NOM1NA TION FORMA (See rule 3) ELELCTION TO THE GENERAL SEATS 'Elt.,tion to the constituency (cid:9) A,- A(cid:9) /f (cid:9)of *National Assembly/ -P-r-e4ucia (cid:9)of (cid:9) . 4 (Name of the Province) (To be filled In by.the proposer) (1) LA(31? g/ H-4 F (cid:9).(narne of the proposer) having National Identity Card No 1.1 (cid:9) SZ (cid:9) 27 4/ • (cid:9) .registered as an elector at serial number o..19' (411160 S 011 (cid:9)in the electoral roll for 111-7---1-41 rer "-I • electoral area in .e..-16).V7-CgAL,.....Tehsil/Taluka in (cid:9) .District/P4:41itieal-Ageney do hereby propose the name of (cid:9) 4,11'4 (cid:9)whose address is „Lx, 91-6 Ph 90C HAN6134.1.1----.(cid:9) r. ...as(cid:9) a(cid:9) candidate(cid:9) for (cid:9) election(cid:9) to(cid:9) general(cid:9) seat (cid:9) from Al A 7-11 (cid:9) constituency. (7) I hereby certify that I have not subscribed to any other nominatio r either as proposer or seconder. (cid:9) j3 Date.. atur of Proposer (To be filled in by the seconder) (1) I(cid:9) R HHiilt* NareeYrhe sec.. onder)(cid:9) having National Identity Card No. Li )-101 (cid:9) 7e9 9 • (cid:9) registered as an elector at serial number 1-1140/ in-676 (cid:9) the electoral roll(cid:9) for electoral area in (._,4-"- Iotilt-, TehsillTaluka in et4I (cid:9) District/Political Agency do hereby second. the nomination of (cid:9) Aie Pdt- Hall Es) lane, u whose address is3V-2- ) k HiTY (cid:9) 44.141_,Df.ifi - -Pal2(cid:9) . a candidate for election to general seat from(cid:9) &. ........ •(cid:9) Constituency. (2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder. (cid:9) Date 1 Sig tare of Se Fonder Note:(cid:9) Please fill in the Form in capital letters. *Strike off the words not applicable Price : Rs.20/- 2 (cid:9) I, here 4. DECLARATION AND OATH BY THE PERSON NOMINATED 1.(cid:9) I, the above mentioned candidate, hereby declare on oath that,— (i)(cid:9) I have consented to the above nomination and that I fulfill the qualifications specified in Article 62 of the Constitution and I am not subject to any of the dis-qualifications specified in Article 63 of the Constitution or any other law for the time being in force for being elected as a member of the National Assembly/Provincial Assembly. Exi *(ii) I belong to I 1/7A 11/ (cid:9)e t).'" 47 4/6 1/47!" (cid:9)and a certificate from (1) (Name of political party) that political party showing that I am a party candidate from the above said constituency is attached. (ii (1 OR k.4243-fiet-belefig-te-turrpetiticaLparty, 2. I, the above mentioned candidate, solemnly swear that,— **(i) I believe in the absolute and unqualified finality of the Prophethood of Muhammad (Peace be upon him), the last of the prophets and that I am not the follower of any one who claims to be a Prophet in any sense of the word or of any description whatsoever after Prophet Muhammad (Peace be upon him), and that I do not recognize such a claimant to be Prophet or a religious reformer, nor do I belong to the Qadiani group or the Lahori group or call myself an Ahmadi. . (ii)(cid:9) I will be faithful to the declaration made by the Founder of Pakistan Quaid-e-Azam Muhammad All Jinnah, that Pakistan would be a democratic state based on Islamic principles of social justice. I will bear true faith and allegiance to Pakistan and uphold the sovereignty and integrity of Pakistan and that I will strive to preserve the Islamic Ideology which is the basis for the creation of Pakistan. *6. 