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Pawan Kumar

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3.(i)(ii)(iii)(iv)(v)(vi)(vii)Was any aPPeal/aPPlication for :i."itioti frieO against above ConvictionRef,"r"t'c"mofaPFauaPPtication :for revision filed,If anY';;* oir,nittg of such appeal/application:For revison.Nu*. of the court before which the :npp"uVuBplication for revision filed'-ffretf,erEesaid appeal/application :For revision has been disposed ot orPending.If disposed of :-(a) Date of disPosaliti Nrt*. of order Passed:ttte pe"Oe"cy of appeaVappliciationfor revision.iii"t , period during which remained on:Bail.Trlo1..laDisposed of /Pending' !o(o!opo4.5.PART-II( In formation under sr"tlorrTl A(1) of the Haryana Municipal Act'1973)Have you ever been disqualified by or under any :i;;i;4" time being i" fot"" for the purposes of;;; to the Legislature of the State of Haryana'Have your ever been disqualified by or under any :ir*rn"d. by the Legislaiure of the State of Haryana'YesA{o /Yes/No /PLACE:KalanaurDATE I lo5/20l3R"-^/Signature of the candidateYesNorflo,,#mPffiF;ts((t6s),fu:lrr

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