ti

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26
4A)
H#m -
#;-,H
.i{\
o AFFIDAVIT TO BE FILED
BY THE CANDIDATE
[Link]*ITH [Link].N
# [Link] TIIE RET,RNING
ottiiin FoR ELEcuoN
enou'ffi;,rrrnoN BrHAR vrDrrAN
PAPER
pArusrrAD io
rr W;:;#rffisrr iiroo coNsrrruE Ncy NAME oF

*
PART-A

T
tri ffi"#'Y"lf:1
,,: o. putna
Gpo , pS.
Ramrakhan Singh,
rrugn, age:d t3vears,
or r, resident
oi flr::.."
full postal address
),
Sachiwalay a
a candidate at the above
, ,
patna_800001.
Dist. Patna (Bihar) (mention
election, do hereby solemnly
t state on oath as under
:_
affirm and
lt
by Janata Dal (Jnited)
(**name of the poriticar
parry) /**
ffi emeentes*tutg

(**strike out whichevr :r

rs not applicable)
(2) My name is enrolled
in l8l Digha Assembly
' constituency , Bi?rar (Name
and the State), at Serial of the consrituency
No . 70 in part No. 350 .
0612_z2zz07s (cMResidence _
:),f":T:1,",*::r":,^:,,* officiar) and my e_mair

(n\
(4) T'\^+^:r^ -^ h
Detaits Permanent Account Number ( PAN) and
;;:;;;;JJ".""
status of filing of Income Tax

The financial Total irrcome snowffi

year for which Income Tax Return (in
the last Income- Rupees) for the last five
tax return has Financial years
been filed completed (as on 31.t
March)
(*.r-l q\/-
t
ruq'&q * o-rn,rd_d*
7
 I Self AGRPK46I3Q 2022-23 (i) 4,92,810
202t-22 (ii) 5,3236A
2020-21 ( D 33,51,960
2019-20 ( v) 0,00,000
2018-19 (v) 0,00,000
2. Spouse- (Since Deceased) Not Not Applicable (i) Not Applicable
Applicable (ii) Not Appl cable
(iii) Not Applicable
(iv) Not Applicable
( ) Not Applicable
J. mJF ( if Candidate is Karta / No PAN ML () NIL
Coparcener)
allotted ( ) NIL
( i) NIL
(iv) NIL
(v) NIL
4. Dependent I ML NIL (i) NIL
(ii) NIL
(iiD NIL
(iv) ML
(v) NIL
5. Dependent 2 ML NIL (i) NIL
(ii) NIL
(iii) ML
(iv) ML
(v) NIL
6. Dependent 3 ML
. NIL (i) NIL
(ii) NIL
(iii) NIL
(iv) NIL
(v) NIL

Note : It is mandatory for PAN holder to mention PAN and in case of no pAN
, it should be
clearly stated " No pAN allotted,' .

(5) Pending criminal cases

V( i) I declare that there is no pending criminal case against me. ( Tick this alternative if
there is no criminal case pending against the candidate and
write NoT APPLICABLE
alternative (ii) below )

oRir
i[ffi# ' =Fhrp
<-
 ( ii ) The fo'owing criminar
cases are pending
r --sru. against
agarrst me : NoT APPLTCABLE
(rf there are pendino
score off art
crirni--r ^^ a!
criminar cases
.r"tioong
, iir u no,",
;;ffi:::il,1*H1::::,ngthen tick rhis arternative and
cases in the Table Uetow
I
Table
rIRNo;wi-m;;;;;-
address of police Not appi[aUie
Station wot appriciBG
wot appiiGBG

Case tVo. witn lGmu of

the Court Not appiicaUG
Notapffible Not appliGble
section@ffinieEE
Acts/Codes inyolved Not appricabiE
Not appticaUte
Not apJi[aure
(give no. of the
Section ,
e.g..Section .....
of IpC,
etc.)
nrieroescriptio-nir
Not appriciUG
Wtrettreic[a[dr,ail
tVot appt;caUte
been framed Not appiicabte
Not AppliGG
yOS or
NO )
r*or**Gioi6-
94"otio,n
Not appriGuiE
is yES , then give Not Applicable
:,r"!"
the date on which
Not AppticabG
charges
were framed
lvnetneianllffiT NotafficaG
Application for revision Not appitcaUiE
Not appiGbte
has been filed against
the
proceedings
(Mention yES orNO
)
(6) Lases of
\v,, Cases or conviction
/,

