tamil nadu government gazettetamil nadu government gazette extraordinary 3 2. the said affidavit by...

TAMIL NADUGOVERNMENT GAZETTEEXTRAORDINARY PUBLISHED BY AUTHORITY

No. 226] CHENNAI, WEDNESDAY, SEPTEMBER 21, 2016Purattasi 5, Thunmugi, Thiruvalluvar Aandu–2047

Part VI—Section 2Notifications or Orders of interest to a section of the public

issued by Heads of Departments, etc.

NOTIFICATIONS BY HEADS OF DEPARTMENTS, ETC.

© [Regd. No. TN/CCN/467/2012-14.GOVERNMENT OF TAMIL NADU [R. Dis. No. 197/2009.

2016 [Price: Rs. 8.80 Paise.

TAMIL NADU STATE ELECTION COMMISSION, CHENNAI.

[ELECTIONS - TAMIL NADU STATE ELECTION COMMISSION - LOCAL BODY ELECTIONS - RIGHT TO INFORMATION OFELECTORS - AFFIDAVIT - NOTIFICATION - ISSUED.]

(S.O.No. 22/2016/TNSEC/EG-1)

No.VI(2)/128(a)/2016.

WHEREAS, the superintendence, direction and control of all elections to the Panchayats and Municipalities in theState are vested with the Tamil Nadu State Election Commission as per Article 243K and 243ZA of the Constitution ofIndia:-

WHEREAS, the Hon’ble Supreme Court of India in its Judgment, dated 13th September 2013 in WP (Civil) 121 of 2008issued the following directions:-

(i) The voter has the elementary right to know full particulars of a candidate who is to represent him in the Parliament/Assemblies and such right to get information is universally recognized. Thus, it is held that right to know about thecandidate is a natural right flowing from the concept of democracy and is an integral part of Article 19 (1) (a) of theConstitution.

(ii) The ultimate purpose of filing of affidavit along with the nomination paper is to effectuate the fundamental rightof the citizens under Article 19 (1) (a) of the Constitution of India. The citizens are supposed to have the necessaryinformation at the time of filing of nomination paper and for that purpose, the Returning Officer can very well compel acandidate to furnish the relevant information.

(iii) Filing of affidavit with blank particulars will render the affidavit nugatory.

DTP—VI-2 Ex. (226)[ 1 ]

2 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(iv) It is the duty of the Returning Officer to check whether the information required is fully furnished at the timeof filing of affidavit with the nomination paper since such information is very vital for giving effect to the ‘right to know’of the citizens. If a candidate fails to fill the blanks even after the reminder by the Returning Officer, the nominationpaper is fit to be rejected. We do comprehend that the power of Returning Officer to reject the nomination paper mustbe exercised very sparingly but the bar should not be laid so high that the justice itself is prejudiced.

(v) We clarify to the extent that Para 73 of People’s Union for Civil Liberties case (supra) will not come in theway of the Returning Officer to reject the nomination paper when affidavit is filed with blank particulars.

(vi) The candidate must take the minimum effort to explicitly remark as ‘NIL’ or ‘Not Applicable’ or ‘Not known’in the columns and not to leave the particulars blank.

(vii) Filing of affidavit with blanks will be directly hit by Section 125A (i) of the RP Act However, as the nominationpaper itself is rejected by the Returning Officer, we find no reason why the candidate must be again penalized for thesame act by prosecuting him/her.

AND WHEREAS, in compliance with the aforesaid orders of Hon’ble Supreme Court and in the absence of suchprovisions in the laws governing election to the Panchayats and Municipalities, the Tamil Nadu State ElectionCommission felt duty bound to issue this Statutory Order in the interest of purity of elections to the Panchayats andMunicipalities till such amendments are made by the State Legislature in the laws governing election to the Panchayatsand Municipalities and since Articles 243K and 243ZA of the Constitution of India governing the elections to thePanchayats and Municipalities, being the institutions at the lower rungs of the democracy and stepping stones for bringingup the prospective leaders of the country, it is felt necessary by the Tamil Nadu State Election Commission, to have anin-built mechanism of ensuring purity, openness and transparency in the elections to the institutions at the grassroot level.Hence, this Order.

