Jammu. His name is entered at SI. No. 11 in Part No. 76/35 of the electoral roll

PA tow Antis. for76.Suchetgarh Assembly Constituency. My name is ale Ft`tr.al sinAld it is entered at

4IL Form 24

(See rule 4)

NOMINATION PAPER

Election to the Legislative Assembly of Jammu & Kashmir

STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE

PART I

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

I nominate as a candidate for election to the Legislative Assembly from the 76-

Suchetgarh Assembly Constituency. Candidate's name Sh. Sham lal Choudhary Fathers

name Late Sh. Puran Chand. His postal address VPO Chakrohi Tehsil Suchetgarh, Dist —

Si. NO. / 214.3. in Part No. 76/ly of the electoral roll for the 76-Suchetgarh

Assembly Constituency.

Date P!- /2 - Jo/G.

F

(Signa

Yt

ture of of the Proposer).

Part No. of

electoral roll Constituency

1 2

I

2 .

3

SI No in

that pan

3

S

6 .

7

9

10

Part

(To be used by candidate not set up by recognised political party)

We hereby nominate as candidate foe election to the tegisiatne Assembly horn the

Assembly Constituency Candidate's name f ather's/motlwes/ h

s name

His postal address

His name is entered at SI. No. in Pan No electoral roll

for Assembly Constituency.

We declare that we are electors of this Assembly Constituency and our Ili

Electoral Rol for Mrs Assembly Constituency as incircoted below and we a

token of subscribing to this nomination

re entered In the

Cu' strati/TS Debut in

Particulars of the proposers and their signatures

Si Na Electoral Roll No o i:procioser sue Name Srpratve Date

N.B.: There should be ten electors of the constituency as proposer.

•

MEIJI

I, the candidate mentioned In Part I/ Pali II (Strike out which Is not applicable) assent to this nomination

and hereby declare.

(a) That I have completed 534 years of age, (STRIKE OW WI) OR b(s) fl(LOW WHK:HEVER IS NOT

APPEICAB(E)

(b) (I) that 1 am set up at this election by the BHARTIYA IAN TA PARTY, which Is recognized National

Party/ State Party in this State and that the symbol reserved for the above party be allotted to me.

(w) that I am set up at this election by the party, which is a registered

unrecognised political party/that I am contesting ethos as an independent candidate (Strike out

which Is not applicable) and that the s have chosen, In order of preference, are:-

fil (-I

(C) that my name and my fathers/mother %/husband's name have been correctly spelt out above in

ENGLISH (name of the language);

Id) 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 tegislatree Assembly of this State

I I further declare that I am a member of the Caste which is a Scheduled Caste of

the State of Jammu & Kashmir in relation to (area) in that State,

I also declare that I have not been, and shall not be nominated as a [anddate at the present general

election/the bye-electons being held vinuftarieosnlY. to the legislative

Assembly of Jammu & Kashmir from more than two Assembly constituencies

DattC1•/a-ltlV ( we of Candidate).

I Score out this paragraph, if not applicable

N 11.-A 'recognised political party" means a political party recognised by the Election Commission under

the Election Symbols (Reservabon and Allotment) Order. 1968 in Jammu and Kashmir

PART IV

(To be Riled by the candidate)

Whether the candidate-

(I) has been convicted-

(a) of any offered') under subsection (1) of section 24 of the Jammu and Kashmir Representation of

the People Act, 1957,or let/NO

(b) for contravention of any law specified In the proviso to subsection (2) of section 20 of the Jammu

and Kashmir Representation of the People Act, 1957 (IV of 1957) and sentenced to imprisonment for not

less than six months. or NO

lit) has been convicted for any other offence(s) for whoch he has been sentenced to Imprtsonment for

two years or MOM_ NO

If the answer is "Yes", the candidate shall furnish the following Information:

(i) Case/First information report No./Nos NA

(n) Poke station(s) NA DiSterttil NA Statels) NA

(iii)Section(s) of the concerned Act(s) and brief description of the offence(s) for which he

has been convicted NA

(n) Date(s) of conviction(S) NA

(v) Counts) which convicted the candidate NA

(vi) Punishment(s) imposed (indicate period of imprisonment(s) and/or quantum of fine(s)] NA

(WI) Date(S) of release from prison NA

Was/were any appeal(s)/revision(s) filed against above corenction(s) ites!No

(rot) Date and particulars of appeal(s)/ appleation(s) for revision filed NA

(x) Name of the coun(s) before which the appeal(s)/application(s) for revision filed NA

(n) whether the said a PPeaf(s)/appleationts) for revision has/have been disposed of or is/are pending NA

(KOH the said appeallsVapplication(s) for revision hat/have been disposed of -

(a) Date(s) of disposal NA

fb) Nature of order(%) passed NA

Place: SUOIETGARN, CHAKROHI (R.S.PtiRA) (10/it

Date: 01.12.2010 (Signattlfe of the candidate).