' f'T.i:ffi ;r; jff J."j, ffi :il ff : * :J[:H rr,*: {ri is a, te rn a ti ve, ck th
ffi :._
(ii) betow)lidarehasnotbeeu.o,,i.t"a'"j;:HlJ(,;ffi;r'flT;';J}il:l,llg:l,l:

OR

3
rl n

F*ffi ;$1.r-3\_
--
 ( ii ) I have been convicted for
the offences mentioned berow
: Nor AppLTcABLE
(rf the candidate has been convicted
, then tick this arternative and score
above, and give details in off arternative (i)
the Table below
)
Table
(a) Case No.
Not Applicable Not Aonlicahl
(b) Name ol the Court Not ApplicabG
(c)
ffi
involved
Not Applicable
Not Applicable
rot applicable
Not Applicable
Not Applicable
Not Applicabt"-
(give no. of the Section
,
e.g. Section ..... of IpC,
etc.)
(d) nrret tlescription of Not Applicable Not Applicable
offence for which Not Applicabie
convicted
(e) Dates of orde.s of
Not Applicable Not Applicable
conviction Not Applicible
(0 runNnment imnosed
Not Applicable Not Aoolicahle
(g) wnether any Appeal has Not Applicable
Not Applicable Not Applicable
been filed against Not ApplicaUG-
conviction order
(Mention YES or NO )
(h) rI answer to (g) above is Not Applicable Not Applicable
YES, give details and Not Applicable
present status of appeal

(6A) I have given full and up-to-date

information to my politicar party
criminal cases against me and about a1pending
about all cases of convictitn
a, given in paragraphs (5) and (6) .
I candidates to whom this rtem is not applicable
should clearly write Nor APPLICABLE
IN VIEW OF ENTRIES IN 5(i)
and 6(i) above , l
Note:
[Link] entered crearty and
I |:j::I regibry in BOLD tetters .

3:;llH 3:::,1::::::y:ll
for each .,." uoa*, oinu*n, corumns against each
item .
menfirrnpd firor ^-r backwards
u - -r ;::'T:ffi:.l::Hfi:
in the order of dates for the other
I"I,:J,:iP::*
4. Additional sheet may
be added if required .
cases.

for all information in compriance of Hon,bre

kffit:".t:.ft$ible
Court's judgment in lllllvtug
W.p (C No. 536 ) of 20ll .

?#F-;
 (7) That I give herein below the details of
the assets ( movable and immovable etc. of
myself, my spouse and all dependents: )
4. D_ etails of movable assets:
Note:l' Assets in joint ira.e indicating the extent joint
of ownership will also have to be
given.
Note:2' In case ofdeposit/Investment, the details
including
of Deposit, the scheme, Name of Bank/Institution Serial and
Number, Amount, Date
Branch
Note 3' value of Bonds/share Debentures are to be given
as per the current market value in Stock
exchange in respect of listed companies
ancl as per books in case of non-listecl
companies should be given.
Note 4' 'Dependent' means parJnts son(s).,
, daughter(s) of candidate or spouse and any
other person related to tltecantlitlate *i"tr,"i'uy -the
blood [Link]",whohaveno
separate means of income and who are dependent
on the candidate foltheir livelihood .
Note 5' Details including amount is to be
given r"puiu,.ry in respect of each investment.
Note 6. Details should include the interest in
J. [Link] oiorrrhore assets .
Explanation : For the purpose of this
the expression ,, offshore assets,, includes,
-Form ,
details of all deposits or investments in Foreign banks and any other body or
institution abroad, and details of all assets and liabilities
in foieign countries.
s. Description SeIf Spouse HUF - Dependcnts
No.
Since NIL -NIL
Deceased
(i) Cash in hand
Rs.22,052.00 Not NTL NIL--
Aonlicahle
(ii) Details of Deposit in Bank Saving Accounts : Not NIL NIL
account (FDRs, Term Deposits a)SBI, Patna Secretariat Applicable
and all other types of Deposits Rs.22,100.56
including saving accounts),
b) SBI, Parliament
Deposits with Financial
Institution, Non Banking House, Delhi
Financial Companies and Rs. 3,358.13
Cooperative societies and the o)PNB, BoringRoad,
amount in each such deposit Patna
Rs.24,331.00
(iii) Details of investme,rt inEonds,
NIL Not NIL NIL
Debenture/Shares and units in
Applicable
companies/It4utual F unds and
others and the amount.
(iv) Details of investmGnt inffi NIL Not NIL NIL
Postal Saving, Insurance
Applicable
Policies and investment in any
Financial Instruments in post
& or Insurance Company

