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L FORM 2A (See rule 4) NOMINATION PAPER Election to the House of the People STzuKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE PART I (To be used by candidate set up by recognised political party) I nominate as a candidate for election to the House of the People from the 8-RAJAHMUNDRY Parliamentary constituency. Candidate'name: MURALI MOHAN MAGANTI, S/o Sri MADHAVA RAO MAGANTI, aged 78 years, R/o H.No.81-24-19, Venkateswara Nagar Colony, Rajahmundry, Rajahmundry Urban, Andhra Pradesh - 533106. His name is entered at S.No.825 in Part No.135 of the electoral roll for S0-RAJAHMUNDRY CITY (Assembly constituency comprised within) 8-RAJAHMUNDRY PARLIAMENTARY CONSTITUENCY. My name is DHARAMA RAJIU RACHAMALLA and it is entered at S.No. 822 nPart No 135 of the electoral roll FOR 5O-RAJAHMUNDRY CITY (Assembly constituency comprised within) 8-RAJAHMUNDRY PARLIAMENTARY CONSTITUENCY Date: 22-03-2019 Sigr6ture of Proposer SobmnlY affirmed #;''s";d.r Arfrxed bcfore me rn rtl[imPression I l); v ' l"ltlt't NOTARY P. SURYANARAYANA i'IURTHY ADVOCATE #79-2-1111A, G'1, Mani Enclavq Tilak Road, RAJAHI'UNDRY' ^ ll : !8856658'i8, 9550:;E0E7' Regd No'1O7852 2Ol5 PART II (To be used by candidate NOT set up by recognised political party) We hereby nominate as candidate for election to the House ofthe People from 1he.............. Parliamentarvparliamentary ConstituencyConsfihrencv \Candidate's name. ................Father's/mother'sArusband's naNe.....,.... ..His postal address....... ,,.'N;" rr,.r.o at s.No....................in part No....... ........of the electoral roll for \ \ ......7(Assembly constituency comprised within) ;. ."",;," N.; ;, ";ff#r-#nstituency and our names are entered in the electoral \ for that Parliamentary Constituency as indicated below and we append our signatures below in tokqr of subscribing to this nomination:- \ ParticuljLe of the proposers and their signatures Sl.no. Name of Elrrctor Roll No. of Full Name Signature Date component \opor". Assembly Part No. oN S.No. in Constituency Electoral Roll \* I 2 3 \ 5 6 7 t. 2. 3. 4. 5. 6. 7. 8. 9. 10. N.B.- There should be ten electors of the constituency as proposers. Solemnly affirmed and signed /Affixed Thumb impression before me NOTARY P. SURYANARAYANA MURTHY ADVOCATE #79-2-1111A, G-1, Mani Enclave, Tilak Road, RAJAHMUNDRY. i -'t 'cB85?55E08, 95502580E7- PART III I, the candidate mentioned in Part VPafr{I (Strike out which is not applicable) assent to this nomination and herebydeclare- (a) that I am a citizen of India and have not acquired the citizenship of any foreign state/country. (b) that I have completed 78 years ofage; ISTRIKE OUT c(i) or c(ii) BELOW WHICHEVER IS NOT APPLICABLEI (c) (c)(i) that I am set up at this election by the 'TELUGU DESAM PARTY", which is a recognizedNa*ienel*afrf State Party in this State and that the symbol reserved for the above party be allotted to me. OR (cX") ing (d) that my name and my frtherbAarotlorVhusband's name have been correctly spelt out above in ENGLISH (name ofthe language); (e) that to the best of my knowledge and belief, I am qualified and not also disqualified for being chosen to fill the seat in the House ofthePeople. I also declare that I have not been, and shall not be nominated as a candidate at the present general electior/the-bye-eleetieas being held simultaneously, to the House of the People from more than two ParliamentaryConstituencies. Datei 22-03-2019. Signature of Candidate TScore out the words "assembly constituency comprised within" in the case of Jammu and Kashmir, Andaman and Nicobar Islands, Chandigarh, Dadra and Nagar Haveli, Daman and Diu and Lakshadweep. *Score out this paragraph, ifnot applicable. **Score out the words not applicable. N.B.