Lamlong & P.S.

'k 41~NIP~;;1 Litan, Manipur, Pin-7950 I 0 presently residing at JIM Blessing Home, Sangaiprou Mamang Leikai, Airport Road, P.O. & P.S. Singjamei, [mphal West District, Maniour, Pin-795008

3. Number and name of the 43-Phungyar (ST), Manipur. at Serial No.6 t 5 in Part constituency and State No. 16.

4. Name of the political party Indian National Congress (INC) which set up the candidate (otherwise write ' Independent' )

5. Total number of pending I criminal cases

6. Total number of cases in which I (Appeal preferred, conviction/sentenced ordered convicted suspended, . udement reserved on 12/03/2019)

7. PAN of Year for which last Total income income lax return filed shown

(a) Candidate AGCPJ0272F N.A. NA

(b) Spouse AHSPR8933J N.A. NA

(c) HUF N.A. N.A. N .A .

(d) Dependent HKPPK8380D N.A. NA

8. Details of Assets and Liabilities in Rupees Description

A. Moveable Assets

I (Total value) B. Immovable

Asset I. Purchase

price of self-acquired immovable pcoperty

/' -'r w-----r ~ , L Ga~ar.rYDe\ll

Oath Commissioner Judicial) - Maniour

Self

Rs.J,09,06,OJ 11-

Rs.J,55,OJ,OfJOI-

Spouse HUF Dependent- Dependent. Dependen I " ,~

III

Rs.54,89,7011- N.A N.A N.A N.A

N.A N.A N.A N.A

Rs.4,61,SS,ooar- N.A N.A N.A N.A

18

~at.lM/S~~ ... ~ Developmen Rs.7,00,OOOI- Rs.27,OO,OOOl· N.A N.A N.A N.A

, ~~ t l • <> construction . - cost of J } ~

immovable .- ", ~ :z -a"~Ii¢- ::.{ property

~M~I~~ after purchase (i f aoolicable)

III Approx imate (oj (oj N.A (a) N.A N.A N.A Current Rs.3,76,25,000l· Rs.5,2S,55,OOO/.

market (b) Rs. 26.00,000/·

price of - (b) N.A. (b) N. A

(a) self acquired assets (Total value) (b) inherited assets (Total value)

9. Liabilities (i) Government N.A N.A N.A N.A N.A N.A

dues (Total)

(ii) Loans from Rs. N.A N.A N.A N.A N.A Bank, 2,18,39,605/. as Financial housing loan

Institutions and others (Total)

10 Liabi lities that are under disp ute

(i) Government N.A N.A N.A N.A N.A N.A dues (Total)

(ii) Loans from N.A N.A N.A N.A N.A N.A Bank, Financial Institutions and others

I (Total) II . Highest ed ucationa l qua lifications:-

Dsg ree of Bachelor of Arts in the vea r 1984 fro m Ma nil2ur College under Mani~u r

University.

(Give detail s of hi ghest SchOOl/Uni versity education mentioning the full form of the certificate! diploma! degree course, name of the SchooVCollege1 University and the year in which the course was completed .)

,(!. ..ft o.--.r 4J; •

L Galqgardrl De..,~ Oath CommIssioner JUOICtal \

- Maniour

• I

I ,

19

~ \ .. TEN 'm '" . , ·!.'d ~ RUPEES

~.10 Rs.10

MANIPUR B

VERFICA TlON

02AA 545950

l. thc deponent, above named, do hereby verify and declare that the CQntents of this affidavit are

true and correct to the best of my knowledge and belief and no part of it is false lind nothing material has been concealed there from. [ funher declare that:·

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

(b) I. my spouse. or m) dependents do not have an) asset or liability. other than those mentioned in item 7 and 8 of Patt A (md items 8, 9 and 10 or Part B above.

Note:l. Note:2.

Note:3.

Notc:4.

NOle:5.

Verified ullmphal This the 25'" Day of March, 2019.

Atlidavit should be tiled [alcst by 3.00 PM on the last day of filing Nominations. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. All column should be filled up lind no column to be lell blank. If there is no information to furnish in respect of any item. ei ther "Nil" or "Not appl icable", as the case may be, should be mentioned. Thc Affidavit should be either typed or written legibly and neatly.