d E{ amount

t 5
I
;Il
u pf;1"1r--j\..*\__
?Kf_{sfi
 (v) Personal loans/advance given to NIL Not NIL NIL
any person or entity including Applicable
firm, Company, Trust etc. and
other receivables from debtors
and the amount.
(vi) Motor Vehicles/Aircraft s/ Ford Ecosport 1.5(D) Not NIL NIL
Yachts/Ships (details of Make, Titanium Car, Applicable
registration number etc, Year of Registration No. BR-
purchase and amount) 01CJ-0025, Year-
20t5
Rs. 11.32,753l-
(vii) Jewellery, bullion and valuable Two gold rings : 20 Not NII- ML
thing(s) (give details of weight gms. and One Moti Applicable
and value) Studded Silver Ring
Rs.1,26,0001-
(viii) Any other assets such as value A.C., Computer, Not ML NIL
of Claims/interest Aircooler,Tread Mill Applicable
Machine & Stabliser,
Charakal, Cow -12
with Calf -9, Washing
Machine, Godrej Micro
Oven, OTG,Exercise
Cycle.
Rs.3,52,1251*
(ix) Gross Total value Rs.16,82,719.69 Not NIL NIL
Aoolicable

B. Details of Immovable assets:

Note: l. Properties in joint ownership indicating the extent ofjoint 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 .

s. Description Self Spouse - Since HUF Dependents

Deceased . NIL
No.
(i) Asricultural Land NIL Not Applicable NIL NIL
Location(s)
Survev number(s)
Area (Total measurement NIL Not Applicable NIL NIL
in acres)
Whether inherited properry NIL Not Applicable NIL NIL
(Yes orNO)
Date of purchase in case of NIL Not Applicable NII- NIL
self-acquired property
Cost of Land (in case of NIL Not Applicable NIL NIL
l*
TIlt,r Nffi:,atthetimeof
7
ffiDIIIIff.
:ft.
tntR. n
;xs
ss
LGF w
 Any Investment on the NIL Not Applicable NIL NIL
land by way of
development,
construction etc.
Approximate current NIL Not Applicable NIL ML
market value
(ii) Non-Asricultural Land NIL Not Applicable NIL NIL
Location(s)
Survey number(s)
Area (Total measurement NIL Not Applicable NIL NIL
in sq. ft.)
Whether inherited property NIL NIL
Not Applicable ML
_1@s orNO)
Date of purchase in case of NIL Not Applicable NIL NIL
self- acquired orooertv
Cost of Land (in case of NIL Not Applicable ML NIL
purchase) at the time of
purchase
Any Investment on the NIL Not Applicable NIL NIL
land by way of
development,
construction etc.
Approximate current NIL Not Applicable NIL NIL
market value

| (iii) Commercial Building NIL Not Applicable NIL NIL

(including apartments)
-Location(s)
-Survey number(s)
Area (total measurement NIL Not Applicable ML NIL
u [Link].)
Built -up Area (Total NIL Not Applicable NIL NIL
measurement in sq. ft.)
Whether inherited property NIL Not Applicable NIL NIL
(Yes orNO)
Date of purchase in case NIL Not Applicable ML NIL
of self- acquired property
Cost of property (in case NIL Not Applicable ML ML
of purchase) at the time of
purchase

Any Investment on the NIL Not Applicable ML NIL

property by way of
development, construction
etc.

