IN THE HON’BLE COURT OF MS. NEHA, LD.

MM, MAHILA
COURT, DWARKA, NEW DELHI

D.V. CASE NO._________ OF 2018

IN THE MATTER OF:

SMT. VINIT …APPLICANT/

AGGRIEVED PERSON
VERSUS
SH. SANJAY & ORS. …RESPONDENTS

AFFIDAVIT OF ASSETS, INCOME AND EXPENDITURE

TO BE FILED BY THE BOTH PARTIES

I, VINIT W/O SH. SANJAY D/O SH. BRIJ BHAN R/O RZ-
277M, GALI NO.8, NEAR DDA PARK, RAJ NAGAR-II, PALAM,
SOUTH-WEST, NEW DELHI-110077, aged about 33 years, do
hereby solemnly affirm and declare as under:-

PART - I
PERSONAL INFORMATION RELATING TO THE DEPONENT

SI Description Particulars
No.
1. Name VINIT
2. Age 33 Years
3. Residential Address RZ-277M, GALI NO.8, NEAR
DDA PARK, RAJ NAGAR-II,
PALAM, SOUTH-WEST, NEW
DELHI-110077
4. E-mail Address kumari.vinu@gmail.com
5. Date of Marriage 10.12.2006
6. Date of Separation January 2009
7. Educational qualifications Post-graduate
8. Professional qualifications Secretary-cum-Assistant
9. Occupation Working as a Secretary-cum-
Assistant on Contract basis in
Rail Vikas Nigam Limited, Plot
No.25, First Floor, August
Kranti Bhawan, Bhikaji Cama
Place, Rama Krishna Puram,
New Delhi-110066.
10. Monthly income (as mentioned at Rs.31760/- per month.
serial no.45)
11. Monthly expenditure (as Rs.30000/- per month.
mentioned at serial no.60)
12. Whether you are assessed to Yes
 Income Tax?
13. Whether you have sufficient No
income to support yourself?
14. If not, whether you have claimed Rs.50,000/- per month.
maintenance from your spouse? If
so, how much?
15. Whether you are staying in No
matrimonial home?
16. If not staying in the matrimonial Staying in parents house at
home, relationship and income of above given address.
the person with whom staying.

17. Members of the family: One minor daughter namely

(a) Dependent YASHIKA, aged about 12
(b) Independent years.

18. Whether your spouse has claimed No

maintenance from you? If so, how
much?
19. Whether you have voluntarily No
paid or willing to pay
maintenance to your spouse? If
so, how much?
20. Whether you are willing to pay No
litigation expenses to your
spouse? If so, how much?
21. Particulars of pending litigation i) A case U/s 12 D.V. Act,
between the parties. which is pending before this
Hon’ble Court.
ii) Present Petition U/s 125
Cr.P.C, which is pending
before the Hon’ble Court of
Sh. Pitamber Dutt, Ld. Judge,
Family Court, Dwarka, New
Delhi and is fixed for
28.05.2019.
22. Whether any maintenance order Nil
has been passed by any Court? If
so, give particulars and attach
copies of the order?
23. Whether the maintenance is being No
paid in terms of the aforesaid
order? If so, file the statement of
maintenance paid upto date
24. Expenses incurred on this Rs.75,000/- approx.
litigation
25. Particulars of the bank account Saving bank account bearing
with name and address of the No. 30741390877 with State
bank for the purpose of payment Bank of India, Palam Colony,
from or receipt of maintenance, as New Delhi.
the case may be
26. Name of your counsel and his/ P.K. Mishra & Associates
her mobile number and e-mail (Advocates)
address Ch.No.656, Lawyers’ Chambers,
Dwarka Court Complex,
New Delhi-110075
Mob.No.9810926684
Email: adv.pkmishra@gmail.com

