1*FORM.2B

,t-- (sEE RULE4) NOMINATIONPAPER

Electionto the LegislativeAssembry AN.,0.l!/.4.n..P.AuAE#H.... "t state. TRIKEOFF PART I OR PARTII BELOWWHICHEVER IS NOTAPPLICABLE PARTI

from the Candidate's

in Part No...f.Q.. . of the electoratroll for AssFmbly constituency. My p"rt-r.rol.... name is No.€..e.t...... in 1.6'i...... ofthe Assemblyconstitqen cy, S.€^"^^-^{,-- \"^^^^ Signatureof theproposer

PARTII (To be usedby candidateNorsef up by recognizedpotiticat party) We herebynominateas candidate election Kir to the Legislative bly from y Constituency. the Candidate'sname / Father,s/ / husband'sname / Hisname 3:il"tt N; """" isentered'"",/*o "/' ''""i".ior"r i:::fl rnr / """""'of in"" erecrorat rorlroll ency. We declarethat we are €ctorsof thisAssembry constitu.ery'cy andour the electoralroll for thid namesare entered in AssembtyConstituency as indicatedbertw ,il;;'lpp"no signaturesbelow in tokenofsr)bscribing to this nomination:_ ou,

/* subsfrtutedby NotificationNo. so ssg(E),dt. g.g.1996. PARTICULARSOF THE PROPOSERSAND THEIR S/GNATURES

FullName Signature

N.B.:There should be ten electors of constituency asproposers.

PARTIII l, the candidatementioned in part l/partil (strikeout which is notappricabre) assent to thisnomination andhereby declare- (a)that I havecompteted...... 5.7...... yearsofage; ISTRIKEOUr b(i)OR b(ii) BELOW WHICHEVER IS NOTAPPLICABLE]

(b) (i) thatI amset up at thiserection uy tne.l-ff.ti.t.rfl.!!.?.(.1+,?:g.4.tffarry, recognizedNationa|Party/@andthattnesym[oireservedforthewhichis abov.eparty be allotted to me. I (ii) thatI amset up at this erectioTzby the..,..,...... partyflhichisa registered unrecognisedpolitical party/{at I amcontesting this election candidatt inaupendent ""fi is andthat t'r,e notappticabte) symuorsl na(chosen,in order or.rJlJfi"iutl.!'.y (i)...... i.....,. ", (ii)...... (iii).,...... ;...... (c) and my father's/mother's/husband's lhtl-Tyi3te namehave been correcfly spelt out above in.8.ry,$.L IS H...... (name of thelanguage) (d) thatto the bestof my knowledgeand belief,I am qualifiedand not alsodisqualified foi being chosento fillthe seatin the LegisrativeAssembry of thisstate. *l furtherdeclare that I am a mgmberof the,...... **Caste{ribewhich is a schecjuled ***caste/tribeof the Stateof...... in relationto'---- (area),"rF State. / ****nominat"/", I also declarethat I have noy(""n, and shall not be, a candidateat the present general electionithe bye-Jectionsbeing held simultaneougly,/tothe LegislativeAssembly of

Date.*€ : .9.3-:. k-9.7..... Signatureof the Candidate **Score "Scoresuf thisparagraph, if notapplicable, out the Words notappticabte, N.B.: A "recognizedpolitical party" means a politicalparty recognized by the ElectionCommission underthe ElectionSymbols (Reservation and Allotment) Order, 1968 in the Stateconcerned.

