Z4qn G^^ Z-'Ttya Z[Hr\-Rr\Ro E STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE

$Z4qn G^^ Z-'Ttya Z[Hr\-Rr\Ro E STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE$

FORM 2A' (See rule 4) NOMINATION PAPER Election to the House of the People z4qn G^^ z-'ttya z[Hr\-rr\ro E STRIKE 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 people from the!fu BAPATLA(SC)Parliamentary Constituency.

Candidate's niune SURESH BABU NANDlcAMFatheT's/nretherhAusbandh namePOULUHis postal address YILLAGE. TULLURU Mandal. GUNTUR District. Andhra Pradesh Hisnameis entered at Sl. Nol! in Part Nol9of the electoral roll fo@ CONSTITUENCY OF ANDHRA PRADESH STATEAssembly constituency.

My name is ..S.r.idhol'.T.urarl.c vrtla-. . ..and it is entered at Sl. No. .122-.in Part 0 No....216..... of the electoral roll for the. .VBrrz{ rx.l.Asembly constituency.

-T.

Date 25.03.2019 Signature of the Proposer PART II

hereby no as candidate for election to the Assembly m the .Assembly

...... F s/mother's/husba nd's name ....His postal address

name is sl. of the ral roll for ....Assembly

w lare we are electors o this Assembly and our nam are en in the el roll for \his Assembly co as in icated below we append \ur signatures below in of ing to this no on: - Particulars of the p rs and their signatures

Elector Roll No. of Proposer

Sl. No. in the Part

N.B.- There should be ten electors of the conitituency as proposers PART III

I, the candidate mentioned in Part I/Pa#II (Strike out which is not applicable) assent to this nomination and hereby declare that- (a) I am a citizen oflndia and have not acquired the citizenship ofany foreign State/Country; (b) that I have completed !! years ofage; ISTRIKE OUT c(i) OR c(ii) BELOW WHICHEVER IS NOT APPLICABLEI (c) (i) I am set up at this election by the YUVAJANA SRAMIKA RYTHU CONGRE-SS PARTY, which is recognised FJ@/State Party in this

State and that the symbol reserved for the above party be allotted to me. OR (ii) am set up election by the...... ) i...... party, which lsa litical party/that I ani ine this election as an candidate. (S out which is not le) and that the symbols I have in order of (D...... \... (iD...... \...... (iiD...... )......

(d) my name and my father'shetherh,lhusbandh name have been correctly spelt out above in Enelish (name of the language); and

(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 Legislative Assembly of this State. * I further declare that I am a member of the Madiea**Caste/tribe which is a scheduled **caste/tribe of the State of Andhra Pradesh in relation to Tullur (area) in that State.

I also declare that I have not been, and shall not be nominated as a candidate at the present general election/thegye+leetiens being held simultaneously, to the House of the People from more than two Parliamentary Constituencies. Ms "'-h Date..21-:.0J,..293 Signature of Candidate

* 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 inthe State concerned.

PART IIIA (To be filled by the candidate)

(l) Whether the candidate: -

1i) has been convicted: - (a) ofany offence(s) under sub-section (l); or

(b) for contravention of any law specified in sub- section (2) of section 8 of the Representation of the NO People Act, l95l (43 of l95l); or

(iD has been convicted for any other offence(s) for which he has been sentenced to imprisonment for two years

or more. If the answer is "Yes", the candidate shall fumish the

following information :

(i) Case/First information report No.A.Ios. Not Applicable. (ii) Police station(s) Not Anplicable District(s) Not App.Licable State(s) Not Applicable. (iiD Section(s) ofthe concerned Act(s) and briefdescription ofthe offence(s) for which he has been convicted Not Applicable (iv) Date(s) of 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 fine(s)l Not Applicable (vii) Date of release from prison ![9!!pp!!g[!9. (viii) Was/were any appeal(s)/revision(s) filed against above conviction(s) NO Not Aonlicable (ix) Date and particulars of the appeal(s/application(s) for revision filed Not Applicable (x) Name of the court(s) before which the appeal(s/application(s) for revision filed Not Applicable (xi) Whether the said appeal(s/application(s) for revision has/have been disposed of or is/are Not Applicable

