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    Affidavit-1715340915

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    2 views18 pages

    Affidavit 1715340915

    Uploaded by

    gowrishankar nayana

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    RUPEES S088 SITET ANDHRA PRADESH 150B 526175 IRAN SLNo.IBB ORS. Lo J=i... 24S 4. 1 Y OA DS geen soa nt Tees Finan dice 15 Oe he Fe ce : = i bie Form 26 ~ (See rule 44) i i g AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONG WITH NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO PARLAMENT CONSTITUENCY (NAME OF THE HOUSE) a fro anuKu CONSTITUENCY (NAME OF THE CONSTITUENCY) i PARTA aes TRINADHA son of LATE PODIDORA, Aged 80 years, resident of D.No. 2-66, Nadimikella Village, Veeragattam Mandalam, Manyam Parvathipuram Distriet,Andhra Pradesh State (mention full postal address), a candidate at the above election, do hereby sol. wr ¢mnly affirm and state on oath as under :~ ‘NOTAR’ oman QRIKATROTA KRISHNA RAJU BCom.8.A(Law's) BAL, i No. NR/158/Z0ne-1/2022 bSs- 3, mea upto e720 I aoa é aA secre 7 ‘SRIKAKULAM (A.P) Cell: 08030977252, (1) lam a candidate set up by UNITY CENTRE OF COMMUNIST REVOLUTIONARIES. OF INDIA (MARXIST-LENINIST) am contesting as an Independent candidate. (2) My name is enrolled in PALAKONDA, ANDHRA PRADESH STATE (Name of the Con- stituency and the state), at Serial No. 259 in Part No.236 (3) My contact telephone number(s) is/are 9441655980 and my e-mail id (if any) is NIL. and my social media account(s) (if any) is/are qa) NIL Gi) NIL (ii) NL (4) Details of Permanent Account Number (PAN) and status of filing of Income tax return: SL] Names PAN The financial] Totalincomeshown N year for whieh| it Income Tax Re- the last Income-| rn (in Rupees) for tax return has| the last five Finan- been filed cial Years com- pleted (as on 31 March) i) NIL 1] Self’ iw URLAKA TRINADHA| No PAN aie, (i) NIL allotted (iii) NIL (iv) NIL () NIL 2. | Spouse No PAN NIL. @NIL IURLAKAPARVATHI | _ allotted (i) NIL iii) NIL (iy) NIL, @ NIL NIL 3. | HUF (If Candidate is | No PAN NIL Karta/Coparcener) allotted i) NIL NIL (iii) NIL (iy) NIL RPTARIL Regd.No. NR/156/Zone-1/2022 'B.Com,8.A(L2W's) BL. S85-B ons Valid upto 8-7-2026 econ ; fev (Reg-Ii) Dept. Govt. of AP, pet aie. @eiKAKULAM (AP) Celi; 09030977252, Ee Names PAN The financial year for which the last Income- tax return has been filed Total income shown in Income Tax Re- turn (in Rupees) for the last five Finan- cial Years com- pleted (as on 31 March) Dependent 1 NIL No PAN allotted NIL (NIL ii) NIL iii) NIL (Gv) NIL (v) NIL Dependent 2 NIL No PAN allotted NIL Gy NIL @NIL b. Dependent 3 NIL No PAN allotted NIL Gi) NIL (iy NIL (ii) NEL (iv) NIL. (v) NIL Note it is mandatory for PAN holder to mention PAN clearly stated “No PAN allotted”, \5Pending criminal cases and i n case of no PAN, it should be A dectare that there is'no pending criminal case against me. ( Tick this alternative if there is no criminal case pending against the Candidate and write NOT AP] below) OR Regd.No. NR/158/7cne-1/2022 Valid upto 187-2026 ‘ev (Reg-ll) Dept. Govt. of AP ’PLICABLE against alternative (ii) Le gee" NOTARY ARIKATOTA KRISHNA RAJU B.Com.8.A(Lem's) Bike ADVOCATE Panduranga St2et SRIKAKULAM (A.P) Cell: 09030 a (ii) The following criminal cases are pending against me: (if there are pending criminal cases against the candidate, then tick this alternative and off alter- native () above, and give details ofall pending cases in the Table below) Table (@).