Qao Qo s o937110 (Receipt B。 ,k) 。9Q。 ゛Эq・ 曾 9… 81,卜 …れ|,… …………… ι学性:ル隷

,-, A,| v.

……60蜘 輸H |。Q・ m。 _… …………

ocP(FORMS)CIP‐30-30,000BkS-45‐ 122017

S― ヽよくヽ美 FORM 2B

(See rt7/e4) NOM:NAT10N PAPER ElectiOn to the Legis a,ve Assembly of State ― 一 ・ 0

」 , 一 一

STRIKE OFF PARTl oR PART‖ BELCIWⅥ州 lcHEヽER IS NOT APPLICABLE

PART I

( To be used by candidate set up by recOgnised pOlit cal party)

I nominate as a candidate for Electjon lo lhe Legislative Assembty from 29-Bangriposi the (ST ) Assembty Constituency.

Candidate,s name SUDAM MARNDI lFathe/s/mother,s/husband,s name] LAXMAN MARNDI His postat address AT_B|JAYMMCHANDMPUR, pO _ BHANJPUR, PS -€ARIPADA, D|ST - MAYURBHANJ His name is entered at St. No. ,t96 an pad No. 33 of the electoral rol for 33 - BARIPADA (ST) Assembty constituency.

My name is uMESH cHANDRA SINGH and it is entered at SL. No. 219 in part No 237 ofthe electOralro‖ fOrthe 29-BANGRIPOsl (ST) Assembly constituency

υ″んん幻″%′ 、 Date 09 o4 2019 ・ をァ (Signature“ or proposer)

PART I I (To be used by candidate NOT set up by recognized politicat party)

for eleclion to the Legislative Assembty from the l:=:Ψ 輩 l背ド聖編y Constituency. Candidate's name Fathers′ mOthers′ husband's name postal address is entered at sI No in

Part No Of ‖ fo「 Assembly consutuency

¨ 1曽 We enlere∬ 篇:∬:1鷺‖器駕111:ML31よ蔦∬::∬蹴 append our signatures below in token of subsc「 ibing to this nominat on:_

Particulars of the proposers and the ir signatures. SI No Elector Roll No. of Proposer Full Name Signature Date S No inthat 趾訳 part 1 2 \3 4 5 6

1 |

\ | 2 \ | 3 \ | 4 ヽ \ 5 \ 6 \ 7 \ 8 \ 9 \ 10

N.B : There should be ten electors of constituency as proposers.

PART III

l, the candjdate mentioned in Part UDa+ll (Strike out which is not applicable) assent to this nomination and hereby declare that -

(a) I am a citizen of lndia and have not acquired the citizenship of any foreign State ; (b)that I have completed 52 years ofage;

ISTRIKE OUT b(D OR b(iD BELOW WHICHEVER IS NOT APPLICABLE] (c) (i) that I am set up at this election by the B|JU JANATA DAL party, which is recognised t'latioDal-PaCy/State Pa(y in this State and that the symbol reserved for the above party be allotted to me.

(ii) that lam set up at thrs\edion by \ the...... party, which is a registered-unrecognised polihcal paix{at lam contesting this etection as an tndependent candidate (Strike out which is not applicalie) and that the symbols I have chosen, in order of preference, are:-

(i)...... (iD. \…………(iil)

(d) that my name and my father,s/mothe/s/husband,s name have been correcfly spelt out above in ENGLISH (name of the tanguage)

(e) that to the best of my knowledge and betief, I am qualified and not also disqualified for being chosen to fill the seat in the Legislative Assembly of this State.

.*Caste/tribe 'l further declare that I am a member ofthe SANTAL which is a scheduled "'caste/tribe of the State of ODlSHA.in retation to MAYURBHANJ (area) in that State.

I **..nominated also declare that I have not been, and shall nol be, as a candidate at the present general election /the bye-elections being held sjmultaneously, to the Legislative Assembly of ODISHA (State) from more than two Assembly Constituencies.

Date:09042019 繁 SNよ (Signature― of Candidate)

*Score out this paragraph, if not applicable. "Score out the Words not appticable. N.B.- A "recognised political party" means a political party recognised by the Election Commission under the Election Symbols (Reservation and A‖ otment)Order.1968 in the State concerned_ PART III A (To be filled by the candidate) Whether the Candidate - (i) has been convided - (a) of any offence(s) under sub-seclion (1); or (b) for cort'a\rertion of any law sFcified in su' sedion (2), of sedion I of the Representation of the People Act, 1951 No (43 of 1951); or

(ii) has been convicled for any other ofience(s) for which he has been sentenced to imp{isonment for two years or more.

ifthe answeris・ Yes' the candidate sha‖ furnish the fo‖ owing info「 mation:NOT APPLICABLE

()CaSelF rst infomalon repon No/Nos NOT APPuCABLE

O)POICe slabon(s)_NA …… D stnd(S) NA …Slate(sl _ NA… …

flu)鋼 On(s10f the∞ncemed Actls)and bneF descntton of the ofFence(Sl fOr WhCh he has been convcted _ NA _

(v)Date(s)Of∞ 中凛劫卜) …NA…

nv cted the canddate _ NA (V)COun(s)which∞ … … ……

●りPunIShmenl(sl imposed lndi∽ 鯰 penod of mprsOnmentls)and/Or quantum of inelSll NA

i)Date(s)Of release from p“ ● 動… … ……NA… … … … ……… …

(宙i)WttVere any appea lSyrevに bnls)1に d aganstabOve∞ nMい。n(s)No

(o Dale and Paniculas of appealsyappllは On(s)fOr reV● On lled NA …

(xl Name ofthe∞ urt(s)before which the appeaKS)/appiCa1 0n(s)fOr reMsion tt ed

_ _ NA … …… … (x, V\hetf.r the said appeal(s) / application (s) for revision has/have been disposed of or is/are petting… … …… …NA (Xil)ifthe sa,d appeaKSソ ap口 'CatOn(s)fOr revsion has/have been disposed of― (a)Date(s)Of diSposal … NA (b)Nature of orc er(s)passed… …NA…

2. whether the candidate is hording any office of profit under the Government of rndia or Stale Government ? No (yes/No) lf yes, detaits of the office hetd : NOT AppLtCABLE 3. Whetherthe candidate has been yes/No) ' declared insolvent by any Court ? No ( lf yes, has he been discharged from insotvency : NOT AppLtCABLE

4. Whether the candidate is under allegiance or adherence to any foreign country ? No ( Yes/No) ' lf yes, give detaits : NOT AppLtCABLE

5. Whether the candid.te has been disqualified under section gA of the said Act by an order of the President ? No ( yes/ No) lf yes, the period for which disqualified : NOT AppLICABLE

6. Whether the candidate was dismissed for conuption or for disloyatty while hotding office under the Government of yes/No lndia or the Government of any State ? No ( ) lf yes, the date of such dismissat : NOT AppLICABLE

7. Whether the candidate has any subsisting contract(s) with the covernment either in individual capacity or by trust or partnership in which the candidate has a share for supply of any goods to that Government o. for execution of works undertaken by that Government ? No ( Yes,/No)

lf Yes, with which covernment and detaits of subsisting contract(s) NOT AppLICABLE 8. Whether the candidate is a managing agent, or manager or Secretary ' of any company or Corporation ( other than a cooperative society ) in the capitat of which the Central / Government of State Government has not less than twenty five percent share ? No (Yes/No)

lf Yes, with which covernment and the details there of NOT AppLtCABLE 9. Whether the candidate has been disqualified by the Commission under section 10A of the said Act. No ( yes/No) lf yes, the date of disquatification : NOT AppL|CABLE

P ace:BARIPADA ワ_♪←― S Date:09o42019 ( Signature of the candidate ) PART iV

(TO be rllled byめ e Rertral"9 οrlcerl Serial No. of nomination paper...)5/.. Le.l.to.ll/...(O Th` no而 nat on was de"red o me a my Or∝ a21,P綸 ・●・rl on'1彙 |11 (darel by he'canddate′ proposer

Date… ■7(lL'…

'Score out the word not applicable

P′ Decision of Returning o価 cer Accepting or Relecting the Nomination Paper l have examined thも nomindon paper in a∝ odance vtth secton 36 of lhe Repl“enttOn Of he Peop e Ad.1951 and d∞deas b‖ぃvs

Date. Returning Officer … … … … …… … … …… … …… … (PerfOration)… ……… …… ……………… …… …

