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O~ . ·· '·' ·. ~ ~ b. cg$!)IT $!)6D lf>L~§)JLD ~$5lffirrrf1 RETURNtNG-OFFICER·VII -cum~°"" DIRECTOR OF INOUSTRIES &COMM!RCE PUOUCHERRY LI@~ - V '8611 L..1.~ LD§llll61D6ll 6J!:iJWJffiGa;rr6111iTL61DLD .916\:>&USbJ g;6iJ@!>UL 1951 ~Lb ~~(8 LDffiffiEiTF L~IJ $5lr£1$51~§)16llcf CfLL~$5166T 36~1.b 1jrfrlfillldJffi1GWrffi.Jffi ®) 6iJ (8 6lJ L LJ LD@)J 6lrl 6lJ ~w[t§)] Lil 601 6lJ ® LD rr WI <.!P L9- 6)~ QCf uJ ffi1cgfIJ6151: - lf>rT6Tr: LI@~ - VI '36lll..4 LD§llll61D6llu GuriJwiffiGa;rr60ibL61D LDffiffirr611T ~u461DffilJ..l . lb, o:mw6lJffia>rr611T .91fDl6lilu4lb (<8 6lJ L_ LJ [email protected] ~61Tl LI LI 6lJ rf1 L Lb ~61Tl ffia:, LILI L <861J6m51"19-w~) CfLLLD60TfIJLI ...... (GLiwfr) ...... ~Lb lf>rT6lT6-0TW1 <.!f>rDLI . LD6l50TlW6lT6JJ16D 6T6-0T@)J6lr>LW ~~6lJ6\)ffi~$bl6D 6T60T60TlLL.b <8a=frLILilffiffiLILI . ~- [email protected] ~ 6lrl 6ITT ~§)] Lb ...... <:Q!,L.b !D rr 6ll 60-r WI <.!P!D LI ffi6\) I Lil!D LI a:,6\) LD 6~ w 6ll@516D <:Q!,W6ljffi@ 6T(8~§)JffiQa:,rr 6Tr 6lTLI LI(8 Lb. l!)rT6Tr: ...... INDIA NON JUDICIAL e-Stamp Certificate No. IN-PY142612105304620 Certificate Issued Date 27-0ct-2016 05:03 PM Account Reference JMPACC (SH)/ pyshimp17/ SARAM/ PY-PU Unique Doc. Reference SUBIN-PYPYSHIMP17218144571866040 Purchased by V NARAY ANASAMY Description of Document Article 4 Affidavit Property Description • NOMINATION FOR NELUTHOPE ASSEMBLY CONSTITUENCY Consideration Price (Rs.) 0 (Zero) First Party V NARAY ANASAMY Second Party RETURNING OFFICER Stamp Duty Paid By V NARAY ANASAMY Stamp Duty Amount(Rs.) 20 (Twenty only) FORM-26 (See Rule 4A) 0005160366 PART-A l, NARAYANASAMY*'\;on /daughter /·.vife of VELU, aged 69 years, resident of No.5, Ellaiamman Koil St., Pondicherry 605 001, Puducherry U.T. (mention full postal addre8s),a candidate at the above election, do hereby solemnly affirm and 8tate on oath as under : l . l am a candidate set up by INDIAN NATIONAL CONGRESS (Name of the political party) /**am eontcsting as an Independent Candidate. (* *Stril ~ . My name is enrolled in 14-RAJ BHAVAN-PUDUCHERRY (Name of the Constituency and the State), at Serial No.119, in Part No.I. 3. My contact telephone number(s) ffi/are 9443233909, 0413-2339099 and my e-mail lD (if any) is [email protected] and my Social Media account(s), if any ±8/are Twitter ID: VNarayanasami and Facebook ID: pondy.vnarayanasamy. 4. Details of Permanent Account Number (PAN) and statu8 of filing of Income Tax Return:- ! The financial year for Total income shown I Sl. which the last Income in Income Tax Names PAN No. Tax return has been return filed (in Rs.) 1 NARAYANASAMY AKUPS9377C 2015-16 19,89,150/ 2 Spouse NIL NIL NIL 3 Dependent-I NIL NIL NIL 4 Dependent-2 NIL NIL NIL 5 Dependent-3 NIL NIL NIL 5. 1 -&ffi I am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge(s) has I have been framed by the court(s) of competent jurisdiction. If the deponent is accused of any such offence(s) he shall furnish tbe following information: (i) The following case(s) is I are pending against me in which charges have been framed by the court for an offence punishable with imprisonment for two years or more: ~ · ------(a) I Ca::;e I First Information Report No./ Nos. together with complete details Not Applicable of concerned Police Station I District I State >------(b) Section(::;) of the concerned Act(s) and short description of the offence(s) Not Applicable for which charged (c) Name of the Court, Case No. and date of order taking cognizance Not Aoolicable (d) Court(s) which framed the charge(s) Not Aoolicable (e) Date(s) on which the charge(s) was/ were framed Not Applicable (f) Whether all or any of the proceeding(s) have been stayed by any Court(s) Not