(xii) Ifthe said appeal(s/application(s) for revision has/have been disposed of NO (a) Date(s) of disposal Not Aonlicable. (b) Nature of order(s) passed !lglSppl!@!9. (2) Whether the candidate is holding any office of profit under the Govemment of India or State Govemment? (YesAtro) NO -If Yes, details of the office held !q!!pp!!g!!9. (3) Whether the candidate has been declared insolvent by any Court? (YesA.Jo) NO -If Yes, has he been discharged from insolvency Not Applicablp (4) Whether the candidate is under allegiance or adherence to any foreign country? (YesA{o) NO -If Yes, give details Not Applicable (5) Whether the candidate has been disqualified under section 8A of the said Act by an order of the President? (YesAIo) NO -If Yes, the period for which disqualified Not Applicable (6) Whether the candidate was dismissed for comrption or for disloyalty while holding office under the Govemment of India or

the Govemment of any State?. (YesA.lo) NO

-If Yes, the date of such dismissal Not Applicable

(7) Whether the candidate has any subsisting contract(s) with the Govemment either in individual capacity or by trust or partnership in which the candidate has a share for supply of any goods to that Govemment or for execution of works undertaken by that Govemment? (YesA{o) p -If Yes, with which Govemment and details of subsisting contract(s) \g! Applicable

(s) Whether the candidate is a managing agent, or manager or Secretary of any company or Corporation (other than a cooperative society) in the capital of which the Central Govemment or State I

Govemment has not less than twenty-five percent share? (Yes/no) NO -If Yes, with which Government and the details thereof Not Applicable

(9) Whether the candidate has been disqualified by the Commission under section l0A of the said Act (Yes/\lo) NO

-If yes, the date of disqualification Not Applicable

Place: OnTole NS*-n Date: 15. 03.1-ol3 Signature of the candidate

PART IV

(To be filled by the Returning Officer)

Serial No. of nomination pup", .flHl.ff tr1m

This nomination was delivered to me at my office at.?.111.Pf(hou0

* .U'f aate) by the candidate/prepea...... "r..Xl.".f (Name).

Date..4.EtX.. Returning Officer

*Score out the word not applicable :' ,

PART V Decision of Returning Officer Accepting or Rejecting the Nomination Paper

I have examined this nomination paper in accordance with section 36 of the Representation of the People Act, 1951 and decide as follows: -

Date...... Retuming Officer I Tl'.rq/State Andhra Pradesh frtrn qrnffiq fa/Assembty Vemuru (SC) Constituency

;ilri/Narne 8d5 do.$ofuoS

SRIDHAR TUNUGUNTLA

Bq/Gender M

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FORM 26 (See rule 4A) AFFTDAVIT ro BE FTLED By rHE cANDTDATffi NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR HOUSE OF THE PEOPLE LOK SA (NAME OF THE HOUSE) FROM I (NAME OF THE GONSTTTUENCY)

, PART-A

I, SURESH BANJ NANDIGAM (SURESH --SONHAU9hTE,{*#ifE NANDIGAM}, Of POULU, AgEd 43 years, resident of District. Andhra Pradesh (mention postal full address), a candidate at the above election, do here[y solemnly affirm and state on oath as under: (1) Iram a candidate set up by r.v. rnrl*6oov ADVOCATE & NOTARY g ADotd. bv Go\emncnt of lndia N: o,- 9b Ganani liqar, 3rd lane. Ol'tG0LE Prakasam Distrlct. A.P- Irdb 3 I'1AR 201e AE 059-452 ::Y-FS,I- Tfl*#JxyAyPRADESH z f --r sor,: i s.,:,'i .f. a( - ?a" t n{ "1-;{ i}t;-}"- 5'os,'f}3 Li(

