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nHffiTr MEG|-tttftY,{ixr noranypuBltc ; g}lltt@rrrc Rnatr 531432AFFIDAVIT,,FORM 26

( See rule 4A )

J. OATTA ROY?E00 N0.5/16

E. (. HIL|S

PART. Afr, Strri fUnSfeRSON KHARBYNGAR, son of ( L ) spo Kharumnuid, age about 59 years,

resident of Tyngnger village, P.O. & P.S. - Mawsynram, , East Khasi Hills District andPostal/Srresponding Address : C/O. Smti. Jinabalinda Kharbyngar, Nongmadan - Smit, P.O. - Smit,Shillong - 793015, East Khasi Hills District, a candidate of the above election, do hereby solemlyaffirm afld state an oath as under i

(1 ). Thafi, I am contesting as an lndependent candidate.

( 2 ). Tha$ My name is enrolled in 25- Mawsynram const;tuency, Meghalaya state, at Serial No.63 in Part No.

48-gTyngnger-A.

ts

tI s9

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B

f,

22- Nongkrem Constituency (ST).

.i{rfi,,f,,'e. x. rrriii

tqmqT MEGHALAyA 02AA 936132

( 3 ). That, MY contact telephone number is 9515C)iI474 and my e-mail lD is Nil and my social media accountis Nil.

( 4 )' That, the Details of Permanent Account Number ( PAN ) and status of filling of income Tax return i

( 5 ). That, I am not accused of any offence(s) punishable with imprisonment for two years or more in apending case(s) in which a charge(s) have been framed by the court{s) of competent Jurisdiction.

(i) ltems & B, C, D, E, Fare not applicable.

(ii) ltems A, B, C are not applicable.( 6 ). That, I have not been convicted of an offence(s) in any sub-section of the Representation of the people

q

sl.No.

Names PAII The financial year forwhich the last lncome-Tax return has been filed

Total incomeshown in lncome -Tar return(inRs)

1 Shri. Masterson Kharbyngar ELLPK3831H Not applicable Nil2 Smti. Sennabon ladborne Nit Not applicable Nil3 Shri. Ksanborlang ladborne AFXPITSSON Not applicable Nit4 Shri. Kyrshanborlang ladborne AGTPI7769K Not applicable Nil

'.iJrHtlr,r. x. niiri

II

Act, 1951(43 of 1951) and sentenced to imprisonment for one year or more.

,. ,n5,I$"$"tHH"ffi'1B"{'ffjhr the assets { movabre and immovabr" "t.. 1 or ,y *ffirj.16 x 33

and two dependents ( havinB assets ) :-A. Details of mouable assets :

sl,No.

Description SelfRs

SpouseRs

Dependent-lRs

Dependent-2Rs

I Cash in hand Rs 15,200. 4,200 500 1,100Details of deposits in Saving Bank accountsat SBI .Polo Bazar Branch.

Rs8,90,000. 113,435 87,440 60,742

t Details of investment inBonds/DebenturesAhares..

Nit Nit it Nil

IV Details of investment in NSt Postal Saving,lnsurance Policies Etc. receivables ...

Nil Nit Nlt NIL

Personal loans/advances given to person orentityftc. and other receivables...

Nil Nrt Ntt IL

VI Motor vehicle purchased in 2017, Mt-05-e-3781.

Rs3,65,000. Ntt Nll Nlt

v lgrgllgry, bullion & valuable things Nil 20,650 NIL NILv t Any other fusets such as value of claims/

interest..Nil Nlt NlL Nlt-

tx Gross Total Value Rsl2,7l,2U) 138,285 47,940 6r,uz

3

,r.ti#'1,1,,t. l<, xn,i'"

\\g\

ry

:l;litl:)lt,ll

Date of purchase in caseacquired property

Cost of land (in case of purchase) at thetime of purchase

Any lflvestment on the land by way ofdevelopment, construction etc.

Non-Agricultural landSurvey number(s)

Date of purchase in caseacquired property

Cost of land at the time of purchase

Any lnvestment on the land by way ofdevelopment, construction etc.

r

E dppdut"l+,e c,u r'?F_,t $f, rlsrydue Nil Rs200,000- Nil Nil n,,(iii) comlnerctai blitd-irie( ( i-nctridt nc

apartment) Location(s)- Survey numberNit Nil Nil rMl ttot

{iv) Resi{ential buildings ( includingapartment) Location(s)- Survey number

Nit Mawpat -Shillong.

Nit Nil

Buil*.up area (total measurement insqft)-

Nil 3,325 sqfts Nit Nil

Whether inherited property Nit No Nil Nil

Datqof purchase in case of self-acqu?red property

Nil 3I-0t-2004 Nil Nil

Costpf property at time of purchase Nit Rs85,000. Nil Nit

Any lnvestment on the land by way ofdevqopment, construction etc.

Nil Constructingbuilding

Nil Nil

Appfoximate current market valuei{

Nil Rs58,62,500. Nil Nil

(v) Othdts ( such as interest in property Nit Nil Nil Nit

(vii ) TotaBcurrent market value of (i) to (v) Nit Rs60,74,500. Nit Nil

49

8. That, herein

5

below the details of liabilities/dues to public financial institutions and government :

Sl,No. 'Description Self Spouse Dependent-1 Dependent-2

i Loar$or dues to bank/financial institutions Nil Nit Nil Nit

Loary/dues to any other individuals/entity Nit Nil Nil Nil

riiesa:*p,e. r. rrirrt

9./ll5\

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,U( 9 ). Details of pmfussion or occupation :-

(a) Self o : Advocate

(b) SPou:tP : Government service.