| FIR No. with name NoT NOT NOT and address of APPLICABLE APPLICABLE |APPLICABLE Police Station concerned (b) | Case No. with Name NOT NoT NoT of the Court APPLICABLE APPLICABLE |APPLICABLE (©) | Section(s) ofconcemed | NOT NOT NOT Acts/Codes involved APPLICABLE APPLICABLE | APPLICABLE (give no. of the Section, e.g. Section....of IPC, etc.). (@) | Brief description of NoT NOT NOT offence APPLICABLE APPLICABLE | APPLICABLE (©). | | Whether charges have NOT NOT NOT been framed APPLICABLE APPLICABLE | APPLICABLE (mention YES or NO) (®) | Ianswer against (e) NOT NOT NOT above is YES, then give | APPLICABLE APPLICABLE | APPLICABLE the date on which charges were framed (g) | Whether any Appeal/ NOT NOT NOT Application for revision | APPLICABLE APPLICABLE | APPLICABLE has been filed against the proceedings (Mention YES or NO) wi ie ese TARY IKATHOTA KRISHNA RAJU Regd.tto, NR/156/2cne-1/2022 we B.Com,B.A(Law’s) BL 26¢ Vaid upto 167-2028, ADVOCATE : Rev (Reg-Il) Dept. Gor mi. Panduranga Street Ios SSRUKAKULAN (AP) Gel: 09030977282, (6) Cases of conviction sG(ectare that have not been convicted for any criminal offence. (Tick this alterna- tive, ifthe candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below) OR (ii) Ihave been convicted for the offences mentioned below: (ifthe candidate has been convicted, then tick this alternative and score off altemative (i) above, and give details in the Table below) Table (@) | Case No. |OT APPLICABLE | NOT APPLICABLENOT APPLICABLE (©) | Name of the Court [NOT APPLICABLE| NOT APPLICABLEINOT APPLICABLE (©) | Sections of Acts/Codes NOT APPLICABLE | NOT APPLICABLEINOT APPLICABLE involved (give no. of th Section, e.g. Section of IPC, etc.). (4) | Briefdescription of _ [NOTAPPLICABLE| NOT APPLICABLENOT APPLICABLE offence for which convicted (©) | Dates of orders of [NOT APPLICABLE] NOT APPLICABLENOT APPLICABLE conviction (® | Punishment imposed [NOT APPLICABLE] NOT APPLICABLEWOT APPLICABLE (@) || Whether any Appeal |NOTAPPLICABLE| NOTAPPLICABLE| OT APPLICABLE | has been filed against conviction order (Mention YES or No) (h) | answer to (g) above _|NOTAPPLICABLE| NOTAPPLICABLE OT APPLICABLE is YES, give details and present status of appeal wart QRIKATHOTA KRISHNA ti .Com,8.4(Law's) 8. do. Regd.No, NR/156/2cne-1/2022 ADNOOMTE a ei sx Valid upto 18-7-2026 panduranga Street Sd é Rey (Reg-II) Dept. Govt. of A.P_ ‘MRIKAKULAM (A.P) Celt: 0903097725, (6A) I have given full and up-to-date information to my political party about all pending cases against me and about all eases of conviction as given in paragraphs (5) and (6). [candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(1) and 6(1), above] Note: 1. Details should be entered clearly and legibly in BOLD letters, 2. Details to be given separately for each case under different columns against each item, 3. Details should be given in reverse chronological order, i, the latest case to be men- tioned first and backwards in the order of dates for the other cases. 4. Additional sheet may be added if required. >. Candidate is responsible for supplying all information in compliance of Hon’ble Su-preme Court’ Judgment in W. P (C) No. 536 of 2011. © That I give herein below the details of the assets (movable and immovable ete.) of myself, my spouse and all dependents: A. Det: of movable asset Note: 1. Assets in joint name indicating the extent of joint ownership will lso have to be given, Note: 2. In case of deposit/Investment, the details including Serial Number, Amount, date of de- posit, the scheme, Name of Bank/Institution and