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FORM C [See section 134] RETURN OF ELECTION EXPENSES Election to the Senate from__________________ (Province/Areas)/ National Assembly / Provincial Assembly of the Punjab/ Sindh / Khyber Pakhtunkhwa / Balochistan No. and Name of Constituency _______________________________________ Name of the candidate __________________________________________________________ Address of the candidate_________________________________________________________ 1[CNIC number ________________________________________________________________ Name of Bank and Address ________________________________________________________ Account number or IBAN _________________________________________________________] PART A.—Account of Election Expenses Date on which Nature of Amount of expenditure expenditure was expenditure incurred or The amount paid (i) The amount Total of (i) and (ii) authorized. outstanding (ii) (a) (b) (c) PART B.—Account of unpaid claim/Outstanding amount. Nature of claim/ Date of claim/outstanding amount. Amount of claim/outstanding amount outstanding amount. (b) (c) (a) PART –C: Attach bank statement of the account opened by the candidate showing all transactions made by the candidate from that account. Place_______________________ Date_______________________ 1Added by Act No. XLIV of 2023, s. 55. Signature of the candidate Page 121 of 122

Effective date: 2017-10-02

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