H

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

(c)self I : Pension & advocate practices.

(a )spouseg : Salary from government.

( 10 ) My ediicational qualification is as under:-

Sl.No. Narft of college

g

Name of university Highest educationalqualification

Year ofcompletion ofcourse

1 St, Anthony's CollegeE

North Eastern HillsUniversity

Bechalor of Art Degree 1981

2 TurdLaw Collegeg

North Eastern HillsUn iversity

LL.B. Degree 1989

{

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MRS. J. dATI^ RoYREGD NO,5N5

E. x. Httrs

g?t

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IPART4ETffiT MEGHALAYA(u) msrnaf,r oF rHE DErAtrs GtvEn tN (1) ro (1o) oF eART-A-

03AA 176748

Sl.No. Naqe of the candidate Shri. Masterson Kharbyngar,L Full postal address

fl

C/O. Smti. Jinabalinda Kharbyngar,Nongmadan-Smit Village, P.O.-Smit. Shillong-793015.

2 Number and name of the constituency and state 22-Nongkrem (ST), Meghalaya.3 Na$e of the political party which set up the

candidate ( otherwise write "lndependent"lndependent

4 (i) Total number of pending cases where chargeshavd been framed by the Court for offencespunishable with imprisonment for two years ormor$

Nil

(ii) Total number of pending cases where theCoufrt(s) have taken cognizance ( other than thecases mentioned in item (i) above 1

Nit

5 Totf number of cases in which convicted andsentenced to imprisonment for one year or more (excglt for offences reffered to in sub-sections (1),(Z) dr (:) of section 8 0f Representation of PeopleAct,el951

Nit

5 PAN of Year for which lastincome tax return filed.

Total incomeshown

(a) Gandidate ELLPK3831H Not applicable Nit(b) dpouse Nit Not applicable I ltlil

7

ii

il

MRS. J. trATlA ROY

REGD NO. 5/16

E. (. HlrLs

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(c) Dependent-l AFX|17880N I ot applkable it

E-l ltiliuF&enddmFzlf A ! AYf. AGI?17769K I t{ot applicable N*ro r r A-r-rn<7 Details of Assets and Uabalities ln Rupees

\) t,,-r1l'l "fI I t-

Description 5elf Spouse ' tlependent-1- Dependent-2A Movable Assets ( Total value ) t2,7L,200 138,28s 87,940 6L,842B lmmovable Assets

I Purchase price of self-acquiredimmovable property

Nil 125,000 Nil Nil

il Development/constructioncost of immovable propertyafter purchase

NiI 57,37,500 Nil Nil

lt

I

Approximate current marketprice of :-(a) self-acquired assets (totalvalue)(b) lnherited assets (TotalValue )

Nil

Nil

60,62,500

72,ON

Nil

Nil

Nil

Nil9 Liabilities

I Government dues (Total) Nil Nil Nil NilLoans from Bank, Financiallnstitutions and others (Total)

Nil Nil Nil Nil

10 Liabilities that are underdispute

I Government dues (Total) Nil Nil Nil Nillt Loans from Bank, Financial Nil Nil Nil Nil

5

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g

URS. J. DATTA ROYRteo No. srs

g! x. HttLs

i n st, tuU ors o,,d o-lhen(l'o'td)

iqlf,qT MEGHALAYA 02AA i4410211 Highest educational qualification:

the full form of the certificate/dipkthe year in which the cours was o

(Give details of hShest schoolfuniversity educatbn mentioning)maldegree course, name of the SchoollCollege/University andompleted)

5t.

No.

Name of College Name of University Hqhesteducationalqualrfication

Year of completionof cou rse

,1

St. Anthony's College North Eastem HillsUn iversitv

Bachelor of ArtsDegree

198'1

2 Tum Law College North Eastem HillsUn ivemily

LL. B. Degree '1989

VERIFICATION

l, the deponent above named, do hereby veriff and dedare that the contents of this affidavit are trueend corect to the best of my knowledge and belief and no part of it is false and nothing material has beenconcealed thercfrom. I furtherdeclare thaL-

1 , There is no case of conviction or pending c€se against me other than those mentioned in items 5and 6 of Part A and Part B above:

2. l, my spouse, or my dependents do not have any asset or liability, other than those mentioned initems 7 and 8 of PartA and items 8. 9 and 10 of Part B above.

Verified at Shillong this the 6e day of February, 2018.

n Kharbyngar)

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DEPONENT

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iqrmqT MEGHAL,$6S.RE rHE NorARy puBlrc:: Ar sHrrlofr&A 937585

Addltional Affidavit to be submitted bv the candidate

Election to the Meghalaya Legislative Assembly (Name of House)

from 22- Nongkrem Constituency.

I, SHRI. MASTERSON KHARBYNGAR, son of (L) Spo kharumnuid,aged abcut 59 years, resident of Tyngnger Village, P.O. & p.S Mawsynram,

trast Khasr Hil1s District, Meghalaya, a candidate at the above election, do

solemnly affirm and state on. oath as under:-

1. I have not been allotted any Government accommodation at anytime during the period of last 1O years prior to the date of

, notiflcation ofthe current election.

lr1

1\

si\

Or

2. I L:rave been allotted Goverument accommodation at(mentioned the address of the accommodation) duringlast 10 years prior to the date of notrfic:rtion of the current election,

and there are no arrears of any dues to be paid to$,ards rent for the

accommodation or any area to the agency providing electricity, water

_,t l*the period of

MRS, J. OATTARE6D N0. st16

E. t(. HttLs

ard telephone at the said accomrnoclation as on -AlE -.the

date