ORDER

NOW, THEREFORE, in exercise of the powers conferred by Articles 243K and 243ZA of the Constitution of Indiaread with relevant sections of Tamil Nadu Panchayat Act, 1994 (Tamil Nadu Act 21 of 1994) Madras City MunicipalCorporation Act, 1919 (Tamil Nadu Act IV of 1919) Madurai City Municipal Corporation Act, 1971 (Tamil Nadu Act XV of1971), Coimbatore City Municipal Corporation Act, 1981 (Tamil Nadu Act XXV of 1981), Tiruchirapalli City MunicipalCorporation Act, 1994 (Tamil Nadu Act 27 of 1994) Tirunelveli City Municipal Corporation Act, 1994 (Tamil Nadu Act 28of 1994) Salem City Municipal Corporation Act, 1994 (Tamil Nadu Act 29 of 1994), Tiruppur City Municipal CorporationAct, 2008 (Tamil Nadu Act 7 of 2008), Erode City Municipal Corporation Act, 2008 (Tamil Nadu Act 8 of 2008), VelloreCity Municipal Corporation Act, 2008 (Tamil Nadu Act 26 of 2008), Thoothukudi City Municipal Corporation Act, 2008(Tamil Nadu Act 27 of 2008), the Thanjavur City Municipal Corporation Act, 2013 (Tamil Nadu Act 24 of 2013), the DindigulCity Municipal Corporation Act, 2013 (Tamil Nadu Act 25 of 2013) and Tamil Nadu District Municipalities Act, 1920 (TamilNadu Act V of 1920) and all other powers enabling it in this behalf, and in supersession of the Tamil Nadu State ElectionCommission’s Notification No.147 published at pages 1 to 21 of Part VI-Section 2 No.VI(2)/171(a)/2014 of the Tamil NaduGovernment Extraordinary Gazette, dated 5.8.214 and Notification No.169 Published at pages 1 to 2 of Part VI-Section2 No.VI(2)/188(a-1)/2014 of the Tamil Nadu Government Extraordinary Gazette, dated 27.8.2014 the Tamil Nadu StateElection Commission hereby makes the following order:-

1. Every candidate at the time of filing his / her nomination paper for any election or casual election for electing aMember or Members or Chairperson or Chairpersons of any Panchayat or Municipality, shall furnish full and completeinformation in regard to all the seven matters referred in the preamble, in an Affidavit, as the case may be, in the revisedformat annexed hereto:-

“Provided that having regard to the difficulties in swearing an affidavit in a village, a candidate at the election to a WardMember of Village Panchayat under the Tamil Nadu Panchayats Act, 1994, shall, instead of filing an Affidavit, file beforethe Returning Officer, a declaration with the details found in the same affidavit - Annexure-I to this order:”

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 3

2. The said affidavit by each candidate shall be duly sworn before a Magistrate of the First Class or a Notary Publicor a Commissioner of Oaths appointed by the High Court of the State or before an officer competent for swearing an affidavit.The affidavit shall be prepared in a twenty Rupees (Rs. 20/-) Non judicial stamped paper.

3. Non-furnishing of the affidavit, as the case may be, by any candidate shall be considered to be violation of thisorder and the nomination of the candidate concerned shall be liable for rejection by the returning officer at the time ofscrutiny of nomination for such non-furnishing of the affidavit, as the case may be.

4. If more than one nomination has been filed by a candidate for an election the affidavit shall be annexed along withthe first nomination and no need to furnish the affidavit with the other nomination papers.

5. The information so furnished by each candidate in the aforesaid affidavit as the case may be, shall bedisseminated by the respective returning officers by displaying a copy of the affidavit on the notice board of his office andalso by making the copies thereof available to all other candidates on demand and to the representatives of the print andelectronic media.

6. If any rival candidate furnished information to the contrary, by means of a duly sworn affidavit, then such affidavitof the rival candidate shall also be disseminated along with the affidavit of the candidate concerned in the manner directedabove.

7. All the Returning Officers shall ensure that the copy of the affidavit, prescribed herein by the Tamil Nadu StateElection Commission in the Annexure shall be delivered to the candidates along with the forms of nomination papers aspart of the nomination papers.

8. In view of the penal provisions contained in Section 177 of Indian Penal Code (Procedure contemplated in Section195 of Code of Criminal procedure), the Returning Officer concerned may initiate action after providing reasonableopportunity to the party concerned in case of false information, if any, confirmed at a later date.

This order shall come into force with effect from the date of this Order.

