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    Affidavit-1711950739

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    5 views16 pages

    Affidavit 1711950739

    Uploaded by

    kbalaji029

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 16
    FORM 26 (eerute i) AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO LOK SABILA FROM NO 3, CHENNAISOUTHL CONSTITUENCY. 1 Dr. SAVAVARDHAN son of Thr D.nyakumar. ag yes, eset of o 10, Let Caste South Suc Raja AtaralapranSatore, Cheat teston. orbs Sly Tm and sta oaths der {AIADMI) name of he oil pr) am cnet an ndepensen cane | wf Ca {yy (@) My nami aed ie Myapare Conkueny. Taminads Nan fe sons sd the Sint) at Sera No 38a Part NazSs, (0) My contact phos unr) s OMLOBEOR ed my ena ID ay) | i) Whipp omer o34 (i) inary ethnccial (4) Dean of Permanent Account Number (PAN) and tats of ling of Income Ta rears Soke 7 PAN T = AVP De sisted zi Spo CHOP De R Samah: 3) HU i Camaiaes | No PAN Aoasd] SIC Ti KeraCopacens) 7 Dependent [No PAN Als) Ni 3 Sina 51 Deendad Sit Ret] —] 6) Depenn NIL | Nor Appice Not Applicable Neti mandatory fr PAN hl tmeton PAN andi ie o 0 PAN, ld sly tad 4 ao (5) Pending rina cases (0 declare tha heres. nding criminal cane gains meh thi ernie tere i ‘minal cese-pending-esint-the-Candiate-and-rite- NOT-APPLICABLE agaist sera i deton) alternates ee eee er aet as aa eee cat (2 [Fim Na With name er FAR Came No land addrow of Paice | gouoni. 38 saan 42028 E2 Stance | SOPs Suton | Reve Fle nk reas ‘saioe [Caw No. wth Name ote Cour, (are desrp tion of [?— raweerasa imei ves.nen | xacAnsiabe | NocApale | Norte [a Weer any Area “Avan or eng at em | (td gant he ot Applcable Not Appizable Not Aplcable on (0) Ihave ben comic forthe ofc mention ow: NOT APPLICABLE (athe candidate as Bee once hen ek is atenaive an sor alternative () shan. and give deals in the Table Blom ‘Ne Aoplabie | Nav Applabie (by Ramee Coat ‘Na Appleable | Net Appzable | No Appleable [2 JBoss otacCadca | Nov Appnabie | — Net Apple Nov Appeabe lmstved igre m.of he [Bic acrpin of otece) SOAR | Net pac Nor Appi er ic com Nov Agplable | Net Appia [Not Applible (Penis posed ‘Nov Appicabe | Not Apphabie Nov Appia Nor Appaiie | Na Apa] No RSE 1 hase gen ill and op o-dteinermaton omy poi pary show al pending ‘mal ane git me ardour of core ss en in parapahs8) and 6) 1. Dati shld be tered eat and egy fa BOLD eters 12 Detaltoe ion separtel fo each eas under diferent columas against ech tem. | Deas shuld be sen i reverse hong rei that case be mentioned few backwards in the oe des forthe ther ee 44 Additonal sheet maybe added i required Candidate reponse fr sping ll formation in campo Hon'ble Supreme Coun’ jagmont in W.P(C) No 836 0201. (0) Tat pe herein ew the deta of he aes movable sd immo of myself my ‘ous al depends ‘Explanation —For the purpose of hs For. he expression Tfthor assets" cludes. desis of ll dost or vesnensmForgn teks snd ay ost bch or aon sed nd ei fal stan lic frig cous” £3] Ne opiate -ppleabe NIL] LiCPabs | Not] Nee | Promian | Appicable | Aplcble Pad resina6: { or — } | Appice | Appcable NL] NE] $e NIE] Gad | Nex Nor lomamers 0| Appeatie | Aptcable is @ en er Sota. NIL Nit Xe Appbeable | Aopicable TH | Gros Toalvane | 218360] SSRN PIL | TONS TE | Nat} Na | Apple | Appiable | ‘Nae. Properties jot ownership indicating the extn of ont onmeshp wil also ane o be nda [owe 2 Each and or bldg or sparment shouldbe mesiond separates in his format [Nise 3 Dashade ie isesn or onnentp of shore ass ‘rhe “st Deseriton Seif Spouse | HUF | Dependent | Dept 2|Depenien 3) Ne | @ | Nae ant Tasaon 6) a ro Suny nonben| Agpeabe | Appeste We Toulmesnence = NL) NIL] NL] ONL | Na | Not ny Apts Apliati Wisterimbonet Nt Si Nae rer Applic | Applabe esersoy | Dac of pce a ame SE a a} cq ropes Agplabic | Appleabe Coa of Land inca of NIL NINE) Na |New reas) atte me of plese | Apples perce ay neath’ NICS NIE NIN Na ty way of devlopent Apgeatie | Aplcbie ‘Approve SNE carom vase Appteaie | Applicable (wNon-Awicoral and Trt Suns Pappntappam | NLS] NIL] Nee) Na ter) ‘Village Agpleabe | Appleabe crmtipocnt ‘Tonk Thera Dist Saver NoMDiAiA HSBA2AI "09. ‘ea Toa mewarnen ¥Asesand 183] NIL | NICSE) Not Rat san) ‘cons Appbesie | Apple Whetcrnienet Ye it | Nit SIE Xa Xe ore Appliabie | Applicable ese) Dat pains inca ea | NIL NIE TMD Nee Nae taal pope Apptabie | Applicable Contant iacmeat s24sisou | xm | st | ML | Na | No