EEDA BHASKAR Son of DE VA SWAMI Aged 37 Years, Resident Ofh.No
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l ucensca Stamp vendor ..R. No. 2:1·~1·004/2014 No. 6·2·! 58:::/22, f1amagiri, for NAlOOi 'DA·503 0 1. C&-I: 9247219310. FORM26 (See Rule 4A) AffidaJt to be filed by the candidate along with nomination paper before the returning officer for election to Legislative Council of Telangana (name of the house) from Waranlal- Khammam- Nalgonda Constituency (name of the constituency) ",'" PART-A i I, EEDA BHASKAR Son of DE VA SWAMI Aged 37 years, resident ofH.No. 6-127 Ji NAMPALLYVILLAGE & MANDAL, NALGONDA DISTRICT ( mentioned full postal address) a candidate at the above election, do hereby solemnly affirm and state on oath as under.~ 1) ~ am a candidate set up by INDEPENDENT ( Name of the Political party) am fontesting as an Independent candidate ( strike out whichever is not applicable) ~ ftI '4 ~ ~-' NOTARY r \ AltHAM (IIANDRA SElHAI ~ B.Com.,I.t... ADVOCATE g AppoInted bVG4wt. gI A.P.. tNOlA III G.O' ••••8. No. 380,2011-2018 Vldya Nagar. NALGOHOA-50S 001, 2) My name is enrolled in Munugode Assembly-93 Telangana State (Name of the constituency and the state)at serial No. 248 in Part No. 510 3) My contact telephone number(s) is 9492868208 and my e-mail id (ifany) is Nil 4) Details of Permanent Account Nubmer (PAN)and status of filing of Income tax return. S.No. Name Pan The financial year Total income for which the last shown in Income tax return income tax has been filed return(in Rupees) l. Self APUPE8500E Nil Nil 2. Spouse Nil Nil Nil 3. Dependent -1 Nil Nil Nil 4. Dependent -2 Nil Nil Nil 5. Dependent-3 Nil Nil Nil 5) I ami am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has/have been framed by the court(s) of competent jurisdiction. If the dependent is accused of any such offence(s) he shall furnish the following information ;- i) The following case(s) is/are pending against me in which charges have been framed by the court for an offence punishable with imprisonment for two years or more '- (a) Case/First information Report No.y Nos together with complete details of concerned police Nil station / District/ State b) Section(s) of the concerned Act(s) and short Nil description of the offence(s) for which charged --:- <j Name of the Court, Case No. and date of order Nil . c: •...• '4 ! 9 " taking cognizance Court(s) which framed the charge(s) Nil I r,.. \,d: \~! \\\ :,I..;r It". N'~f:'·~"'J) ~. A/' NOTARY ~7 ARTHAM (HANDRA S£KHAR B.Com., B.L ADVOCATE Appolhted by Govt. of A.P., INDIA G.O. M.S. No. 380, 2011-2016 \r.•.••...••, •• .• ""I A·' ,......I"'\L."' .•. ,eno 'V"t.4 e) Date(s) on which the charges(s) was/were framed Ni ! f) Whether all or any of the proceeding(s) have been Nil stayed by any court(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(l) above) : a) Name of the court, case No. and date of order Nil taking Cognizance b) The details of cases where the court has taken Nil cognizance, section(s) of the Act(s) and description of the offence(s}for which cognizance taken c) Details of Appeal(s) / Application(s) for revision (if Nil any) filed against the above 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 of the people Act, 1951 (43 of 1951) 1 and sentenced to imprisonment for one year or more. If the dependent is convicted and punished as aforesaid, he shall furnish the following information : In the following cases, I have been convicted and sentenced to imprisonment by a court of law: a) The details of cases, section(s) of the concerned Nil Act(s) and description of the offence(s) for which convicted b) Name of the Court(s) case No. and daters) of Nil order(s) c) Punishment imposed Nil d) Whether any appeal was/has been filed against Nil the conviction order. If so, details and the present status of the appeal : 7) That I give herein below the details of the assets (movable and immovable etc) of myself, my spouse and all dependents. A. Details of movable assets. Note: 1) Assets in joint name indicating the extent ofjoint 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 given. Note 3) Value of Bonds/Share Debentures as per current market value in Stock exchange in respect of listed companies and as per books in case of non-listed companies / ..: ·.:?