PART Vl Receipt ror NominatiOn Paper and Notice of Scrutiny

A7oo771atroη Papeり Senal No点 liよ甜靭iltti軍鞘wTll: The nomination paper candidate he■…6や`1-雨 …`SemЫy∞nsbn" de vered a¨ qlJll… RItt IPm… ……… O on… ……… ldaり by he ′ dp"私 "。 nOm画¨ ぃ Ⅷ ●にnipぉ r scru・ 高 ■二 oも 二 h Ii響響 帖 ′′ ヽ ,^ Oο 。肛イ1'ル111… “ “ ^^^^ の… ……1:仲0」til"橿 ulヌ輌ど卜lx;

Date… Rピ lu ……… 29-3a '111391o… +Score oul lhe word not applicable.l Kiosk operato′ ttshree l゛ oharlta 04 Balpada

旧llⅢlllllmmlll 認 ■覚311,461 “

COVERNMENT OF ODISHA omce oithe Tahas‖ dar,Barlpada Mlsce:laneous Certiflcate Case No:e CAS′ 666o12019 CASTE CERTIFICATE

IRule 3()oflhe od sヽ a caste cer1lcate(for SChedu,ed Caste and Scheduled Tr be)Roles,19801 Date 100‐ 032019

Th s is to cerl,thatShH SuDAM MARNDI Son ofShriLAXMAN MARNDlofVllage″ own B:JAY RAMCHANDRA PUR P S BARlPADA TOWNinthe ds● ct Mayurbhattin the State ofOd sha belongs to SANTAL llbe which s reCOgnizeO as Scheduled Trlbo underthe consututiOn(scheduled Caste′ Scheduled Tlbe)Order 1950 as amended by the scheduled Caste and Scheduled Tribeヒ ist(ModinCat on)Orde「 1956 and Schedu ed Casle and Schedu ed THbe Orde「 lAmendment)Act,1976

Shri SUDAM MARND!and herhis fam‖ y ordina‖ ly res de(S)in vⅢ age′ Town B:」 AY RAMCHANDRA PUR oF Mayurbhanl D stlctin the State of Odisha

Place:Ba「ipada Date 130‐03‐ 2019

Wh 響鮮L Signature of the Applicant Sgnatureofth8熊 嘉』羅°frcも

NOTE :

- tt is a digltally signed electonically generaled cenilicate and lherefo@ negds no ink-signed si?neluro amendmenls ih - rris ced,incste is,ssued € s per s,clion 1,5&6 of lnfomalloh Technology acl2ooo,and ils subseguenl AR&DM 2OOA and as per Revenue & Dtsaslet Manegement Depadment noljfaa].jon numbe^. IMU'13/1M2 dated dated 21 .10.2010, RDM-\MU-EGOV.(0O1-1241244 dated 10.09-2012 and RDM-\MU-EAOV-O001-2012/35042 12.09.2013 - Fot any query ot vetifrcation, AgencylDepartrnenvofrct nay visit hftpl/edbtictodisha.gov in' - Tempeing ol this csttificale will ettact penal ection.

‐ンヽ ヽ ― い ヽ、 λ : i ,: ft'{ .rTi

010`′ 33 6anoqor 66'iaer fi661a c' olq $.o|fu'(Sr) &qq6qo'G 6la r.6eqQlco9qa

€lf, 6c6i i Ei-i-osq t*o ft

.qa 2, 6c q9€ 1 1 . ‐ |: ¨∩ 魏 ¨ ・ 」 ヽ9 2, |::『 0,Э _,`9● 甜.]1, 証 いo99Q990 ma ¨″82

`1 … “^Gl GHS1962687

:ヽ

‐ ■t リトtll` | ,0 =ビ tl'3 ” ′ヽ | ・¨ 「 や ,I 一 躍 1

゛|■ 1ド '゛ ´ '■ し iaα Oa C゛ 9'19

.='' ヽ `

RPZO・ 48608 ()● ■1:)1 , | seEos a,6e{a cQ6Ac

Yら]=TC ¨ 一 障 R 甕 m RPZ0353143

qrEan 616n c 6aog , €qs ie a+ q*a

RP2oo30791

一 ^ り 一 一 篠Я ヽ ,,aa9 1 ^ 平 ● C G .

ll

tら″ OT101′ 007′ 1 OR 01117m¨0 090`0… 100 aqcea aeaoq eia oQ ●0'99う Q“ 09 Q07" Q6む o' “

んル″力ψわク″ルあ ` υ へ ― 当 き `た .at aぃ ぃo● 1“ス●●10 驚潔 燻 重鯛 A●1 lo'187,一 切Q煽破 輛騒 … 2't 斗 vor. Ho...|!....sr' *.a1"*3' Y' 1

¨ TE RU

Rs.

J G 6 43AA 033749 ¨ enkw oorsun 3

BEFORE THE NOTARY PUBLIC:BARiPADA

Form 26 : (see Rule 4A)

gY NOMINATION PAPER BEFORE THE AFFIDAVIT TO BE FILED THE CANDIDATE ALONGWITH LEGISLATIVE ASSEMBLY (NAME OF THE HOUSE) RETURNING OFFICER FOR ELECTION TO ODISHA (NAME OF THE CONSTITUENCY} FROM 2* BANGRIPOSI (ST} CONSTITUENCY 3 PART-A Marndi' resident of I sudam Marndi, aged 52 years, son/daughter/wife of Laxman (mention full postal u,,"r]"#n"*"*Ip-o- an"nlp,t,ps -Baripada Town ' Mayurbhanj' solemnly affirm and state on oath as under: ajdress;pa candiaate at the above election' do hereby (**nameofthe politiEal party) (1) lFm a candidate set up by BijulanataDal (Name of the constituencv (z) tiy n.." i, in 33-Baripada (ST) constituency' odisha "nrotled *rd the State), at Serial No - 496 in Part No- 33 ' &9937756211and mv e-mail id (lf Ill Mv contact telephone number (s) is/are 9439297900 ' ' any) is/are *,v) i, ," rnal.r,a am@Ema rl com my social media account {if (ifwhat's App- 9439 2 979oo,99317 56277 (ii) racebook-marndi sudam@Smail com ´/h炒 ,町 :暉:ヤ「 9■ 輛い0●蝦: ンガ'l η:薄 卿 6)6 )\ 8\]'\<' 't.Ei\r\ -€i_ . \ !-\i\q *eSg^s,J .:."..rcr<."r-"\ .--.S>J -"<4_\ ぎ じ ‐ s_R_、 ふ ` … ing ofincome Tax return: {4)● etailS Of Permanent ACCOunt Number(PAN)and status Of f“ Total income shown in SL No Names PAN The financialyear for which the last lncome Tax return (in Rs.) for lncome Tax return the last five financialYears has been filed completed (as on 31'r March) 2017-18 (i)Rs-3,40,910=0O 1 Self AIPPM5250Q

Sudam Marndi 2016-17 (ii) IT return not flled

2015‐ 16 (“ 1)IT return not nled

2014‐ 15 (iV)IT return not fted

2013‐ 14 (v) lT return not filed

94フ 2017-18 lT return not filed 2 Spouse AICPヽИ OK 1i)

Ranjita Soren 2016‐ 1フ (1)IT return notfi ed

2015-16 (11)lT return not ttled

2014‐ 15 (iv) lT return not filed

2013‐ 14 (v)lT return not filed Not Applicable 3 HUF (lf candidate is Not applicable Not Appli€able Karta/Copartner) 201フ ー18 lT return not filed 4 Dependent - 1(5on) DUWPM 1620P Nelson Abraham filed Marndi 2016‐ 17 IT return not

2015‐ 16 lT return not filed

2014‐ 15 lT return not filed

2013-14 lT return not filed

Not Applicable 5 Dependent - 2 Not Applicable Not Applicable

Not Applicable 6 Oependent - 3 Not Appli€able Not Applicable ase d no PAい ShOdd be deaV

stated″No PAN a‖ otted″

S一 ヽ戦 Deponent 7~労.吻メ (5) Pendint criminal cares |} 同 eC are thatt降d輌 r m nalcaSe a詢 no criminai case pending against the candidate and u "帥 “ “ ‖ Iヽ 露 紺 盤 琳 a ternative(li)below) The followins . !)> criminal cases are pendingagainst me:

(!fthere are pending crininal cases against the candidate,then tick this alternative and

score or alternative(i〕 abOve,and give details of a‖ pending cases in the table beiow)

Table

FIR No. with name Baripada Town police Station and address of At/po- Baripada, Police Station Dist-Mayurbhanj. concerned Case No w"h Name GR Case No-1616/12 Pending ln the Court oftte SOttvtpiripaaa of the cOurt S€ctlonlslot u/s -tss ot trc rfiiection)yzz lrms Lct- concerned Ads/Codes involved {8lve no. of the Section, e.g S€ction...... of tp€, B.ief description ot The o“ence is punishment fOr dacoity along with testing and pOssessiOn Of offence whether charges have been framed mention YES or NO lfanswer against (e) NOt App‖ cable above is YES, then give the date on whiah charges were framed Whether any Appeal/Applicarion ,or revision has been filed against the proaeedings

、ふ 熱 ん|¬ 副 (a) FIR No. with name and 363/12 23112012 Baripada Town Police Station addres5 of Police Station At/po- Aaripada, concerned Dist-Mayurbhanr.

