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Of the constituency) I, ----------------------, son/daughter/wife of ------------------------------- aged about -------------------------years, resident of ---------------------------------------------------candidate at the above election, do hereby solemnly affirm/state on oath as under:1. I am/am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has/have been framed by the court(s) of competent jurisdiction. If the depon.

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