pares) tee plese | Appleate [NL] SE War Wor Agplabe | Aplesbe NONI NIE] Nar] Sar Appliabie | Aplabe oo Agptabie | Apples SLL SIE Xa Xa) Aplastic | Apples Apples Aphesbie Noo Nor) Apyabie | Appleabe Apptabie | Applabe Ne Nor Appueaie | Apptabe Nr xa] War gph | spel NL} NL) NU) Nf 8a gph | Appeals NP SEP NEY Nt} Nae pple | Apes | | NINE a] Fa] sei | a NI are semen a4 8) Avot | Aopesbe pe | ie Dac opaciaae a Saco ie | Ae Cost of property (incase i NL] NIL t NIL Not ‘Not Smecyatenae se | Ape = { Taare BRR aE mimeo ape | Ape Js cin Aemoinacomnet > 448.0 | NL raat vabe | [Othe (och as incest NI NL NC ‘mop | Toalefeemeatmaet | 9050 | NAL vatueef ie “onbove (8) iveheron bow the details flies des government (Nate: please pve separate deta of name of bank. institution entity or inv idual and amount before each tem) & Decrpion [Sar [Shoe] HUF Depends] Dependent Depete-S Ne : [loan or dae Ba nani Noe | Nat Iestiteton) wie fxm fom |x | Ne} ap Nae oe Bak emacs wm | ow lAmeum uta wa | xm | Na No [Nawea! Law| Appbeabe| Appleatie Loan of ds tan ‘her ndntaaenty “tther than mentinct h NIL gg hagg Not Apaicabe are. Net pene onan an ‘tre fo "Any othe abil NL Noe Aplabe Appleate (Grand rao | T99RIO Te Tam | am NN Apliabe_Appleate i) Trin dacs pb inept of sone Geren scommodaton tal em (exc cages (6) water charges at () epee chars won 2:2-2028 te) he di sls ie a di of er ate ‘ram dite erate] te Ni [NIE Novice Nor sig wi sania ovement (log aerate | ‘aihticpen | | | sone Tad NIL} Novag Nor] rp | wT are NC Naa api ‘| Mace opany NIL) NovAppeable "No “aur gente a a pps ‘say] — Gandwatatat [NIC TNL PLT Lape Sot Srrrmen ppeabe @ NIT NIE -NIE Rite apie—Nor : arpeabe (>) Dens proesion or ocupation Salf- DOCTOR Spose - DOCTOR A) Deals ofsouces of mone (0) Seto from Profs, rest income, Stare Income rom Parnes Firm, enoon Spe Income om Pression 1 Sexe of mse. any, of Spent NIL (28 Contract wit porate Government and any plc cpany or companies dean contra em ere by the cane IL (©) deta of contracts etre ina by wane NIL (6) tai of contra entered ints dependent IL. (8) desis of otras etre into by Hind Undivided Fay trast in which the ‘andiat or spouse o dependents hae interest - NI (6) esi contracts nerd it by Partner Firms in whic antidateoe Sous dependents are parters- NIL (eas of contracts entered in by private companio in which candle or ‘puso dependents ve sare NIL (00) My catia qualification i unde: PART-B (11), ABSTRACT OF THE DETAILS GIVEN IN (1)TO (10) of PART-A: TN nate [DR JJAVAVARDHAN MD, Tall posal aires [No Te lh Cane Soth Stet Raja ‘Ataamalnpuram. Santvome, Chen 640028 Nari and Name of ie Corsnsy | CHENNATSOUTH, TAMIL NADU land Site J Rane of ie play wich wipe [ALU INDIA ANNA DRAVID MUNNETRA imine thre nc ndcenden) |RAZHAGAM (ATADM) 3 [Feat ir of psting alc Tie 7 [Teal Nasir oa whch contd oT PaNor AMVETS /NOPAN ALLOTTED | SOF APPLICNBLE (@Depenkai —_|NOPANALLOTTED| NOTAPPLICABLE NOT APPLICABLE ‘ta of Aves and Liaising oor ase ia Rapes Descrgton | — Sa] Spae [HUF [Depa Depend 3] Depend i 'sazo0e] WIL | WOSITS | No Nat Applicable | Appliable 1) [Movable awet Appieable Appieae SIE | SI] 8D] Sor] Wor Appizale | Applicable noe fvm | osm | soe | Noe Appheabe | Appieabe NPN | NLP Nor] Nn Applicable | Apple | nef NLT NL Noe | Noe) Appicale | Appizable | Ww at ae under dpe TNL [NIL [NIL] Noe Sor | Appicable | Applicable SIPS | NIN Na Applestie | Applable [MD From Se Ramachandra Unnersiy 2015, plomadepe ure ame of he School Calle Uniersy aed th yarn which he couse was complet) VERIFICATION |e JJavvardhan the deponent, above named. do hereby veri and dele tht he cients this aovitare ra areca othe best fm Lnowledge and belie and no par 0 tis fase ad nohng mail has een concealed there fo | Faher esa tht = (a) teres no eas of canvieuon or pending case against me oer han tose mentioned ‘tems Sand Gof Past A and B above (0) my spouse, oF my dependents do not have any asset of laiiy, fer than thse rrentinedin items 7 and of Pat A and items 8,9 and 10 Par B above ‘em N Dkroxent ‘Venfia t Channon this 28 day of March 2024 Mon the ast date of ling nominations Commissioner 0 Mag of the First Class no clu ob et blank I thes Note 4 The agai shouldbe ether pad or writen egbly and neat page ofthe Afi t shoul be signe bythe depnent ang the Aidit should bea ‘stamp of the Noun or Oath Commissioner or Magiate before whom the a

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