Each page of Ihe Affida\' il should be signed by the deponent a nd the Arndavit should bear on each page the stamJl of the Notllry or Oath Commissioner or Magistrate before whom the Affidavit is sworn.

(Ministry of Law & Justice Notification No. HI \o19(4)/20IS·Leg.lI, dated 10'" October, 20lS and Notification No. 1,1-1101 9113120 16-Lcg. 11, dated 26'" February, 2019).

.. ~ _.. tlw 0<>." ,... ....

"

............ , .,,. I. ] ••• llW· 1 -" ;;;.:;l~ ~ .. I lee" " ' " · .. ...... u • ...,

... "teah (ulh ... 11 _ I_" -= ... = .. ~ .. =.:.;.:;." .. :..&= .... I.~_~ -

, .'

,

FORM 2A (See rule 4)

NOMINATION PAPER flection to the house of the people

,

STRI KE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLI CAB LE PART I

(To be used by candidate set up by recognized political party)

I nominate as a candidate for election to the House of the People from the Ji ... .. g().T.(;.~ ......... M~~H:~(/~ .... (&.T2.. ...... ,.... . ....... p.rli.ment.ry constituency. e.ndid.te's name ...... !S: .... \TI\¥.E::? .. , .......................................................... , .... , .. , ....................... , .. F. tr.;,;/ mothe r' s/h us b. nd' s n. me, .. J 0. .......... I<: ... , .. .II! ~ T !\-,J, rt1.L .............................. , .... .. His post.1 address T'V"4~~()L.t:I ~ "J)~~~K~li~LeN!. PH~~,~'I~ ,""~!>I"',~O~, ~~ l-11A,1"~~~'::v':: 615 16 KIlMcrO/J~ 0151, " 0 His name is entered at S.No ....... .. ................. in Part No ... ........................ of the electoral roll 7 SO t for .. 1.~ .. ~ .. ~~~~~.y~~~l~bly cons tituency cumprised wit,~n-)~~:.~~ .. . ~.~~~~~~r~ Constituency.

My name is J) .. J) ... .T.It.A.I. ~./.I ........................................................ nd it is entered at S.No ..... ./~J.. .... .. ..... in Part No ..... ~.7 ........... of the electoral roll for . Ir?~ .. 1511."1,.0. >J .~ .. ~~ T) ............. *(Assembly constituency comprised within)>> .... (lVr.!:~ .~~~.'.~~.~ .... . ~~T~amentary constituency. ,

Signature of Proposer

PART II (To be used by candidate NOT set up by recognized political party)

We hereby nominate as candidate for election to the House of the People from the ... ................ ... 'Y.~ .. ... ... ...... ........ ... .. Parliamentary Constituency. Candidate's name ..................................... (Y. .~ .......... ... .. ............ ........................................ .................. . Father's/mother's/husband's name ................. . Nit His postal address ...................... ~.1 ................................................................................................... .

1

His name is entered at S.No ....... N.~ ....... in Part No .... .... ... N.A .............. of the electoral roll for

....................... ~.~ ................................................... Y(J\ssemh\y constituency comprised within)

.. .... ...... .. . I:':!.~ .... .......... ................ Parliamentary constituency.

We declare that we are electors of the above Parliamentary Constituency and our

names are entered in the electo ral roll for that Parliamentary Constituency as indicated

be low and we append our Signatures below in token of subscribing to this nomination:-

Particulars of the proposers and their signatures

I 51. Name of Elector Roll No. of Full Name Signature Date

I no. component Proposer -! I Assembly Part No. of S.No. in

Constituency Electoral t hat part

I Roll 1 I 2 3 4 5 6 7 l. ,.-

, 2.

--I

/' i 3. , /' , 4.

, .. ,r<

5. / 1 i 6. / I I 7. , / ,

i 8 / 9. /

~.

10.