(b) Case No. with Name ofthe GR Case No― Pending ln the Court orthe SDJM,Baripada Court 1618/12 Section(s〕 of concerned u/s-r471L481452/2941505142713791]^49 of tpc & rlw 25/2t a.rls a.t Acts/Codesinvolved(giVe no ofthe Section,eg Section_Of!Pc etC) {d) BrieI description of UnlaMul assembly, House trespass after preparation for hurt, Obscene offence act, criminal intimidation, mischief causing damage to the amount of rupees fifty, punishment for theft, along with terting and possession of

(e) Whether charges have No been framed (mention YES or NO) lfanswer rgainst (€)above is Not Applicable YtS, then tiv€ the date on which charres were framed (8) No Appeal/Application for revision has b€en filed aSainst the proceedings (mention YEs or NO)

(a) FIR No. with nameand 364/12 23112012 Baripada Town Poliae Station address o, Police Station At/po- Baripada, concerned Dist-Mayurbhanj (b) Case ilo. with Name ofthe GR Case No‐ Pending ln the Court ofthe SDlM,aaripada Court 1613ノ 12 section(5) of concerned u / s-1431147 / t48/ 4s2/s06/ 427 / 749 tpo & w 25/27 Atr.r|s A.t Acts/Codes involved (give no. oI the Section, e.g Section...... of lPC, etc). (d) Eriet description ot offence Unlawfu I a ssembly, House trespass after pr€pararion for hurt, criminat intimidation, mischief causin8 damaSeto the amount of rupees fifty, pu nhhment lor theft, along with testing and poss€ssion of arms (e) Whether charges have No been framed (mention YES or NO)

lfanswer aSainst (e)above is Not Applicable YES, then 8lv€ the date on which chaneswere framed (g) No Appeal/Appllcation f or r€vision has been filed aSalnsi the proce€dints (menBdlAi.n€[ 2 ^ ⑬ ~年 幅 キー哄くヽN美 \ イ孤 Deponent 脚 :犠 ・ 号り叫 嘱簾lも難レ14 賦 " {a) FIR No. with nameand 65/11 09‐ 12‐ 2011 At/Po€orumahisani, address of Police Station Oist- Mayurbhanj. concerned (b) Case No. with Name ofthe GR Case No‐ Pending in the aourt ofthe SDJM, Rairangpur, Court 513ノ 11 Section(r) of concerned U/s-ta3ll5!51al5}6lreS teC r7'"- Z Cr. t--r act / rZ r. a.a7 S Oaistra Acts/Codes involved (give Fireworks & toud Speaker Registration Act. no. of the Section, e.g Section...... of lPC, etc). (d) I rief description of offence Unlawful assembly, and cause any person to preiudiae of employment or business, intention inrult with intent to provoke breach of peace, illeSal use of loud speaker. (e) VVhether charges have No been framed(menttOn vES or NO) lf answeratainsi (e) above Not Applicable is YES, then give the date on which charges were tramed

(g) whether any No Appeal/Application for revision has been filed aSainst the proceedinSs (mention YES or NO)

{a) FIR No. with name and Not Known Not known Govt. Railway Police, address of Poliae At/po/ps- Baleswar, Station aonaerned Dist- Baleswar. (b) Case Nd. wlth Name of 2(C)CC No‐ 27/11 Pendlng in the couft ofthe SDJM, Baripada. the Court Section(s) o, conaerned 145/147/174(1)of Railwav Act Acts/Codes involved (give no. ofthe Section, e.g Section,..of lPC, etc). (d) BrieI description ot Picketing durinS rail rook or bandh, nuisanae and trespass and refusal to offence tesert trom trespass. (e) Whether charges have Ves been tramed (mention YES or NO) lf answer against (e) above ls YES,lhen give lhe date on whi.h charges

(g} No Appeal/Application f or revlslon has been fil€d against the proceedlngs (m€ntion YEs or No)

0 颯 「 し 黎机 ― 辟 (a) FIR No. with name and 30/11 03‐ 09‐ 2011 Govt. Railway Police, address of Police At/po/ps- Baleiwar, Station concemed Dist- Baleswar {b) Case No. with Name of CT No‐1602/11 Pending inthe courtofthe SDJM, Baleswar, the Court Section{s)。「COncerned t43ll4L/L49 ot tpc & 174 Raitwav Act, Acts/Codesinvo!ved(giVe nO Orthe settion′ eg DeCt'On 。 grief "PC,etc) (d) description of Punishment for unlawfulassembly and wron8fut resthint and piaketing ofrence during rail roko or bandh. (e) Whether charges have Ves been framed{menJOn VES or NO} lI answer against (e) above is YES, then give the date on whiah charSes were framed (g) whether any No Appeal/Application for revision has been Iiled aSainst the proceedings (mention YEs or No)

{a) FIR No. wiih name and Baripada Towr Police Station address of Police At/po- gatipada, Station concerned (b) Case No. with Name of GR Case No-1062/02 Pending in the aourt ofthe SDJM, Baripada the Court Section(sl of concerned 341/323/294/506/379ノ 34 1PC Acts/Coder lnvolved (give no. of the s€ction,

e.g Section.....,o, I PC, etc). (d) 8rie, description of wronSful restraint, punishment for volunta ly causinS hurt, theft and otfence criminal intimidation (e) VVhether charges haVe Ves been framed(mentiOn VES o「 NO) lf answer against (a) Not known above is YES, then give the date on which charEe5 were framed (8) No Appeal/Application for revision has been filed against the proceedints (mention Y[S or

charya イ salil′ /‰ タ撻 ―ヽ ヘ Ⅷ (a) FIR No. with name and 9ノ 92 10-02‐ 1992 At/po-lharpokharia, address of Police Dist- Mayurbhanj. Station aoncerned (b) Case No. with Name of GR Case No-16/92 Pending in the court ofthe SDJM, Baripa,a ihe Court Section(s) of concerned u ls-147 174n1t351427 ls6l LOs/t4s tpc Ads/coder lnvolved (8ive no. of the Sectlon, e.g S€ction...... ot lPC, etc). {d) B rief description of Unlawlul assembly, House trespass after preparation lor hurt, crimin.al offenae intimidation, mischiel aausing damage to the amount of rupees fiftv, act endangering sarety of others. (e) VVhether charges have No been framed(mentiOn Y〔 SorNO) lf answer against (e) Not Appiicable above is YES, then give the date on whiah charges wete framed {3) Whether any No Appeal/Application for revision has been filed atainst the proaeedings (mention YES or NO)

(a} FIR No, with name and 8ノ 92 10‐ 02-1992 At/po-Jharpokharia, address of Police Dist- Mayurbhanj Station concemed (b) Case No. with Name of GR Case No-166ノ 92 Pending in the.ourt ofthe SDJM, aaripada the Coun SectiOnts,Of Concerned u I s-7a7 h*Sl427lso'lgZglrtt tpc & 7 ort-.1la Acts/COdes involved(giVe no o,the SectiOn′ eg iCIon… …Or pc.et● (d) Brief description of Unlawful assembly, House tr€spass after preparation for nurt, ciiminJ intimiaatiorl offence mischief .ausint damate to the amount of rupees fifty, punishment for theft and to prejudice ofemployment or business. (e) Whether charSes have No been framed (mention

lf answer agalnst (e) Not Applicable above is YES,lhen give the date on whlch charget

(g) No Appea/Appllcation for r€vlslon has b€en filed a8alnst tha proceedin$ (mention Yts or N ,だ

| CS― \‐へヾ懇バNk Mav::lliЙ メづ勤 ,91:liltl (a) FIR No. wilh name and 60/91 03‐ 12-1991 At/po-Jharpokharia, address of Police Dist- Mayurbhanj. Station concerned (b) Case No. with Name of GR Case No-1058/91 Pending in the court ot the SDJM, Baripada the Court Section(s) of concerned U/s143/506/149 1PC&フ Cr LA Act Acts/Codes involved (8ive no. of the Section, e.8 Section...,..of lPC, etc). (d) Brief des.ription of Unlawful assemblv, ariminal intimidatlon and cause anv perron to preiudi; offence of employment or business (e) Whether charges have VeS been framed (mention YES or NO) lf answe, against (e) above is YES, then give the date on which charges were tramed (g) Whether any No Appeal/Application for revision haa been filed aSainst the proceedings {mention YES or NO)