.: (**name of the political pafi . (?*strike out whichever is not applicable)

which is a Recognized State party in the State of Andhra pradesh. (2) wy name is enrolled in rauxouna.lssnNmr,v coNsrrrupNcy or A,NnuRA p-RApESH srArE (Name of the constituency and the state), at serial No. 35 in Part No 19 tuooatolRayuur pllell vluaeer. (3)My contact telephone number(s) i#are 9866562526. 970s227299 and my e- ntail id (if any) is [email protected] and my social media accounts (if any) is/are (i) NoTAVATLABLE (iD NOT AVATLABLE (iii) NoTAvAILABLE X] S u,,-:it, *.r\M*AnFDDY ADVOCATE & NOTARY Aootd. bv Gcnrmment of Irdh I Gindhl Nigar, 3d Lane, Ot{@tE;- Pra ka.sam Distr_ict,]lPr Jqjia. - of filing of lncome (4) Details of Permanent Account - Number (PAN) and status Tax return: Total lncome shown in lncome- The Financial Year Tax return for which the last SL. (in Rupees)for the Names PAN return No. lncome-Tax last five Financial filed has been Years ( as on 31st March) (i) 2017 - zo16 Rs.3,40,270/- (iD 2016 - 2017 Rs.4,00,{601 SELF BARPNEO23L 2017-2018 (iii) 2015 2016 1. (SURESH BABU NANDIGAM) - Rs. 3,05,610/- (iv) NIL (v)NlL (i) NrL (ii) NrL SPOUSE -2018 (iii) NrL 2. BRUUPN5312G 2017 (BABY LATHA NANDIGAM) (iv) NIL (V) NIL (i) Not ApPlicable (ii) Not APPlicable HUF (lf the candidate is (iii) Not Applicable 3. Not Applicable Not Applicable Karta/Coparcener) (iv) Not Applicable (v) Not Applicable (i) Not APPlicable (ii) Not APPlicable (iii) Hot eppticaute No PAN Dependent - | Not Applicable (iv) Not Applicable 4. (Nandigam Prince Sujith Kumar) Alloted (v) Not Applicable

(i) Not Applicable (ii) Not Applicable Dependent 2 No PAN (iii) Not appticaote 5. - Not Applicable (NANDIGAM GLORI SUREKHA) Alloted (iv) Not Applicable (v) Not Applicable (i) Not Applicable (ii) Not Applicable (iii) Not Applicalte 6. Dependent - 3 Not Applicable Not Applicable (iv) Not Applicable (v) Not Applicable be clearly Note, lt is mandatory for PAN holder to mention PAN and in case of no PAN it should stated "No PAN allotted'.

(5) Pending Griminal Gases

3 N'5r,,",9, "uh$/*r,ovADVOCATE & NOTARY Aootd. bv Government of lndh didhi Neoar 3rd Lane,oNGoIE Prakasari District. A'P., India Cell: 944O183O49 case against me' S I declare that there is no pending criminal / pending against the Candidate (Tick this alternative if there is no criminal case (ii) J and write NOT APPLI}ABLE against alternative belowl

OR me: NoTAPPLTcABLE (ii) The following criminal cases are pending against (tftherearependingcriminatcasesagainstthecandidate'thentick give details this atternative and score off alternative (i) above' and of atl pending cases in the Table below)

Table

(a) FIR No. With name and address of Police NOT APPLICABLE Station concerned

(b) Case No. with Name NOT APPLICABLE of the Court (c) Section(s) of concerned Acts/Codes involved (give no. of the Section, e.g' NOT APPLICABLE Section ...... of lPC, etc.)

(d) Brief description o! o'ffenge NOT APPLICABLE (e) Whether charges have been framed NOT APPLICABLE tmention YES or NO) (0 lf answer against (e) above is YES, then NOT APPLICABLE give the date on which charqes were framed (s) Whether any APPeal/ Application for revision has been filed against the NOT APPLICABLE proceedings (Mention YES or NO)

(6) Cases of Conviction: for any criminal ottence.r/ 1i) I declare that ! have not been convicted and write NoT lTick this alternative, if the candidate has not been convicted

