Enclosures
Enclosures
Enclosures
A. Personal Information
1. Name: Shabir Ahmed
2. Age/Sex: 35 years/ male
3. Qualifications (Educational and Professional): 10+2 BDS
4. Whether the Applicant is staying in the matrimonial house / parental home /
separate residence. Please provide the current residential address of matrimonial
home or place of residence and details of ownership of residence, if owned by
other family member.
Deponent is residing in her parental home at House No. 186 Ustadh Mohalla
Jammu.
5. Date of marriage: 01-01-2016
6. Date of separation: 28-04-2022
7. General monthly expenses of the Applicant (rent, household expenses, medical
bills, transportation, etc.): 3000/-
Yes, Case titled Sabahat Sanna V/s Dr Shabir Ahmed & Ors pending in the
court of Special Mobile Magistrate Jammu.
2. Whether any maintenance has been awarded in any proceeding arising under the
D.V.Act, Cr.P.C., HMA, HAMA, etc.? If yes, provide details of the quantum of
maintenance awarded in the proceedings.
Yes. Rs 9000/- per month awarded under D.V Act.
3. If so, provide particulars thereof, along with a copy of the Order/s passed.
Copy of order attached.
4. Whether the Order of maintenance passed in earlier proceedings has been
complied with. If not, arrears of maintenance.
Rs 25000/-
1. Whether either party or child /children is suffering from any physical / mental
disability, or any other serious ailment. If yes, produce medical records.
Nil
2. Whether any dependant family member has serious disability, requiring
continuous medical expenditure. If yes, produce disability certificate and
approximate medical expenditure incurred on such medical treatment.
Nil
3. Whether either party or child/children or any other dependent family member is
suffering from life-threatening diseases, which would entail expensive and
regular medical expenditure? If yes, provide details of the same along with
summary of previous details of hospitalisation/medical expenses incurred.
Nil
E. Details of Children of the parties
1. Number of children from the existing marriage / marital relationship/ previous
marriage
NA
5. If engaged in the private sector, furnish a certificate provided by the employer
stating the designation and gross monthly income of such person, and Form 16
for the relevant period of current employment.
NA
6. If any perquisites, benefits, house rent allowance, travel allowance, dearness
allowance or any other service benefit is being provided by the employer during
the course of current employment.
NA
7. Whether assessed to income tax?
YES
If yes, submit copies of the Income Tax Returns for the periods given below :
(i) One year prior to marriage
NA
(ii) One year prior to separation
Copy attached for 2021-22
(iii) At the time when the Application for maintenance is filed
May 2022, copy attached
8. Income from other sources, such as rent, interest, shares, dividends, capital gains,
FDRs, Post office deposits, mutual funds, stocks, debentures, agriculture, or
business, if any, alongwith TDS in respect of any such income.
Nil
9. Furnish copies of Bank Statement of all accounts for the last 3 years.
Copies attached for the last 3 years
B. Information provided by the Deponent with respect to the income, assets and
liabilities of the other Spouse
1. Educational and professional qualifications of the other spouse:
B.A-B.ED
2. Whether spouse is earning? If so, give particulars of the occupation and income
of the spouse. NIL
3. If not, whether he/she is staying in his/her own accommodation, or in a rented
accommodation or in accommodation provided by
employer/business/partnership?
With parents in free accommodation.
4. Particulars of assets and liabilities of spouse as known to the deponent, alongwith
any supporting documents.
NIL
C. Details of Applicant or the other Spouse, in case parties are Non-Resident
Indians, Overseas Citizens of India, Foreign Nationals or Persons living abroad
outside India. NIL
1. Details of Citizenship, Nationality and current place of residence, if the Applicant
or other spouse is residing abroad outside India, temporarily or permanently.
2. Details of current employment and latest income in foreign currency of such
applicant/spouse, duly supported by relevant documentation of employment and
income from such foreign employer or overseas institution by way of
employment letter or testimonial from foreign employer or overseas institution or
latest relevant bank statement.
3. Details of household and other expenditure of such applicant/spouse in foreign
jurisdiction.
4. Details of tax liability of applicant/other spouse in foreign jurisdiction.
5. Details of income of applicant/other spouse from other sources in India/foreign
jurisdiction.
6. Details of expenses incurred or contribution made on account of spousal
maintenance, child support or any other educational expenses, medical treatment
of spouse or children.
7. Any other relevant detail of expenses or liabilities, not covered under any of the
above headings and any other liabilities to any other dependant family members
in India or abroad.
Declaration
DEPONENT
Verification
DEPONENT