Self Profession:Wage
Spouse Profession:Wage
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| Received From | Details | Total | |
| i | Amount of own fund used for the election campaign | Nil | |
| ii | Lump sum amount received from the party (ies) in cash or cheque etc. | Nil | |
| iii | Lump sum amount received from any person/ company/ firm/ associations / body of persons etc. as loan, gift or donation etc. | 3,000 3 Thou+ 8,000 8 Thou+ 10,000 10 Thou+ 4,000 4 Thou+ | 25,000 25 Thou+ |
| iii | Total Given by Candidate (Enter this total only if breakup is not given in the columns above) | Nil | |
| Total | 62,937 62 Thou+ | ||
| Expenses | ok |