~should be given. .' NOt~~~~~Dependent here has the same meaning as assigned in explanation (V)under . _', "'\-,'JUHlE ~ section 75A of the Representation of the People Act, 1951.. ~( ~~1 ~ etails including amount is to be given separately in respect of each invk>t¢erit. ~-4'. ,"'." ~t;' ONC~ - !IV_ - l' t: escnption Self Spouse fependent- A~ir N RA~m*nt- I Cash in Hand 20,000 Nil Nil Nil ADVOC ., G.O. M.S. NO. 380, 2011-2018 Vldya Nagar, NALGONDA-Soa 001. 1 II Details of Deposit Nil Nil Nil Nil Nil in, Bank accounts I (FDR's Term Deposits and all other types of deposits including saving accounts). Deposits with fmancial Institutions, Non- Banking financial Companies and Co.operative societies and the amount in each such deposit. III Details of investment in Bonds debentures Nil Nil Nil Nil Nil / shares and units in Companies /Mutual funds and others and the amount. IV Details of investment in ~"SS, Postal Saving, Insurance Nil Nil Nil Nil Nil Policies and investment in any Financial instruments in Post office or Insurance company and the amount. V Personal loans / advance given to any person or entity Nil Nil Nil Nil Nil including firm, company Trust Etc., and other receivables from debtors and the amount. VI Motor vehicles / Aircrafts/ Yachts /Ships (Details of Nil Nil Nil Nil Nil Make, registration number etc. year of purchase and amount VII Jewellery, Bullion 30grms and valuable thing(s) Gold (givedetails of weight Nil 86000/- Nil Nil Nil and value) VIII Any other assets such as value of claims/interest Nil Nil Nil Nil Nil IX Gross total value .. 20,000 86,000 Nil Nil W Nil NOTARY ARTHAM CHAND RA SEKHADt B. Details of Immovable assets : B.Com., B.L ADVOCATE Appointed by Govt. of A.P., INDIA G.O. M.S. No. 380.2011-2016 Vldva Nagar, NALGONDA-S08 001. • Note : 1) Properties in joint ownership indicating the extent of Joint ownership will also have to be indicated. Note :2) Each land or building or apartment should be mentioned separately in this format Sl. Description Self Spouse Dependent- Dependent- Dependent- No. 1 2 3 i) Agricultural land : Location(s) Nil Nil Nil Nil Nil Survey number(s) Area (total measurement ill Nil Nil Nil Nil Nil acres) Whether inherited property (Yes or No) Nil Nil Nil Nil Nil Date of purchase incase of self- Nil Nil Nil Nil Nil acquired property Cost of Land (in case of purchase ) at Nil Nil Nil Nil Nil the time of purchase Any investment on the land by way of Nil Nil Nil Nil Nil development, construction etc. Approximate current market Nil Nil Nil Nil Nil value ii Non- Agricultural land: Nil Nil Nil Nil Nil Location(s) Survey number(s) Area (total measurement in Nil Nil Nil Nil Nil Sq.ft) Whether inherited property (Yes or No) Nil Nil Nil Nil Nil Date of purchase incase of self- Nil Nil Nil Nil Nil acquired property Cost of Land (in case of purchase ) at Nil Nil Nil Nil Nil the time of purchase Any investment on the land by way of Nil Nil Nil Nil Nil development, construction etc. Approximate current market Nil Nil Nil Nil Nil value iii) Commercial Buildings (including apartments Nil Nil Nil Nil Nil .- ':"'-::"•,..:Location(s): "1\ .~~.. 1,,1 "-<.'.,. :5\.Vrveyno.tsi IA/ ~v "'J(tilji\~ a . (total Nil Nil Nil Nil NC T~Y '~c1",",1"\Ci", ~ surement ill sq.ft] ·'I..(lOI-l P...UJ. t up area (total ••••••• M I • t· /~asurement in Sa.ft) Nil Nil Nil Nil BijJ:Com .• B. L ~=~====~~~--~=----~7-~------~~~--~~~~~141.1 .•.--~•._ ..• I~ ~~ Appointed by Gov. of A.P.• INDIA G.O. M.S. No.~. 2011-2016 Vldya Nagar. NALGONDA·508 001. , . Whether inherited - property ( Yes /No) Nil Nil Nil Nil Nil Date of purchase in case of self acquired property. Cost of property (incase of purchase at Nil Nil Nil Nil Nil the time of purchase) Any investment on the property by way of Nil Nil Nil Nil Nil development, construction etc. Approximate current market value Nil Nil Nil Nil Nil iv] Residential Buildings (including apartments Nil Nil Nil Nil Nil Locations Survey number(s) Area (total Nil measurement in Sq.ft) Nil Nil Nil Nil Built up area (total measurement in Sq.ft) Nil Nil Nil Nil Nil Whether inherited property ( Yes or No) Nil Nil Nil Nil Nil Date of purchase in case of self acquired 14- Nil Nil Nil Nil property 04- 2010 Cost of property ( incase of purchase at 50000/- Nil Nil Nil Nil the time of purchase ) Any investment on the land by way of llakh Nil Nil Nil Nil development, construction etc.