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election commission of india - Association for Democratic Reforms

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Annexure-IAffidavit to be furnished by candidate alongwith nomination paperBe<strong>for</strong>e the Returning Officer<strong>for</strong> <strong>election</strong> to _________________________ (name <strong>of</strong> the House)from ___________________________ constituency( name <strong>of</strong> the constituency )I, ___________________________, son/daughter/wife <strong>of</strong> ________________________aged _____ years, resident <strong>of</strong> ____________________________________________,candidate at the above <strong>election</strong>, do hereby solemnly affirm and state on oath as under:-(Strike out whichever not applicable)(1) The following case(s) is/are pending against me in which cognizance has beentaken by the court:-(i)Section <strong>of</strong> the Act and description <strong>of</strong> the <strong>of</strong>fence <strong>for</strong> which cognizancetaken :(ii) The Court which has taken cognizance :(iii) Case No. :(iv) Date <strong>of</strong> order <strong>of</strong> the Court taking cognizance :(v)Details <strong>of</strong> appeal(s) / application(s) <strong>for</strong> revision, etc., if any, filed againstabove order taking cognizance :10

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