3. I hereby solemnly declare to the best of my knowledge and belief that, (cid:9) (0 no loan for an amount of two million rupees or more obtained from any bank, financial institution, cooperative society or corporate body in my own name or in the name of my spouse or any of my dependents, or any business concern mainly owned by me or the aforesaid, stands unpaid for more than one year from the due date, or has got such loan written off; and (ii) I, my spouse or any of my dependents or a business concern mainly owned by me or the aforesaid, is not in default in payment of government dues or utility charges, including telephone, electricity, gas and water charges of an amount in excess of ten thousand rupees, for over six months, at the time of filing of nomination paper. Note: *Strike off the words not applicable. **For Muslim candidates only. 4.(cid:9) I, hereby solemnly affirm that,— (i) The list containing the names of my spcpse(s) and dependents is correct and no name has been left out. (List attached) it t% • `V (ii) Neither I nor my spouse(s) nor any of my dependents mainly owns any company except the 'fled in following: 6 L-- efittioAll ified in ec(cid:9) ugit--1/41 LLE cted as \Jok- C.A-D — Nitr\ (c). Oc6kgcG -9-- Explanation.— For the purpose of these declarations, the expression— (i) "loan" shall mean any loan, advance, credit or finance obtained or written off on or after the 31st day of December, 1985, but shall not include the loan the recovery of which has been stayed or suspended by any order of a court or tribunal, including the High Court and the Icy is Supreme Court; (ii) "mainly owned" shall mean holding or controlling a majority interest in a business concern; (iii) "taxes" include all taxes levied by Federal Government, Provincial Government or a Local Government, but shall not include taxes the recovery of which has been stayed or suspended by any order of a court or tribunal; (iv) "government dues and utility charges" shall, inter alia, include rent, charges of rest houses or lodges owned by the Federal Government, Provincial Governments, local governments or corporations, established or controlled by such governments, but shall not include the be government dues and utilities charges the recovery of which has been stayed or suspended by be any order of a court or tribunal. n iad 5.(cid:9) I, the above mentioned candidate hereby declare on oath that,— )us (i) I have opened Account No. gO-S-?-510 4/ With (cid:9) tl 6 Lriki,p,P042,1- _ 17),(4,,i-,-,,-, tt ,(cid:9) t . Ii. r. (Name and Branch of scheduled bank and have deposited therein an amount . of (cid:9) Rs. cinf-ta. - (amount in words) (cid:9) . NE . 11-14/41)11--R> for the purpose(cid:9) i im of electio expenses. es (ii) I shall make all election expenditures out of the money deposited in the aforesaid account. ty ie (iii) I shall not make any transaction towards the election expenses through an account other than the above account. *6. I hereby declare on oath that no case of criminal offences was pending against me, six months prior to filing of this nomination. OR Number of case Name of the Court it..(cid:9) ATTE.31"FrI TN L.-- ir (• rt)-)(cid:9) 0^t(cid:9) (LA. C-C"'""" 7. My educational qualification is(cid:9) 8. My present occupation is(cid:9) -PiRe_ erne /V- C.-6 (17_1* LiV3(19 -9 t _000(cid:9) 9. My National Identity Card No. is(cid:9) to. be 2_9 k Li 3(cid:9) R- • f.•(cid:9) 10. My National Tax Number, if any is ;12 .*/ The statement of assets and liabilities of my own, spouse (s), dependents as on 30th Ju — 12- is enclosed. ne, (cid:9) 12.(cid:9) The income tax paid by me during the last three years is given hereunder:- ) from cor and mov Total Income **Source of Income (cid:9) Tax Year Total Income Tax Paid other th June,. atz) to 1(cid:9) ip-CC acA\ \L 7 1 2, 8.3-60L\ SA-La(2._iEt5 o \ k 1. NESS- FINANC Note 1: Attach copies of income tax returns of the years mentioned above. **If more than one sources of income, attach detail. 