Insertion a new Schedule

In the principal Act, after the existing “The third Schedule” the following “Fourth Schedule” shall be inserted, namely :-

“FOURTH SCHEDULE” Affidavit to be furnished by candidate along with nomination paper before the Returning Officer for election as Commissioner of a Municipal Board. District........................Ward No...........Name, if any........................ I,........................................son/daughter/wife of............................................................ age................ years, resident of ......................................................................................... candidate at the above election, do hereby solemnly affirm and state on oath as under :- (Strike out whichever not applicable)

1. (1) I have in the past been convicted of criminal of offence in the following case the details are as under :-
   • (i) Case No.
   • (ii) Section of the Act and description of the offence for which convicted,
   • (iii) Dates of conviction.
   • (iv) Courts by which convicted,
   • (v) Punishment imposed (indicate period of imprisonment, awarded and/or quantum of fine imposed).
   • (vi) Details of appeals/revision, etc. filed against above conviction ,
2. (2) That I have in the past been discharges/acquitted in the following cases
   • (i) Section of the Act description of the offence with which charges.
   • (ii) Case No.
   • (iii) Name of the Court by which acquitted/discharged,
   • (iv) Date of acquittal/discharge,
   • (v) Details of appeal /application for revision/review, if any, filed against above acquittal/discharge.
3. (3) That I have, in the period ending six months prior to the date of filling the present nomination, been accused of the following offences punishable with imprisonment with two years or more, and in which a charge has been framed or congnizance taken by the Court as indicated hereunder :- (Note :- This excludes the cases mentioned in (1) and (2) above)
   • (i) Section of the Act and description of the offence with which charges/congnizance taken.
   • (ii) The Court which has framed the charge/taken congnizance.
   • (iii) Case No.
   • (iv) Date of order of the Court framing charge/taking congnizance.
   • (v) Details of appeal /application for revision, etc., if any, filed against above order framing charge/taking congnizance.
4. (4) That I give herein below the details of the assets (Immovable, Movable, Bank balance, etc.) of myself, my spouse and dependents. A. Details of moveable assests :- Assets in joint name indicating the extent of joint ownership will also have to be given :- Sl. No. Description Self Spouses Names Dependent-1 Name Dependent-2 Name Dependent-3 etc. Name (1) (2) (3) (4) (5)
5. (6) (7)
   • (i) Cash,
   • (ii) Deposit in Banks, Financial Institutions and Non-Banking Financial Companies,
   • (iii) Bonds Debentures and shares in companies.
   • (iv) Other Financial Instruments, NSS, Postal Savings, LIC Policies, etc.,
   • (v) Motor Vehicles (Details of make etc).
   • (vi) Jewellery (give details of weight and value).
   • (vii) Other assets such as values of claim/interests. Note :- 1. Dependent here means a person substantially dependent on the income of the candidate. 2. Value of bonds/Shares/Debentures as per the latest market value in Stock Exchange in respect of listed companies and as per books in the cases of unlisted companies should be given. B. Details of Immovable Assets : (Note :- Properties in Joint ownership indicating the extent of joint ownership will also have to be given.) Sl. No. Description Self Spouses (1) (2)
6. (3) (4) 1. Agricultural Land Locations Survey numbers Extent (Total measurement) Current market value). 9
   • (ii) None- Agricultural Land -Locations -Survey/door numbers -Extent (Total measurement) -Current market value.
   • (iii) Building (Commercial and residential, Location Survey/door number -Extent (Total measurement) -Current market value.
   • (iv) Houses/Apartments, etc. -Location -Survey/ door number -Extent (Total measurement) -Current market value.
   • (v) Other (Such as interest in property).