PARTIII A (To be filled by the candidate) Whetherthe Candidate- (i) has beenconvicted - (a) of anyoffence(s) under sub-section (1); or (b) For contraventionof any law specifiedin Sub-Section (2), of Section 8 of the 'rFESTnovz Representationof the PeopleAct, 1951(43 of 1951);or (ii) hasbeen convi-cted for any other offence(s) for which r hehas been sentenced to imprisonmentfor two years ormore, lf theanswer is "Yes", theeandidate shall furnish the followinsinformation: - -t/{ " P//-(-:s, n**€ (i) Case/Fir:stinformation report No.iNos .----....-.-!t".....----.,".,"."-....."..,.....-...-...--.-.-...,.,-a:r. (ii) Policestation (s) ...... District(s) State(s) dl Section(s)of the concernedAct(s) and brief descriptionof the offence(s)for whichhe has beenconvicted ll Date(s)of conviction(s) /Y. ;, Court(s)which convicted the candidate Punishment(s)imposed [indicate period of imprisonment(s)and{or quantum of find(s)l Date(s)of releasefrom Prison Was/wereany appeal(s)irevision(s)filed against aboveconviction(s) Dateand particularsof appeal(s)/application(s) for revisionfiled ."-..---.-..'ilr-.. A Nameof the court(s)before which the appeal(s) p /application(s) for revision -...... N..:.... filed .-.. -..-."... N- : ...... n N, A Whetherthe said appeal(s)/ application(s) for revision has/have been disposed of or is/are pending ,., "N: A lf the said appeal(s)/application(s)for revlsron has/havebeen disposedof .-...1!,- A a Date(s)of disposal .-.."...fr*t.... . "".4"

t'"-t ' \ I :t ''tt':\ ''t Place kNArtlrrt nrl Date ..--H3.*--e-3---=.-.--. Signatureof Candidate

PART IV

(To be fitledby the ReturningOfficer) , SerialNo. of nominationpaper....;...... This,nomination was deliveredto me at myoffice at.....,...... (hour) on...... (dafe) bythe .t, candidate/proposer. Date...... Retr.rrningOfficer *Score ouf the word not applicable.

PARTV Decisionof ReturningOfficer Accepting or ReJecUngthe NominationPaper I haveexamined this nomination paper in accordancewith sectlon 36 of theRepresentation of thePeople Act, 1951 and decide as follows:

Date ReturningOfficer Perforation) I I

I rd 6'.3rf*r ytvr ANDHRAPRADESH r| (,5v9t7 r. L. W, (G (.* rd**{*^*--J-Arffi{::rl,- SOi-D )*)1" td=**^to:: o-- s rtlm {oador'fibenllrb_ :,1il C-^ L.-*^2 \Y V 0{-/ ff FORM No,26 "BEFoRE THE RETURNING oFFIcER FoR ELECTION TO LEGISLATIVE ASSEMBLY OF ANDHRA PRADESH FROM (LT2) - ASSEMBLY CONSTITUENCY N I il npplonvll A.I,YoUNUSSULTAN,S/o'L"t"-S,,hu,'Sulahuddin,Age:57yearS'occu:Social *Worker, R/o. H.No.5-I-494; Kaviraj Nagar, , Khamma.rn Urban (M), Khammarn District, candidate to the A.P. Legislative Assembly Election, 2OO9 ft.or.r Khammam (Ll2\ Assembly Constituency, , do hereby solemnly affirm and state on oath as follows:- I':1. That I am not accused of any offence (s) punishable with imprisonment for two years pr more in a pend.ing case(s) in which a charge (s) has/ have been frarned by the court(s) of Ecompetentjurisdiction

If the deponent is accused of any such offence he shall furnish the following information. g i) Case/First Information Report No./Nos. Nil Ci) Police Station (s) : Nil, District: Nil, State: Nil {il) Section of the concerned Act (s) and short description of the offence for.which the

candidate has been charged: NiI I F") Which framed charges : Nil v) Date (s) on which the charge: Nil or any of the proceeding or have been stayed by any court(s) of comPetent E"i) ,4ltth Cont.2

\-/ 1

y'\ e9 c, a36'errfr vevr ANDHRA PRADESH s.t. m3' SOLCITr. F0ffwlr0l tr"fe.+*-,,."6^*.f$*(<- 2 F 2. I have not been convicted of any offence (other than any offences) referred to in sub- lection (1) or sub-section (21,or covered in sub-section (3) of section 8 of the Representation 5f the PeoplesAct, 1951 (43 of 1951) and sentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid he shall furnish the following information. E i) Case/First Information Report No./Nos. Nil l Courts which punished: Nil, Hi Police Station (s) : Nil, District: Nil, State: Nil Section of the concerned Act (s) and short description of the offence for which the 5eF candidate has been charged: Nil v) Date on which the sentence was/were pronounced: Nil vi) Whether the sentence (s) has /have been stayed .by any court of competent jurisdiction: Nil B Khammam. Date:28-03-2049 Serifrcation : I, the above named the deponent, verify and declare that the contents

&f it is false and nothing material has been conceale€Tt*trere Khammam on this the 28th dav of March, 2OO9.