APPLTCABLE against alternative (ii) betow) '/ 4 \".S/ K.V. KNSI$A REDDY fl'Ju'-'51 ADVOCATE & NOTARY Apilrr. by Corcmment or l,td. @ndhi ltagEr, 3rd Lane,0NGOIE Pftt-kasam District. A.p., Indi, ceil:9440183049 OR below: NotAp,ricabre (ii) I have been convicted for the offences mentioned (lfthecandidatehasbeenconvicted,thentickthisalternativeandscoreoff Table below) NOT APPLICABLE alternative (i) above, and give details in the

NOT APPLTCABLE

$Aions of Actsrcodes involved APPLICABLE (give no. of the Section' NOT e.o. Section ...... of lPC, e@ Brief descriPtion of offence NOT APPLICABLE for which convicted DaGs of orders of conviction NOT APPLICABLE

Punishment imPosed NOT APPLICABLE

WtrettreranY APPeal has been filed against conviction order NOT APPLICABLE

lGnswer toG) above is YES, APPLICABLE give details and Present status NOT

potitical party (6A) I have given full and up-to-date information to my aboutallpendingcriminalcasesagainstmeandaboutallcasesof conviction as given in paragraphs (5) and (6)' Yes

[candidatestowhomthisttemisnotapplicableshouldcleailywriteNoT APPLT1ABLE tN vtEW oF ENIR Es,l'J 5(i) and 6 (i), abovel Note: 1. Details should be entered clearly and legibly in BOLD letters' 2.Detailstobegivenseparatelyforeachcaseunderdifferentcolumnsagainsteachitem' case to be 3. Details should be given in reverse chronological order, i.e. the latest mentionedfirstandbackwardsintheorderofdatesfortheothercases. 4. Additional sheet may be added if required' of Hon'ble supreme 5. Candidate is responsible for supplying all information in compliance Court s judgment in W'P (G) No. 536 of 2011

\o'N/ K.V. KR}SH(AREDDY AlS,-,.-9't ADVOCATE & NOTARY Aootd. bv Govemment of Indl, eiirOtri Higar, 3rd bne, oNG0l-E Pckasam District. A,P., India Cell:944O183O49 (7)xratlgivehereinbelowthedetailsoftheAssets(Movable,lmmovable etc.) of myself, my spouse and all dependents:

A. Details of Movable Assets:

Notel.Assetsinjointnameindicatingtheextentofjointownershipwillalso have to be given' Note2.lncaseofdeposiUlnvestment,thedetailsincludingserialNumber, Amount,DateofDeposit,theScheme,NameofBank/lnstitutionand Branch are to be given' per current market value in Note 3. Value of Bonds/share/Debentures as the per books in Stock Exchange in respect of listed companies and as case of non- listed companies should be given' Note4'Dependent',herehasthesamemeaningasassignedinExplanation (v)undersectionT5AoftheRepresentationofthePeopleAct,l95l. of each Note 5. Details including amount is to be given separately in respect investment. offshore Note 6. Details should include the interest in or ownership of assets. Explanation:.ForthepurposeofthisForm,theexpression,.offshore assets,,includes,detailsofalldepositsorinvestmentsin Foreignbanksandanyotherbodyorinstitutionabroad,and detailsofallassetsandliabilitiesinforeigncountries';

Depen Depen s. HUF Dependen Description (Selft (Spouse) t-1 dent-2 dent-3 No. Not NIL NIL Not (i) Cash in hand Rs.3,00,000/- Rs.2'00,000/- Applicrble Applic{bl e l.Savin93 Not Savings Savings Not (ii) Details of l.Savings account Applicabl No. account No, Applicable account account Deposits in Bank No. e 1923'10100018644 2s421010001453 No. (FDRs, Accounts of AndhraBank, 2 of Andhra 254210100 2il210 Term Deposits Mandadam Bank, 014709 of {00014 693 of and all other Branch, Balance Velagapudl Andhra Balanca Bank, Andhra types of Deposits Rs.7,731/- Branch, Rs. 1133r- Velagapud Bank, including saving Velaqap 2. Savinqs i Branch, 6 N''""91

