.opitt-nA NO J Ppi VAL
erantabrat Karraata
. - Certificate No. I N-KAP25p622214118 R • Certikaie Issued Qate 27-Mar--20-1 0.5:24 PM AtcOurit: Reference NoNAQ0 (FI)f kacref108/ BELGAUM3j-r.&BL Urtique Do Raterence. . SUBEN:OKACSFLO807271368688570R Purcheeed:by AN6ADI-sORESH CHANNABASA f;PA Description of Documerit : Ar,ticre 42 Afficia:yit ..Description : AFFIDAVIT Oonsigeretion`Price (Rs.) {Zero} First•i?arty CHANNAIMSAPF,:.-- - • • ..:-.... Secong Party F...17.URNING OFFICER-02 B.ELAG-AVI P_ C- •••Stamti-OUty Paid. f3y • • :: •.NGADi- 80.1,1a1:1:_Ci-.1ANNABAAPPA . . • ,••• . • : parhp. 400.. E. • :- ..(One:1-fp.hcrOONy)-:- •
tdatrivliiay al( anis?,ra e. Ptruip,3"- Comp,va:16 gdS, g 14 - • • 14'11 ik
• .Arinekuie Additional Affidavit fo be submitted by candidates
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, • . ,1 P:',v-05...,?,:i:,..fty • .•,:*ri ,:!•:'-'•'• -' 14 i ':zir:',1: (,•'131Zi,,,Y1frf,4"..5^..tr i•V V:l',ri..3 az-'.^.••::::::itz,:•;ii..it;.p.e6t .' ..," ,![-Ili q !.1111?-• ••••...i;sI•i. ,?f,j!:,,,,,, ,! •r-,:',.41•:* . '• 3 ••.„, 9,,,i,; , I -..,1:,;1•_:•'•iz ;i-:Z '..;1„t•i,i.:'-'"•"`'3 ,.-. '-'2%! ,IS,'"i..;: =1"•41.••:•-,4.•!•.:', ,, I,' •4g.,; ' :" ",;• '1 (i"..-;",:),.., I% 4:' i•.:::4.,.•.'.:*,i.-f, II! I V. t-.'lf.1*j'ilt' Ai ',q.,:git," alt Ai SLR Sri (n(.-.1Ze of candidate) Son of cHANI‘Ai31 ..• 1,§AIPA• Aged'. year, resident of ."srpQRTr% -sAMPIGE. ROAD,. • VISHWE:SfiyiP:,.RAYYA. . • . ••• • , . •• . • ' ' • . • . el ection, unaerr
I-hbve b,een allotted go\it,,otcommodation:ai. dny:lirne dyring theperiod-of 100 _ • . • . " • . .10.yearS priOr lo.theidcite .of• nofifroot ion Of 4116: curient election-:. • OR .goyt.;':'0.•CcOr.riPnOdation at No:.3,....)0U.11-.-.401\jig•11-IN, • •, , • . .DELHI110011 .:(0)60110n:.-.1126.d.ddris of• last:• .10 .yedr ..pridr--to the 'date of.. notification. of the. , .660ent.e1:4otton, and there. are no arrears- of any .dt.fe-:tO:•iae.::1:• -.5cird. 'tov,icitras:.:r6nt !.. far the Water and • • telephono at :the sdd:accomi-nodoilor-1-16s: : : (lhe:-•daie•habk:1 be then la$f-dae of-:the 3d month prior to, month in which-.1hp.: el 00r) dhhd . • , • • . (id): ".11(3, dO.es-. c'prtif.100• . - •..'frarril1 • •
.• .I;, the= deponent -above harfied, do...hereby verify and Oedate thaf'.121*.<266ve: statements dre,tOl'itct to::the best of toY.kn.olOdge, and-np of it.is' falser::
D.PONERIT
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FORM 2A (,,Vty ruh: N()NTIN All ON TAP R EIcTtiorrio Pe()
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PA R 1'I 01::P.Atet: Elf 1W ,GW, CO EN u :IS E(3'i'Aty('I.;LCABL pART 1,
&id bY.Ctiiidithife- St. Lip h r 'cogniF:ed politictii2pail)1 - . .
1.noni nine zis:zic:int:liciaie 1iNr-.'efeelitin :10:th...c House -pi" Lhe 13.wp [ion.) lilt! 02- --13E1,41G;\ 1
Candidate name AN(7A1)1 Rit:Sil Father*sikrt ;?-111.1s1i-ankr-s' rutIlle !ANNA BA SA IVA addret 'SPOORTi" 13.0Ab, V1SHWESH \C'ARAYNA
11.E.LAOAVI (.1i 9. 'name is.entereV ac sAo 1149 in Nit'NO OS: 61 the' .electni"zti rcill 11- 13ELAGA.V1 OTTAR 1(iksSernbly 114(31cl-icy comjirisrid within) ,OZ Parliamentary Constituency,
r\tv nattic V. "AP A. Siff- SIDARA. 3.1.1A R and ; (interea S.No 1 0;111 • :(,[&.:10ri I roll for 11- 1 AGAVI UTTA EZ (A sscriihIN .k\-jthoi) 02.— 1) EI \;(.; A \-'1. Ptirly.mwritilyy •
t?.."2.3.0.3.20,1 Sigo t liroposer
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liereby oc)p-ijo4o as cfrii lldaiG fo'.etc -thn to .the. 116.use the 1 collie . . . Parliament-a COITS,(!:("11:.:iley . - ; itatllilr .. ... , . . . .... postal address„...... ... . ......