(By Order of the Tamil Nadu State Election Commission)

Chennai-600 106, T.S. RAJASEKAR,21st September 2016. Secretary,

Tamil Nadu State Election Commission.


ANNEXURE – I (For Rural Local Bodies only)

Affidavit to be furnished by the candidate along with

Nomination Paper before the Returning Officer

Election of

Member to Ward No........... of the ....................................... Village

Panchayat/Panchayat Union Council/District Panchayat

President to the ....................................... Village Panchayat of

................................. Panchayat Union

PART-A

I …………………………..……………, son/daughter/wife of ………………...............................…….. Aged

…………………. years, resident of ..……………………………………….…...........…………………………

……………………………………………………………………………………………………....…………………….. (mention full

postal address including pincode), a candidate at the above election, do hereby solemnly affirm

and state on oath as under:-

(1) I am a candidate set up by …………………………………….………. (name of the political party)/

am contesting as an Independent candidate.

(2) My name is enrolled in Ward No ..… of ..................................... Village Panchayat of

............................... Panchayat Union at Serial No …………. in Part No ……

(3) My contact telephone number ....................................... (with STD Code) / mobile

number (s) is /are ……………..........................................……………… and my e-mail id

(if any) is …………………………………..

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

Sl.

No. Names PAN

The financial year

for which the last

Income-tax return

has been filed

Total income

shown in Income -

tax return (in

Rupees)

1. Self

2. Spouse

3. Dependent-1

4. Dependent-2

5. Dependent-3…….

(5) I am/am not accused of any offence(s) punishable under Section 37(1) of the Tamil Nadu

Panchayats Act, 1994 in any case(s) in which a charge(s) has/have been framed by the

court(s) of competent jurisdiction.

If the deponent is accused of any such offence(s) he shall furnish the following

-----------------------------

Strike out whichever is not applicable

Please affix

your recent

passport

size photo

here


information:-

(i) The following case(s) is /are pending against me in which charges have been framed by the

court for an offence punishable with imprisonment for two years or more:-

(a)

Case/First Information Report No./ Nos.

together with complete details of

concerned Police Station/District/State

(b)

Section(s) of the concerned Act(s) and

short description of the offence(s) for

which charged

(c) Name of the Court, Case No. and date of

order taking cognizance:

(d) Court(s) which framed the charge(s)

(e) Date(s) on which the charge(s) was/

were framed

(f)

Whether all or any of the proceedings(s)

have been stayed by any Court(s) of

competent jurisdiction

(ii) The following case(s) is /are pending against me in which cognizance has been taken by

the court [other than the cases mentioned in item (i) above]:-

(a)

The details of cases where the court has

taken cognizance, section(s) of the

Act(s) and description of the offence(s)

for which cognizance taken

(b) Name of the Court, Case No. and date of


(c)

Details of Appeal(s)/ Application(s) for

revision (if any) filed against the above

order(s)

(6) I have been/have not been convicted and sentenced to imprisonment of an offence(s)

other than any offence(s) referred to in Section 37(2) of the Tamil Nadu Panchayats Act, 1994

for more than two years. And I have been /have not been dismissed/disqualified under the

Tamil Nadu Panchayats Act, 1994.

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

information:

Cases in which, I have been convicted and sentenced to imprisonment by a court of law:


(a)

The Details of cases, section(s) of the

concerned Act(s) and description of the

offence(s) for which convicted

(b) Name of the Court(s), Case No. and

date(s) of order(s):

(c) Punishment imposed

(d)

Whether any appeal was/has been filed

against the conviction order. If so,

details and the present status of the

appeal:

6.A. If the deponent is dismissed/disqualified from the post of ………………….. under the Tamil

Nadu Panchayats Act,1994, he shall furnish the following information:

(a) Dismissed/Disqualified under which

Section (s) of Tamil Nadu Panchayat Act

(b) Period of punishment From ................. to ......................

(........................... Years)

(c)

Order No. and Date (i.e. Statutory

Orders issued by the Tamil Nadu State

Election Commission or Proceedings

issued by the authority)

(d) Date of enforcement of

dismissal/disqualification

(e)


against the dismissal/disqualification

order. If so, details and the present

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 also have to be

given.

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

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 given.

4. Dependent here means a person, substantially dependent on the income of the

candidate.

5. Details including amount is to be given separately in respect of each investment.


Sl.

