.ffi;';oNEig;$Rs..J00 ffiH;00 fiUNEffiHmeEs ?*.*Ai ltd$gi$ l IN DIH @ el o nt gc kirrmr TEI-ANGAT.IA P 608596 TI,TBAT TATT.IX'*I"A **X- :,rs-b}$r, .1.*.1= .hrcrd bn Ybraer ". ro..r. lord y(la. "t tsz,S r" i* . &o xo. 2e - ll . tlliElS "t#tia2A il.t{o. lt - 2. 179, Ca;a A_,,-^"1,r/"*, t td,,,Jal Jrgdoch 7: Bir:rlrrhrtrm, Cril r logAf3ill,ll f-CI-F FORM (See i I -' t" it*ffi;NArtoN AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONG PAPER BE- I t I I (NAME OF THE !r rof,T THE RETURNING oFFIcER-FOR ELECTION TO LOK SABHA I no[lsE) FRSM I6-MAHABUBABAD (sr) coNsTlruENcY (NAME oF THE coNsTlru- ENgY) PART - A **son tffi-nfU NARESH of NAGESWARA RAO aged 30 years, resident of H.No. SEETHANAGARAM VILLAGE, PARNASALA POST, DUMMUGUDEM MANDAL, KOTHAGUDEM DISTRICT (mention full address), a condidate at the ,n, do hereby solemnly affirm and state on oath as under:- ndidate set up by .......... ...(**name of the political party)/ lll r l-ru; '^ififfi"app f,rrEsrEri.'' *rorrygr:mfrary w *H,mrum*@ (2). MV name is enrolled in.... BHADRACHATAM ASSEMBTY CONSTITUENCY, TELANGANA STATE (Name of the constituency and the State), at Serial No. 119-83 -470 in Part No. 838. (3) My contact telephone number(s) is/are 9493674L70 and my email.ld is
[email protected] any my social media account(s). (i). ....................... NrL (ii). ............. Nr1............. (iii). ............ Nr1............. (a). Detail of Permanents Account Number (PAN) and status of filing of lncome Tax return: Total lncome The financial year for which shown in lncome- PAN the last lncome-Tax return S!.No Names Tax return (!n has been filed Rupees) L, Self AZIPTL6T4Q NIL NIL 2 Spouse NIL NIL NIL 3 Dependent-1 NIL NIL NIL 4 Dependent-2 NIL NIL NIL (5).