Final Cover Election Expenditure - Election Commission of India

Final Cover Election Expenditure - Election Commission of India Final Cover Election Expenditure - Election Commission of India

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Annexure-56Format for submission of information by persons carrying cash, found at……………………………………..(Place), Dt………………………..Time…………..Name and full address of thePerson/ Persons(Photocopy ofIdentity proof to be enclosed)Proof of residence/office/business addressperson(Copies enclosed)Amount of cash and its source,like the copy of the bankwithdrawal slip, Bank passbooketc. (copies enclosed)Purpose for which the cash isbeing carried and any proofthereof.I do hereby declare that the above information is true to the best of my knowledge and Ifurther declare that this amount shall not be used for the purpose, other than mentionedabove.SignatureName and Designation of I/C Officer of the Surveillance TeamSignatureDate and time176

Annexure-56Format for submission <strong>of</strong> information by persons carrying cash, found at……………………………………..(Place), Dt………………………..Time…………..Name and full address <strong>of</strong> thePerson/ Persons(Photocopy <strong>of</strong>Identity pro<strong>of</strong> to be enclosed)Pro<strong>of</strong> <strong>of</strong> residence/<strong>of</strong>fice/business addressperson(Copies enclosed)Amount <strong>of</strong> cash and its source,like the copy <strong>of</strong> the bankwithdrawal slip, Bank passbooketc. (copies enclosed)Purpose for which the cash isbeing carried and any pro<strong>of</strong>there<strong>of</strong>.I do hereby declare that the above information is true to the best <strong>of</strong> my knowledge and Ifurther declare that this amount shall not be used for the purpose, other than mentionedabove.SignatureName and Designation <strong>of</strong> I/C Officer <strong>of</strong> the Surveillance TeamSignatureDate and time176

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