No. Description Self Spouse Dependent-1 Dependent-2 Dependent-3

(i) Cash in hand

(ii) Details of deposit in

Bank accounts (FDRs,

Term Deposits and all

other types of deposits

including saving

accounts), Deposits with

Financial Institutions,

Non-Banking Financial

Companies and

Cooperative societies

and the amount in each

such deposit

(iii) Details of investment in

Bonds, debentures/

shares and units in

companies/Mutual funds

and others and the

amount

(iv) Details of investment in

NSS, Postal Savings,

Insurance policies and

investment in any

Financial instruments in

Post office or Insurance

Company and the

amount

(v) Personal loans / advance

given to any person or

entity including firm,

company, Trust etc., and

other receivables from

debtors and the amount

(vi) Motor Vehicles/ Aircrafts/

Yachts/Ships (Details of

Make, registration

number etc. year of

purchase and amount)

(vii) Jewellery, bullion and

valuable thing(s) (give

details of weight and

value)

(viii) Any other assets such as

value of claims/ interest

(ix) Gross Total Value


B. Details of Immovable Assets:

Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to

be indicated

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

Sl.


(i) Agricultural Land

- Location(s)

- Survey number(s)

Area (total

measurement in acres)

Whether inherited

property (Yes or No)

Date of purchase in case

of self-acquired property

Cost of Land (in case of

purchase) at the time of

purchase

Any investment on the

land by way of

development,

construction etc.

Approximate current

market value

(ii) Non-Agricultural Land:

- Location(s)

- Survey number(s)

Area (total

measurement in sq.ft.)

Whether inherited






purchase


land by way of

development,

construction etc.

Approximate current

market value

(iii) Commercial Buildings

(including apartments)

- Locations(s)

- Survey number(s)

Area (total


Built-up Area (total


Whether inherited





Cost of property (in case

of purchase) at the time

of purchase


property by way of

development,

construction etc.

Approximate current

market value

(iv) Residential Buildings

(including apartments):-

- Location(s)

- Survey number(s)

Area (total




Whether inherited






of purchase


property by way of

development,

construction etc.

Approximate current

market value

(v) Others (such as interest

in property)

(vi) Total of current market

value of (i) to (v) above

(8) I give herein below the details of liabilities/dues to public financial institutions and

government:-

(Note: please give separate details of name of bank, institution, entity or individual and

amount before each item)

Sl.


(i) Loan or dues to Bank/

financial institution(s)

Name of the Bank or

financial institution, Amount

outstanding, Nature of Loan

Loan or dues to any other

individuals/entity other

than mentioned above

Name(s), Amount

outstanding, nature of loan

Any other liability


Grand total of liabilities

(ii) Government dues: Dues

to departments dealing

with Government

accommodation

Dues to department

dealing with supply of

water

Dues to department


electricity

Dues to department


telephone / mobiles

Dues to department

dealing with government

transport (including

aircrafts and helicopters)

Income tax dues

Wealth tax dues

Service tax dues

Panchayat Property Tax

dues

Sales tax dues

Any other dues

(iii) Grand total of all

Government dues

(iv) Whether any other

liabilities are in dispute, if

so, mention the amount

involved and the authority

before 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 form of the certificate/diploma/degree course, name of the School/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 Thiru/Tmt/Selvi

2. Full postal address

3. Ward No. and Name of the Local Body

and District

4. Name of the political party which set up

the candidate (otherwise write

‘Independent’)

5. (i) Total number of pending cases where

charges have been framed by the Court

for offences punishable with

imprisonment for two years or more

(under Section 37(1) of the Tamil Nadu

Panchayats Act, 1994)

(ii) Total number of pending cases

where the court(s) have taken

cognizance [other than the cases

mentioned in item (i) above]

6. Total number of cases in which

convicted/sentenced to imprisonment

except for offences referred to in Section

37(2) of the Tamil Nadu Pachayats Act,

1994

Dismissal/Disqualification period under

the Tamil Nadu Panchayats Act, 1994.

From ................... To .....................