PART V

•(Alathorization of agent)

0,1-3414-r W a candidate at the above election hereby authorize

42-3alamia,Cria_eintittlk,—.(namelgif2--q—--4S4— If ull Ltatuaris

Postal Address) to deliver this nomination paper.

Place reszeir4-rafk.

Date (21- IL- lot

I agree to act as such authorized agent.

Place

Date Signature of authorized agent

PART VI

(To be filled by the Returning Officer)

Serial No. of nomination paper

/his nomination was delivered to me at my office at

'candidate/authorized agent/proposer

(hour) on (date) by the

Date

Returning Olficer.

PART VII

Decision of Returning Officer Accepting or Rejecting the Nomination paper

I have examined this nomination paper in accordance with section 47 of the Jammu and Kashmir

Representation of the People Act. 1957 and decided as follows.-

Date

Returning Officer

(Perforation)

(1171C Signature of candidate.'"

•

PART Yin

Receipt for Nomination Paper and Notice of Scrutiny

(To be handed over to the person presenting the Nomination Paper)

Serial No of nomination paper

The nomination paper of a candidate for election from the

Assembly

Constituency was deirvered to me at my office at (how) on (date) by the

•canddate/authonzed agent/proposer All nomination papers wirl be taken up for scrutiny at

(hour) on (date) at (Place).

Date

Returning Officer

• e

Kiri The following case(s) is/ar mg 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:

Nil

(b) Section (s) of the concerned Act(s) and short description of the Offence(s) for which Charged:

Nil

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

SI) Counts) which framed the Charge (s) NA

(e) Date(s) on which the charge(s) was /were framed: NA

(f) Whether all or any of the proceeding (s) have been stayed by any court(s) of ozenfmterlf Jurisdiction'

NA

(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) Name of the Court, case No. and Date of order taking cognizance: N.A

(b) The Details of cases where the court has taken cognizance section(s) of the act for NA (s) and description of the offence (s) which cogrtizancetaken:

( c ) Details of appeal (s) Application for revision (If any) file against the above order(s)

NA

(6) I have been/ have not been convicted of an offence(s) (other than any offence(s) referred to in sub-section (1) or

sub-sectlon (2), or covered in sub-section(3), of section 24 of the Jammu and Kashmir Representation of the People Act,

1957 (IV of 19571) and sentenced to imprisonment for one year or more.

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

In the following cases, 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

Nil

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

NA

(c) Punishment imposed NA

(d) Whether any appeal was/has been flied against the conviction order. If so, details and the present status of the appeal:

N.A

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

dependents:

SUN Description Sham ChOudhary

tat Spann Choudhary mernairshi Choudhary

Vivra Choudetare

Cash In hand Rt.180000-/- lb.30000/- Its.30000-/- Rs.20000-/-

Gana account* (FOR., Term Deposits and an other types of *comas Inducing senile alteOuntS). DepOSIS with Financial Institutions, Non-Banking Financial Companies and Cooperative societies and the amount on each such deposit

Pura Jammu S.8 A/c NO- 29684 Amt- Rs.104929.14-/-

Bank Lid Sai RS Pura , 5 ft A/c No- 8080/62 Amt-Rs.1000-/

2. Fdr With Jammu Rural Benicia, R s Pura ,Bearing No. 158732/10,0 t-9/5/2001 Ann Rs.27182•/ •

3. J&K Grameen Bank Ltd, Sal , R S purl, S/B A/c 247/1117.Dt. 15/11/2011. Amt-Rs.79586-/

4. J&K Bank Ltd,Gandhl Nagar S/B No-35507 . Are* Rs.4839931-

1imta Bank Ltd,Gandhm Nagar . S/B NO 35504 , Amt• RS.8316271 2. Bank of Maharastra S/b A/c • mnt Pa 4731 /

Details of deposit in Ma Sank Ltd R S L LAC Bank Grantsmen L.W.Gandhr Nagar

S/B No-35503 , AsTit• Rs.S99642.27-/-

2. Fdr With Jammu Rural Itank,Sai R s Pura .Bearing No- 158750/10,D I-24/5/2001

Amt-Fts.281194-

4

A. Details of movable assets

Note I Assets in 'cunt name metocatbng the extent of pint ovsneeship volt also have to be gnen

• Note I In case of deposit/investment, the details including Serial Number. Amountdate of deposit

of the Bank/Institution and Blanch are to be given

Note 3. Value of Bonds/ Share Debentures as per current market value in Stock exchange in respect

and as per books in cast of nonlisted convenes should be given

Note .4 Dependent here has the same meaning as assigned in Explanation Iv/ under section ISA Of

"kap

, the scheme, Name

of listed companies

the Representation

of the People Act, 1951.