(a) FIR No. with name and 59/91 22‐ 11-1991 At/po-lharpokharia, address of Police Oist- Mayurbhanj Station concerned Case No with Name of (b) GR Case No‐ 1032/91 Pending in the court ofthe SDJM, Baripada. the Court

Section(rl of conce.ned U/s‐ 148/143/506/149 1PC Acti/Codes involved (give no. ofthe Section, e.t Section...... of lPC, etc). (d) Erief desc.iption ot Lrnlawful assembly, rioting armed with deadly weapon and criminal offence intimidation {e) Whether charges have Ves been framed{men■On YES or NO) lf answer aSalnst {e) Not known abov€ is YEs, then Sive lhe date on whlch charSes

セ) No Appeal/Applicatlon f or revlsion has been flled aSalnst the proceedlngs (mention YtS o. NO)

■ %ト a"a ヽ い ふふぐ議 SaChi● 1381鮮 S一

0' 9 W 哺!1零 -94句 ジ 帯鼈| 職 ・ 19 (5) Cases of convidion (i)r ldealare that I have not been convicted for any criminaloflenae. (Tick this alternative, ifthe candidate has not been convicted and write NOT APPLICABIE against alternative (ii) below ) OR

(iill have been aonvided forthe offences mentioned belowt NotAoolicable

(lf the candidate has been convicted,then tick this alternative and score off a lternative(i)a bove ,a nd give details in the tabl€ b€low)

Table

(a) Case No. NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

(b) Name of the Coun NOT AppLiCABLE NOT AppLiCABLE NOT APPLiCABLE

Section of NOT APPLiCABLE NOT APPLICABLE NOT APPLICABLE Acts/Codes involved {6ive no. of the section, e.g 5ection..,,,. of IPC ,etc.).

(d〕 Briet description of NOT APPLlCABLE NOT APPLiCABLE NOT APPLICABLE offence forwhich convicted

に) Dates oI orders of NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE aonvidion Puniahment of cause NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

{g) Whether any appeal NOT APPLICABLE NOT APPLtCABLt NOT APPLICABLE has been liled against conviction order(mention YES (h) lf answer to (g) NOT APPLICABLE NOT APPLICABLE NOT APPLiCABLE above is YES,Sive details and present status of appeal (6A) I have given full and up-to-date information to my political party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and (5).

(Candidates to whom thisitem is not app‖ cable shOuld clearlv write NOT APLiCABLE IN V:EW OF ENTR!ESiN 5(1)and 6{i),aboVe〕

〆 S―ムぃ~ハいけ氏 まFttarya

`チ %、 趙 1 `acii,ι Notel

1. Oetaib should b€ ent€red clearly and leglbly in BOLO lette6.

2. Details to betiven separately for each case under different aolumns against each item.

3. Details should be tiven in reserye chronologicar order, i.e, the ratest case to be mentioned rirst and

backwards ln the orderofdates for the other aases.

4. Additionalsheet may be added if required.

5. candidate is responsible for supplyint all informarion in compliance of honorable supreme court's

Judgment in W.P (C) No.536 of 20U,

(7) give That I herein berow the detairs of asserts (movabre and rmmovable etc.) of mysert my spouse and all dependent5.

A. Oetails of movable assets:

joint Note: 1. Assets in name indicating the extent ofjoant ownership will also have to be given.

Note: 2. ln case of deposit/tnvestment, The details tn€tuding Serial Number, Amount, date of deposit, the

scheme, Name of Bank/lnstitution and Branch are to be Biven.

Note: 3. value of Bonds/share Debentures as per the current market varue in stock Exchange in respect of

listed companies and as per books in case ofnon-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 brood or marriage, who have no separate means of income and who

are dependent on the candidate for their live-hood.

Note:5. Details lncluding amount is to begiven separately in respect ofeach investment.

Note : 6. oetails should include the interest in or ownership of offshore assets. Explanatlon:. purpose ,,offshore For the of this Form, the expression assets,, include, details of deposlts all or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabiliues in foreign countries,;

亀終鹸

MI:よ1111):じ ジ らt7 ヤ湿 SI No Description Self Spouse HU Dependent-1 Depe Depende F Ranjita Marndi Nelson A. Marndi ndent nt-3 -2

Cash in Ha nd Rs‐ 40′ 000=00 Rs-30′ CX10・ 00 NA Rs 4′ 000・ 00 NA NA

Details of (1)SB a/c nO_ NA (1)SB aた nO NA NA deposit in 11043509914 201043フ 5203 SBl,Bar pada Bank accounts SBI′ Baripada′ Rs‐ 5,97′ 49フ (FDRS, Term 朧 =63 Rs-11,052・ 02 Deposits and (2)SB a/C nO_ (2)SBI I/c no‐ all other types 33989707486 550110100011528 (2}SB a/C nO― of deposits SBI Govt BO′ Baripada 50100202652110 including Secretariat eranch Rs‐ 39,206・ 76 Rs 16′ 375=76 saving Rs‐ 3.75,781・53 HDFC,Baripada accountS), (3)OGBa/c nO― Deposils with 13)SB a/cnO_ 1061loll101102750 (3)SB A/c No Financial 10023822272 Rs●,75,522■ 78 250796 lnstitutions, S31 Parlianent Rs 128/‐ House′ New Delhi Non Eanking (4)Postal SB aた Axis Bank′ BBSR Rs‐ no‐ 3367389344 Financial 19,861‐フ5 Rs‐ 1′ 17,901=00 Companies 14)SB a′ CnO_ and 149101o00002651 (5)Postal R D a/c Cooperative 100 Ba「 ipada′ no‐ lo9o500S17

societies and Rs‐ 2458・68 Rs‐ 1.84.Oal=o0 the amount in each such 15)SB a/cnO_ ● deposit. ,45010110009699 301 Murgabadi ts 60.543・ 40 Details of 1)SB Mutual NL NA NL NA NA investment in Fund Bonds, 384 248 unit Debentures/ Amountin INR shares and 15,000=00 units in companies/ MutualFunds and others and the amount. {V) Details of LI C ofindia (1)Star uniOn NA (1)L LC oflndia NA NA lnvestment in (1)PO‖ Cy No‐ Dia CHILIC Po‖ cy No‐ NSs, Postal 584653179 Pol cy No‐ 588670714 Saving, Rs-6.27,450=00 00312161 Rs-1,11,740=00 lnsurance Rs-3,19′ 305=00 Policies and (2)PoliCv No― (2)LJ C oflndia investment in 588669749 (2)LJ C oflndia Polcy No― any Financial Rs‐ 2.03.フ 40=00 Porcy No― 585825148 instruments in 585833165 Rs‐ 7,43.951・ 00 Post office or Rs-6′ 24,690=00 ln5urance company and (3)LlC of india the amount. Policv No― 588669251 Rs-3,41′ 525=00

(4)LIC of lndia Po‖ cy No‐ 5595フ 6469 Rs-85′ 474=00 (5)SBi tlFE Policv No lM006400204 Rs S,OЭ ′000=00 NA (V) Personal Nt NL NA NL NL

advance given to any person or entity includinB firm, company, trust etc. and other receivables from debtors and the amount. (V) 1)Hvunda,Elantra Vehicles/ Regd No‐ Aircrafts/ 0し3CAPl179, NL NA NL NA NA Model Yachts/5hips 2∞ 5′ WDV‐ Details of Rs‐ 80.130・ 00 Make, registration 2)M"subiShi number. etc. Palero Regd No‐ year of WB20H‐6679 purchase and Mode1 2008′ WDV amount) Rs‐ 3,90.490・ 00 ⌒ (Vi) 60 gms 100 gms NA NL NA NA bullion and Approximate App「Oximate valuable thing value Value Rs‐

(s) (give derails Rs-1,98′ αDO=00 3′ 30,ODD・ ∞ of weight and valuel (V11) Any other (1)One NL NA NL NA NA assets such as 25BorePistol value of No- 105/82 claims/ value of interest Rs 25′ 00Э =00

(2)one MP BOre Revolver no― 71482 value of Rs 22,500・ Oll

Gross Total Rs 21,31,235・ 24 Rs 36.45,122・ 17 NA Rs 8′ 87,246=フ 8 NA NA value B. Details of lmmovable assets:

Note: 1. Properties in joint ownership indicatinB the extent ofjoint ownership will also have to be indicated

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

Note: 3. Details should include the interest in or ownership ofoffshore assets.

