I, Candidate name : |
Mohit Kumar Nath |
Date of Birth : |
|
Father/husband`s name : |
চারু চন্দ্র নাথ |
Mother`s name : |
শান্তি দেবনাথ |
Address : |
৩৩৪, নিউ বেজপাড়া রোড পশ্চিমাংশ, ডাকঘরঃ যশোর-৭৪০০, জেলাঃ যশোর। |
From the constituency of : Name and number of the constituency |
৮৭, যশোর-০৩ |
Intend to contest in the parliamentary election as a candidate. I am declaring by sworn that,
- 1. My highest educational qualificationস্ব-শিক্ষিত-and I enclosed herewith a copy of certificate.
-
2. A. I am not accused in the criminal case X Yes : No ? (if applicable put a tick mark)
Or
B. I am accused in the criminal case and details are as follows :
Sl. |
Laws and sections in which case have been filed |
Name of the court |
Case Number |
Present status of the case |
-
3. A. In the past, no criminal case have been filed against me Yes : No ? (if applicable put a tick mark)
Or
B. Criminal case or cases have been filed against me in the past and the results :
Sl. |
Laws and sections in which case have been filed |
Name of the court |
Case Number |
Results |
4/ My profession:-
১ম শ্রেণীর ঠিকাদার, যশোর পৌরসভা, আমদানী-রপ্তানীকারক ও সরবরাহকারী
5/ Dependent’s and my income source/sources :-
SL |
Source of income |
Candidate’s annual income from the source |
Dependent`s income |
1 | business | 684900 | |
6/ Myself, person/persons dependent on me and my wife/husband`s assets and liabilities statement
( নগদ টাকা, বৈদেশিক মুদ্রা (মুদ্রার নামসহ), ব্যাংক ও আর্থিক প্রতিষ্ঠানে জমাকৃত অর্থের পরিমাণ,
বন্ড, ঋণপত্র, স্টক একচেঞ্জে তালিকাভুক্ত ও তালিকাভুক্ত নয় এমন কোম্পানীর শেয়ার (পরিমাণ, অর্জনকালীন সময়ের মূল্যসহ)
পোষ্টাল, সেভিংস সার্টিফিকেটসহ বিভিন্ন ধরণের সঞ্চয় পত্রে বা স্থায়ী আমানতে বিনিয়োগ
বাস, ট্রাক, মটর গাড়ী ও মটর সাইকেল ইত্যাদির বিবরণী (পরিমাণ, অর্জনকালীন সময়ের মূল্যসহ)
স্বর্ণ ও অন্যান্য মূল্যবান ধাতু ও পাথর নির্মিত অলংকারাদি (পরিমাণ, অর্জনকালীন সময়ের মূল্যসহ)
ইলেকট্রনিক সামগ্রী (পরিমাণ, অর্জনকালীন সময়ের মূল্যসহ)
আসবাবপত্রের বিবরণী মূল্যসহ অন্যান্য)
(A) Intangible assets
SL |
Description of assets |
In own name (amount) |
In own name (price) |
In wife/husband`s name (amount) |
In wife/husband`s name (price) |
In dependents name (amount) |
In dependents name (price) |
1 | cash_taka | 2200000 | |
1 | gold_ornaments | 10000 | |
1 | electronic_goods | 130000 | |
1 | furnitures | 110000 | |
(If the dependents are much more in number, information has to be provided in additional pages)
(B) Tangible assets
SL |
Description of assets |
In own name (amount) |
In own name (price) |
In wife/husband`s name (amount) |
In wife/husband`s name (price) |
In dependents name (amount) |
In dependents name (price) |
Joint owner (amount) |
Joint owner (price) |
Candidate`s share in case of joint ownerships (amount) |
Candidate`s share in case of joint ownerships (price) |
1 | cultivated_land | | ৩ বিঘা পৈত্রিক সূত্রে প্রাপ্ত |
1 | noncultivated_land | 853500 | ৩.৫ শতক |
1 | building | 500000 | ১/৪ অংশ পৈত্রিক সূত্রে প্রাপ্ত |
1 | house_apartment | 7359000 | ১/২ অংশ ৪র্থ তলা বাড়ী |
(If the dependents are much more in number, information has to be provided in additional pages)
(C)Liabilities
And describe the nature of the liability |
Quantity |
|
|
7/ A. I have never been elected as member of national parliament (Jatiyo Sangshad)
Or
B. I have elected as member of the national parliament previously. Description of my commitment to the voters in previous election and the achievement I have been made ( if applicable)
Serial number |
Commitments |
Achievements |
8/ Loan related information ( Unnecessary part could be cut off)
A. I did not take any loan from the bank or financial institutions individually or jointly or any member who is dependent on me as being the chairman, Managing director or director of any bank or financial institutions
Or
B. I have taken the loan from the bank or financial institutions individually or jointly or any member who is dependent on me as being the chairman, Managing director or director of any bank or financial institutions which as follows :
Types of loans
|
Name of the bank/Financial institutions |
Amount of loan |
Amount of defaulted loan(if any)
|
Last date of rescheduling the loan (if any) |
|
|
|
|
|
I am saying by sworn that all the information provided in the affidavit and enclosed documents are correct and true according to my belief and knowledge.।
Date :
Signature/thumb impression of the nominated candidate
I do hereby Mr. /Mrs. : |
মোহিত কুমার নাথ |
Date of Birth: |
|
Father/husband`s name : |
চারু চন্দ্র নাথ |
Mother`s Name : |
শান্তি দেবনাথ |
Address : |
৩৩৪, নিউ বেজপাড়া রোড পশ্চিমাংশ, ডাকঘরঃ যশোর-৭৪০০, জেলাঃ যশোর। |
The Mr. / Mrs. (name identifier) : |
এডভোকেট জি. এম. আবু মুসা |
Address : |
জজকোর্ট, যশোর। |
With today being detected
As stated above, upon oath before me on the affidavit has to offer.
Date of information : 2023-11-30
Information sources : According to the Election Commission has prepared this report based on Discounts