-A "recognised political party" means a political party recognised by the Election Commission under the Election Symbols (Reservation and Allotment) Order, 1968 in the State concemed. 3 SolemnlY a{firmcd and signed I Affrxed me Thumb imPression befort NOTARY P. SURYANARAYANA MURTHY ADVOCATE *79-2-1111A, G-1, Manl Enclave' Tilak Road, RAJAHMUNDRY' ^.rl : 9885665E08. 9550258017. PART TIIA (to be filled by the Candidate) L Whether the candidate I (i has t been convicted- | (a) ofany offence(s) under sub-section (l); or t (b) for contravention ofany law specified in sub-section (2), I VeS'tlO ofsection 8 ofthe Representation ofthe People Act, l95l 143 of195l ); I (ii) has been convicted for any other offence(s) for which he has been sentenced to_J imprisonment for two years or more. lf the answer is "Yes", the candidate shall fumish the following information: (i) Case/fint information report No.,Nos.. ... : NOT APPLICABLE (ii) Police station(s) District(s)............ State(s)........: NOT APPLICABLE (iii) Section(s) ofthe concemed Act(s) and NOT APPLICABLE brief description ofthe offence(s) for which he has been convicted.. .... ...... (iv)Date(s) o l'conviction(s) NOT APPLICABLE (v) Court(s) which convicted the candidate....... NOT APPLICABLE (vi)Punishment(s) imposed [indicate period of imprisonment (s) and/or quantum of fi ne(s)1.............. NOT APPLICABLE (vii) Date(s) of release Aomprison....... NOT APPLICABLE (viii) Was/were any appeal(s)/revision(s) filed against above conviction(s) . YesAllo NOT APPLICABLE (ix) Dateandparticularsofappeal(syapplication(s) for revision filed. NOT APPLICABLE (x) Name ofthe court(s) before which the appeal(s/application(s) for revision filed... .. .. .. NOT APPLICABLE (xi) Whether the said appeal(s/application(s) for revision haslhave been disposed ofor is/are pending... NOT APPLICABLE (xii) If the said appeal(s)/application(s) for revision has/have been disposed of- NOT APPLICABLE (b) Nature of order(s) passed ........... NOT APPLICABLE (2) Whether the candidate is holding any ollice ofprofit under the Govemment of India or State Govemment?......... (YesA.lo) -If Yes. details ofthe offrce held...... NOT APPLICABLE (3) Whether the candidate has been declared insolvent by any Court?... ..... (Y€sA{o) -If Yes, has he been discharged liom insolve(cy. NOT APPLICABLE (4) Whether the candidate is under allegiance or adherence to any NoTARY QJ^ SoiettrtrtY alfimlecl P. SURYANARAYANA MURIHY andsigned/Af{ixed \\---\u&$!- ADVOCATE Thumbimpressionbeforeme *79-2-1111A, G.l, Mani Enclavg Tilak Road, RAJAHMUNDRY. ^ .rl . q8tr. itt iq oqrr:. it^rt- (4) Whether the candidate is under allegiance or adherence to any foreign country?.........(Y€sAJo) -lf Yes, give details... NOT APPLICABLE (5) Whether the candidate has been disqualified under section 8A ofthe said Act by an order of the President?..................