(...................... Years)

7

PAN of

Year for which

last income tax

return filed

Total income

shown

(a) Candidate

(b) Spouse

(c ) Dependents

8 Details of Assets and Liabilities in Rupees

Description Self Spouse Dependent-I Dependent-II Dependent-III

A. Movable Assets

(Total Value)

B Immovable Asset

I Purchase price

of self-acquired

immovable

property

II Development /

construction

cost of

immovable

property after

purchase (if

applicable)

III Approximate

Current market

price of -


(a) self acquired

assets (Total

value)

(b) inherited

assets (Total

value)

9. Liabilities

(i) Government

dues (Total)

(ii) Loans from

Bank, Financial

Institutions and

others (Total)

10. Liabilities that are under dispute

(i) Government

dues (Total)

(ii) Loans from

Bank, Financial

Institutions and

others (Total)

11. Highest educational qualifications:-

(Give details of highest School/University education mentioning the full form of the

certificate/ diploma/ degree course, name of the School/College/ University and

the year in which the course was completed.)

VERIFICATION

I, the deponent, above named, do hereby verify 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 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 and 10 of Part B above.

(c) I am aware that necessary penal action shall be initiated against me under Section

177 of the Indian Penal Code (Procedure contemplated in Section 195 of Code of Criminal

Procedure) by the Returning Officer, in case of false information, if any, confirmed at a

later date.

Verified at …………………. this the ………. day of . ………………………………

DEPONENT

Note:-

1. Affidavit should be filed latest by 5.00 PM on the last day of filing Nominations.

2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the first class or

before a Notary Public and in the case of Election to the Village Panchayat Ward Member, a self

declaration with the details found in the affidavit - Annexure-I shall be filed before the Returning Officer”.* 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.

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


ANNEXURE – II

(For Urban Local Bodies only)

Affidavit to be furnished by the candidate along with

Nomination Paper before the Returning Officer

Election of

Councillor / Member to Division/Ward No........... of the

....................................... Corporation /Municipality/Third Grade

Municipality/Town Panchayat

PART-A

I …………………………..……………, son/daughter/wife* of ………………...............................…….. Aged

…………………. years, resident of ..……………………………………….…...........…………………………

……………………………………………………………………………………………………....…………………….. (mention full

postal address including pincode), a candidate at the above election, do hereby solemnly affirm

and state on oath as under:-

(1) I am a candidate set up by …………………………………….………. (name of the political party) /

am contesting as an Independent candidate*.

(2) My name is enrolled in Ward/Division No ..… of Electoral Roll of ...........................

Town Panchayat/ Third Grade Municipality/Municipality/Corporation at Serial No …………. in Part

No ……

(3) My contact telephone number ....................................... (with STD Code) / mobile

number (s) is /are ……………..........................................……………… and my e-mail id

(if any) is …………………………………..

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

Sl.

No. Names PAN

The financial year

for which the last

Income-tax return

has been filed

Total income

shown in Income -

tax return (in

Rupees)

1. Self

2. Spouse

3. Dependent-1

4. Dependent-2

5. Dependent-3…….

*strike out whichever is not applicable

Please affix

your recent

passport

size photo

here


(5) I have/have not been sentenced/imprisoned for any offence(s) punishable with

imprisonment for more than six months under section 49 of the Tamil Nadu District

Municipalities Act, 1920 (in the case of Town Panchayats/Municipalities)/section 52 of the

Chennai City Municipal Corporation Act, 1919 (in the case of Chennai Corporation)/ more than

two years (in the case of Madurai/Coimbatore Corporation)under section 56 of the Madurai City

Municipal Corporation Act, 1971/section 58 of the Coimbatore City Municipal Corporation Act,

1981 read with section 8 of other Corporation Acts in a pending case(s) in which a charge (s)

has/have been framed by the court(s) of competent jurisdiction.

If the deponent is accused of any such offence(s) he shall furnish the following information:-

(i) The following case(s) is /are pending against me in which charges have been framed by the

court for an offence punishable with imprisonment for two years or more:-

(a)

Case/First Information Report No./ Nos.

together with complete details of

concerned Police Station/District/State

(b)

Section(s) of the concerned Act(s) and

short description of the offence(s) for

which charged

(c) Name of the Court, Case No. and date of


(d) Court(s) which framed the charge(s)

(e) Date(s) on which the charge(s) was/

were framed

(f)

Whether all or any of the proceedings(s)

have been stayed by any Court(s) of

competent jurisdiction

(ii) The following case(s) is /are pending against me in which cognizance has been taken by

the court [other than the cases mentioned in item (i) above]:-

(a)

The details of cases where the court has

taken cognizance, section(s) of the

Act(s) and description of the offence(s)

for which cognizance taken

(b) Name of the Court, Case No. and date of


(c)

Details of Appeal(s)/ Application(s) for

revision (if any) filed against the above

order(s)

(6) I have been / have not been convicted of an offence (s) other than any offence (s) referred

to Sl.No.5 above. And, I have been/have not been dismissed/disqualified under the relevant

Urban Acts.