PART – II
RELEVANT INFORMATION RELATING TO THE SPOUSE

27. Educational and professional 12th Passed

qualifications of your spouse
28. Whether your spouse is earning? Yes, the respondent no.1 is
If so, give particulars of the doing his own transport
occupation and income of your business as well as having
spouse. income from Milk Dairy firm
and also having income from
his agricultural land and his
monthly income from all
sources is more than
Rs.2,00,000/- per month.
Besides this the respondent
no.1 is also having bank
account and fixed deposits
and plots/land.
29. Whether your spouse is staying in Staying separately in the
the Matrimonial Home. If not, matrimonial house at Rohtak,
whether he is staying in his/her Haryana.
own accommodation or in a
rented accommodation? If staying
in a rented accommodation, what
is the rent being paid by
him/her?
30. Particulars of the assets and The respondent no.1 is having
liabilities of your spouse his own transport business
and a Milk Dairy firm and also
having agricultural land and
his monthly income from all
sources is more than
Rs.2,00,000/- per month.
Besides this the respondent
no.1 is also having bank
account and fixed deposits
and plots/land.
31. Do you have any documents No
relating to the income, assets and
expenditure of your spouse? If so,
give the particulars and attach
copies thereof?
 PART – III
RELEVANT INFORMATION RELATING TO THE CHILDREN

32. Children from the marriage with Minor daughter Ms. Yashika,
their name and age born on 19.09.2007.

33. Who has the custody of the Deponent/wife (mother)

Children?
34. Name and address of school(s) The minor daughter of the
where the children are studying deponent is studying in 7th
Standard in Queens Valley
School, Dwarka Sector – 8,
New Delhi.
35. Who is bearing the expenditure of Deponent and her parents.
Children’s education
36. How much expenditure has been Approx. Rs.25,000/- per
incurred on the children’s month are the monthly
maintenance and children’s expenses of the minor
education from the date of daughter which includes
separation till now? school fees, tuition fees,
transport fees, stationery,
books, uniform, meals,
medicines and other
expenses maintenance and
basic needs expenses.
37. If the children are in custody of NA
your spouse, whether you have
voluntarily paid or willing to pay
the expenses for the children’s
maintenance and education? If
so, how much?
38. Details of expenditure on Amount
education (inRs.1,25,000/-)
(i) School fees Approx. Rs.15,000/- per
(ii) Crech/Day Care/After school month are the expenses of
care the minor daughter which
(iii) Books/Stationery includes school fees, tuition
(iv) Private Tuitions fees, transport fees,
(v) Sports stationery, books, uniform,
(vi)Outings/summer meals, medicines etc. and
camps/vacations other expenses maintenance
(vii) Entertainment and basic needs expenses
(viii) Others which are being borne/paid
by the deponent and her
parents.
39. TOTAL EXPENDITURE Rs.25,000/- per annum.
(Give monthly expenditure)

PART-IV
 STATEMENT OF INCOME

S.No. Description Particulars

40. In case of salaried persons: Working as a Secretary –cum-

(i) Designation
Assistant on Contract Basis in
(ii) Name and address of the
employer Rail Vikas Nigam Limited, Plot
(iii) Date of employment
No.25, First Floor, August
(iv) Gross Income including the
salary, D.A., commissions/ Kranti Bhawan, Africa Ave,
incentives, bonus, perks etc.
Bhikaji Cama Place, Rama
(v) Perquisites and other benefits
provided by the employer Krishna Puram, New Delhi-
including accommodation, cars/
110066 and getting an
other automotive, sweeper,
gardener, watchman or personal amount of Rs.31760/- per
attendant, gas, electricity, water,
month.
interest free or concessional
loans, holiday expenses, free or
concessional travel, free meals,
free education, gifts, vouchers,
etc. credit card expenses, club
expenses, use of movable assets
by employees, transfer of assets
to employees, value of any other
benefit/amenity/service/ privilege
and the value of such perquisites
and benefits
(vi) Deductions from the gross
income
(vii) Income tax paid
(viii)Net income
(ix) Value of stock option benefits
if provided by the employer
(x) Pension and retirement
benefits payable at the time of
retirement
41. In case of self-employed
persons:
(i) Nature of business/profession
(ii) Whether the business/ N.A.
profession is carried on as an
individual, sole proprietorship
concern, partnership concern,
company or association of
persons, H.U.F., joint family N.A.
business or any other form. Give
particulars of your share in the
business/profession. In case of
partnership, specify the share in
 the profit/losses of the
partnership
(iii) Number of employees N.A.
(iv) Annual turnover/gross
receipts
(v) Gross Profit N.A.
(vi) Income Tax
(vii) Net Income
(viii)Details and value of benefits N.A.
in kind, perks or other
remuneration received from the
business e.g. provision of car,
N.A.
payment of accommodation etc
(ix) Amount of regular monthly
withdrawal or drawings
N.A.

