| Part A: probable income from self |
| Probable income amount |
Source of income |
|
| Part B: probable loan from relatives |
| Probable income amount |
Name of relative |
Address of relative |
Relation |
Source of income of relative |
|
| Part C: probable income through voluntary gift from relatives |
| Probable income amount |
Name of relative |
Address of relative |
Relation |
Source of income of relative |
|
| Part D: probable loan from the persons other than relatives |
| Probable income amount |
Name of the person |
Address of the person |
|
| Part E: probable income through voluntary gift from the persons other than relatives |
| Probable income amount |
Name of the person |
Address of the person |
|
| Part F-political party / organization / association of the money received on account of voluntarily giving |
| Probable income amount |
Political party / organization / association name |
Political party / organization / association headquarters address |
|
| Part G: probable income from other sources apart from sources mentioned in A, B, C, D & E part |
| Probable income amount |
Source of Name |
Source of income |
|
