~1.NO~~.t~~.~~~D~;' ~~J!~PRADESH:I. · ')30:dt .... )f. ....I.•.?~.~~~.f.~ ....f/.- ,/.4~ ~~~

=or Whom ..8' •••••• ~.......................... If /. )r:; --' ~ !~~~=::ik·4FI *' l ~f

Affidavit to be filed by the candidate along with nomination paper before the returning of~~~~~ 1to Legislative Council (Name of the house)From ALGONDA-WARANGAL-KHAMMAM Constituency (Name of the constituency)

PART-AI, KADAVAMANGATHAYARU wife of LlNGIDIVENKATESWARLU Age 48 years ,resident of H.No. 6-50/1 Kudakuda village, Chivvemla mandai, Nalgonda district Pin 508213(Mention full postal address) , a candidate at the above election, do hereby solemnly affirm and state onoath as under:

(I) I am contesting as an independent candidate

~ (2) My name is enrolled in 91, SURY APET , TELANGANA STATE (Name of the constituency

and the State) at Serial No ....l.l.1±-inPart No. 157

(3) My contact telephone number(s) is lare 9989475017 and my e-rnail id (if any)

is venkateswarlu lingidi@yahoo.com

umber (PAN) and status of filin of Income Tax return:The financial year for which the Total income shown inlast Income -tax return has been Income -tax return (infiled Ru ees)

AAUPL9938L 2009-10 6,14,834/-AHVPK4797N 2009-10 4,54,975/-

AFGPL 6189L

'.

MOHO.

AVV, A' EOfft Opp "ett1rtn~ry Hospital. MU f· !,iadManyam Chalka. NAlGONOA~5i;~ vO~

-Doointeo 1)" Govt. of INOfA

(i) The following case (s) is/are pending against me in which charges have been framed by the courtfor an offence punishable with imprisonment for two years or more:-

(a) Case/First Information Report /No./Nos. together with complete Nit-details of concerned PoliceStation/District/State.

(b) Section(s) of the concerned Act(s) Nit- ,/and short description of the offence(s) ~.~for which charged

. (c) /" , ,

Name of the Court, Case No. and date N/fof order taking cognizance:- ~ ' ..

(d) Cour!(s) which framed the chargets) Ng' ""7 .•.. --..- ,

.._ .., .. , '-.... , . ~ .._ .. , - - -...•.

~le) Daters) on which the charge(s) NIf/was/were framed...... .(f) I:Y'

..-Whether all or any of theproceedings(s) have been stayed by~l1Y gourt(s) of competent jurisdiction

, \...

(ii) The following case(s) is/are pending against me in which cognizance has been taken by the court[other than the cases mentioned in item (i) above]:-

(a)' Name of the court, Case No~and date ./of order taking cognizance: _ _ _ " AI 11- _ ./

(b) The details -of cases whe~e the court ./has taken cognizance, secliun(s) uf the A n t1- I\.. - .,/"Act(s) and description of the offence(s) r>« tl- rfor which cognizance taken /

(c) Details of Appeal(s)/Application(s) r-:for revision (if any) filed against theabove order(s), '

(6) I have been/have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation ofthe People Act, 1951 (43 of 1951)] and sentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, he shall furnish the following information:

In the following cases, Ihave been convicted and sentenced to imprisonment by a court of law:

(a)

Nit-

Case No,

'4

(7) That I give herein below the details of the assets (movable and immovable etc.) of myself, myspouse and all dependents:

A. Details of movable assets:

Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given.Note: 2. In case of deposit/Investment, the details including Serial Number, Amount, date of

deposit, the scheme, Name of the Bank/Institution and Branch are to be givenNote: 3. Value of Bonds/Share Debentures as per current market value in Stock exchange in respect

oflisted companies and as per books in case of non-listed companies should be given.Note: 4. Dependent here has the same meaning as assigned in Explanation (v) under section 75 A of

the Representation of the People Act, 1951.Note: 5. Details including amount is to be given separately in respect of each investment

SI.:No.

>. -'J' "'_ .#

Spouset

Dependent-1 Dependent-2, Dependent-3

(i) i Cash in hand £CJiX) " ~ 000 1,000~~~;::':':'''':'':'':''=:'::'':;'''-------...---d~L..;;:;;.;;''':;::-4'''''::~~-..j-'':''''--"",,,,,--+----';"''''"'''''''':;I~'''",."",=,,"'-0' =-'-'--1(11),:: Detai'ls of deposit in Bank ,,' '"

'accounts(FDRs, Term Deposits andfall ?ther types ofdepositsiri~ludi?g 1,5~aoo l/itJ,oco 3,,600r savIng accounts), Deposits withFinancial Institutions, Non-BankingFinancial Companies andCooperative societies and the?m9.t1l]t in each such d(;:P9~it

NIL

(iii). Details of investment in Bonds,debentures/shares and units in~ompanieslMutual funds and others NIL" , N (L

; andthe amount

NfL

Description Self

,." .. ....- ...•" ..