(:lesNo) -If Yes, the period for which disqualified... NOT APPLICABLE (6) Whether the candidate was dismissed for comrption or for disloyalty while holdingoffice under the Govemment of India or the Government of any State?.........1Y"*q1o; -lf Yes, the date of such dismissal... NOT APPLICABLE (7) Whether the candidate has any subsisting contract(s) with the Government either in individualcapacityorbytrustorpartnershipinwhichthecandidatehasashareforsupplyof any goods to that Govemment or for execution of works undertaken by that Government?.............. (rfe#No) -lf Yes, with which Govemment and details of subsisting contract(s)..NOT APPLICABLE. (8) Whether the candidate is a managing agent, or manager or Secretary ofany company or Corporation (other than a cooperative society) in the capital of which the Central Government or State Government has not less than twenty-five percent share?............ (rlesA',lo) -lf Yes, with which Government and the details thereof . NOT APPLICABLE (9) Whether the candidate has been disqualified by the Commission under section 10A ofthe said Act.................(rfe#No) -lf yes, the date of disqualification... NOT APPLICABLE Place: Rajahmundry Dare 22-03-2019. Signature of Candidate SolemnlY atfirmed and signed I Aflixed betore me Thumb imPression lt t ,*@$,' ..[tw r,lr NOTARY tSuImfiBllrtf P. SURYANARAYANA MURTHY u,lflmff ADVOCATE *ilmfmmfi5 # 79-2'ttrlA, G'i, Mani Enclave' Tilak Road, RAJAHMUNDRY' -"1i. ig!g5ics :3, !1so:.jt08t, Roqtl No. iO785/ 3Ol5 PART TV This nomination was delivered to me at my office at.1*:29-Alftrourl on.Zalg.2.l.* t1 (date) +candidatefurcpese* by the (name ofproposer . ..) nat"..Q:fo.3f.r.o lj. PART V Decision of Returning Officer Accepting or Rejecting the Nomination paper I have examined this nomination paper in accordance with section 36 ofthe Representation ofthe People Act, l95l(43 of l95l) and decide as follows:- Date. Retumingofficer ......... (Perforation) PART VI Receipt for Nomination Paper and Notice of Scrutiny (To be handed over to the person presenting the Nomination paper) Serial No. of nomination paper....................... The nomination paper of MURALI MOHAN MAGANTI a candidate for election from the 8-RAJAHMUNDRY PARLIAMENTARY CONSTITI]ENCy was delivered to me at my office at...............(hour) on.........................(date) by the *candidate/proposer. All nomination papers will be taken up for scrutiny at...............(hour) on...............(date)at...............................................(Place). Date. RetumingOfficer *Score out the word not applicable. M q1 rpsa Rs. 10Or .. ONE .. i- t5. 100 HUNDRED RUPEES rrdrtswi oo '-< t oo1( 1 ()c, 1 3TI=T INDIA ,1OO-,1 C>O ' ,1rootoo OO' E ero$6d8 emq stvt ANDHRA PRADEsH cE 570404 t$r.r-, \ s.No: 1295 DA*: 19.03.2019 RS:1Oo SRINIVASAN KANDUI.A (IAIE' SO1 TO:MURAU MOHAiI MAGANTI S/O MADfiAVA RAO, RAIAMAHENDRAVARAM. , Uceoied Si.rnp Vendo., LLo.0r-28{3/2012 FoR WHOM:SE$. R.LNo. O+2t{O!l/2019, D.rlo. 4tlc36, O.ntt dFt R.r.in hcndr'verrm-533103. MoHle No. 9tlilt)6 11.270 FORM 26 -]! (See Rule 4 A) AFFIDAVIT TO BE FILED BY CANDIDATE ALONGWITH . NOMINATION PAPER BEFORE THE RETURNING OFFICER For election to the HOUSE OF PEOPLE (LOK SABHA) From 8- RAJAHMUNDRY Constituency PART-A d I, MURALI MOHAN MAGANTI, S/o Sri MADIIAVA RAO MAGANTI, aged 78 years, R/o H.No.8l-24-19, Venkateswara Nagar Colony, Rajahmundry, Rajahmundry Urban, Andhra Pradesh - 533106, (Mention full Postal Address) candidate lat the above election, do hereby solemnly affirm and state on oath as under:- i(l) I am a candidate set up by 'TELUGU DESAM PARTY" (+* name of the political party)/** @ (** strike out whichever is not I applicable).
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