42. In case the business/profession

is carried on as a Partnership
Firm/Company:

(i) Registered/Corporate Office of N.A.

the firm/company

(ii) Information and particulars N.A.

with regard to your, shareholding,
involvement in the affairs and
management of the firm/company

(iii) Director’s/ Partner’s N.A.

remuneration:-

(a) Salary
(b) Interest
(c) Rent N.A.
(d) Commission
(e) Others

(iv) List of all the bank accounts N.A.

of the firm/company

(v) Location of the statutory

records and books of account of N.A.
the firm/company

(vi) List of immovable assets, land N.A.

and building etc. of the
firm/company.

(vii) Number of workmen/ N.A.

employees
 (viii) Current value of your N.A.
business interest(s)

(ix) Current value of your N.A.

business assets

(x) List of directorships held, N.A.

sitting fees, commission or any
other remuneration

(xi) Net worth of the company in

which you are Director along with N.A.
the number of shares held in the
Company

43. Income from Other Sources: N.A.

(i) Agricultural Income
(ii) Rent N.A.
(iii) Interest on bank deposits and
FDRs N.A.
(iv) Interest on investments
including deposits, NSC, IVP, N.A.
KVP, Post Office schemes, PPF,
loans etc. N.A.
(v) Dividends
(vi) Mutual Funds N.A.
(vii) Annuities
(viii) Lease of machinery, plant or N.A.
furniture
(ix) Sale of movable/immovable N.A.
assets
(x) Gifts N.A.
44. Any other income not covered Nil
above
45. TOTAL INCOME Rs.31760/- per month
(Give monthly income)

PART V
STATEMENT OF EXPENDITURE
S. Description Amount
No. (in Rs.)
46. Housing (i) Monthly Rent Residing at her
Household parental house in the
expenditure above mentioned
address.
(ii) Mortgage payment(s) N.A.
(iii) Repairs & N.A.
Maintenance
(iv) Property tax N.A
47. (i) Groceries/Food/ Rs.15000/- per month
Personal care/clothing approx. which includes
all household expenses
and personal needs of
deponent and minor
daughter.
(ii) Water Rs.1500/- p.m.
(iii) Electricity Rs.2000/- p.m.
(iv) Gas Rs.1500/- p.m.
(v) Telephone/Mobile Rs.2000/- p.m.
(vi) TV Cable/Set-top Box Rs.500/- p.m.
charges & Internet
services
(vii) Maintenance, Rs.2000/- p.m.
replacement and repair of
household items,
appliances and
kitchenware.
(viii) Telephone N.A.
(ix) Domestic full time/ N.A.
part time helper(s)
(x) Other (specify) N.A.
48. Maintenance (i) Parents N.A.
of (ii) Children (as mentioned N.A.
Dependents at serial no.39)
(iii) Others N.A.
49. Transport (i) Private Transport N.A.
(a) Driver(s) N.A.
(b) Fuel N.A.
(c) Repair/Maintenance N.A.
(d) Insurance N.A.
(e) Loan repayment N.A.
(ii) Public Transport Yes
(a) Bus Yes
(b) Taxi No
(c) Metro Yes
(d) Auto Yes

50. Medical (i) Doctor’s Charges Rs.5000/- p.m.

expenditure
(ii) Medication Rs.5000/- p.m.
(iii) Hospital Yes
(iv) Other medical Yes
expenditure
(v) Others (specify) No