!(iY),fp'e~a,ils 'Of. investrpenTill :"~~$;, ' ii' P,ostal,Savmg, Insurance' poh£l,es

il~nd' investment in any F,in~T1ciM~,.ot',.otJoS; 0 tJ,tJOCJ 3. D" Ot:J 0

I instruments in Post office~;;;·or-· '"'""" In~tin1rkeC~QmpanyaI)Q theaifjouuJ . "" ,,'(vrr Personal 10ans/a'dvancegJ:ven-to, i

I '~ny person or entity including i

: flrm,tompany, Trust etc., arid other NIL i NIL:1 feceivables from debtors .artdvthe'I •

". "j amoun;(vi)I Motor Vehicles/ AircraftsIYachtsi 61J''V ;WW7lo'f 6ou'''YJ

: Ships (Details of Make, registration ~ff!(1 f;~OD(j ~:f1~, number etc. year of purchase and 1~,.CdO ItP.2L>ll1 , 2..D/ DO'OI,amount) I4P~()H 2.261{ "~6

"

,

,

'(viOj Jewellery, bullion and valuable 'thing(s) (give details of weight and 4, oo ooo go, 000 ~I't''' 0value)

NIL AtlL

:

B. Details ofimmovable Assets:

Note: I. Properties in joint ownership indicating the extent of joint ownership will also have to beindicated

Note: 2. Each land or building or apartment should be mentioned separately in this format

S.No.

Self Spouse Dependent-I Dependent-2 Dependent-3Description

(i) Agricultural Land;. Location(s) .. N{ L

Survey number(s) v=>-Area (total measurement in acres) j..J{L

."-~ ,.c ' . - .c. •..,..

Date of purchase in case of self- N {Lacquired property

Cost of Land (in case of purchase) N (Lat the time of purchaseAny investment on the land by wayof development, construction etc.Approximate currentjnarket value I~{L --- .'.

(ii) Non-Agricultural Land:' VLocation(s) N(L .Survey number(s)

Area (total measurement in sq.It.) ~I L /

Date of purchase in case ofself- IV I L'- ...\\V '" '.acquired property L- _

Cost of Land (in case of purchase) NIL //at ~he time of purchase /

Any investment on the land by way", NIL //.' of development, construction etc. '7 .Approximate current market value I~ l L

(iii), Commercial Buildings: /v(including apartments) IV Ie-Location(s)-Survey number(s)

BUilt-up Area (total measurement '" . /in sq. ft.) IV [c:Whether inherited property N' L '

•..t:\V(Yes or No) __ \.•....~D~a-te--o-f-p-u~r-cl-la-s-e-i-n-c~a-se~o-f-s-e-If--~---~--,-i....--.r-~~~'IV---~~~-~-~--~---4·----~~acq~ ired property

Cost of property (in case of IVti: /,purchase) at the time of purchase

'.

(iv) Residential Buildings: kO:D4(including apartments): K(J:PA~-Location(s) Cl-!fIlVG/J1l ~ - - ~ --Survey number(s) (ft1)

Area (total measurement in sq.ft.) 1300 sf-? ..•... ~ - -Builf up area (Total measurement 1,l)OtJ sfN: - -in sq.ft.) , - -,

"" .,...' ..". -Whether inherited property NO •... - - ~(Yesor No)

Date of purchase in case of self- 2/JOb - - ~ -acquired property--.. --- .. - _. - ..

Cost of property (in case of1110~oaa - - ~

purchase) at the time of purchase ~-' -- -, ..- -- .. ...

Any invesim~nt on the land-by way____ 0._" ----

~o,O~O(10 - - -o(deyeIQpm,eJit, construction etc. ~..

