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Affidavit of Assets and Liabilities for Non-Agrarian Deponents

I Dr. Shabir Ahmed S/o Mohd Hanief, aged 35 years, resident of


Parat Tehsil Mendhar Distt. Poonch, do hereby solemnly affirm and declare as
under:

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/-

B. Details of Legal Proceedings and Maintenance being paid


1. Particulars of any ongoing or past legal proceedings with respect to maintenance
or child support between the Applicant and Non-Applicant.

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.

Order Complied subject to modification.


5. Whether any voluntary contribution towards maintenance has been made/ will be
made in the future? If yes, provide details of the same.
N.A.

C. Details of dependant family members


1. Details of Dependant family members, if any.
Amina Shabir D/o Dr Shabir Ahmed Aged 5 years.
Rehmina Shabir D/o Dr Shabir Ahmed Aged 4 years.
Tanvir Ahmed Aged 25 years (brother)

6. Disclose if any independent source/s of income of the dependants, including


interest income, assets, pension, tax liability on any such income and any other
relevant details.
Nil
7. The approximate expenses incurred on account of the dependant.

Rs 25000/-

D. Medical details if any, of the Deponent and/or dependant family members

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

Amina Shabir D/o Dr Shabir Ahmed Aged 5 years.

Rehmina Shabir D/o Dr Shabir Ahmed Aged 4 years.


2. Name and age of children
Amina Shabir D/o Dr Shabir Ahmed Aged 5 years.
Rehmina Shabir D/o Dr Shabir Ahmed Aged 4 years.
3. Details of the parent who has the custody of the children.
Dr Shabir Ahmed (father)
4. Expenditure for maintenance of dependant children.
a. Towards food, clothing and medical expenses
Rs.3000/-
b. Towards expenses for education, and a summary of general expenses
Rs.3000/-
c. Towards expenses, if any, of any extra educational, vocational or professional
/ educational course, specialised training or special skills programme of
dependent children.

Tuition +religious studies = Rs 1500/- per daughter.


d. Details of any loan, mortgage, charge incurred or instalment plan (being paid
or payable), if any, on account of any educational expenses of children.
Nil
5. Whether any voluntary contribution by either of the parties is being made towards
these educational expenses. If yes, provide details of the same. Also provide an
estimate of any additional contribution that may be required.
Nil
6. Whether any financial support is being provided by a third party for the
educational expenses of the children?
Nil
F. Details of Income of the Deponent
1. Name of employer: Dr Shabir Ahmed
2. Designation:_Doctor-BDS
3. Monthly income: Rs 50,000/-
4. If engaged in Government Service, furnish latest Salary Certificates or current
Pay Slips or proof of deposit in bank account, if being remitted directly by
employer.

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

G. Assets (movable and immovable) owned by the Deponent


1. Self-acquired property, if any: residential house
2. Properties jointly owned by the parties after marriage: NIL
3. Share in any ancestral property: NIL
4. Other joint properties of the parties (accounts/ investments/ FDR/ mutual funds,
stocks, debentures etc.), their value and status of possession: NIL
5. Status of possession of immovable property and details of rent, if leased: NIL
6. Details of loans taken or given by the Deponent- 23 Lakh from J&K Bank
Mendhar.
7. Brief description of jewellery and ornaments of parties acquired during /after
marriage- Jewellery amounting to Rs 2,30,000/- and a kitty set of Rs
1,85,000/-.

8. Details of transfer deeds or transactions of alienation of properties previously


owned by the applicant, executed during the subsistence of the marriage. Also
provide brief reasons for such sale or transaction, if any.
NA

H. Details of Liabilities of the Deponent


1. Loans, liabilities, mortgage, or charge outstanding against the Deponent, if any.
YES
2. Details of any EMIs being paid.
Rs. 18,200/-
3. Date and purpose of taking loan or incurring any such liability:
November 2021 for construction of residential house.
4. Actual amount borrowed, if any, and the amount paid upto date of filing the
Affidavit:

23 Lakh out of which 1 lakh 63,800 has been paid.


5. Any other information which would be relevant to describe current liabilities of
the Deponent.

Monthly rental of clinic Rs 9000/- , Rs 7100/- for loan purpose.

A. Self-employed persons / Professionals / Business Persons / Entrepreneur


1. Brief description of nature of business/profession/vocation/self-employed/work
activity._Dental-Doctor.
2. Whether the business/profession/ self-employment is carried on as an individual,
sole proprietorship concern, partnership concern, LLP, company or association of
persons, HUF, joint family business or any other form? Give particulars of
Applicant’s share in the partnership/business/ professional association/self-
employment. In case of partnership, specify the share in the profit/losses of the
partnership. As an individual.
3. Net Income from the business/profession/ partnership/self-employment.
Rs 50,000/- only.
4. Business/partnership/self-employment liabilities, if any, in case of such activity.
Rs. 18,200+7100+2000+6000+9000= Rs 42,300/-
5. In case of business of company, provide brief details of last audited balance sheet
to indicate profit and loss of the company in which such party is in business in the
company. NIL
6. In case of a partnership firm, provide details of the filings of the last Income Tax
Return of partnership. NIL
7. In case of self-employed individual, provide the filings of the last Income Tax
Return from any such professional/business/vocational activity.
Copy enclosed for the year 2022-23.

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

1. I declare that I have made a full and accurate disclosure of my income,


expenditure, assets and liabilities from all sources. I further declare that I have
no assets, income, expenditure and liabilities other than as stated in this
affidavit.
2. I undertake to inform this Court immediately with respect to any material
change in my employment, assets, income, expenses or any other information
included in this affidavit.
3. I understand that any false statement in this affidavit, apart from being contempt
of Court, may also constitute an offence under Section 199 read with Sections
191 and 193 of the Indian Penal Code punishable with imprisonment upto seven
years and fine, and Section 209 of Indian Penal Code punishable with
imprisonment upto two years and fine. I have read and understood Sections 191,
193, 199 and 209 of the Indian Penal Code, 1860.

DEPONENT

Verification

Verified at on this day of that the contents of the above affidavit


are true to my personal knowledge, no part of it is false and nothing material has
been concealed therefrom, whereas the contents of the above affidavit relating
to the assets, income and expenditure of my spouse are based on information
believed to be true on the basis of record. I further verify that the copies of the
documents filed along with the affidavit are the copies of the originals.

DEPONENT

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