51. Insurance (i) Life Yes

(ii) Annuity No
(iii) Householders No
(iv) Medi-claim No
52. Entertainme (i) Club No
nt and
recreation
(ii) Health Club No
(iii) Gym No
53. Holiday and Yes
vacations
54. Gifts Yes
55. Legal/litigat Rs.75,000/- approx.
ion expenses
56. Discharge of (i) Credit card(s) payment Nil
Liabilities
(ii) Hire purchase/lease Nil

(iii) Repayment of Loans Nil

(a) House loan Nil

(b) Car loan Nil

(c) Personal loan Nil

(d) Business loan Nil

(e) Any other loan Nil

(iv) Name of the lenders Nil

(v)Mode of repayment Nil

(vi) Installment amount Nil

(vii) Other personal Nil

liabilities
57. Miscellaneou (i) Newspapers, Rs.2000/-
s magazines, books
(ii) Religious Nil
contributions/ Charities
(iii) Others (specify) Nil
58. Pocket Nil
Money/
Allowance
59. Other Nil
expenditure
(Not specified
above)
60. TOTAL Approx. Rs.30,000/-
EXPENDITU per month.
RE
(Give monthly
expenditure)
 PART - VI
STATEMENT OF ASSETS

S. Assets Particulars Estimated Market

No. Value
61. Real Estate
(i) Land
(ii) Built up
properties
(iii) Lease hold Nil Nil
properties
(iv) Agricultural land
(v) Investment in real
estate such as
booking of plots, flats
and other immovable
properties in your
name or joint names.
(vi) Other Properties
Note 1. :- List your Nil Nil
interest in properties,
including lease hold
interest and
mortgages, whether
or not you are
registered as owner.
Note 2. :- Provide
legal descriptions Nil Nil
and indicate
estimated market
value of your interest
without deducting
encumbrances or
costs of disposition.)
(Record Nil Nil
encumbrances under
debts.)

Nil Nil

62. Joint Properties

(i) Properties Nil Nil
presented at or about
the time of marriage,
which belong jointly
to both the husband
and wife. Give the
status of their
 possession. Nil Nil
(ii) Other joint
properties of the
parties. Give the
status of their Nil Nil
possession.
(iii) Whether any
litigation pending
with respect to the
joint property ? If so,
give particulars. Nil Nil
63. Liquid Assets: Account Number Name of Current
(i) Details of all bank Bank Balance
accounts including Saving A/c No. State Bank of Rs232.54
Current, Savings and 30741390877 India
Demat Accounts in Saving A/c No. Punjab Rs.3522.00
your name, or joint 1988000102994045 National
name and balance in Bank
the said account Saving A/c No. Yes Bank Rs.-192.34
033895500000187 Ltd.
Saving A/c No. Yes Bank Rs. -11.80
033864100000186 Ltd.
Demat A/c. No. Edelweiss
02372615 Ltd.
(ii) Cash in Hand Rs.3754.54
64. Investments Particulars Current Value
(i) Details of all
investments you hold
or, in which you have
interest and their
current value:
(a) FDRs, NSC, IVP, FD A/c No.32307298897 Rs.1,58,237.00
KVP, Post Office PPF A/c No.35158792202 Rs.28,650.00
schemes, PPF etc. PPF A/c No.34576403831 Rs.53,637.00
(b) Deposits with
Government and Nil Nil
Non-Government
entities
(c) Stocks, shares, 1) ECL Finance NQ – shares Rs.49,500.00
debentures, bonds, – 50 Nos.
units and mutual 2) RVNL – shares – 780 Rs.22,620.00
funds, etc.
(d) Life and 1)Policy No.118011437 Rs. 50,000.00
endowment policies (approx.)
and surrender value 2)Policy No.333589979 Rs. 35,000.00
(approx.)
3)Policy No.500501952E Rs. 6,775.00
(approx.)
 (e) Loan given to Nil Nil
friends, relatives and
others
(f) Other investments
not covered by above
items Nil Nil