Approximate current market value '1~/°a,.OOO ..-. ~ ~ ~

(v).. --- -- -0ili.~.~~(~~~has interest in property} : NIL e-v - - ~

-- ,

(vi) Total of current market value of (i) 9~0"1 t:JC>l3. - ~ ~to. (v) above,_ , , -

(8) I give herein below the details of Ilabilities/dues to public financial institutions and government:-

(Note: please give separate details of name of bank, institution, -entity or individual and amountbefore each item)

',,-'

S~No. _

Description Dependent-l Dependent-2 Dependent-3

(i) Loan or dues to Bank/financial 3~O~t)dd. 'institution( s) S &H I

Name· of the Bank or financial .s I? rr i

, Institution, Amount outstanding, ~~~~1;fJNature, of Loan

Self Spouse

thanLoan ordues to any other

, individuals/entity othermentioned aboveName(s), Amount outstanding,nature of loan

(ii) Government Clues: - ..Dues to departments dealingwith government accommodation

. Dues to department dealing withsupply of waterDues to department dealing withsupply of electricity

,Dues to department dealing with~iI~~ n ~ of telephones/mobilesd"::.cJ<J·

.,~~y DueSZ~~.department dealing wit~ '\-TEST 011

~~I/ I..lO goverm'n~t \ transport (including NOTAF Y -

~i ''e afr~s ~~helicoplers) I

.• ..~l.J/.IO;ril~r! I r .' ';),{J(I} j

'~\" " 0 .~:' • :..-~. MO HD Af\f1Y!Jf:DJJi!f.L~f>-.~+~_ ~~~; A 1) (/',1t A n~ )

. f.~lKA. N~~~ r- R e..•..,~ ~~." Offi: Opp \/p,tr '. '~', :-l(l~nl;~' .,11 I, oa

Manyam ChB:'.;(.I, NALGONLJA-ti08 001~DDointeo b-v Govt. of INDIA.

.. ,

Income tax dues - - - •.... -Wealth tax dues ~ ~ - ~ ~Service tax dues ~ ~ ~ ~ ~

- -

Municipal/Property Tax dues - ~ - ~ ~

Sales Tax dues ~ - - - ~: .._- ,:: .. .'- ..-- "._-

Any other dues -- ~ .,.. - ~-- . .- ...

(iii) Grand total of all Government dues - - ~ ~ ~.. ....• .... ;.•.., ..

(iv)"~...... .M. ••

Whether any other liabilities are indispute, if so, mention the amount· i

t - - - ~ ~involved and the authority beforewhich it is pending.

...

(9) Details of profession or occupation:

(a) Self ... HP.l?-?'.~....0.~f::~......C f/9 L)(b) Spouse .0.t?.Y.7:~.§.~.f.~~')'£'{:F:PRINel

(10) My educational qualification is as under:-J:J.' ...1;lE""!/,l/r,~;(f,~~lj;:.;..~;;!ji:Cjr.!.r?ten. U?1 i Ve. 'fe) i-~

(Give details of highest School/University education mentioning the full form of thecertificate/diploma/degree course, name of the School/College/University and the year in which thecourse was completed.)

PART-B

(lJ) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART -A:.. .. ~ ..""

1.; Name of the candidate . ...•.&h./S..l~!:{~ X A:J)?'l V1.." fj/} N c;,-1711-4 y,,~,2, ..,'" ........ ..

'16;"!J071"DNa,:Z1XZ v)tf.R2 f!,HAvAN'1rv'1",~ . Full postal address VfNAYAk A NAGA R J kUP-4llvpA (Pol. CIIII/J- k-

_... .M •••••••••••••••• ;.;.; •••• , • .... _ ...- ..

3., .....M._' ;,; M ••••• '" fJ/lLeJ,ot1J 1)Number and name of the constituency and State t.Jen L - k rn /Yl- N ~Gz..&u;fv.4 j)~ )4. .. •. ' ..•. ·.M .....• M... .

Name of the political party which set up theIN.J/£fGNP6NTcand idate (otherwise write 'Independent')

5, - .. e_ - -. ' -'(i) Total number of pending cases where chargeshave been framed by the Court for offences NIL- -punishable with imprisonment for two years ormore - --(ii) Total number of pending cases where thecourt(s) have taken cognizance [other than the - NIL -

nil",-c!;Sesmentioned in item (9 above J

6. To~~t ~umber of cases i~ ~hich convicted and.t':'. "

,t) -;-senten\~ \0 imprisonment for one year or moreNIL-~~Pt or offences referred to in subsections -...,.... ".. EJ ),,(2) ("<(3) of section 8 of/"~prl~&T~/pf,

thA ._PfoBre' Act,195J]. NOTARY '.,;'-'''--'' ..... ..- ..-

/?u

mLA(M-4 (J)7),,73.