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(1).'i)(:\Y61]rt-.1 re. (,(7•0 below Avc •• ().1-s.
Piirtictillir•N 0 1 ills p t-6 pos0-..s 11 ti LI t-11 0 r s if; bat u os .. -. Lno.••• atrie ()I- . frketOr Roll No 'of-• , KTt.iiity- 1 ,ii,711iiiire_.. 'Dille z. : . componelit. - . ..i)roposo! • .. • ,. .. • t --,------y--.,--: .... A s.i-t•!1-111)I'v . }'.alt '1-4(.i,,,i)1 - ,.f..,.` 0 ; In . C.:4Th ,'I. j4 ul...1.1ey 1 1I;?e1c)r;[1 '11-iot m..11- ... Roli
1.)'t2. -1.tm 61(2ct(IN•() cons w.•; proppsLt. • '
, PARTII1 ani.lidaW.:int::nlioni.:(1 in 1.):.irtll•Ptit-I-11.(in'i ()in notitti)p,licd,)to.) ass ni .to . . • , • nation 111(.1 red . t ci CriiniSh".1 0. 0 ...n0Y rO1Cif?•11' .541t040iinty,r (b) thAt. bavt2;comple(cd• .63. .cat oroge: [S TA c(i) W1-1 ICI I IiVEK (1)) (1): 00!.1•01-!•jc,...1'.ari, by A.RATIYA.:JANATA-:P. ARTY pqrty.;•:whieh).$- VctognIs.q(1.-M.Itipnal Pary/E4t-102• P; ++y initi .Sidle and that. [he :yini.101 '•••• i;es'41:41;(41..F61.f.th •
OIZ:' • •)-(1i) thIlt...latn.e40 at tlii. 7 etectit.)0;,Asr.th .,,,;,....,,,, ,,, ,, ,, , ,, ...... Oart}.-.riiich1:\a-:ic-f-tisered7-unr(".:-.C6gnied 0OlitiCal.. pat ly/iliat I - am ..Orttistirti-,;.this election tt an nth -ctrididat...*,. (Strike otti.,A3,-Iiiell is• not -.applicabte) and thzit- . the .$)'mhols 3:have'hosen.: in••orkler ol prelcronee. are.-----
((1) • that ny) nanic trod my. fath .risinriptiter';-,/h ps- .11(t-ti'l)id):;., nanie:- ilave.1;01. :c(;rree. sth,.;iielt :nut'. . . 1. -- • • abovein ante.O1'. the.ltaguage): _ - • . • ). that to .the he.si .oc- rrty•loto%tiocve and belief - I .tits qualified'and..noi alsO. di!iiitnilincEl (e. .- .. . , • .. . Tor being.cliu;:cw.to ,1j11. the kin in hel tOtiSe Or ti1C. Pect)1C.,
further cleClare that 1 am a tilehther of the :asteitribe \vhich is a scheduled ."cas.teitribe..ol. the-State ul in. -relation.. to. (area) in :that State-.- - ,. ... . N. :. . I also c.i.elAre. that 1 ha.!,,i:itot been. and ..,hzill:nOt.. be\--iOniinated as a candidate thi z pres'ent . the 1-loits:e:- or ai e B'ol't general •electionithe bye-electiorts.bel4,..• held sinittlfo'neosti. \i,.t.6 .16.01.0 than 11Vo Plifii aillell wry COnstituencie.
1.`;c dre out th;....,..vords ate-',citseO1 .farrittiti itnd • . Kashinit. Andaman.and u-h. Dadra and .:',4t ar 1):11Man.4tnd : Lziksirod;Vvecp.. out this pz..ii.tt!trillh. if 661 !cipliticohic:,.. 4-.S.:61'0 t.hc.c..-;,vorcis not ;t0'plicat?le. N,13.---A ."recognised ro iti. at p[trty." means .a. politiea1 party :recognised b tlie • F.Ic!ction Commission under tie kleztiort .SvMhOls (keery,ntion and AilOtment) 19(igin the Statc, concerned,
PART WA - . (To be Idle d t.i'y the catididate),
(1) h'een -• (a) 01 any.. p I leni.t()..1.1 tide r ski b••Setti() (1.1..-ot's • • (b) i.2). e1.:1:91'4143 (t1 1:c)' I`relic e(*) lor Vlik-11.11e•Itas beeii • sentnced I.Prt\i•,0 y.!itt*S t)1` bit..)!!0, • 3 •