SI 0escription Self Spouse HUF Dependent Depende Dependent-3 No Raniita Marndi -1 nt-2 Nelson A. Marndi

(|) ArricultuJalland Mouza― 1)M― NA NL NA NA Location (s) Bり avramchand Blayramchandra Survey number rapur, pur G) Кhata No― K― No― 135/1059,Plot 135ノ 1001′ Plot No‐ 267/3128 No‐578 Kisam― Sarada― Kisam Sarada‐ 3 11 2)M Hadhadi К‐No-66/7

Area (total A030 Dec 1}A047 Dec NA NL NA NA mea5urement in acres) 2)A071 Dec

Whether No No NA NIL NA NA inherited property (Yes or No) 猜 E \

/´ |■ ン ''1 , liti l l,´ _ヽミ , , s_め、~ ポ 酬 Date of purchase 23092009 1)201008 NA NIL NA NA in case of self - acquired 2)100811 propertv COSt of Land{in NA NIL NA NA case of purchase) Rs 6′ CXl,C100/= 1)Rs-1,20′ 000=00 at the time of purchase 2)Rs l′ 50,α30=00

Any investment Rs l′ 00′ 000/= NL NA NL NA NA on the land by

development, construction etc. Approximate Rs 60′ 00.000/= 1)Rs14,10′ CIC O=C ll NA NL NA NA Current market value 2)RslQ65′ 000=00 l{ii) Non- Arriaultural NL Jointiv with NA NL NA NA Land Sankar Charan Location (s) Marndi Survey number Mouza‐ (s) Purnachandrapu「 Кhata No‐ 162ノ 326K`am― Gharabar_1&11 Area (tOta ML I性 NA NL NA NA measurement in ぉ鵠句 sq ft) Whethけ NIL No llA NIL NA NA inherited prOpenv (ves Or No) Date of purchase NL 200301 NA NL NA NA in case of self - acquked property Cost of land( in NL Rs‐ 41′ 000=00 NA NL NA NA case Of purchase) at the time of purchase Any lnvestment NL NIL NA NL NA NA on the land by

development, s0nstruction etc. Approximate NL Rs‐ 15′ 00,o00=Oo NA NL NA NA :urrent Market (Ha f Share) /alue ヽ

◎ ″ Cル ヽ ri‐ 蹴 :∨=妙 /ち′ d

哺| 壻:年 明11 W Commercial NL NL NA NL NA NA Buildin.s (lncluding apartments) -Location( s) -Survey number is) Area(tOtal NL NIL NA NL NA NA measurementin sq ft) Bu‖ t up Area NL NL NA NL NA NA (tOtal measurementin sq ft)

Whether NIL N[ NA NL NA NA inherited property (Ye5 or No) Date of purchase NL ll l L NA NIL NA NA in case of self- acquired property property ( Cost of NL NL NA NL NA NA in case of purchase) at the time of purchase Any lnvestment NIL NIL NA NL NA NA on the property

development, construction etc Approrimate Nし NL NA NL NA NA current Market value (V) Residential NL (1)Arya bya NA NL NA NA Buildin.. Apartment,unit ( lncludinS no-712 on 7th aPartments) Floo「 Of BIOck‐ B -Location(s) under Mouza‐ -Survey number Nayapa‖ 1.khata (s) no-493′ p10t nO_ 1751/1754, kisam― gharabari {2)Jo nty wth Chandan Kumar Hembram

M‐

Bり ayramchandra ⌒ 豊螢【К No‐ 135/236

sactta S―黒¨ヽよ

め 嘱 「 沖 已 琴畔楓′ 翫 Area (total NA 1)1080 sq ft NA Nt NA NA measurement in 2)A010dec sq. ft.) (4356 sq ft) Bu‖t up Area NA 1)1080 sq ft NA NL NA NA (totai measurementin 2)3∝Ю sq ft sq ft) Whether NA No NA NL NA NA inherited Property (Yes or No) Date of purchase NA 1}30-07-2011 NA NIL NA NA in case ofself- acquired 2)07041995 prooertv Cost of property ( NA 呻Rs 22′ 39,1∞ =0 NA Nし NA NA in case of purchase)at the 2)70,OIXl=00 time of purchase NA No NA NL NA NA on the land by

development,

Approximate NA (1)Rs 40′ 00,000/ NA NL NA NA current Market (2)Rs 45′ 00,000/ value (HalF share) Others ( such as NA No NA Nt NA NA (V) interest in property)

(V) Total of current Rs 60,00′ 000/・ Rs l,24′ 75′ 000/= NA NL NA NA market value of (i)to (v)above

(8) tgive herein below the details of liabilities/dues to public financiat institutions and government. :1 Note: Please give separate details of name of bank, lnstitution, entity or individualand amount before each item) S ‐ Destription Self Spouse HUF Dep€ndent-1 Dependent-2 D€pendent-3 N 0 Sudam Marndi Raniita Marndi Marndi. [oan or dues to 1)tiC Of lndia HDFC Bank, NA N lt NA NA Bank/ Financial Rs-56.931・oo Rs`′ 18′ 510・OO lnstitution(s) HOuSin3 Loan 2),NB,Baripada Name of Bank Rs-50,000・00 or Financial Vehic e loan lnstitution, Amount outstandinS, Nature of loan

ヽ ´ ´ ヾ0 、 :ス` ●

蠅 loan or dues to Nt NL NA Nt NA NA any other individuals/ entity other than mentioned

Name(s), Amount outstanding, nature of loan Anv Other Nt NL NA NL NA NA iiab‖ ity

Grand total of Rs l′06,931・ 00 R54,18′ 510・00 NA N[ NA NA liabilities Gov€rnment |(li' the Deponent been in occupation of a-ommoda-iiiiJ6iidei-6f Y〔 S(Pt tiCk the Dues: iq{Has I the Government at.ny time during the last ten years before the date of appropr ate Dues to notification of the current election? a ternative departments I (B)lf answer to (A) above is yES, dealinSwith the following declaration may be furnished namely:- (i) The address of the Government accommodation: at- Govt. er.No- 6, Type-viiiMR, Unit,vi, Bhubaneswar. (iii) There is no dues payable in respect of above Government accommodation, towards- (a) Rent; (b) Electricitycharges; (c) Water char8es; and (d) Telephone charges as on 25-03-2019(date) [The date should be the last of the third month prior to the month in which the election is notified orany date thereafterl Notei 'No Dues Certificate, from the atencies concerned in respect of rent, electricity charges, water charges and Telephone charges forthe above Government accommodation should be submitted.

Dues to Nt N[ N[ NA NA department dealingwith Government transport( includinS aircrafts and h€licopters)

lncome tax Nt ll[ NL NA NA dues (V) GST dues NIL NL NL NA NA (V) Municipal/ NL NIL NL NA NA

ハ ヽ /´ 隆 レ 龍 S-4‐― 鹸ふヽ Deponent ヽ ち L` ノ 塊勁厖 ギ鍋 助 (vi) Any other dues NL NIL NL NA NA (Vl) Grand total of all NL Nt NIL NA NA Government dues whether any NL NL NL NA NA other liabilities are in dispute, if so, mention the amount involved and the authority before which it is pending.

9l Ddails of p.ofeirion or occupatlon:

(a)S€lf- SocialWork.

(b)Spouse- School Teacher

(A) Details of source(s) of income:

(a) Self- Salary (b) Spous€- Salary (c) Source ofincome, ifany, of dependent(so n) ... N [,

(B) Contracts with appropriate Governmeni and any public company or companies

(a) details of contracts entered by the candidate...... Ntl, (b) details ot contracts entered into by spouse...... N11. (C) details of contracts entered into by dependenis_...... Nt1... (d} details of contracts entered into by Handu Undivided Family or Trust in which the candidate or spouse or dependents have interest ...... Nt1...... (e) details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners...... N11...... --.--......

(0 details of contracts, entered into by private companies in which candidate or spouse or dependents have share...... N11.

(10)My edu.ational qualilication is as under: +2 Arts from M.P.C. College, Baripada in the year 1986. (Give details of hiShest School/ University education mentioninS the full form of the certificate/ diploma/ degree course, name of the School/ College/ University and the year in which the course was completed.)