MOHO, AP., ~l\) p'-~

AOI,fl:'CA T , '~tOffi' OPD "etr.;'ir,,:IiY ,-lnsplrE!. {~L(1 'goadManyam Ghalka, NALGONDA·508 O{)lf

46}flf}intid QV (;Qvt of I~.

7.PAN of

Year for which lastTotal income shown.income Tax return filed

(a) Candidate II IN PI( l.t 1<1i- N WOC(~, o 4,54, <7=fS-•.. '/ .~, g~Lr(b) Spouse !J.AUPL '11.J.<g L J-009' -/ 0 I Lf,

(c) Dependents /IF(lJ Pi t18 '1 L - -- .8. Details of Assets and Liabilities in Rupees

Description-

Dependent-Il . Dependent-IllSelf Spouse Dependent-I- .-

A. Moveable Assets 1£;000 2,o,?-CJOO 2-l), o o o(Total value) - -.

B. Immovable Asset--'''- -..-- .' - .::.::: -.. _. ._. -- --

J. Purchase Price of s-elf':I

IZIo4000acquired immovable - ~ ~ -i't>.f:eticl;:ty.

- •• r .-II. Development!construction cost of '(0

immovable property 5"~ol),ooo .-, ~ ~ ~after purchase (ifapplicable) .- . -

III.. ......•.... -". ".... .....

!..' ..... ...._ ......•.

Approximate Currentmarket price of-

1C>,oqaoo ~ - ~ ---,I --~-

(a) self-acquired '1~ It;;00() . --- ~assets (Total Vall:le) .: .- ~

-..

(c) -inherited-- - ';...

NIL .-. ~ •..•. ....,.. ~~~ets..(ImaJYal}le)

~. -.~ ..

9.: Liabilities

(i) Government dues - -.

Iltr6Jaf~ filL- ~ ~ -- -).......... -._ ..

(ii)'_.•........... --- -~

Loans from Bank,Financial Institutions 13c>,o~600 ~ - - -and others (Total)

10. Liabilities that are underdispute

(i) Government dues -"'-

-. ~ - ~ --.,(Total)

;,.. ......

(ii) Loans from Bank,I Firiancial Institutions ~ --.

'.~ -.. ,....,

and others (Total}. _\

11.Highest educational qualification: M I A '/in,I!., ;f./}mberikC1r ~f€Y/ U"""Ve-'s./~

~(Give details of highest School/University education mentioning the full form of the

~)lIAO~tp.certificate/diploma/degree course, name of the School/College/University and the year inwhich the course was completed.)

, ", -

I/\-TESTEOIINOT ..y

MOHD ARAVUOCAiE~l.~

Offi: Opp Vetp.rinary H(\!=.f)t1.3\ 1\,1\ G. RoadManyam Chalka, NALGONOA··538 001

"ooointed bv Govt. of INDIA.

VERlFI CA TI 0 N

1, the deponent, above named, do hereby verify and declare that the contents of this affidavit aretrue and correct to the best of my knowledge and bel ief and no part of it is false and noth ingmaterial has been concealed therefrom. I further declare that:«

(a) there is no case of conviction or pending case against me other than thosementioned in items 5 and 6 of Part A and B above;

(b) 1, my spouse, or my dep.eodents. do not have any asset or liability, other than thosementioned ih items'? andS of Part A and items 8,9 and ] 0 of Part B above.

Verified at;\Jj~f/;i~·,,~·~~~~.;:::.~~.c.'~hc,tfiis.the ~,.-..•l~i&~'>i<i¥-y:,~.,daY,(jf.~r::~'l1:::1.:i't~;;,;'.f:.~f"... . '. , JC ~ ,M0\'1\ ca-d ~~ (A!L{ .

1I'-TE5T£01l D1DRONENTOTARY

s:

....',.

W:Ni); H"J1Of9(-6)t2D:ij:;~U1;Pr;~AN!.~Sl'N,d}t!;A{f4.L $'eti,Y~·

N~t~:,Th~';pil~~p~'lVtes;~'~~~p.~Jil;i~A~~,y.i.~\P9tift~~Qninqmbef;'~::O?f59~d'at¢d th~lS!1tApril, 1.96'1 aqd: lA$t.w,e:u.'dedJ;p~(f~f"<ilifr;,:<;{':'· ..

. . ,.' ., .• ~ .< lJ,"" ·,,~Q:pr

(J ) number S)"O~7~(E~~ ~~t~<fili,e.;8.'tll,May.2001-(2)mllnber 8,0.4:2$,(8) !;1~te~~~·r'd~~.2QIL

'4

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