N.8.- There should be ten electors of the Constituency as proposers.

v PART III

I, the cand idate mentioned in Part 1/ ~rike out which is not applicable) assent

to th is nomination and hereby declare -

(a) that I am a citizen of Ind ia and have not acquired the citizenship of any foreign v

~/Country .

56 (b) that I have completed.. ... ...... .. ........ .. ..... .... years of age;

I

I

I

[STR IK E OUT c( i) or c(Ji ) BELOW WHICHEVER IS NOT APPLICABLE]

Ie) Ii) that I am se t up at th is election by the /Ajf ... (JAjPl.-'lAJ. .. I:'./tT f'O.AJ.AL:: .... LoAJ9;eess) party, which is a rec ogn ised Nati o~ 1 PartyJ.$tate Party in this State and that

the symbol reserved fo r t he above party be allotted to me.

OR

1

(e) (ii) that' am up at this elect ion by the Nit

party, which is a regis tered-unrecognised political party/that I am contesting

this election as an independent candidate. (Strike out which is not applicable)

and t hat the symbols I have chosen, in order of preference, are:­IVA (i) ......................................... ... ............................................ ... ... .

NA (ii) .... ..... ................... ......................................................... ...... . .

(iii) ....................... r:!I1. .......................... ...... ........................ . (d) that my name and my fath~/mother's/husband's name have been correctly

spelt out above in .. ....... ~~.~ .~r?ff... ...... ... ............. ............ (name of the language);

(e) that to the best of my knowledge and belief, I am qualified and not also

disqualified for being chosen to fill the seat in the House of the People .

• , furt her declare that I am a member of the ................ !.~~~.~.~.~.:: ................ ·C~/tribe which is a scheduled H GMte/ trib e of the Sta te of... .... ..... ~.~~!.e:~&. .................. in relation

to ........ K.A,""!O~.~ ........ ..... P.U~.T.II, .I .. C,.L ..... .................. ......... .... ........... (area) in the State.

, also declare that I have not been, and shall not be nominated as a candidate at the ......

present general election/the by~ QI8Etiens being held simultaneously, to the House of the

People from more than two Parliamentary Constituencies.

Signature of Candidate

Y Score Out the words "assembly constituency comprised within" in the case of Jammu and

Kashmir, Andaman and Nicobar Islands, Chandigarh, Dadra and Nagar Have li, Daman and

Diu and Lakshadweep.

*Score out this paragraph, if not applicable.

""'Score out the words not applicable .

N.S.-A "recognised political party" means a political party recognised by the Election

Commission under the Election Symbols (Reservation and Allotment) Order. 1968 in the

State concerned .

(1) Whether the candidate­

(i) has been convicted -

PART III A (To be filled by the candidate)

(a) of any offence{s) under sub-section {11; or

(b) fo r contravention of any law specified in sub-section (2), /

of section 8 ofthe Representat ion of the People Act. 1951 (43 of 1951); or Yes/No

(ii) has been convicted for any other offence(s) for which he has been

sentenced to imprisonment for two years or more.

3

If the answer is "Yes", the candidate shall furnish the following information: It..:> ~A\J.E, '''I 'Ht~ U) Case/first information report NO./NOS ... .[J...c::: . .?>..LIV/1P..::: .. SL c. L.. ~ (i: , (i i) po lice statio n Is) ..... cJl..1."" ... $. R E .... ?:.! .1::: .. t::.::I:f::~ ...... ............. .

Districtls) .... <;J.I.o.c.1:flJ/I" ............. Sta tels) ... "'~>A& .................................... .. (iii) Section(sl of the concerned Aet{s) and brief description of the offence(s) for which

he has been convicted F~(J"aiM;Nftl",CCN>}I~"C:'lL.c)f~t;1r g,. .V~ .. f!6 .. c;..~ .~ .. ... i?(Hr¥d ... b..t,+.i~ .....