2. NET AS5. FINANC 13. How many times traveled abroad during last three years and cost incurred thereon. (Attach copy of the passport and detail of expenditure). p - 1W-4-61) Cbx 3. INCREJ 14. The agricultural income tax paid by me during the last three years is given below: 4. IMM°' Open pl 'Fax Year Land Holding Agricultural Total Agricultural buildings, ui Income Income Tax Paid Property, et N present mai are presentl (a) Held (i) 4c- (ii) 1 Note 11: Attach copies of agricultural tax returns of the last three years mentioned above. (iii) (b) Hel( 15. If you have been elected Member of National Assembly/Provincial Assembly what according to you was the single most important contribution you have made for the benefit of your constituency (i) (attach detail, if any). PrITA-C-t-tED (ii) 16. Whether you have paid any sum 5. MO by way of contribution or otherwise to the political party which has awarded you party ticket for this ( a) Ds election, and if so how much (attach detail, if any).(cid:9) tip (i) 17. Whether you have received any (ii) sum from the party which has awarded you ticket, if so how much (attach detail, if any). iNkb (b) Bi Note 111:1 hereby solemnly affirm that the information given (0 , at serial No. 13, 15, 16 and 17 is true and correct and nothing has been concealed. (I; 6. As 18. I hereby assure that I shall abide by the Code of Conduct issued by the Election Commission. 0 Date r--16.'— (cid:9) a°1 Signature of Candidate *Strike off the words not applicable(cid:9) - (cid:9)(cid:9)(cid:9)(cid:9) ne, ?"-C)0-- STATEMENT OF ASSETS AND LIABILITIES 4 I .°)-44-D(cid:9) MA-5i'L-A-ftrn.1 fleac(cid:9) a candidate for election to general seat from constituency No.. aty-1-4.11t (cid:9) , hereby declare on solemn affirmation that no immovable and moveable property, including bonds, shares, certificates, securities, insurance policies and jewellery, other than specified herein below, is held by me, my spouse(s) and dependents on the 30th day of June,..X411 '-2-1 ASSETS ASSETS Cost of Assets Remarks 1. NET ASSETS AS ON 30TH JUNE OF CURRENT a .-1- FINANCIAL YEAR -- (cid:9) 1b 22.. NET ASSETS AS ON 30Th JUNE(cid:9) OF PREVIOUS I (i S-2 ( 600 1 iv c_e_Et\S -3) FINANCIAL YEAR h copy of 3 s-ii cip/ 008 - 3. INCREASE/DECREASE [1-21 4. IMMOVABLE PROPERTY Open plots, houses, apartments, commercial buildings, under construction, properties, agricultural • Property, etc. (attach location, description, built up area and present market value of the house/apartment in which you are presently living). (a) Held within Pakistan* 0) k4,5n0.e_1,1:-.. S3.12.. PH b 1 HA kl-ki '(cid:9) 0 __ (cid:9) _0_ _ _(cid:9) _(cid:9)_c._3, ; (---LI: (ii) euefr 9-2_ PL (cid:9) G---"U OL LI 0 (cid:9)-7 0 000 5 c-=L-r:: c_t_i (-2-r.1,1 loaAui. 2-- . (iii) (b) Held outside Pakistan* you tley (i) (ii) . 5. MOVABLE ASSETS as (a) Business capital within Pakistan (i) Name of business rs..16 aLa sec.skaiii °-* 0 0 CIO h (ii) Capital amount (cid:9) to 9c-L-V-,,e1/4460)4 lam- (b) Business capital outside Pakistan (i) Name of business (ii) Capital amount 4— 6. Assets brought or remitted from outside Pakistan* , (i) Bank drafts/Remittances 0 t (-- (ii) Machinery (iii) Other *Details to be annexed t ATTESTED Trtl(cid:9) 6 id ASSETS Cost of Assets islets brought out of Remarks remittance from abroad* 8. Investments (i) Stock and Shares co mortgages (ii) Debentures (ii) Unsecured (iii) National Investment (Unit) Trust (iv) ICP Certificates (iii) Bank ON (v) National Savings Schemes (iv) Bank L( - Defence Savings Certificate (v) Amount - Special Savings Certificate Agreem - Regular Income (vi) House Certificate (vi) Unsecured loans pdva (vii) (vii) Mortgages Oth, (viii) (viii) Any other Liab. (ix) 9. Motor Vehicles ** child Make Model Reg. No. (i) t3L-1(:)t—Pc (1_.3 ( --1 pc. NI cs 7 -DO a/ ) in tt (ii) (x) Pet 10. Jewellery, etc. Tot o WI (i) Weight(cid:9) SP 't01.