BEFORE THE FIRST CLASS MAGISTRATE AFFIDAVIT I, Smt.

Malancha Rani Biswas Un-married daughter of Late Makhan Lal Biswas Ex. Clerk of S.T. Stn., Howrah By faith Hindu Occupation Nil Un-employed daughter of Late Makhan Lal Biswas date of birth 10-10-1958 Residing at Santinagar,Hanskhalipole P.O. Danesh Sk. Lane, P.S. Sankrail, District Howrah (West Bengal) do hereby solemnly affirm and declare as follows :1.) That my father Late Makhan Lal Biswas was an employee of the Eastern Railway under the Ministry of Railways and worked as Clerk under S.T. Stn., Howrah/E.Rly.. He expired on 28.08.1976. Contd.on p/2

In case of widowed daughter :2) That I was married with Shri .. On .(Subsequently expired on .) resident of Vill/Town..P.O P.S District ..State .. Occupation.. Details of occupation of deceased husband :a) Name .. b) Designation of employer address.. In case of Divorced daughter :That I was married with Sri .on resident of Village/Town.P.O..P.S .. DistrictState.By occupation. Details of occupation of Divorced Husband:a) Name . b) Designation of employer address c) Subsequently divorced . with full on with full

In this respect I am drawing Rs. ../P.M. as maintenance cost.

That I have also received /at the time of divorce.

lump-sum

amount

of

Rs.

3) That presently my earnings per month are Rs. - Nil/P.M. from the following sources:a) Income from House property of deceased husband/father/father-in- law/mother-in-law/self Rs. - Nil b) Income from savings/FD/MIS/etc. from Bank/P.O. /PSU etc. Nil Income from Central/State Govt./Private Sector From (salary/family pension) Rs. Nil c) Income from business/profession Rs. - Nil (d)Income from capital gains Rs. Nil (e) Income from any other sources Rs. Nil (not covered by the clauses ((a) to (c) 1. That I have not re-married after death of / divorced from my husband.

DEPONENT