BEFORE THE HON’BLE COURT OF JUDICIAL MAGISTRATE IST

CLASS PATTAN.

In the Case of:-

Mst.Bhat Mehmooda.
Applicants…
Versus

Umer Ahmad Bhat

Non-Applicant
IN THE MATTER OF:
Affidavit of Assets and Liabilities of Deponent.
I Mst Bhat Mehmooda (aged 30 Years) D/O Abdul Gani Bhat W/o: Umer
Ahmad Bhat R/o Yarigund Kawoosa presently at Seru dangerpora District
Baramulla,with her bother do hereby declare on oath as under:
A. PERSONAL INFROMATION:
1. Name: Mst. Bhat Mehmoodas
2. Age/Sex: Female
3. Qualification:
4. Whether the applicant is staying in Staying with his brother at his parental
the matrimonial house/parental home
home/separate residence:
5. Date of Marriage: 2021
6. Date of Separation:
7. General monthly expense of the
applicants (rent, household 30,000
expenses, medical bills,
transportation etc.)

B. DETAILS OF INCOME OF THE DEPONENT:

1. Name of Employer: NA
2. Designation: N/A
3. Monthly Income: NA
4. If engaged in Govt. Service than N/A
provide salary slip:
5. If engaged in Pvt. Co. furnish N/A
certificate provided by the employer:
C. MEDICAL DETAILS OF DEPENDENT AND OR DEPENDENT FAMILY
MEMBER:
 1. Whether either party or Cardiac Problem, LBA etc
child/children is suffering from any
physical/mental disability or any
other serious ailment:
2. Whether any dependent family NA
member has serious disability
requiring continuous medical
expenditure:
3. Whether either party or children or NA
any other dependent family member
is suffering from life threatening
disease which would entail expenses
and regular medical expenditure:
4. Whether order or maintenance N/A
passed earlier proceedings has been
complied or not:
5. Whether any voluntary contribution NA.
towards maintenance has been
made/will be made in the future:
D. DETAILS OF LEGAL PROCEEDINGS AND MAINTENANCE BAING PAID:
1. Particulars of any on-going past N/A
legal proceedings with respect to
the maintenance between the
applicant and non-applicant:
2. Whether any maintenance has been DV Case is Pending and maintenance not
paid or awarded under D.V Act, yet passed.
Cr.P.C, HMA Act. Etc.
3. If so provided furnish copy of order: N/A
4. Whether the order of maintenance N/A
passed earlier has been complied or
not:
5. Whether any voluntary contribution NA
has made or not:
E. DETAILS OF THE CHILDREN OF THE PARTIES:
1. Name of the child: NA
2. Number of children: NA
3. Details of parent who has custody of NA
the child/children:
4. Expenditure for maintenance: NA
 5. Food, Cloths and medical NA
expenditure:
6. Education expenditure: NA
7. Extra education or vocational N/A
expenditure or educational course:
8. Details of loan, mortgage, charge N/A
incurred or installment plan:
9. Whether any financial support is N/A
being provided by third party:
10. Whether any voluntary contribution No
by either party is being made
towards these education
expenditures:

F. ASSETS MOVABLE OR IMMOVABLE OWNED BY THE DEPONENT:

1. Self-acquired property: N/A
2. Joint property: N/A
3. Share in ancestral property: N/A
4. Other joint property of the NA/
parties/accounts/investment etc.:
5. Status of possession of property: NA/
6. Details of loan: N/A.
7. Brief description or Jewelry: NA
8. Details of transfer deeds or N/A
transactions of properties of the
parties provided or owned by the
parties:
G. INFORMATION PROVIDED BY THE DEPONENT WITH RESPECT TO THE
INCOME, ASSETS AND LIABILITIES OF OTHER SPOUSE:
1. Educational and professional MA. B,Ed
qualification of spouse:
2. Whether spouse is earning: Yes
3. Whether he is staying in rented or Own accommodation
own house accommodation:
4. Particulars of assets and liabilities of Rs. 15,000/- PM Income from private
spouse along with any other job & Rs.10,000/-Pm from tuition &
documents: Rs.15,000/-Pm from other agricultural
sources.
DECLARATION:
1. I declare that I have made a full and accurate disclosure of my income,
expenditure assets 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 included in this affidavit.
3. I undertake that nay false statement in this affidavit apart from being contempt
of court may also constitute an offence under section 199 read with section 191
and 193 of Indian Penal Code and punishable with imprisonment up to 07 years
and fine and section 209 of Indian Penal Code with imprisonment up to 02 years
and fine. I have read and understood section 191,193,199 and 209 of Indian
Penal Code, 1860.
Deponent

VERIFICATION:
Verified Today on 15-02-2023 at JMIC Pattan, that the averments made in this
Affidavit are true and correct to the best of my knowledge and belief and nothing
material has been concealed herein. I also verify that the copies of the documents filed
along with the affidavit are the copies of the original.

Identified by:
Deponent.