65. Pensions and Particulars Maturity amount

Registered
Retirement Savings
Plan
Indicate name of
institution where
accounts are held, Nil
name and address of Nil
pension plan and
pension details.
66. Corporate/Business Particulars Current value
Interests
List any interest you
hold, directly or
indirectly, in any
corporation, un-
incorporated
business, Nil Nil
partnership, trust,
joint venture and
Association of
Persons, Society etc.
67. Movable Assets Particulars Current value
(i) Motor Vehicles
(List cars, Nil Nil
motorcycles, scooters
etc. along with their
brand and
registration number)
(ii) Livestock Nil Nil
(iii) Mobile phone(s) Samsung Rs.3500/-
(iv) Computer/Laptop Nil Nil
(v) Other electronic
gadgets including I- Nil Nil
pad etc.
(vi) TV, Fridge, Air Nil Nil
Conditioner, etc.
(vii) Other household Nil Nil
appliances
(viii) Quantity of gold, Nil Nil
silver and diamond
jewellery
(ix) Quantity of Silver Nil Nil
Utensils
68. Intangible
properties including
patents, trademark,
copyright design and Nil Nil
goodwill and their
value
69. About disposal of Particulars Sale
properties consideration
received
Particulars of
properties (movable
as well as immovable)
sold/agreed to be
sold between the date
of marriage or one Nil Nil
year from separation
whichever is later
upto the date of filing
this affidavit and the
sale consideration
received from the
purchaser
70. Others Particulars Estimated
List anything else of current value
value that you own,
including precious
metals, collections,
works of art, Nil Nil
jewellery or
household items of
high value. Include
location of any safety
deposit lockers

PART - VII
STATEMENT OF LIABILITIES

S. Description Particulars of Debts Current

No. Value
71. Secured debt(s)
List all mortgages,
loans, and any Nil Nil
other debts
secured against an
asset
72. Unsecured Debt(s)
List all bank loans,
personal loans,
credits, overdrafts, Nil Nil
credit cards and
any other debts
73. Other
List any other
debts, including
obligations that Nil Nil
are relevant to a
claim

PART - VIII
GENERAL INFORMATION RELATING TO THE STATUS,
STANDARD OF LIVING AND LIFESTYLE

S. Description Particulars
No.
74. Particulars of Residing in the parental house at RZ-
residential 277M, GALI NO.8, NEAR DDA PARK,
accommodation where RAJ NAGAR-II, PALAM, SOUTH-WEST,
you are presently NEW DELHI-110077.
staying (in Sq. Feet)

75. Who is the owner of Parents of the deponent.

the residential
accommodation? In
case of rented
accommodation,
specify the monthly
rent
76. Number of part-time/ N.A.
full time domestic
servants and their
wages
77. Average monthly N.A.
withdrawal from
bank(s)
78. Mode of travel in Public Transport
city/outside city
79. Membership of N.A.
clubs/health clubs/
gyms, societies and
other associations.
Specify the
membership fee and
subscription

80. Particulars of credit/ N.A.

debit cards, its limit
and usage

81. Particulars of frequent N.A.

flier cards
82. Frequency of foreign N.A.
travel, business as
well as personal

83. Category of hotels N.A.

ordinarily used for
stay, official as well as
personal

84. Category of hospitals Govt. Hospital & Private Clinics.

opted for medical
treatment including
type of rooms

85. Brand of vehicle, Nil

mobile and wrist
watch, pen,
sunglasses,
wallet/bags

86. Expenditure ordinarily Rs.7000.00

incurred on family
functions including
birthday of the
children

87. Expenditure ordinarily Nil

incurred on festivals

88. Expenditure incurred N.A.

on marriage of family
members

89. Status of the deponent

and his/her family:
- High
- Upper Middle
- Middle Middle
- Lower Middle
- Low
- Below poverty line

PART - IX
DOCUMENTS RELATING TO ASSETS, INCOME AND

PART A
DOCUMENTS RELATING TO PERSONAL INFORMATION

S. No. Description
1. Ration Card Yes
2. Voter ID Card Yes
3. Aadhar Card Yes
4. Driving License Nil
5. PAN Card Yes
6. Passport Nil