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

114

Details 0/ investment in Bonds, debentures/shares and wets in comommes/Muloal funds and others and the amount

Details of investment in NS5, Postal Savant Irtsurance ookik and investment in any Financial instruments on Post office or Unur ame COMOIlfre and the amorad

Personal loans/ advance given to any person or entity including firm, company, Trust etc. ard other receivables from debtors and the amount

NI

1. tic Policy No-14249480 7 4/6/2010.

And Pald Rs.544140/

2. Baja) Alban: Poky No 00510801 54 , De 29/5//007 , Amt Paid Rs.240030

Na

MI

1. lk Policy No-143458286

DR 18/4/1012 Arm Pad Rs.85974.

2. Bharati Axa Policy

501153154 7 , Dt • 28/3/2014 Ann Paid Rs.25000-

Nd

Nil

MI

1. Lk Poky Np 1432807/9

01-24/11/201

1. Amt Paid Rs.140292-/-

2. Markt Asa Poky No-501193492

9. Ct- 28/3/2014 Amt paid Rs.250190-/-

NS

118

1. Lit Poky No-143367104

Ce. 24/101201 1, Amt Pad Rs.23520D /-

2. Bharat) Au Poky No-501193430 30, 0,- 28/3/2014 Amt paid 9425000 /-

NI

MI Iv° Motor vehicles/ ' Rs.300000./. Aircrafts/vachts/Shi Tractor Ps Make-Scoalika (Details of Make, Model- .14 02 OS registration number 9791 etc. year of purchase and amount,

(ft) I give herein below the *tacit lablItles/ duel to pubic Mandel InAltsitans and governriwrit:-

(Note: Please give separate deals of nag of bank institurna entity a IndAdrail and amount Wore each keen)

Si. No. Description Da heernIntil neat Sham talChoudhery Cher dbary Choudhary Choudhary

Ii) Loan or dues to gank/finandel institutIon(s) Name of the Bank or financial Institution, Amount outstanding. Nature of Loan

WILK Gramen Bank, Chakroi

Amt °unending - Rs.279724-/- against

Tractor Loan

NP MI ma

loan dues to or any other Nil NV NI NI indmduals/entrty other than

Name(s), Amount mentioned above outstanding-nature of loan

My other hability MI MI Nil PO

Grand Total of halides Rs-219724-k MN IS Nil

(i) Government duet: Dues b NS PS Pa NB departments dealing with government accommodation

Dues to department dealing with supply of water

Nil Nil NII NII

— —

Dues to department dealing with supply of electricity

Nil Nd Nil Nil

Dues to department dealing with supply or telephones/mobiles

. _

MI Pld Nd Nd

Due s to department dealing with government transport finch/ding aircraft% and helicopters)

IS Nit Nil to

income tax dues Nil S Nil Nil

Wealth tax dues Nil IS Nil Na

Service lax dues Nil MI Nil Nil

MunklpaV Property Tax Dues Nil NH Nil Nil

Sates tax Dues Nil Nft IS Nil Othe Pad MI Nd ma Any dues

In) Grand Government dues total of all PM PSI is is

ftvl Whether any other liabalties are In MI MI Nd pm

dispute. if so, mention the amount involved and the authority before which It Is pending.

(9) Details of profession or occupation:

(a) Self - BUSINESSMAN, POLITICIAN, REMAINED MLA (2008-2014)

(b) Spouse- House Wife

(10) My educational qualification is as under:

B.Com (From S.P.M.R. COMMERCE COLLEGE JAMMU, JAMMU UNIVERSITY)

(Give details of highest School/ University education mentioning the full form of the certificate/diploma/degree course.

name of the School/CollegeNnwersity and the year in which the course was completed

PART-8

(U) ABSTRACT OF 111E DETAILS GIVEN IN (1)TO (10)0F PART-A:

1. Name of the candidate Sh./SrntilDift Sh Sham lal Choudhary

2. Full Postal address VPO Chakrohl, Teh. Suchetgarh, DISH. Jammu

3. Number and name of the constituency and State 76 -Suchetgarh, AK

a. Name of the political party which set up the candidate (otherwise write 'Independent')