・ レ SaCht・1颯1焦■AリICtl・ 〔襲ぃ、cょ .3a卜ul'鑑1 濡[r嘴“ 囃:∬ :4;Tルtiλ =3138P= "¨ 11 メ翫 PART― B

(■ 1) AOSTRACT OF THF DETA:LS GiVE"!N(1)TO(10〕 OF PART― A:

1 Name of the Candidate Sudam Marndi 2 FullPostaladdress At- Bijayramchandrapur Po'Bhanjpur ps-Earipada Dist-Mayurbhanj 3 Number and name ofthe Constituencyand 29- Bangriposi {5T), Odisha State Name of the political pa rty which set up the Baju lanata Dal 4 candidate (otherwise write'lndependent')

5 Total number of pending criminal cases 11

0´ Total number of cases in which convicted Nt フ PAN of Year fOr which last Total lncome shown :ncome Tax return ■led (a)Candidate AIPPMS250Q 201フ ‐18 Rs 3,40,910=00

(b)Spouse AIGPM94フ OK lT return not filed lT return not filled (c)HUF Not Applcab!e Not Applicable Not Applicable (d)Dependents(Son) DUWPM 1620P lT return not filled IT「 eturn nOt f‖ led 8 Detans Of Assets and uaЫ I‖ es lnduang Orshore asset● h rupees 0escription Self Spouse HUF Dependent- Depen Dependent,3 1(son) dent-2 Rs21,31′ 235‐ 24 A Movable Rs 36,45122‐ 17 NA Rs 8,87,246・ フ8 NA NA Asseも {TOtJ value)

B Rs 60,00′ 000‐00 lmmovable Rs 1 24,75,000‐ 00 NA NL NA NA Asset5

| Rs 6,00,000・ 00 Purchase price 1)Rs‐ 1′ 20,000・ 00 NA Nt NA NA ofSelf- 2)Rs l,50′ 000・ 00 acquired 31Rs‐41,ooo・00 immovable 4)Rs22′ 39,10o・OO property S)Rs,0′ o00■oo

|| Development/ Rs 1 00,000・ oo Nt NA N[ NA NA construction cost of immovable Property after Purchase (if applicable) な ヽ

螺 ヽ 、 ||| Approxima te current market pdce (a) Self- Rs 60′ 00,000・ 00 Rs l,24,75000‐ 00 NA NA NA NA acquired assets (Total value) (b)lnherited N[ NA NA NA N[ NA assets (Total value) 9 Liab‖ ities

| Government NL NL NA NL llA NA dues (Total)

|| Loan from Rs l,06,931・ 00 Rs 4′ 18,510=00 NA NL NA NA Bank, Financial lnstitutions and others (Total) 10 Liabilities that are under dispute

| Government NL NL NA NL NA NA dues (Total)

‖ loan from NIL N[ NA NL NA NA Bank, Financial lnstitutions and others (Total) Hithest educational qualification - +2 in Arts, M.P.C College, Earipada in the year 1986

(Give details of highest School/University education mentionin8 the full form of the certificate/ diploma/degree course, name ofthe SchooUColleBe/University and the year in which the course was ρ′ ,rogDleted ).

t3il,1。・゛

::lill:lil:li″lld,ponentri[IWi‖ and deflare thlt t'ff° idavl a「 騨 rtentS Olthil,“ , true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there from. I further declare that:- (a) There is no case of conviction or pending case a8ainst me other than those mentioned in items 5 and 6 of Part A and B above; (b) (b) l, my spouse, or my dependents do not have any assets or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above.

verified at Baripada this gth day ofApril, 2019. ,00

Sヽ本、u― も心 uレ リ ●●tatt B:罵hマ | l ア笏 嘔 d / / +

‥ TI

日 膨 RU

iT.10 R's.1 吻 INDiA

瓢 ODISHA 43AA 033750

LegJ]i:llillil欄 lIll‖i世 鶴 i:!I[lili:lsTlasselη biyCOnstruencv 龍 r蹴 濯 [脱計棚 臨 1器欄 l暴鞍73品 1器柵 撃

1 That,the Obtained″ no dues certincates″ frOm the agencies cOncerned are submitted

lhat thisafrdavit is SWorn tO bebe prOduced before the cOmpetent AuthOrity fOr nomhaYOnpaperぉrdeabntOOMfrOnlj::薔l,^niA ι^_、 _ __ the purpose of filling ^ぃ i轟凝)l品 温l::;

lf席黒鮪翼:糧露T:l晰1::撫 11翡 鳥‖li2需 緊為 器↓器:ⅧB品ギ:f鷺:liw誓 1 q*.N 9..^\".-DEPONENT 樹 %10 マ

4 ″ ぅ r ゞ , ‐ U 都

一 .

一 / ヘ Government of Odisha General Administration & Public Grievance (Rent) Department Bhubaneswar **ti

Dale… …… … No … … ′Rent ………… … V‖・A・3f2019

To The Secretary, Odisha legislative AssemblY, Bhubaneswar.

M'L'A' Bangriposi' Sub: lssue of Clearance Certificata in favour of Shri Sudam Mamdi' 0disha.

Sir, Sudam Mamdi' M'L A' l am directed to say that, no due is outstanding against Shri of Government quarters No 6' Bangripmi, Odisha towards house licence fee for occupation TypsvlllMR, Unit-Vl, Bhubaneswar till 31.03 2019'

Yours ianhlu‖ y,

´ 朝′ Rent Officer G'A & P.G (Rent) DePartment

Date..-7,Y/03i 24i) ' Memo'-'- No. ...)o..D-.....;Rent dp; fil;;;J to snt suom Marndi, MLA, Bangriposi' Governmentlquarters necessary action' tlo.o, ivpllvrrir',4n, Unit-vl, Bhubaneswar for information and

V G.A & P.G (Rent) Department

gヽ ― ふ0 Ph:067+2597096 Fat{67&2597096 Efiall - €ebbstl@Yahoo'co ln

OFFICE OF THE EXECUTIVE ENGINEER BHUBANESWAR (R&B) DIVISION NO.I, BHUBANESWAR

No lレ Ⅸュ6.、 .つ かし To "′ 7 場 陥n朧嗜グ 歩"J

Sub : No Dues Certmcate towards suit charge of PW D IB at Satyanagar, Bhubaneswar. letter Ref- : Superintending- Engineer, Central Circle (R&B) Bhubaneswar N;. da addressed to this office' Sir, that there is ln inviting a kind reference to the subject cited above, this is to state no outstanding against you towards suit charge of P'W D I B at Satyanagar' Bhubanedswar. Yours tw'qf,aithfullY Executive Edgineer' lv 26' No.r '''-r',r".o 'C;py r.ro r rr. a =-otn$*eswallR::lDivision *b.itt"d'/ t the Superintending Enginee4 Central Cirgle (R&B) ghuoane;lrior tavour of kind informatioin ind nicessary action wilh reference to his good off,ce letter No. d, [ryW"rq Executive En$iheer,' Bhubaneswar (R&B) Division No l

s_R― ゛Q

| ― ― ― ― ― CERTIFlCATE

This is to Certify that no dues are pending Shri Sudam MarandL M L A,

8angiriposi′ OdiSha Le8iSlative Assembly in respect of N'「 man Nivas′ Puri,PVVD 1 0 at Puri&PWDIB atκ onarkfortheperiodfrom2014to2019 1111マ

11、 、 Executive Engineer. Ptl● {R&B)Division,Pu商

鉾英一Nしよ SPECIAL C!RCUIT HOUSE, BHUBANESWAR No ′ SCH 臥リ タ/呻 `′ NO DUES CERTFiCATE

This is to certify that there is no outstanding d taa3 .-./ I asainst Sl./shri/smt..9ud4ll.. rvls:rn4L....H.q i.b.t.e-.. il,. L.+.

towards room reit, user's fee & other chages in respect of Special

Circuit House, Bhubaneswar as per our official records available with us.

物珈 Sr Managerin‐・charge

5-t― い N 沐 剛 い

F N 0 2 2 2 7 8 用 、 , 7 0 つ 2 a ヽ O 一 一 一 -27S13374 一

N o 一

No Dues Certilicatt

This is to ccrtil, that thcrc is no 、l‖ てヽlrrrllir …韓.…魚な.M.……ンいr瞥ム…T… d鵡 ……2■■唸・ )・ …0面轟ah“ぃ¨ム■断… Vashi.Navi Mtlmbaiti:l '.‰thc・ datc ofissuc● 1:llis ic[1ピ「

This may kindly bc trcatcd as his No l)trcs ( tt rilir rri.'.

