George Baker’s Election Affidavit From Howrah-25 Parlimentary Constituency (20/04/2014)

George Baker’s Election Affidavit (Extract)

Document ID: SL. NO. KAP222/14

Stamp:

• Before the Notary Public, Howrah
• भारतीय गैर न्यायिक दस्तावेज (Indian Non-Judicial Document)
• Stamp Value: दस रुपये / TEN RUPEES / Rs. 10 / रु.10
• Location: भारत / INDIA
• Notary: KANTA DAS NOTARY
• Registration No.: REGD NO. 60/2002
• Jurisdiction: WEST BENGAL / पश्चिम बंगाल
• Stamp Text: INDIA NON JUDICIAL
• Date Stamped: -2 APR 2014 (Repeated throughout document)

FORM 26
(See Rule 4A)
77AA 745897

AFFIDAVIT to be filed by the candidate along with nomination paper before the returning officer for election to House of the People from 25-Howrah Parliamentary Constituency.

Part-A

I, George Baker, son of Lt. A. H. Baker, aged 68 years, resident of Flat A, Ground Floor, Sujata Apartments, 45C/1K, Moore Avenue, Kolkata – 700 040, a candidate at the above election, do hereby solemnly affirm and state on oath as under:

1. I am a candidate set up by Bharatiya Janata Party.
   (Struck out: “am contesting as an independent candidate”)
2. My name is enrolled in 152-Tollygunge Assembly / 22-Jadavpur Parliamentary Constituency in the state of West Bengal, at Serial No. 339 in Part No. 97.
3. My contact telephone number(s) is/are 033 2381 7462 / 9830005153 and my e-mail id is georgeb2810@gmail.com. My social media account is at Facebook (George Baker).
4. Details of Permanent Account Number (PAN) and status of filing of Income Tax return:

5. I am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has/have been framed by the court(s) of competent jurisdiction.
   • Details provided: NA for all sub-points.
6. I have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951)] and sentenced to imprisonment for one year or more.
   • Details provided: NA for all sub-points.
7. Details of the assets (movable and immovable) of myself, my spouse and all dependents:A. Details of Movable Assets:

B. Details of Immovable Assets:

• All details for Self, Spouse, and Dependents are listed as NIL or NA for Agricultural Land, Non-Agricultural Land, Commercial Buildings, and Residential Buildings.
• Total current market value: NIL / NA.

8. Details of liabilities/dues to public financial institutions and government:
* All details for Self, Spouse, and Dependents are listed as NIL or NA for Loans, Government Dues (Tax, Utilities, etc.), and other liabilities.

9. Details of profession or occupation:
   • (a) Self: Performing Artist (Actor)
   • (b) Spouse: Performing Artist (Actor)
10. Educational Qualification: ISLC [La Martiniere College, Lucknow (Senior Cambridge)] in the year of 1961.

Part-B

ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A:

1. Name of the candidate: Sh. George Baker
2. Full postal address: Flat A, Ground Floor, Sujata Apartments, 45C/1K, Moore Avenue, Kolkata-700 040
3. Number and name of the constituency and State: 152-Tollygunge Assembly / 22-Jadavpur Parliamentary Constituency, West Bengal
4. Name of the political party: BHARATIYA JANATA PARTY
5. Pending criminal cases (where charges framed / cognizance taken): NIL
6. Conviction cases: NIL
7. PAN: Self: AGZPB9446L, Spouse: AIRPB5392D, Dependents: NA
8. Assets & Liabilities (in ₹):
   • Movable Assets: Self: 4,01,562.00, Spouse: 7,84,211.00
   • Immovable Assets: NIL
   • Liabilities & Govt. Dues: NIL
9. Highest Educational Qualification: ISLC, La Martiniere College, Lucknow (1961)

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 therefrom.

Verified at HOWRAH this the 2nd day of April, 2014.

DEPONENT:
(Signature of George Baker)

NOTARY ATTESTATION:
Solemnly affirmed & declared before me by the deponent on identification by Advocate.
LAXMIKANTA DAS
NOTARY, HOWRAH
REGD NO. 60/2002, GOVT. OF WEST BENGAL
Place: Judges’ Court, Howrah – 711 101
Date: 02/04/2014
Notary Seal & Signature

ANNEXURE: NOMINATION PAPER (FORM-2A)

Election to the House of the People from the 25-Howrah Parliamentary Constituency

PART I (Candidate set up by recognised political party)

• Candidate Nominated: George Baker
• Father’s Name: Lt. A. H. Baker
• Address: Flat A, Ground Floor, Sujata Apartments, 45C/1K, Moore Avenue, Kolkata-700 040
• Electoral Roll Details: S.No. 339, Part No. 97 of 152-Tollygunge Assembly / 22-Jadavpur PC.
• Proposer: Debanjal Chatterjee
• Proposer’s Electoral Roll Details: S.No. 235, Part No. 100 of 171-Howrah Madhya AC / 25-Howrah PC.
• Date: 02.04.2014
• Signature of Proposer: (Signature of Debanjal Chatterjee)

PART III (Candidate’s Declaration)

• I assent to this nomination.
• I have completed 25 years of age.
• I am set up at this election by the BHARATIYA JANATA PARTY, a recognised National Party/State Party in the State.
• My name and my father’s name have been correctly spelt out above in English.
• I am qualified and not disqualified for being chosen.
• Date: 02.04.2014
• Signature of Candidate: (Signature of George Baker)

PART IIIA (Candidate’s Criminal Record Declaration)

• Whether convicted as per Section 8 of R.P. Act, 1951 or sentenced to 2+ years imprisonment: NO.
• All subsequent details marked NA.
• Place: Howrah, Date: 02.04.2014
• Signature of Candidate: (Signature of George Baker)

PART IV & V (For Returning Officer)

• Serial No. of nomination paper: 02/48/2014/RO
• Delivery: Delivered to the Returning Officer at office at 2:45 PM on 02.04.2014 by the candidate/proposer.
• Date: 02/04/14
• Returning Officer: Returning Officer, 25-Howrah Parliamentary Constituency
• Decision of Returning Officer (Accepting/Rejecting): (Blank – to be filled by RO)

End of Document

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