ffiM-.--*,.%[ Balance udi No. 2. Savings .raccounts), account Rs. 678,- Branch, 38338439498 account No. Deposits with Balance State Bank of 50100250582532 Financial Rs. lndia, Bapatla of HDFC Bank' 6781- Institutions, Non- Branch, Balance Tulluru Branch, Banking Rs.00r- Balance Rs. Financial 58,1t8,- 3. Savings Companies and account No' 3. Savings CooPerative 24090032255 of account No. Societies and the Coastal Bank, 24090048776 of amount in each Secretariat Coastal local such dePosit Branch, Tulluru area Bank Branch, Balanco Llmited' Tulluru Rs. 00r- Branch, Balance Rs.7l8r- 4. Savings account No. 2194010000037 of United Bank, Mangalagiri Branch, Balance Rs.3,110/-

5. Savings account No. 033301000009362 of lndian Over Seas Bank Limitod' Tullut Branch, Balance RB. 885r-

6. Savings account No. 50100083278804 of HDFC Bank, Vijayawada Branch, Balance Rs. 34,309/-

Details of investment in Bonds, Not Debentures/ Not Applicabl Shares and Units Applicable e in Companies/ Mutual Funds and others and the amount.

tYvffi^lli?Ri rJ'*,91 qffi:eTfltr$f,{iii hstal Savings, Insurance Policies and investment in any Financial lnstrument in Post office or Insurance Company and the amount. Personal Loans/Advance given to anY Person Not or entity including Not Applicabl Firm, ComPanY, Applicable e Trust etc. and other receivables from debtors and the amount. bearing Motor Vehicles/ l.car AircraftslYachts/ Number AP27AF6789 of Ships (details of Make, 2010 model purchased as Registration No. second hand etc, Year of purchase and for, Rs.7,00'000/- Not amount.) Not Applicabl Applic8ble e 2,Two wheeler bearing Number APO7CGOl17 of 2015 model purchased as second handt

Jewellery, bullion 250 Grams and valuable 150 Grams Gold Gold thing (give details Ornaments' Ornaments of weight and Rs.4,59,375/- Rs.7,65,625/' value) Any other assets such as value of ClaimsAnterest

Rs. 17'45,594/-

,M N'9''+h e. R tails of lmmovable A

(Note:l.Propertiesinjointownershipindicatingtheextentofjointownershipwill also have to be indicated. mentioned separately in this 2. Eachland or building or apartment should be format. 3.Detailsshouldincludetheinterestinorownershipofoffshoreassets.)

DescriPti on Apricultur l.Vellacheruvu al Land Village of Location(s) Santamanguluru Mandal, Prakasam Survey District Number(s) Sy. No 246la3la Ac' 0.50 Cents.

2,UddandaraYuniPa lem Village, Tulluru Mandal, Guntur Not Not District, SY.No' 121' Applicable Applicable 1g Ac. 1.07 Cents (Assigned Land)

3.LingayaPalem Village' Tullur Mandal, Guntur District, Sy.No. 215 Ac. 0.57 Cents is under the enjoyment ofthe

Area (Total measureme nt in Acres) Not Not Ac. 2.14 Cents Applicrble Applicable

r)No 2)NO 3)NO ffi N'!u,- f 9 Date of Not Not Not purchase in 1.27.04.2016 Nol Applicab Applicab Applicab Applicab case of self- 2,Assigned Land Not Applicable le le le acquired 3.Enjoyment le

Cost of Land (in Not Not Not Not Not case of Applicab 1.Rs.2,00,000/- Applica Applicab Applicab Applicab purchase) at ble le le le le the time of purchase Any Investment on the Land Not Not by way of NO NO Applicab NO NO Applicab Developme le Ie nt, Constructio n, etc., Approximat Not Not Not Not Not e Current Applica Applicab Applicab Applicab Applicab Market 1.Rs.5,00,000/- ble le le le le Value (ii) Non- Agricultur Karlampudi al Land Village of Not Location(s) Amaravathi Not Applicab NIL NIL Applicab Survey NIL mandal, D.No. le le Number(s) 34311,34313, 344lla and 344/lc