τ°3卜 η S

9..-\.*- $'.\^'\' ヽ

■■ ■ = ヽ

。ン g 日 ■ 一 O 場 コ 一 い 0 ¨ さ じ ∞ 一 H ■ 畔 0 ョ´ 0 , ■ 一 一 c 一 ● ■ 己 』 ≧ 0 “ , 0 ” 師 ● τ い “ 「 0 ‘ b ∽ ” 3 一 一 “ 月 一 』 ¨ 0 i X 螢 , e 一 〓 一 E 一 例 〕 “ 〓 3 ′ メ 1 o L “ E ” 8 .く Z r ¨ 。 ● 一 龍」 ち つ 一 Σ 一 Z ρ , o 〇 0 ) “ 〓 t 0 ご . い o イ , . だ 0 E 2¨ 一 」 ∞ 言 ・ S 0 o 素 ∞ ● ● ) ■ 0一 0 一 “, o 〕 8 一 0 〓 ヽい ■ 8 ・ 〓 ¨ち っ ‘ 距 ● ´ . o 一 o ● “ つ 日」 ¨ 一 ” ● ヽ 一 ミ 口 V 0 さ 〓 ヽ o ‘ ● “ 〓 詐0 ● 一 ∽ B 』 O 一 0 ● o 0 ■ “ ¨ ● R > ‘ い 2 L 〓 〓 る ヽ ● “ 一 0 ● j i 一 o も 」 E , ヨ 0 o o¨o 一 0 ■ R ● ● 譴 o 〓 ● L 〓 一 う “ 』 0 ” o 一 , 0 ● 一 一 一 〓 お ″ ョ 9 一 一 ∽ 一 3 ´ ‥ ■ ● 〓 〓 e . 〓 〓 2 瓢 o 0 場 0 ● 一 多 o ヽ ■ 〓 L 一 団 メ 〓 ヽ 冨 ‘ 日 ε一 っ 一 ¨ ” 尉 一 ● o ● ● , う 「 ∽ L m こ 贅 d 一 “ . 寸 ‘ ヽ , く 〓 〓 F こ 0 ¨ F 「 ト い 〓 ″ 0 〓 コ o ● ゞ ε ” “^ 一 0 コ o ヽ “ ¨ 0 0 ■ 2 〓 当 0 “ Я ¨ “ ● 0 ヽ 一 一 』 ∽ ∽ ´ o 日 0 場 〓 o 一 “ F 日 一 “ 一■ ● ● 一 ヽ o 壕 エ ● 壽 H い 一 0 0 一 ¨ ” コ ヽ 0 〓 ● ‘ 一 u い ● EI 一 一 一¨ ● 0 ヨ o ∽ ト コ ■ ”¨ ∽ ∽ コ 0

|コ

≠ Scanned 6y 曲

OFFICE OF THE ASST.RESIDENT COMm□ ssloNER‐ CUM‐P鳳NACER, ODISHA BHAWAN,CEENNAI 26/3,Vclachcry Tambaraln Matn Road, Panikaranal,Chcnnai,Tamil Nadu-600100 Tcl No 044‐ 29873929,Fax 044‐ 29873919 Sri Rarjit Kumar Mohanty E‐ Man― 。bchcnn誠2018@gm護 Lcom ARc-cum-Manage( t/c) No 2神¨ЮBα …'2粂3-lf Shri Sudam Mandi, Hon'ble M L A,BangripOsi

Sub:‐ Issuc ofNo Ducs Ccrtirlcatc

Sir.

in rctence tO yOur rcpresentation dtd 20/03/2019,l am diutcd to say that th¨ is no outstanding dues lytng agalnst ShH Sudam Mamdi,Hon'ble MLA,BangHposi

This is For your kind hforrnation and n‐ ssary actiOn

Yours faithfully,

ro. il-9 /oac o,a. 23- 3-19 ""1no copy forwarded to the Deputy t-*."*, J" covemm€nr Home (BE) Dcparimcnt for kind information.

―Sイ ー

ARC―cum‐Managcr(Iた ), :'罵 市 鉾ヾ N臓 ″ 」

CENTRAL ELECTR:C:TY SUPPLY UTILITY OF ORiSSA

OFF:CE OFTHE DEPUTY MANACERiCOM),Su卜 D:И sion‐ : Power House Squarer unit_8,Bhubaneswar‐751012 Tei.N●.(0674)239204フ

2・ン No.. げ 眈…J2.1.19..

NO DEMAND CERT:FlCATE

certified that sri/smt.....S..qdAm...... thar.gr:ng11...... has cteared up hヽ/her electndty aues ns....$.22[..SP- vide money receipt

n。 …島2ュ多.● ……. :31η…u口。・ 脂静 ′可■ムT警 ′丼: 粋渕 螢_1 臨ittottuふ よn喘 ξl12密 180`ヒ77 “ “ suじoivisloN 1, U,8BSR “ 91,9, c_m_m /

Ⅲ]‖ |‖ 11日 鵬‖|]lJll Gn Qrs. OFFiCE OF THE ASS!STANT EXECuTiVE ENG:NEER, P H RENTSUB:DIVIS10N′ BHU3ANESWAR ■ⅢⅢⅢ+*Ⅲ Ⅲ*Ⅲ イ No (2)老 イr/Dt シザ7

`ケ

NO‐ DUES CERTiF:CATE REGARD:NC WATER/SEWERAGE CHARGES

certned that.the Waterノ Sewerage Charges against the Consumer

Consumer No : 4562tu

Name : SuDAM MARNDI

Address QRS NO‐ Vi‖ ML6 UNrr・V: BHUBANESWAR

ls cleated up to March-2019.

This may be treated as No- Oues Certificate against Consumer for Water / Sewe.age Charges Concerned.

`λ

Assistam´:utive EngineeL P H RentSub:Division, Bhubaneswar Sヽ 鹸

: Shri Sudam Marandi M.L.A.

Govt. Qrs. No.6, Type-ViltMR, Unit-Vl, BBSR Date of Occupation - 23.02.201S

Non Recovery ftom 23-O2-2O1Sto 06.05.2017 @a2PtM Rs.1, 637.00 (Rent Freo As Ministsr)

Non Recovery ftom O7.05.2O1 Z to O3/2Ol 9 @ 1172PlM Rs.26, 729.00

Total = Rs.28,366.00 Recovery 10「 olJ2016 1o 00016 @500p,xt Rs.2,000.00 Total = Rs.26, 366.00

(Rupees Twenty Six Thorlsand Three Hundrgd Sixty Six) Only

9..,)""* /

GOVERNMENT OF ODiSHA HOMEISGH)DEPARmENT N=扇 _Dt勢 SGH(R)‐高4f準10/2019=―

SII Ram Krlshna.oAS(SB) Manager.SG卜 cum‐ D● puけ SeCretaり to G●vernment

ShrISudam mandL Hon'b:eMLへ Bangrlposi

Sub:issue of No Dues Ceだncate

Sir, I am dlrected to say that, no duos are outstanding agalnst you as on today l.e. 20101201 9, so far as State Guest House is concemed.

Youtt tanhfu::y,

Managere sGH● (〔∫k:〔:)ョIlilrytOCOVemment s_lt― 囃 ShH B.KHOt■,OAS \hnnger. Odisha Bhawatt

2t ' 9' t9 No. 189 loll, lra tcd

NSSuES CERTIFICATE

{■O WHOMSOVERIT MAY CONCERN〕

This iS tO Ce■ ify that no dutt are pending against Shn Sudam la LegislatiVe AsSembly,OdiSha

Эdisha NiWas,New Delhi aS On

<嘩ソ9 騨 .9'「 い C,wLll諜lilil=||,ぃ

|ニー鹸

ScatmCd by CamScarlner GOVERNMENT OF ODISHA HOME (SGH) DEPARTMENT

no---1j!4-- ot. ?-otef \ t4 sGH(R)-10/2019

Sri Ram Krishna, OAS (SB) Uanager, SGH-cum-Deputy Secrotary to Government To Shrl Sudam Mamdi, Hon'blo MLA, BangrlPosi

Sub : lssue of No Dues csrtlficate.

Sir, you as on today io' l am directod to say that, no dues are outstanding against 2ol03r2019, so far ae State Gue3t House ls concerned'

Yours faithfullY,

Manager, SGH-c ip'uty 5ecretary to Government

S*\.- \\^*-\ や . 0 めo く ∽ 一 0 ● 口 0 想 ¨ }. ● ● ‘ ヽ 究 > ‐ 0 “ ‐ ● 。 ∽ 摯 0一 ‐ o ● 口∽ 褥 こ ‐ 。 一 。 日 ∽ ‐ X 一っ ‐ 口 錦 渕 。 ‐ ¨ ● 鴛 ヨ i 〓 ∽ 一 副 】 ‐ o ¨ ― > . “ . 目 ― い』 鷲 ′ 一● ● ― Ч 。 沢 ヽ日 占 日 0一 一. 劉 “ ミ o し 』 C t 引 熱 o 口 / 一 o 0 、 o o ■ 引 口 〕 口 ノ ‐ ‘ o 到 0 o ヾ ^ ‐ 一 ∽ 場 § ∞ 】 d ミ ● 一“ 〓 一 t 口 ヽ a 0 「 一o 一o つ ■ 】 o 。 嘔 i く・ 0 ヽ ∽ 】〓 ‐ 中 ∽ 。 t ヽ 「 〇 4 ● ) ぁ ● ∽ 、 パ ぉ ロ 罵し \ ∽ ヽ 〕 ヽ