NIL Not Applicable NIL NIL

L Ttr ffiffcurrent

ffi
ry w
 (i") Residential Buildine Sansad Vihar Co-op. Not Applicable NIL NIL
(including apartments) -
: Group Housing
Location(s) Society Ltd.,
Dwaraka New Delhi
-1 10078

-Survey number(s) Flat No. A-305

Area (Total measurement 1000 Sq. ft. Not Applicable NIL NIL
in sq. ft.)
Built up Area (Total 1000 Sq. ft. Not Applicable NIL NIL
measurement in sq. ft.)
Whether inherited No Not Applicable NIL NIL
propefi (Yes or NO)
Date ofpurchase in case 23-04-2004 Not Applicable NIL NIL
of self-acquired propefi
Cost of property (in case Rs. 13,78,330/- Not Applicable NIL ML
of purchase) at the time
ofpurchase
Any Investment on the NIL Not Applicable NIL NIL
land by way of
development,
construction etc.
Approximate Rs. 1,48,00,000/- Not Applicable NII. NII,
[Link] value
(v) Others (such as interest NIL Not Applicable NIL NIL
in propefi)
(vi) Total of Current Rs. i,48,00,000/- Not Applicable NiL NIL
Market Value of (i) to
(v) above

(8) I give herein below the details of liabilities/dues to public financial institutions and
govemment:-
(Note: Please give separate details of name of Bank, institution, entity or individual and
amount before each item)

S. Description Self Spouse- Since HUF Dependents

No. Deceased
(D Loans or dues to Bank/ NIL Not Applicable NIL NIL
Financial Institution(s)
Name of Bank or Financial

t
fr .}
hstitrtion Amount
(N;,G;#",,
[Link].*nqRl
!#'{"jffiffi ts 'lt
''$Kffilafl,a. I
------+-
\ qtr9;
 Loan or OG to any other
Not AppliGble
individuals/ Entity
other
than mentioned above
Name(s)
Amount outstanding, Nature
of loan
any otnerlEE@
Not appticaUie
Grand tot"Gmbtm
Governmen?5uesl
(A) Has the
Dues to departments
dealing YES /N-
of accommodation provided
with govemment by the (Pl. tick the
Government at any time
accommodation during the last appropriate
ten years before the date
of notification alternative)
of the current election
?
@) If answer to (A) above
is yES , the
following declaration
may be furnished
namely: _
(i) The adclress
of the Government
accommodation:
a) 01, Anne Marg patna
,
b) 07, Circular Road patna
,
c)2M, Strand Road, patna
d) 6 , [Link] Lane
, New Delhi
(ii)There is no dues payable
in respect
of above Government
accommodation,
towards *
(a) rent; No Dues
(b) electricity charges
; No Dues
(c) water charges
; No Dues and
(d) telephone charges;
No dues as on
29.02.2024 (date)

P.H. St{,tRtaA
Ft
JJ
Re$ lb.-58$tJ

?x
''r.l*QF
 I the date should be the last date of
the third month prior to the month in
which the election is notified or any
date thereafter l
Note- 'No Dues Certificate' from the
agencies concerned in respect of
rent, electricity charges ,
water
charges and telephone charges for
the above Govemment
accommodation should be
submitted.
(iii) Dues to department dealing NIL NTL
with govemment transport
(including aircraft and
helicopters)
Self Spouse- Since HUF Dependent -
Deceased I
(iv) Income Tax Dues NIL Not Applicable NIL NIL
(v) GST Dues NIL Not Applicable NIL NIL
(vi) Municipal/ Property Tax NIL Not Applicable NIL NIL
Dues
(vii) Any Other Dues NIL Not Applicable NIL NIL
(viii) Grand Total of all NIL Not Applicable NIL NIL
Govemment dues
(xi) Whether any other NIL Not Applicable NIL NIL
liabilities are in dispute, if
so, mention the amount
involve and the authority
before which it is pendine.

(9) Details of profession or occupation:

(a) Self : Social Service
(b) Spouse: Not Applicable (Since Deceased)

(9A) Details of source(s) of income :

(a). Self : Salary & Allorvances , Family Pension , JPS Pension and Bank Interest
(b). Spouse : Not Applicable (Since Deceased)
rce of income, if any, dependents, ............. NIL

* f--3vr1_
orn;# a
 (9B) contracts with appropriate
Government and any pubric company
or companies
(a) details of contracts entered
by the candidate.........NIL
(b) details of contracts entered into
by spouse...........NIL
(c) details of contracts entered into
by dependents ...NIL
(d) details of contracts entered
into by Hindu undivided Family or
Trust in which the
candidate or spouse or dependents
have interest. .. .. ...NIL
(e) details of contracts entered
, into by Partnership Firms in which
candidate or spouse
or dependents are partners...........NIL
(f) details of contracts, entered into
by private companies in which candidate
or spouse
or dependents have share...........NIL

(10) My educational qualification

is as under:
B'sc' (Engg.) , Bihar coilege of Engineering patna,
, patna university _ year _
rg73
(Give details highest school/University
education mentioning the full form
certificateldiploma / degree course'
of the
name of the school/collegefuniversity
and the year in
which the course was completed.)