(Total Area Not Not Not Not measureme Not Applicable 1599.3 Applicab Applicab Applicab Applicab nt in Sq. le le le le Feet) Whether Not Not Not Not inherited Not Applicable NO Applicab Applicab Applicab Applicab property le le le le (Yes or No) Date of purchase in Not Not Not Not case of self- Not Applicable 03.10.2018 Applicab Applicab Applicab Applicab le' acquired le le le Droperty

\ s-,/ r.v.rmN%ronv l0 ADVOCATE & NOTARY Aootd. bv Gowmment of lndlt GaMtri ttagar, 3rd Lane,ONGOLE Prakasa!'n District. A,P., India Cell: $44O183O49 NS""*"4 Grst of L-,c (in case of Not Not Not Not Not purchase) at Rs.4,09,000/- Applicab Applicab Applicab Applicab Applicable the time of le le le le purchase

Any Investment on the land Not Not by way of NIL NIL Applicab NIL NIL Applicab developmen le le t, construction etc. Approximat Not Not e Cunent NIL Applicab NIL Rs.8,00,000/- Applicab NIL Market le le Value (iiD Commerci al Buildinss (including Not Not Apartments NIL NIL Applicab NIL NIL Applicab le le ) Location(s) Survey number(s) Land Area Not Not Not Not (Total Not Applicable Not Applicable Applicab Applicab Applicab Applicab measureme le le le le nt in Sft.) Built up Not Not Not Not Area (Total Not Applicable Not Applicable Applicab Applicab Applicab Applicab measureme le le le le nt in Sft.) Whether Not Not inherited Applicab Applicab NO NO NO NO le property le (Yes or No) Date of purchase in Not Not Not Not case of self- Not Applicable Not Applicable Applicab Applicab Applicab Applicab acquired le le le le property Cost of property (in Not Not Not Not case of Not Applicable Not Applicable Applicab Applicab Applicab Applicab purchase) at le le le le the time of pl1Ichase ll

N'5,-'-'-'9't zlny Inr.stment on the Not property by Not NIL Applicab way of NIL NIL Applicab NIL le le developmen t, construction etc. Approximat Not Not e Cunent Not Not Applicab Applicab Applicab market Not Applicable Not Applicable Applicab le le le le value

Residential l.Situated at Buildines UddandarayuniPa (including lem Village, Tullur Mandal' apartments. Not Guntur District' Not ) Applicab NIL NIL Applicab Location(s) H.No.2-5 RCC NIL le le Door/Flat House number(s)

Land Area Not Not Not Not (Total 870 Not Applicable Applicab Applicab Applicab Applicab measureme le le le le nt in Sft.) Built up Not Not Not Not Area (Total 870 Not Applicable Applicab Applicab Applicab Applicab measureme Ie le le le nt in Sft.) (Assign Land Whether YES Not Not Not Not from inherited Inherited Not Applicable Applicab Applicab Applicab Applicab property Father) le le le le (Yes or No) Date of purchase in Not Not Not Not Not Applicab case of self- Not Applicable Applicab Applicab Applicab Applicable le le le acquired le DroDertv Cost of (in Land the property Assigned Not Not Not Not of the case of value Not Applicable Applicab Applicab Applicab Applicab puchase) at property not le le le le the time of mentioned purchase Any Not Not Investment NIL NIL Applicab NIL NIL Applicab on the land le le by way of t2

ffiM N -f,.^-,9, dglelopmen t,' construction etc. Approximat Not Not Not Not e Current Not Not Applicable Applicab Applicab Applicab Applicab market Applicable le le le le value (") Others Not Not (such as NIL NIL Applicab NIL NIL Applicab interest in le le DroDerty) (vi) Total of Current Not Not Market Rs.5,00,000/- Rs.8,00,000/- Applicab NIL NIL Applicab Value of (i) le le to (v) above (8) I give herein below the details of Liabilities / Dues to Public Financial lnstitutions and Government:- (Nole.' Please give separate details of name of Bank, institution, entity or individual and amount for each item)