Bhartlya lints Party(BJP)

S (i)Total number of pending cases where charges have been framed by the Court for offences punishable with

Nil

imprisonment for two years or more

(u)local number of pending cases where the counts) have taken cognizance (other than the cases mentioned in item I) above]

NM

6. Total Number of cases In which convicted and sentenced to imprisonment for one year or more (except for offences referred to In subsection (1), (2) or (3) of section 24 of . J&K Representation of the People Act, 1957)

Nil

7.

g es PAN of Year for

whkh last income Tax return

Total Income shown

Ned

teSks.... Rs.9326116

\4- - • -0.,.L. i - (4)CantSdate AKSVP0670G 2013-2014

(0) Spouse Nil Nil Nil

(c) Dependents BOOKA073R Ni Nil (d) Dependents Nil Nil Nil

S. Details of Assets and Liabilities In Rupees

Description SW Spouse Depandent-1 Dependent-2 Dependant-

3

A. Moveable Assets (Total value)

R3.1369069.14- b

Rs.2032735- b

RS.823053.27. b

Rs.1116558-b

9 immovable Assets

I. Purchase Price of self-acquired immovable Paned),

19430004- NI NH Nil

It. Development/ construction cost of Immovable property after purchase (If appbcable)

22000004- Nil Nil Nil

III. Approximate current market price of-

142626254- Nil Nil Nil

(a)self-acquired assets (Total Value)

119745004- Nil Nil Nil

(t)inistrited assets (Total Value)

2211111254- 1111 Nil 141

9. Liabilities

li) Government dues (Total)

Nil MI NI tat

(PI) Loans from Sank, Financial Institutions and others (Total)

81.279724-4- IS NI NI

• •

(I)

11.

Nif

Government dues

Nil

Nil

Nil

(Total)

Loans from Bank, Na

NM

NB Financial

Institutions and

others (Total)

Highest Educational qualification: B.Com Front S.P.M.R. COMMERCE COLLEGE, JAMMU, JAMMU

UNIVERSITY IN THE YEAR 1981.

(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.)

10. Lialsikin that are under dispute

VERIFICATION

t, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and coned 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 lability, other than those mentioned in items 7 and 8 of

Part A and items 8, 9 and 10 of Part B above.

Verified at R S Pura this the 1" day of December 2014

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

et2t 1DEPONENTI

(SHAM LAL CHOUDHARY)

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

Class or before a Notary Public. 0

Note:3. All columns should be filled up and no column to be left blank If there is no in • to f rs in respect of

any item, either "Nil" or *Not applicable, as the case may be. should be mentioned .

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

Note:S. The "details of Bank accounts, assets and liabilities' to be furnished in the affidavit should invariably include "the

details of all deposit/ investments in Foreign Banks and any other body/ institution abroad, and details of all assets and

liabilities in Foreign Countries".

Note:6. In pursuance of the judgement dated 13.09.2013 of the Hon'bie Supreme Court in WP(C) No 21 of 1008-

Resurgence India Vs Election Commission of India and other, regarding the filing of incomplete affidavit of candidates,

the candidates are required to fill up all columns therein. No column can be left blank. At the time of filing of affidavit,

RO has to check whether all columns of the affidavit filed with

the nomination paper are forted up. If not the RO shall give a reminder to the candidate to furnish information against

blank columns The lion'ble Court has liekt that of there is no information to be furnished against any item. appropriate

remarks such as 'Nil' or 'Not Applicable' or 'Not Known' as may be applicable shall be indicated in such column. They

should not leave any column blank. If a candidate fails to fill the blanks even after reminder, the nomination paper will

be liable to be rejected by the RO at the time of scrutiny of nominal ion papers "

NN

W la

waL

a

KR

IO N

o-

No

-2 2

91

,29

Min

9,3

11

. 27

7,3

4

8/2

78

, 29

1,3

4

8/2

78

Osak

ON

NO

I N

am

Kh

K

h. 407,40

No

-9 8

,409,4

10 ,4

10

Pan

mo

n

Kis I*

51,5

2

8K

7M

16 K

14 M

17 K

10 M

24 K

3

K

1K

16 M

14 M

1

M

)4 share • 10 K

Yes

NA

NA

13/9

/20 OS

an

os 1

WS

/200 11/1

V/

CO

I

No

No

No

te: 1. E

ach

land o

r build

ing o

r apartm

ent sh

ould

be m

entio

ned se

para

tely in

this fo

rmat

I

Si.