DEPONENT

Ulhlmllo.;t,-"'Pag8': "15';'' Gl tlrl r ^----..L5.....""""rN't" ql ioq* Rs.100 ONE $. 100 HUNDREDRUPEES

FFTFTEltrd rTTKT

*ot#6d6: sTr*rstvrANDHRA PRADESH Y 204.39trrtt 8 loo/- , tllv/- J6*E€.- rrl*9.'*'l:'ffi'* t'/' . ^dE(Il^ E.lr ".o s ar fra ap 2' N 4o Ea d il rr A *W o er a t tvr' ::F;*n Vendot [lcgtl$;stt uru"'_r- L r Ir*"t-*.***.*A. r ^ i'.flNflAIvr' -- Rl t' lr r{r --f=K'- """'.-x'Ddr-' E BEFORE THE RETURNING OFFICER FOR ELECTION TO LEGISLATIVE ASSEMBLY OF ANDHRA PRADESH FROM (TL2) - KFIAMMAM ASSEMBLY CONSTITUENCY 6, I E . I, YOUNUS SULTAN, S/o. Late Sultan Satahuddin, Age: 57 years, Occu: Social 6 Worker, R/o. H.No.5-I-494, Kaviraj Nagar, Khanapuram Haveli, Khammam Urban (M), Khammarn District, candidate to the A.P. Legislative Assembly Election, 2OO9 from Khammam (1I2) Assembly Constituency, Khammam District, do hereby E' solemnlv affirm and state on oath as follows:-

d ts That I give herein below the details of the assets (movable, immovable, Bank balance, etc) of myself and my spouse and my dependents.

A. DETAILS OF MOVABTT ASSETS H (Assets in joint name indicating the extent of joint ownership will also have to be given)

Description Dependent No.1 Hayat Younus, Sultan (son) 2O,OOOl- Rs.92182.06 at Axis Bank, KMM Institutions and Rs.62337at non Banking Axis Bank, Banjara financial Hills, Hyd comnanies 3. Bonds, Debentures & shares in comoanies 4. Other financial instruments. NSS, Postal savings, LIC policies, etc

5. Motor vehicles Alto No. (details of AP2OS- make, etc) 9901, make Maruthi 6. Jewelery ( d". detals of weight and value) 7. Other assets, such as values of claims/ interest

Note: Value of Bonds/ shares/ debentures as per the latest market value in Stock Exchange in respect of listed companies and as per books in the case of non listed companies should be given.

Dependent here means a person substantially dependents on the income of the candidate. ,

B. DETAILS OF TMMOVABLE ASSES

(Note: Properties in joint name indicating the extent of joint ownership will also have to be indicated)

sl. Description Self Spouse Dependent Dependent Dependent No. Name No.1 No.2 No.3 Sadiqua Hayat Aftab Younus Younus Anjum Nil Sultan Sultan (wife) rA \ (son) (sonl ^ [--flr Sw-i[o- Extent Ac $ture land 97,98 14.28 lsfis; Value 1.47 lakhs SATJ #ts99.101 15.1 ffi tg 1,, measurement)- Value 1.53 lakhs Current market 94,96,99 12.24 value Value 1,63,800/- Situatedat Vandanam (V), (M),KMM Dt.

Sv.No. Extent Ac

Value 85,035/-

Ls7/A Yalue 79381 /- Situatedat Mudimiyal (V),Cheverh (M).

Sy.No. . Extent.Ac

206/A206/V 3,23 Yalue.1,81465/-

Value 11680/-

Situatedat Garlavoddu (V), (M) KMM Dt.