Dep.IldeDt-3 s. (Self) HUF Dependent Dependent Description (Spouse) -1 -2 No. (D Loan or Dues to l. Andhra Not BanldFinancial Bank, Andhra Applicabl Institution(s) Velagapud Bank, e Not Name of Bank or i Branch, Velagapud Applicabl Financial Institution, Gold Loan i Branch, NIL NIL Amount outstanding Rl. Gold Loan e Nature of loan 69,000/- Rs. 2,00,000/-

Loan or I)ues to any other Individuals / Entity other than Not Not mentioned above NIL NIL Applicabl NIL NIL Applicabl Name(s), e e Amount outstanding Nature of loan Any other Not Not Liability NIL NIL Applicabl NIL NIL Applicabl e e

Not Not Grand total of Rs. Rs. Applicabl NIL NIL Applicabl 69,000/- 2,00,000/- Liabilities e e

M.JZ*"-91 YesNO (A) Has the deponent beer, i, oc*pution of accommodation (ii) I Gofbnment Dues: the last ten (Pl. tick the provided bY the Govetrment at any time during I Duet to dePartments appropriate years before the date trf notification of current election? dealing wlth declaration altematiYe) I (B) If answer to (A) abovtr is YES, the following govemment I may be fumished namrelv:- I accommodation (D *:"i::l: f tie Govemment accommodation:

payable in respect (iD There is no drues ofabove I Govemment iaccommodation, towards- I NO (a) Rent;

(b) Electricity charges; I (c) Water charges; and I (date) (d) TelePhorre iharges as on | third month to the the date should be the last date ofthe Prior I any date nronth in which the election is notified or thereafterl' I the agencies concerned in respect IIotei 'No Due Certificate' fiom I and telephone charges tor of rent, electricitY charges, water charces I be dhe above Govemment acconrmodatio-n should submitted l Deponent- spouse HU} lJepoIl9Ilt- Self I I 2 3 (iii Dues to ) departments Not dealing with Not NIL NIL Applicabl govemment NIL NIL Applicabl e e transport (including aircrafts and helicoPters) Not Not (iv) Tax Dues Applicabl Income NO Applicabl NO NO NO e e Not Not NO NO (v) | GST Dues NO NO Annlicahle Applicable Not I Not (vi) I Municipal/ProPert NO NO Applicable NO NO I Applicable I v Tax Dues Not (vii) No no | tu1y other Dues I xo NO Annlicable I ln,,llllo* Not (viii) Total of all Grand NO NO Applicable * T No loooT,llo* Govt. dues

(ix) Whether any other I

liabilities are in I dispute, ifso, I

mention the ] NO No No I *" lnoollllr" amount involved inroT,llr" and the authoritY before which it is pending.

ffiffi U^_{,{^" f b (9)_.,- Details of profession or occupation: 1a) Self - Photoqrapher & Cultivation. (b) Spouse - Business. (9A) Details of Sources of lncome (a) Self - Remuneration. Cultivation lncome. etc. (b) Spouse - Remuneration (c) Sources of lncome, if any, of Dependents - !!! (9B) Contracts with appropriate Government and any public company or companies (a) details of contracts entered by the candidate - g (b) details of contracts entered into by spouse - No (c) details of contracts entered into by dependents - g (d) details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest - No (e) details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners - !12 1r) Details of contracts entered into by private companies in which candidate or spouse or dependents have share - No

(10) My EducationatQualification is as under: X Class (X class not qualified) Z.p. High School of Mandadam Village of Tullur Mandal, Guntur District in the year 1992.

(Give details of highest school / University education with full form of the certificate/ diploma/ degree course, name of the school/ college/ University and the year in which the course was completed.)