PART.B

(11) ABSTRACT OF THE DETATLS GrvEN rN (1) TO (10) PART _

A :

l. Name of the
"undidate NITISH KUMAR
2. Full postal address
l,AnneMa.g@ PS. Sachiwalaya , patna -
800001, Dist. patna (Bihar)
a
J. Number una-waGE oitG Biharvianu@
4. Name of the foliticafi@ JanataDal (United)
which set up the candidate
(otherwise write

5. Total number ofpeAng NIL

'& tfi,ilr [-\ umber of caseJ in NIL

11
l,x. slARllA
tta
r
{
rl6I
I fria}-,
rfifi..trt,
+:hrr.
OF
 7. PAN of Year for which Total Income
last Income Tax Shown
Return filed
(a) Candidate AGRPK46I3Q 2022-23 4,92,91.0
(b) Spouse-(Since Not Applicable Not Applicable Not Applicable
Deceased)
(c) HUF No PAN Allotted NIL NIL
(d) Dependents-Nll NIL NIL NIL
8. Details of Assets and Liabilities ( including offshore assets; in rupees

A.
@ Moveable Asset (Total
I Self I Spouse HUF Dependents
Rs.16,82,719.69 Not Applicable NIL NIL
value)
B. Immovable Asset
I. Purchase Price of self- Rs. 13,78,330/- Not Applicable NIL NIL
acquired immovable
property
II. Devel opment/constructi on NIL Not Applicable NIL NIL
cost of immovable property
after purchase (if applicable)
m. Approximate Current Not Applicable NIL NIL
Market Price -
a) Self- acquired assets
Rs.1,48,00,000/-
( Total Value)
b) Inherited assets (Total
NIL
Value)
9. Liabilities
(i) Govemment dues (Total) NIL Not Applicable NIL NIL
(ii) Loans from Bank, NIL Not Applicable NIL NIL
Financial Institutions and
others (Total)
10. Liabilities that are under dispute
(i) Government dues (Total) NIL Not Applicable NIL NIL
(ii) Loans from Bank, NIL Not Applicable NIL NIL
Financial Institutions and
others (Total)
11. Highest educational quali fi cation :
[Link]. (Engg.) , Bihar college of Engineering , patna, patna university year lg73
(Give details of highest School / University education mentioning the
- -
full form of
diploma/ degree course, name of the School/ College/ University and
k-certincate/
.L

N t2
,2,
#l
c
l<
;[
/n
,,qffiwfi
ry:o\
 YERIFICATION
I, the deponent, above named, do hereby verifu and declare that the contents of this
affidavit are true and correct to the best of my knowledge and belief and no part of it is
false and nothing material has been concealed there from. I further declare that:-
(a) there is no case of conviction or pending case against me other than those
mentioned in items 5 and 6 of part A and B above;
(b) I, my spouse, or my dependents do not have any asset or liability, other than
those mentioned in items 7 and 8 of Part A and items 8, 9 and l0 of part B
above.

Verified at PATNA this the 4)4^ auy of MARCH ,2024

$#d&cStgrnfuVr- ].- or the

depnafi, rtp ia; slgmdtelre rnp
r
?tIt;oo h [Link] 4.\-,4
fut'
+h--r^^
DEPONENT

Note: Affidavit should be filed latest by 3.00 PM on the last day of filing nominations.
1.

Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the

First Class or before a Notary public.
Note: 3. All columns should be filled up and no column to be left blank. If there is 1o
information to fumish in respect of any itern, 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.
Note: 5. Each page of the Affidavit should be signed by the deponent and the Affidavit should
bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before

whom the Affidavit is sworn.

13