PART B
DOCUMENTS RELATING TO INCOME, ASSETS
AND LIABILITIES

S. No. Description Please Tick

Attached Not To
Applicable follow
7. Statement of Account of all
bank accounts including
current and savings
accounts for last 3 years
8. Income Tax Return(s) along
with Statement of Income
and Annexures for last 3
years

9. In case of Salaried
Persons
(i) Appointment Letter along
with salary structure at time
of appointment.
(ii) Last Salary Slip
(iii) Forms 16, 16A, 12BA &
26AS
(iv) Cost to Company
Certificate and CIBIL
Certificate, wherever
applicable
(v) Copies of TDS certificates
10. In case of self-employed
persons
(i) Balance Sheet and Profit
& Loss Account
(ii) Balance Sheet and Profit
& Loss Account of the
proprietorship firm, if the
business is carried on in the
name of a sole
proprietorship concern
(iii) Balance Sheet and Profit
& Loss Account of the
partnership firm, if the
deponent is a partner in a
 firm along with the
Schedule showing the
distribution of partners’
remuneration and share of
profits/losses of the
partnership firm and the
copy of the partnership deed
(iv) Balance Sheet and Profit
& Loss Account of the
Company in which the
deponent is a Director
(v) Balance Sheet and Profit
& Loss Account of the
Association of Persons,
HUF, Joint Family business
or trust in which the
deponent has share
(vi) Copy of account of the
deponent in the books of the
business.
(vii) Copies of TDS
certificates
11. In case of Income from
other sources:
(i) Lease Deed(s)/Rent
Agreement(s) /Licence
Agreement(s) in respect of
the rental income
(ii) Interest Certificate in
respect of the interest
income on deposits and
investments
(iii) Dividend Certificates in
respect of dividend income
(iv) Demat holding
statement
(v) Sale Deed(s)/transfer
documents in respect of the
profit on sale of
property/properties
12. Other relevant documents
relating to Income/Assets

13. Other relevant documents

relating to liabilities

PART C
DOCUMENTS RELATING TO EXPENDITURE
14. (i) Documents relating to the
expenditure on education of
children including tuition fees
(ii) Rent and maintenance
receipts
(iii) Electricity, water, security
and gas bills
(iv) Documents relating to the
salary paid to the employees
including servant(s)
(v) Documents relating to
expenditure on conveyance
(vi) Debit and Credit Card
statements of all cards
(vii) Frequent Flier’s Card
statements
(viii) Mobile and landline
phone bills
(ix) Internet and TV cable/ Set
-Top Box bills
(x) Documents relating to the
re-payment of the loans
(xi) PPF, EPF and other
superannuation fund receipts
(xii) Receipts of premium of
insurance policies
(xiii) Receipts of payments in
respect of mutual funds
(xiv) Documents relating to
payment of interest on bank
and other loans
(xv) Documents relating to the
payment of taxes, including
Income Tax, Wealth Tax and
Property Tax
(xvi) Other relevant documents
relating to Expenditure

DECLARATION:
1. I solemnly declare and affirm that I have made full and accurate
voluntary disclosure of my income, expenditure, assets and
liabilities from all sources. I further declare that I have no assets,
income, expenditure and liabilities other than set out in this
affidavit.
2. I undertake to inform this Court immediately upon any material
change in my employment, assets, income, expenses or any other
information included in this affidavit.
3. I understand that any false statement in this affidavit may
constitute an offence under Section 199 read with Sections 191
and 193 of the Indian Penal Code punishable with imprisonment
upto seven years and fine, and Section 209 of Indian Penal Code
punishable with imprisonment upto two years and fine. I have read
and understood Sections 191, 193 199 and 209 of the Indian Penal
Code.

DEPONENT
VERIFICATION:

Verified at New Delhi on this ___ day of May 2019 that the
contents of the above affidavit relating to my assets, income and
expenditure are true to my knowledge, no part of it is false and
nothing material has been concealed therefrom, whereas the
contents of the above affidavit relating to the assets, income and
expenditure of my spouse are based on information believed to be
true. I further verify that the copies of the documents filed along
with the affidavit are the copies of the originals.

DEPONENT