liv)Datels) of convictionls) .... ,l.-r .. "' .. S .. ""' .. k.:OL.!L.......... ....... ...... ............................. JJJ& (v) Court(s) which convicted the ca ~r;)date.,5I!...t.t.i.Aj.~.~.0.!.l .!tJf0ht1, I (vi)~ntts? ~m~o;e~~tt1k~of i~p~s~rnent(srana7o·r quantum of

finels l) ... B... .~L ·~ ·,), ··~>·~·"I. ·~·1·A .. ~ .. l/JdJ~-f~ (vii) Date(s) of release from prison .. .. ... .. ... fJ . ./t ..... .. .. ... ....... ... ......... .. ................................. . (viii)Was/were any appeal (s)/revision(s) filed against above conviction(s) ........................ . ..z

Yes/No

(ix) Date and particulars of appea l(s)/application(s) fo r revision filed ... Jl7. .. ,,::. ~.::: ... 2<:?LJ ~t.a.,LmJwd..~A~~g~t'..if :h!J I.J

(x) Name of the court(s) before which the appeal(s)/application(s) for revision f iled ...... .

jm&~I1Md/¥~a11i/W~' (xi) Whether the said appeal(s)/ applicat ion(s) for revision has/have been diSPOS; d Of/ I . .. L ..... +

or is/are pendi~g~ qtt.i.1Ae.. ;:::itt.d..~ i~ c,n~/~""\ (xii) If Q~f.~Ye~apprc7tio~& for ~~io~(;rave been disposed of-

la) Datels) of disposal ................ {:>J.A ....................... "# ... ............................................... . Ib) Nature of Orderls) passed ... .. .. ~ .. ~ .. V~ ................................................... ..

(2) Whether the candidate is holding any office of profit under the Government of India o r State Government? ...... N.It:: .......... (YeS/Nor--

-If Yes, details of the office held ............... /J.k .............. .. ..... ... ..... . .......­(3) Whether the candidate has been Declared insolvent by any Court? ..... N./t ..... (Yes/No) -If Yes, has been discharged from insolvency .......... ..... jJ.A .. ....... .. .......................................... .

(4)Whether the candidate is under allegiance or adherence to any foreign country? .......... N.ll::: ................ ..... lyes/No) <--

-If Yes, give details .................... ........... N .. tJ:. .. .............................................. .. ................... .. ...... .. . (SJWhether the candidate has been disqualified under section SA of the said Act by an order

of the president? ... .. ... ..... . ,v ... Jt ............... (Yes/No)~ ,

·If Yes, the period for which disqualified ........ N. .. !t:: .................... ... ................... .. .............. .. ....... . (6) Whether the candidate was dismissed for corruption or for disloyalty while holding office

under the Government of India or Government of any State? ....... ll~ .............. {Yes/Nor---·If Yes, the date of such dismissal ........ . tJ ... I:r. ... ................ ...... .... ... .................................. ........... .

(7)Whether the candidate has any subsisting contract(sj with the Government either in individual capacity or by trust or partnership in which the candidate has a share for supply of any goods to that Government or for execution of works undertaken by that Government? ..... .N..I!t ........ (Yes/No)~ -If Yes, with which Government and details of subsisting contract(s) ..................................... .

.... NA ............. ........................... .... ........... ... ....... . (8) Whether the candidate is a managing agent, or manager or Secretary of any company or

Corporation (other than a cooperative sOciety) in the capital of which the Central Government or State Government has not less than twenty-five percent share? .. ./J.ir. .... (Yes/Nol~ -If Yes, with which Government and the details thereof ....... I\J. .... /t.. ................................. .

(9)Whether the candidate has been disqualified by the Commission under section lOA of the sa;d ACL ... N .. ft, .. ..... (Yes/NolL--

-If Yes, the date of disqualification . ......................... N.tr. .. .... ... .............................................. .

Place: ... ..................... . Signature of Candidate

Date :2r;:/3./'Ul1 i

PART IV (To be filled by the Returning Officer)

Serial No. of nomination paper ........ ;. ..................... .

This nomination was delivered to me at my office at .. ~.:M..f:~.(hour) on ... ~.S~ .~~/J ... (da te) by the *can'aidate/proposer. (name of proposer ...................................... . ....................................................... ······················· ··········1

Date .... ?:. ~~ .. ~. : .')

5

Returning Officer RETURNING OFFICER

NO- 2 O.M.{ST). P.C. THOUBAL