Descrip

tion

Sham

Lal C

houdhary

No

.

An

sik

ora

i lan

d

locatio

n(s)

Survey N

iantiefts) fellow

s' K

h.P10- 37,180

Me

en

aksN

C

ho

ud

ha

ry

Area (to

tal m

easurem

ent in

acres)

Wh

eth

er in

he

rited

p

rop

erty

(Ye

s a

r

No)

Date o

f pu

rchase

m

case o

f se

lf

acq

uire

d

pro

perty

22 K

16

M

No

4/7120U

No

*SA

O

OS

N.A

N

A

Os

SO

N

NA

Sh

arni

Ch

ou

dh

ary

N.A

NA

WS

/20 12

Meek

Mo

an

NN

Can of Nod

pri

7110:00 /-

73000 04-

NO

CO

/-

45000 /-

IWO

04-

12000 04-

24000 /-

NA

N A

NA

N

A

I w

e of purchase) at the t ree of prem

ium

My

MA

NS

NIL ra

es N

I N

I o

l N

I N

A

NA

N

A

ILA on the bad by w

ay of *M

oment.

con:Mutton etc.

Approxim

ate N

ita*

menet value

144040 04.

10491 004.

In

n

004

NO

D)

0/-

24700 00/-

20000 04-

34000 01-

75000 0

+

NA

N

A

NA

e

c

(M)Non.

Agricultural U

M:

NM NIL

NIL 1111.

Locat4eils1 Survey N

— —

1$

Area (total

imm

urement in

'a)

NA

N

A

NA

N

A

Whether M

erited M

at"

Ices or

No)

NA

N

A

NA

N

A

I D

ate of p

urch

ase W

I a

ss

o

f sett

acqu

ired

Pro

ven)!

N A

N

.A

NA

1 N

A

NA

NA

Cost of Land (In

case of p

urch

ase) at th

e tim

e o

f purchase

N.A

N

.A

NA

.

N.A

Any

investm

ent

On

the lan

d b

y way cd

develo

pm

ent

Construction etc.

NA

N

A

NA

N

A

...

.1 iv

•

Ap

pro

ximate

curren

t m

arket value

NA

N

.A

N.A

N

A

Iv

(iii) C

om

mercial

I Bugdings fry

ap

artmen

ts) to

cation

is) -S

urvey nu

mb

er(s)

Area (to

tal m

easurem

ent In

sq.ft.)

Nd

111 M

r N

/

Stilto

n

Area

(total

measu

remen

t in

St)

N.A

N

A

NA

N

A

1

(iv)

NA

N

A

NA

N

A

Nak

NA

N

A

NA

NA

N.A

NA

1.

Sanjay N

agar , Kh N

o-Is Min ,

2.

Chakroi K

h.No-407,408,409,410

1.

IMo

bs

2

. 7K

35 Madas O

ncadding Sew

Mill)

Do

te of p

urch

ase In

case o

f self

acquired

ProdartY

Co

st of p

rop

erty (in

case of purchase) at th

e tim

e o

f purchase

An

y In

ve

stm

en

t o

n

the p

rop

erty

by

way

of development.

construcuon etc

Apprakim

ate current m

arket value

Residential

Buildings

(Including apartm

ents). •location(s) -S

urvey Num

ber(s)

Am

(Tan

i rneaw

rement in

sq ft

Wh

ether W

hetted

pro

pe

rty (y

et o

t M

O)

fi

Built

up area

(Total

measurem

ent in sq.ft.)

1.

2500 sq feet (Approx.)

2.

1700 sq feet (Approx.)

NA

N

.A

N.A

Whether inherited

property (Y

es o

r N

o)

1.

No

2.

Yes N

.A

NA

N

A

Date of purchase

in

case of

self acquired property

1 . A

cquired vide Through Mutation 110121

2. NA

N A

N

A

NA

at

(1

Co

st of p

rop

erty

(in

case of purchase) at the

time

of

purchase 1.,.....,

1.

MI

2.

NA

N

A

NA

N

A

N.A

A

ny Investm

ent on

the land by way of

development,

construction etc.

1.

Rs.2.200000+

2.

NA

N

.A

N.A

°on R

ti

Approxim

ate current m

arket value

1.

P440000004.

2.

Rs.153$125-/-

NA

N

A

NA

(v) O

thers (such as interest

in

property)

PM

Nil

Nil

111

(v1) T

otal of current m

arket value of (ft to (v) above

Rs.14262625•/-

Nil

Nil

Nil