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

information:

(i) Cases in which, I have been convicted and sentenced to imprisonment by a court of

law:


(a)

The Details of cases, section(s) of the

concerned Act(s) and description of the

offence(s) for which convicted

(b) Name of the Court(s), Case No. and

date(s) of order(s):

(c) Punishment imposed

(d)


against the conviction order. If so,

details and the present status of the

appeal:

(ii) If the deponent dismissed/disqualified from the post of ……………………………………under the

Tamil Nadu District Municipalities Act, 1920 and relevant Corporation Acts, as the case may be

(as in Sl.No.5 above), he shall furnish the following information:

(a) Dismissed/Disqualified under which

Section (s) of relevant Urban Acts

(b) Period of punishment From ................. to ......................

(........................... Years)

(c)

Order No. and Date (i.e. Statutory

Orders issued by the Tamil Nadu State

Election Commission or Proceedings

issued by the authority)

(d) Date of enforcement of

dismissal/disqualification

(e)


against the dismissal/disqualification

order. If so, details and the present

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 also have to be

given.

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

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 given.

4. Dependent here means a person, substantially dependent on the income of the

candidate.

5. Details including amount is to be given separately in respect of each investment.


Sl.

No. Description Self Spouse

Dependent-

1

Dependent-

2

Dependent-

3

(i) Cash in hand

(ii) Details of deposit in

Bank accounts(FDRs,

Term Deposits and all

other types of

deposits including

saving accounts),

Deposits with

Financial Institutions,

Non-Banking

Financial Companies

and Cooperative

societies and the

amount in each such

deposit

(iii) Details of investment

in Bonds,

debentures/shares

and units in

companies/Mutual

funds and others and

the amount

(iv) Details of investment

in NSS, Postal

Savings, Insurance

policies and

investment in any

Financial instruments

in Post office or

Insurance Company

and the amount

(v) Personal loans /

advance given to any

person or entity

including firm,

company, Trust etc.,

and other receivables

from debtors and the

amount

(vi) Motor Vehicles/

Aircrafts/Yachts/Ships

(Details of Make,

registration number

etc. year of purchase

and amount)

(vii) Jewellery, bullion and

valuable thing(s)

(give details of

weight and value)

(viii) Any other assets such

as value of claims/

interest

(ix) Gross Total Value


B. Details of Immovable Assets:

Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to

be indicated

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

Sl.


Dependent-

1

Dependent-

2

Dependent-

3

(i) Agricultural Land

- Location(s)

- Survey number(s)

Area (total

measurement in acres)

Whether inherited






purchase


land by way of

development,

construction etc.

Approximate current

market value

(ii) Non-Agricultural Land:

- Location(s)

- Survey number(s)

Area (total


Whether inherited






purchase


land by way of

development,

construction etc.

Approximate current

market value

(iii) Commercial Buildings

(including apartments)

- Locations(s)

- Survey number(s)

Area (total




Whether inherited







of purchase


property by way of

development,

construction etc.

Approximate current

market value

(iv) Residential Buildings

(including apartments):-

- Location(s)

- Survey number(s)

Area (total




Whether inherited






of purchase


property by way of

development,

construction etc.

Approximate current

market value

(v) Others (such as interest

in property)

(vi) Total of current market

value of (i) to (v) above

(8) I give herein below the details of liabilities/dues to public financial institutions and

government:-

(Note: please give separate details of name of bank, institution, entity or individual and

amount before each item)

Sl.


Dependent-

1

Dependent-

2

Dependent-

3

(i) Loan or dues to Bank/

financial institution(s)

Name of the Bank or

financial institution,

Amount outstanding,

Nature of Loan

Loan or dues to any

other individuals/entity

other than mentioned

above Name(s), Amount

outstanding, nature of

loan Any other liability


Grand total of liabilities

(ii) Government dues: Dues

to departments dealing

with Government

accommodation

Dues to department


water

Dues to department


electricity

Dues to department


telephone / mobiles

Dues to department

dealing with government

transport (including

aircrafts and helicopters)

Income tax dues

Wealth tax dues

Service tax dues

Municipal/Property Tax

dues

Sales tax dues

Any other dues

(iii) Grand total of all

Government dues

(iv) Whether any other

liabilities are in dispute,

if so, mention the

amount involved and the

authority before which it

is pending

(9) Details of profession or occupation:

(a) Self ……………………………………………………………………..

