Form D: Form D

FORM D [See section 210] CONSOLIDATED STATEMENT OF ACCOUNTS OF A POLITICAL PARTY AUDITED BY A CHARTERED ACCOUNTANT Name of Political Party______________________________________________ Financial year____________________ Statement of accounts audited by a Chartered Accountant under section 210 of the Elections Act, 2017 is attached, showing inter-alia: (1) Income/ receipts during the year with source of funds; (2) Total expenses for the year with details of expenditure; and (3) Total assets and liabilities at the beginning and end of the financial year. Name, signature & stamp of Charted Accountant ICAP’s membership number_________________ It is certified that: (i) No funds were received by the party from any source prohibited under the Elections Act 2017. (ii) The statement of accounts contains an accurate picture of the financial position of the party. (iii) The information given above is correct to the best of my knowledge and belief. (iv) The above statement is audited by the Charted Accountant and detailed report thereof is annexed. Date: ____________________________ Name, Signature and seal on behalf of the party RGN Date: 08-10-2024 Page 122 of 122

Effective date: 2017-10-02

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