--e• 0[2:14Pmw4i In( (ii) Description 11. Cash and Bank Accounts* (i) Cash in hand 22"7°189 *Det (ii) Cash at Bank 2__() 301 Account No. Bank & Branch ,INK S-7472- gent --mEiv 71.S" g AF61.--- • 4-/e- '61614-.7-2;1 09:4(cid:9) T A 77n, Deposit() AZL- .hile.,60/e,O-10)_31tiacaN 0.7/t,1^xo Savings/.,,. 4vIce, oc56 (0 b (06.-2.4s736 Other Deposits(cid:9) Divt, V 12. Furniture, Fittings & articles of 0 personal use(cid:9) °U-S A-10U) -1---LARt.4 ,A kitk- 13. Assets transferred.to any person- (i) Without adequate consideration, or (ii) by revocable transfer 14. Any other assets. 15. Cost of total assets 14+141 20 0,0 C5.0 16. Foreign passport if any x..13ZoC D0 (i) No. of passport (xi) Nthne of country (s) *Details to be annexed. **Use extra sheets if necessary. ATTESTED. THE CCliq 7 larks LIABILITIES r---trt--,,(cid:9) LIABILITIES Amount Remarks (i) Mortgages secured on Property or land (ii) Unsecured.Loans owing (iii) Bank Overdraft (iv) Bank Loans (v) Amounts due under Hire Purchase Agreement (vi) House Building Loans (vii) Advances from Provident Funds etc. (viii) Other debts due* (ix) Liabilities in the names of minor children (in respect of assets standing in their names) (x) Personal expenditure 6 V C-9/' Total expenditure (D + (x) 4 / g 0 s- Increase/Decrease **Detatls to be annexed. VERIFICATION 1, 5.4410(cid:9) ‘,414n.2) ,7.24/://e0(cid:9) 4'45 etZ (cid:9) do hereby solemnly declare that the above statement of the assets and liabilities of myself, my spouse(s), dependents as on 30th June, (cid:9) is correct and complete and nothing has been concealed. STATEMENT ON OATH I, Mr/4 rs. 5,03,41/e 44,0/4,40"7 (cid:9) c(;',411e22/ S/o, W/o, D/o e/fAVe.QA.&41./../.66;/ state on oath that I have not ceased to be a citizen of Pakistan nor have I acquired or applied for the citizenship of a foreign state. Al TESTED TRUE COP . 8 NO OBJECTION CERTIFICATES (a) I, Mr/1444...484.12).4414 .414./..Z,eglaWerd)....C4AA4ze- ,i-/-/4'7,4D.L—.:4/6.4 . .... state that I have no objection if information concerning mysett (cid:9) _ . acquisition of citizenship of foreign State or application of such citizenship is provided by any foreign state to the Ministry of Foreign Affairs of the Government of Pakistan or Election Commission of Pakistan. (b) I, M4s --- /M7P °V? 414,e /..//714- /r0 (1,4e;(- state that failure to give detail regarding any item of this Form sha I render my nomination to contest election invalid or if any information given here in above are found incorrect at any time my election shall stand void ab initio. Date 2\ tAr2-1\ Signature of the Candidate (To be filled in by the Returning Officer) • Serial Number of nomination paper "1-0 ?Vvv This nomination paper was delivered to me at any office at 3, (cid:9) zA44:s •o tAaeb(LiztIns)ouir& jat.str on ...............(cid:9) ./. by (cid:9) (dat (perso (cid:9) (cid:9) X Date eturmng Officer (Decision of Returning Officer accepting or rejecting the nomination paper on the day fixed for scrutiny) I have examined this nomination paper in accordance with the provisions of section 14 of the Representation of the People Act, 1976 and decide as follows:- , tVevletA (In case of rejection, state brief reasons) Date (cid:9) Post Office Foundation Press (17. v.I(cid:9) ‘. • SC"' 4.4 Ic- blind ti MiTEMENZ A - ISMAN11.111 G •I'ilUE(cid:9) •1` ErESTET) TR. U 0 111Z S r .(cid:9) • çWA KBAN (D'OCATE) I. ocate & Notary Public Ali Karachi _1_ Le_ (cid:9) (-fit tl t•iximirn# vie Wu., .v" 6:1 LL 000.8 i:cCi 052 If 0 /-.2Lf1:51 /c.9 (cid:9) ;Fligi (cid:9) L.110) 14 a*P.'2.f0 rtKilAtAil, ,-.1 r' /..W. /-.2,.L-1- Arz.A.5)Rr JA(C4t, 6..L1; 4D/ refraL (frig 0./0/-Accow-li ricPD I (--41 ivtP 12-2- 281 3 .i....e.I cy/di (cid:9) a c ....-"---/./. ,•---"------ fi tV .‘7711.:e's1,,,,:.s • —r ;n - 1.°? it