Branch are to be given. Note: 3. Value of Bonds/Share Debentures as per the current market value in Stock Exchange in respect of listed companies and as per books in case of non-listed companies should be given. Note: 4. ‘Dependent’ means parents, son(s), daughter(s) of the candidate or spouse and any other Person related to the candidate whether by blood or mariage, who have no separate means of income and who are dependent on the candidate for their livelihood. Note: 5. Details including amount is tobe given separately in respect of each investment Note: 6. Details should include the interest in or ownership of offshore assets. et OER KRISHNA RAJU A KRI: Regd.No, NR/1S6/?ene-1/2022 QRIKATKOT Meee BEE. ‘Sidane re rane a Aes Rey (RegrIl) Dept. Govt. of AP, ioe asec _ ‘ORIKAKULANG (A.P) Cel: 8030977282 Explanation :- For the purpose of this Form, the expression "offshore assets" includes, de {ails ofall deposits or investments in Foreign banks and any other body or institution abroad, ‘nd details of all assets and liabilities in foreign countries"; S.No} Description Self Spouse|HUF| Dependent-1] Dependent-2 | Dependent-3 1) | Cash in hand 20,000/NIL NIL | NIL NIL NIL fi) | Details of deposit in [NIL NIL [Noe | NIL NIL NIL Bank accounts (FDRs. ‘Term Deposits and all other types of deposits, including saving accounts), Deposits with Financial Institu tions, Non-Banking Financial Companies and Cooperative societies, and the amount in each such deposit (ii) | Details ofinvestment [NIL [NIL [NIL | NIL NIL NIL, in Bonds, Debentures/| ¥ Shares and units in companies/Mutual Funds and others and the amount, (iv) | Details of investment [NIL NIL. [NIL | NIL NIL NIL in NSS, Postal Saving] Insurance Policies andl investment in any Financial instruments in Post office or Insur- ance Company and th amount 'v) Personal loans/advaneb NIL [NIL [NIL | NIL NIL NIL given to any person or entity including firm, company, Trust ete. and other receivables NOTA! from debtors and the a or RY tl _ B.Com,B.A(Law's) 8.L,) : Z Regd.No. NR/156/Zone-1/2922 i ee RES + 1-7-2026 anduranga Street FE-3ng Se geen EE ag vi) , Motor Vehicles Aircrafts Yachts/Ships (Details of Make, registration number. ete year of purchase and amount) NIL. INIL | NIL NIL NIL, NIL vii) Jewellery, bullion and valuable thing(s) (give details of weight and value) NIL NIL | NIL NIL. NIL NIL. viii) Any other assets such as value of claims/ interest NIL | NIL NIL NIL NIL. fix) Gross Total value Rs. 20,000 NIL | NIL NIL NIL NIL Details of Immovable assets: 3. Details of Immovable assets: Note: indicated - Properties in joint ownershij ip indicating the'extent of joint ownership will also have to be Note: 2. Each land or building or apartment should be mentioned separately in this format Note: 3. Details should include the interest in or ownership of offshore assets. #859 sg Lye! NOTARY SHNA RAV TKATHOTA KRI! 5) B.L Regd.No, MR/156/20n0-1/2022 we B.com na(tow 's)8. Valid upto 1k ¢ 2026 Coe esl Rev (Reg-Il) Dept. Govt. of A.P. ole ct ‘yooava7726% B.No] Description Self Spouse HUF [Depen |Depen | Depen| dent-1 | dent-2 | dent-3 1) | Agricultural Land Location(s) NIL NIL |NIL | NIL NIL | NIL Survey number(s) Area (total measur No NI INL | NIL NIL | NIL ement in acres) Whether inherited NO NIL {NL | NIL NIL | NIL property (Yes or No) Date of purchase in NIL NIL NIL] NIL | NIL] NIL case of self-acquired Property Cost of Land NIL NIL mL NI NIL | NL (in case of purchase) at the time of purchase yor wy

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