Sv.No. Extent Ac

305/3 2.5O Yalue 2,72,840l- 3Os/s,3Os/4 s.so Yalue3,79,52O/-

372/s 6.00 Yalue I,48,920/- 37r 37211 38.91 373,375,sLV Value 15,40,838/-

5l5lr 37t 2.sO Yalue2,58,265/-

371part 2.35 Yalue2,42,763/-

603lL,603l2 3;65 Value3,97 ,8451- 5i4l5A 3.00 Yalue 2,31,34Ol- 60r lL,60rl2 7.6r 6OL/5 Yalue L5,52,74O1- ' Tea Estate. Situated at Coonor of Tamil Nadu State. Non agriculture Open plot in Sy.No. land locatidns - 232,.extent 544.66 Sq.Yds, situated at .No.-Extent Khanapuram (H), KMM Dist. Value 1I,32,835/- Buildings H.No.1 l-7-9O, 3. (comm. & resid) extent 1279.64 Sq - Yds, Nehru Nagar, locations KMM, Sy.No./D.No - Value 19 lakhs Extent (totdl measurement)- H.No.5-1-152, Current market extent 134.38 Sq Yds Yellandu X value road; KMM, Value 8,39,681/-

H.No.5-1.152, extent 65.37 Sq Yds Yellandu X road, KMM, Value2,81,111/-

H.No.5-1-91,extent 245.55 Sq Yds Khanapuram (H), KMM Dt, Yalue 3,OO,77Of -

H.No.5-1-91,extent 4I4.45 Sq Yds Khanapuram (H), KMM Dt., Value 5,33,6OO1-

H.No.1L-7-86, extent 67.14 Sq Yds, Nehru Nagar, KMM, Value +,23,95O1-

4. House - Apartment, etc locations - Sy.No.-Extent (total measurement)- Current market value D. Others (such as interest in ' r)ropertv)

3. I give herein below the details of my liabilities/ overdue to public financial institutions and Government dues:- : Please give separate details for each item). %effi' I Sl.No Description Name & Address of Amount outstanding Bank/Financial as on 27-O3-2OO9 institutes/ Dept. i) Loans from Banks Nil Nil ii) Loans from Financial Institutes Nil Nit iii) Govt. due Nil Nil a) Dues to Dept. dealing with Govt. Nil Nil accommodation b) Dues to Dept. dealing with supply Nil Nil of water. c) Dues to Dept. dealing with supply Nil Nil of electricitv; d) Dues to Dept. dealing with Nil Nit Telephones. e) Dues to Dept. dealing with Govt. Nil Nil transport inclpding Aircrafts & Helicopters f) Other dues if any. Nil Nil Sl.No Description Name & Address of Amount outstanding Bank/Financial as on 27-03-2009 institutes/ Dept. b. i) Income tax including surcharge Income tax returns (Also indicate the assessment year filed upto 2008-09 upto which income tax return filed. PANNo.ALAPS3424R Given also permanent account number (PANI ii) Whether tax (Also indicate the N.A assessment year upto which Wealth tax return filed. iii) Sales tax (Only in case of N.A proprietarv business) iv) Property tax No dues

4l My educational qualifications are as under:-

1) Up to HSC at Hyderabad. - 1966-67. 2) PUC from Osmania University - \967-68 3) B.Com from Osmania University L972

Khammam, %e'tu Date: 28-O3-2OO9 DEPONENT Verification : I, the above named deponent 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

4fCate'&Notary Road,IfiAMMAU Gell :-S86644449 Valum ffo.,[...... pa 9g.:{6,..., Sl. No.;...... 8.:1...... so.. ANNEXIJRE - I

BEFORE THE RETURNING OFFICER FOR ELECTION TO LEGISLATIVE ASSEMBLY OF ANDHRA PRADESH FROM (TT2)_ KHAMMAM ASSEMBLY CONSTITUENCY

AFFIDAVIT

I, YOUNUS SULTAN, S/o. Late Sultan Salahuddin, Age: 57 years, Occu: Social I worker, R/o. H.No.5-r-494, Kaviraj Nagar, Khanapuram Haveli, Khammam urban llvt), t

1. That the following case is pending against me in which cognizance has been taken by the court.

i) Section of the Act and description of the Nil offence for which cognizance taken

ii)The court which has taken cognizance Nil

iii) Case No. Nil

iv) Date of order of the court taking Nil cognizance

v) Details of appeal(s)/applications (s) for Nit revision, etc., if any, filed against above order taking cognizance

Khammam, %a/e7 Date:28-03-2009 oppownut

Verification : I, the above named deponent 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. Verified at Khammam on this the 28tt' day of March, 2OO9. I

, DEPONENT

Ail