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PART.II
Amt.ln-
Ad.
qmed /Auth.
Iocuned /
by Candidate
/El€ction Auth. byPol.
P8rty (inRs)
ageot (in Its.)
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F,4mses in public rneeting rallX
gocessiotr €ts.:I.a: E)eenses in public meetin& ra[y,
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tu&s)
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5t59id'
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Focession etc. (ie; other than the ones
wilh Starcampaigoqs of tlre Political
pany @nclose €s per Schedule- I )
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prccpssion e!0. with the Star Carnpsign€r (s) (ie: othcr thsn thos€ for
g€qqal party Fopagasda)
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@nclose as per Schedule-2)
Caurpaignnaerialsotherthan tbose
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p-rocession etc. mentioned
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@nclose as per Schedule4)
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Expenditue on campaign vehicle (s),
us€d by candidate (Enplose as p€r
schedule-5)
Expenses ofcampaign worken /
agents (Enclose as per Schedule- 6)
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TRACT OF SOURCE
OFFilDS RAISEI) BYCAIIDIDAIT
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PART.IV
FORM OF AFFTDAVIT
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That I was a contesting candidale
at the or
Peopte/
(2)
Legisrative'Asi;t,t .;
-: "
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;;,.........................::l'mentary/Assemblvconttit"n'v,
that r/my erection agent kept.a
separate
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both days
and conBcl account
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from
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of ths
resulttre60f,
saif.3ccounruas maintained
in the Registertumished
by the Retuming officer
for ti'n
Register
itsetf is
tioned in the said account.
That he account of rny erection
annexed;.*il;;r;p*,,ng
erpenditure as annexed hereto
hcrudes
connedjonwiththeerectio,
ve,ched U,s
dritemof
rn€n
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fom (other than lhe expense on lravel
of
coveredi,
section 77 (1) Representation
ofthe peopteAct, 1gbl).
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That theAbstracl statement
ofErection Expens"s ann'exed
arAnnexure,. to thssaid accounr
also includes allexpenditule
in
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(6)
t\e
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which ru/as nominated) a"d
r th€
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pur,pose and the
said
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(5)
eleclion/bve eledion to the
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rized by me / my etection
(3)
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That the statements in the foregoing
paragraphs (1) to (5)
are rue to the best of my knowredge
and betiel UEt nothing is false
6nd nothing mnund n*
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BEFORE THE DISTRICT ELECTION OFFICE& NAGAON
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Affidavit ofSRI RAKIBUL HUSSAIN,
(ASSAM)-\e\
\
son of Lat€ Alhaz Nurul Hussain.
son
hereby solemnly and sincerely state and declare as under :-
l.
That I was a contesting candidate at the geFe+aH€s+ioilble'€l€€tie+-d++h€
I.i€llse--ok]1€ ?€€pg Legislative Assembly of Assam liom 88 Samaguri
@/Assembly conslituency, the result of whioh was declared on l9 "'
May,2016.
/
|' 2. Ttat Vmy election agent kept an separate and correct account ofall expenditue
incurred / authorized by me / my eleotion agent ilr connection with the above
,. f
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(Y l\"
-, - election between 22nd day ofMarch 2016to19odayofMay,2016(rhedateon
uttt "
nominated) and lhe date of declaration of result thereot both dav
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*isOt$itd"
L Thar the said accormt was maintained in the Register tumished by the Retuming
di*"
offi".r for the purpose and the said Register itself is annexed thereto with the
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supporting vouchers / bills maintained in the said account.
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of Late Alhaz Nurul Hussain, aged about 5l years
resident of vill-Amoni Basti, P.O.: Amoni, Dist. Nagaon (Assam) 782138 do
I, SRI RAKIBUL HUSSAIN,
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Contd,...2..
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That the account of my election expenditure as annexed hereto includes all items
ofelection expenditure incurred or authorized by me or by my election ag€nt, the
political party which sponsorcd me, other associationvbody of p€rsons and oth€r
individuals supporting me, in connection with the election, and nothing has been
conc€aled or withheld/suppressed therefrom
other than the expenses on travel
i.xntanali^o1
and
under section 77(l) of the
g'Leader'. covered
!f
Representation oftne eiopte
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(
2
act,tOst;.
That the Abstract Statement of Election Expenses annexed as Annexure
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said account also includes all expenditure incured or authorized by me, my
eleotion agent, the political party which sponsored me, other associations / body
ofpersons and other individuals supporting mq in connection with the election.
That the statements in the foregoing paragraph (1) to (5) are true to the best
ofmy
knowledge and belief, that nothing is false and nothing material has been
concealed.
n
/AD
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Depotrent
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Solemnly afiirm€d / sworn by Sri Rakibul Hussain at Nagaon,
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drauee bank
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(a) copr ofthe order cortaining list
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ofall vehicles for which permit issued
tp
by the
Rctming officer
to be eD-
retarive/asenrareused forelectionpurpose,notional
costof
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satary for such vehicle, slml b€ included
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