1 ‐

SECRETARIAT OF LEGISLATIVE ASSEMBLY TIIE ODISHA *****

゛|ク Date スタノ″′|フ

NO DUES CERTIFICATE

who was a

ρゝS`

Librtty

知 ` e― へぶ OOVERIlllEHT OF OOISHA 飩Ftte n訓 HomE DEPARTHENT PhOne:033‐ 2265'195 ShH KC Sabu, OFFICE OF THE MANAGER,UTKAL BHAWAN KOLКATA,00013 FAX: 03322645121 Manager .LENIII SARANヽ emal:ubkolkatal動 mal cOm “

374March,2019 N。 3■ ら_μ B,Kolkata,dated lneコ

■O Dtt CERTHCATE (TO曲OMSOV[R「 MAYCONCIRN)

Th18お tO gⅢ are pendlng agamSt SM Sudalll Mmt HOrble 'that nO dll“ ,Kolkata as on t皿 date. MLた ,3anppo31 0a13ba ln rCPect OfUtkal BLWコ

Utkal Bhawan Kolkata

M… 燕● ′τ3"datedめo March,2019 cOPy fo―rded tO the劇旺嗣 SeCrem tO COVC,HOIIle lBE)DeprIIlent For

衝面Imatlon&nece33ary aCtЮロ

Manager Utkal Bhawan, Kolkata S会_ぃ ヽ ・ ― GOVERNMEN1 0「 ODlSHA PARLIAMENTARY AFFAIRS DEPARTヽ lENT

■ |,

F ile lio. ME/2-0U2O19 ( 29321 60002201 9)

From

Shri Manmohan Brrrik, OAS (S)

Joint Secretary to Govemmenl

To

Sri Sudam Marandi,

Ex-Minister, Sports & Youth Service.

Sub: Issuance of No Dues Certificate regarding telephone/ Internet

usage.

Sir,

With ret'erence to your letter No.45l/ dt. A2.04.2019,I am directed to say

that there are no dues outstanding in your name regardin-q telephonc usage suppliecl by Parliamentary Affairs Department, Odisha during yonl incumbency as Minister, Sports & Youth Service., Odisha.

This is for your kind information and suitable action.

Yours falthfully,

. ‰ Joint Sccrctary to Covcrnmcnt s=ゝ_ミ駄` ||||||||||‖ :|:||1 ll‖ cn Qrs OFFiCE OF THE ASS:STANT EXECuTiVE ENGINEER′ P H RENTSUB:DIVIS10N′ BHUBANESヽ´′AR *********ヰ イ 恥蝙 /臥 ン ブ 7

NO‐ DUES CERT!F:CATE RECARDING WATER/SEWERAGE CHARGES

Certified that,the Water/sewerage Charges against the Consumer

Consumer No : 4562006

Name : SUDAM MARNDI

Address QRS NO‐ Vl:IMR‐6 UNIT‐ V: BHUBANESWAR

is cleared up to March-2019,

This may be treated as No- Dues Certificate against Consumer for Water / Sewerage Charges Concerned.

A5si sta ntvcutivetw* E ngineer, P.H. Rent Sub: 0ivision, thubaneswar 至ゝ s_」ヽさ~^ Sふヾ よ DC TOURS&TRAVELS Panthanivas Campus tetts Road.Bhubanepr‐ 14 An unit of Odisha Tourism Dsvelopmenl Corporation Ltd Ph No 0674 2432594 (A Govt. of Odisha Und€rtaking) Mobile 1 9861021778 Fax ,0674‐ 2435738 E ma‖ l oldc ucgndLcom

' From Srl. R,(,Mishra. MANAG€R NO.4106/OTDC/BBSR/D!15.01.2019

TO, Shri.Sudam Marndl, Ex-Hon'ble Minister, Sportr & youth Servlces Department, Govt. of Odisha, . thubaneswar.

SUgJECT - Clearance ofoutstanding in respect ofair tickets lssued by OTDC. .

Sir,

With reference to the subiect cited above I am to inform you that the.Board of Directors of OTDC in

their 1o5s N4eeting held on 01.10.2018 has taken serious views on air tickets outstanding dues lying against

Govt. of{icery Hon'ble Ministers for more than 3 months. lt was also declded in the said meetinS that final reminder may be issued to them for settlement ofthe dues immedlately.

. As per our books of record the followrng trckets issued by Air Ticketing unit of orDc amounting Rs.16,816.00 is still remain un-paid till date. you are requested to krndly settle the dues at the earliest

ThankinS you.

OTDC TOuRS&TRAVELS

Enc: Bll attached B‖ :No.`7106/AT/23.05.2016-Rs.16816.00

ヽヽ一 `いいエ 警碧 IATA n Accnrotlro aGr{T roa 00MESTIC AND INI[RNAl:ONAl ハIR PASSEIISER TRANSPOnTAT10N ―

CENTRAL ELECTRICITY SUPPLY UT:L:TY OF ORISSA OFFICE OF THE DEPUTY MANAGER(COM),Sub‐ DiViSion‐ : POwer House Square′ unitl&Bhubaneswar‐ 751012 Tel.No.{0674)2392047

N:.1..ブ.II.… D■ …Tl.2.119.1.

NO DEMAND CERTlFICATE

has deared Ce面led that ttiハ mt… S.燃q鰤 …naTAn41… …… up hヽ/her eはndw dues R“ …1'f尋↑ρ.… ud`money recdpt

粋i鷺錦■,.¨ 占槙III

一 「 割 職 “ は 墜 研 ¨ . 1 ¨ 1 い C ロ ー ー ト 「 ぃ = 鶴 H 口 H 口 籠 鶴 ― 1 1 1 1 1 1 ‐ ‥ ― 「 ‐ ‐ ‐ ‐ ‐

i語燎 姉 |■・ ‐ tit,● "・ ‐ |` 。´ g 曰 一 O ■ ■ 一 一 コ 一 ∞ 8 さ 〕 一 0 ョ 〓 0 こ ● , 一 一 」 “ 一 一 』 『 e ヽ, 〓¨ 0 0 8 ¨ い コ 〓 し あ こ, N 一 〓 〓 呼 ″ 一 〓 H 峠 ∞ 0 ‘ 〓 ョ ¨ パ ● a 3 e ● 0 * E 〕 P 4 シ ´ 一 “ 芝 r 』 ぉ の ´ ● 」 。 て ´ も O 一 〓 ^ ■ ● ● 一 , Z し メ ¨ ■ 0 0 0 ● 一 ∞ ー ヨ ご o . ´ 0 0 一“ “ ン 一 毒 う 〓 一 . 」 こ 一 ●一 言 0 ヽ つ 〓 ニ ∝ ● 讐 ) o 0 ∞ 聖 4 0 一 0 “ 場 ー 0 p ● o 一 ‘ い 8 〓 〓 c o 一 “ ビ 一 〓 一 う S さ 富 o ● ヽ τ “ ヽ Σ も E 合 一 ヽ 〓 ヽ ■ 卜 o o 0 C 一 ¨ ヽ つ あ a 以 〓 o ュ 0 う 0 ● 〓 O 2 ● る ● 一 ■ “ o ● o 0 Z 0 〓 ¨ 理 召 ´ L 〓 ● > 〓 一 い ● o 0 0 一 〓 , ‘ ● ヽ め 】 E z E ぅ 0 o o o 一 c , ,O ● 一 こ o o E 望 ” づ ‘ F こ ● 一 “ ぢ o 〓 ● 一 ● 夕 υ 〓 一● コ o ‘ ● ↑ ∽ 一 ´ 8 〓■ r 0 ¨ L ■ 」 〜 2 〓 〓 一 一 ∽ 一 薗 と 一 〓 0 o ヽ ● L ■ 一 一 メ め 一 L ” 副 一 一 ¨ 〓 0 一 ● o 剌 」 ^ 〓 “ ● つ ∽ 一 O こ 0 ヽ 一 “ 、 ● ∫ r ヽ , 一 “ ヽ 〓 F J ‘ 」 』 ヨ 』 フ 〓 一 〓 ¨ O ■ ● 0 〓 一 2 e o こ ● ぐ C ゛ C 「 「 ● Z 〓 ヨ 0 L “ ● 0一 一 ¨ 一 ∽ ∽ ´ ヽ o ■ 0 「 一 〓 ´ 一 こ ● 〓 o ■ に 〓 〓 ● 8 F ヽ 0 ∽ こ い 一 〓 ¨ ” ● 8 J 0 0, 0 いヽ 一 ( 〓 一 目 一 群 ■ ) p 一 o ∽ コ 一 ゴ 一 ¨ ∽ ∽一 〇

Scanned by Camscanner