PART-B

(11) ABSTRACT OF THE DETATLS GTTVEN tN (1) TO (10) OF pART_A:

1 Name of the Candidate ShJSmTJKum. SURESH BANU NANDIGAM (SURESH NANDIGAM} 2 Full Postal Address Ooor No. 2-68, UOOANOIUVUttt FA|-Elit VtLt_lCe, TULLURU i,landal, GUNTUR Oistrict, Andhra pradesh

15 \*Sz K.V, KRISfiNAREooy ADVOCATE & NOTARY Apptd. by Government of lndla Gandhi Nagar, 3rd Lane, ONGOLE Prakasam District. A.P,, India nl Cell:94r+O183O4tr 5rr.-r

CASES

6 Total number of cases in which NIL convicted 7 PAN Year for which Total lncome last lncome Tax Shown Return Filed a) Candidate BARPNS023L 20'17 - 2018 Rs. 3,40,270l- b) Spouse BRWPN5312G NIL NIL

c) HUF Not Applicable Not Applicable Not Applicable d) Dependent-1 No PAN Not Applicable Not Applicable Allocated e) Dependent-1 No PAN Not Applicable Not Applicable Allocated

8. Details of Assets and liabilities (including offshore assets) in rupees Description (Self) HUF Dependent- Dependent- Dependent- I Nandigam 2 3 SURESH (Spouse) Prince Sujith BABU NANDIGAM BABY Kumar GLORI NANOIGAM LATHA SUREKHA NANDIGAM A Movable Assets (Tota!

Value) Rs. Rs. Not Rs. Rs. Not 8.05.410/- 17,45,594t- Applicable 1,53,803/- 1,s3,803/- Applicable

i.eooV t"YvS.iffi-P+:.1"*.1 rohHfftt;lti$ii /U 5?..,.,- 97 B lmmovable Assets (i) Purchase Price of self- Rs. Rs, Not Not acquired NIL NIL 2,00,000/- 4,09,000/- Applicable Applicable lmmovable Property

(ii) DevelopmenU construction cost of Not Not immovable NIL NIL NIL NIL Applicable Applicable property after purchase (if applicable)

( iii) Approximate Current Market Price (a) Self- acquired Rs. Rs. Not Not NIL NIL Assets Ootal s,00,000/- 8,00,000/- Applicable Applicable Value (b) lnherited Not Not Assets NIL NIL NIL NIL Applicable Applicable (Total Value)

9. Liabilities Self HUF Depe Depe Depe Description Spou ndent ndent ndent se -1 -2 -3 (i) Government dues (Total) Not Not NIL NIL Applic NIL NIL Applic able able (iD Rs. Not Not Loans from Bank, Financial Rs, 2,00,0 Applic NIL NIL Applic lnstitutions and others (Total) 69,000/- 00/- able able 10. Liabilities that are under dispute (i) Government dues (Total) Not Not NIL NIL Applic NIL NIL Applic able able (iD Loans from Bank, Financial Not Not lnstitutions and others (Total) NIL NIL Applic NIL NIL Applic able able

J$-.,/ t7 IDIA R-EDDY ADVOCATE & NOTAii r Aootd. bY Government of I,''i,.r cinAni N6qar, 3rd lrn-", 0I.1G0[E P;kasani District A.P., Irdia Cell: 944O183O49 7tl 52",,.9 7 11. E Highest educational qualification: X Class (X class not qualified) Z.P. High School of Mandadam Village of Tullur Mandal, Guntur District in the year 1992. (Give details of highest School / University education with full form of the certificate/ diploma/ degree course, name of the School/ College/ University and the year in which the course was completed.)

VERIFICATION

l, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief; 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 against me other than those mentioned in items 5 and 6 of Part A and B above; (b) I, my spouse, or my dependents do not have any asset 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 BAPATLA PARLIAMENTARY CONSTITUENCY this the 25st day of March 2019. N'Su"-'S-t $**4.*Y*, DEPONENT (SURESH BANU NANDIGAM (SURESH NANDIGAM))

00 PM on the last date of filing nominations. : nmoffipfffiffiffi[$f6:?" oatn coffisf;$:,iifl,Bifl''u",e orthe First crass or

u*o renffi _ g BWffi *',J,1 y,. rrolrlri"dii ir +-z zoz I 1. All columns should be filled up and no column to be left blank. lf there is no information to furnish in respect of any item, either "Nil" or'Not applicable', as the case may be, should be mentioned. 2. The Affidavit should be either typed or written legibly and neatly. 3. Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is shown.

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