(b) Spouse ………………………………………………………………..

(10) My educational qualification is as under:-

………………………………………………………………………………………


certificate/diploma/degree course, name of the School/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 Thiru/Tmt/Selvi

2. Full postal address

3. Name of the Local Body and District

4. Name of the political party which set up

the candidate (otherwise write

‘Independent’)

5. (i) Total number of pending cases where

charges have been framed by the Court

for offences punishable with

imprisonment for more than six months

under section 49 of the Tamil Nadu

District Municipalities Act, 1920 (in the

case of Town

Panchayats/Municipalities)/section 52 of

the Chennai City Municipal Corporation

Act, 1919 (in the case of Chennai

Corporation)/ more than two years (in the

case of Madurai/Coimbatore

Corporation)under section 56 of the

Madurai City Municipal Corporation Act,

1971/section 58 of the Coimbatore City

Municipal Corporation Act, 1981 read

with section 8 of other Corporation Acts

(ii) Total number of pending cases

where the court(s) have taken cognizance

[other than the cases mentioned in item

(i) above]

6. Total number of cases in which convicted

and sentenced to imprisonment other

than any offence(s) referred to Sl.No.5

above

Dismissal/Disqualification period under

the urban Acts.

From ................... To .....................

(...................... Years)

7 PAN of

Year for which

last income tax

return filed

Total income

shown

(a) Candidate

(b) Spouse

(c ) Dependents

8 Details of Assets and Liabilities in Rupees

Description Self Spouse Dependent-I Dependent-

II

Dependent-

III

A. Movable Assets

(Total Value)


B Immovable Asset

I Purchase price

of self-acquired

immovable

property

II Development /

construction

cost of

immovable

property after

purchase (if

applicable)

III Approximate

Current market

price of -

(a) self acquired

assets (Total

value)

(b) inherited

assets (Total

value)

9. Liabilities

(i) Government

dues (Total)

(ii) Loans from

Bank, Financial

Institutions and

others (Total)

10. Liabilities that are under dispute

(i) Government

dues (Total)

(ii) Loans from

Bank, Financial

Institutions and

others (Total)

11. Highest educational qualifications:-


certificate/ diploma/ degree course, name of the School/College/ University and the

year in which the course was completed.)

VERIFICATION

I, the deponent, above named, do hereby verify 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 Part A and B above;

(c) 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 and 10 of Part B above.


(c) I am aware that necessary penal action shall be initiated against me under Section

177 of the Indian Penal Code (Procedure contemplated in Section 195 of Code of Criminal

Procedure) by the Returning Officer, in case of false information, if any, confirmed at a

later date.

Verified at …………………. this the ………. day of .………………………………

DEPONENT

Note:- 1. Affidavit should be filed latest by 5.00 PM on the last day of filing Nominations.

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

Class or before a Notary Public. The affidavit shall be prepared in a twenty rupees

(Rs.20) non judicial stamped paper.

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.


PRINTED AND PUBLISHED BY THE DIRECTOR OF STATIONERY AND PRINTING, CHENNAION BEHALF OF THE GOVERNMENT OF TAMIL NADU

(c) I am aware that necessary penal action shall be initiated against me under Section 177 ofthe Indian Penal Code (Procedure contemplated in Section 195 of Code of Criminal Procedure) bythe Returning Officer, in case of false information, if any, confirmed at a later date.

Verified at …………………. this the ………. day of .………………………………

DEPONENT

Note:-1. Affidavit should be filed latest by 5.00 PM on the last day of filing Nominations.

2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or beforea Notary Public. The affidavit shall be prepared in a twenty rupees (Rs.20) non judicial stampedpaper.

3. All column should be filled up and no column to be left blank. If there is no information to furnishin respect of any item, either “Nil” or “Not applicable”, as the case may be, should be mentioned.


Chennai-600 106, T.S. RAJASEKAR,21st September 2016. Secretary,

Tamil Nadu State Election Commission.


tamil nadu government gazettetamil nadu government gazette extraordinary 3 2. the said affidavit by...

Documents