Applicable I of competent jurisdiction (ii) The following case(s) is I are pending against me in which cognizance ha8 been taken by the Court [other than the cases mentioned in item(i) above]:- (a) I Name of the Court, Cas~ No . and date oforder -J~u~-d ic-1 -_·a l_M~a--g is__t r_a_t_e_ _I_V_,-----~ taking cognizance Puducherry. (Old No.33/2015 & 34/2015inJM-I) Renumbered as STC 258/16 and STC 290/16. Date 13.1.2015. (b) The deta ils of case(s) where the Court has taken cognizance, section(s) of the Act(s) and description u/s 188 I.P.C., r/w 34 I.P.C. of the offence(s) for which co nizance taken (c) Details of appeal(8) I application(8) for revision (if The above two cases in [SI.No. (a)] any) filed against the above order(s) are pending. Hence the question of' a eal/revision does not arise. u. l have been I have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (l) or sub-section (2) or covered in sub-section(3), of section 8 of the Representation of the People Act, 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: In the following cases, I have been convicted and sentenced to imprisonment by a court of law: - - - (a) The details of case(s), section(s) of the concerned i\ct(s) and I Not Applicable description of the offence(s) for which convicted ,___ _ - - - - (b) Name of the Court(s), Case No.(s)., and date(s) of order(s) Not Annlicable (c) Punishment imposed Not Annlicable (d) Whether any appeal was I has been filed against the conviction Not Applicable order. If so, details and the present status of the appeal 7. That I give herein below the details of the assets(movable and immovable etc.,) of myself, my spouse (*late Mrs. Kalaiselvi) and all dependents: A. Details of movable assets: Note 1 : Asoets in joint name indicating the extent of joint ownership will aloo have to be given. Note 2 : In case of deposit I investment, the details including 8erial number, amount, date of deposit, the scheme, name of the Bank I Institution and Branch are to be given. Note 3 : Value of Bonds I Share Debenture8 as per current market value in Stock Exchange in respect of listed companies and as per books in case of non-listed companies should be given. Note 4 : Dependent here has the same meaning as assigned in Explanation (v) under section 75A of · the Representation of the People Act, 1951. Note .'i: Details including amount is to be given separately in respect of each investment. Spow>e SI. Depen Depen Depe n Detil:riµtion SL'if (*late Mrs. No dent-1 dL•nt-~ clent-3 Kalaiselvi) (i) Cash in hand NIL NIL NIL NIL Rs. 1,00,000/- (ii) Details of deposit in Bank SRI-Parliament Street, NIL NIL NIL NIL accounts (FDRs). Term New Delhi. Deposits and all other types Ale No.10023830511, of deposits including Saving Amount: Rs. 4,33,911/- Accounts, Deposits with Financial Institutions, Non ICICI Bank, Pondicherry. Banking Financial Ale No.623301116664, Companies and Co-operative Amount: Rs. NIL Societies and the amount 111 each such deposit. Syndicate Bank, Pondicherry. Ale No.96012200002604 Amount Rs. 10,323/- UCO Bank, Pondicherry. Ale No.00590100009776, Amount Rs. 40, 752/- SBI, Pondicherry, 1) Ale No.20171885307, Amount Rs. 3,34,252 2) Ale No. ?bl.) l+J.J'l fl,,lt Amount Rs.15,00,000 (Election Account) 4 Spom;e Sl. Depe n DepL·n Depen Description Sdf (*late Mrs. No dent -1 d e nt-~ dL•nt-3 Kalaiselvi) (iii) Detail8 of Investment in Bond8, debenture8 I share8 and units in Companies I NIL NIL NIL NIL NIL Mutual funcl8 and others and the amount (iv) BIMABACHAT Detaib of investment in NSS, Policy No.735933093 Postal Saving, Insurance Policies and investment in D.0.C.-16.12.2010 NIL NIL NIL NIL any Financial Instruments in Premium: Post Office or Insurance Rs. 5,58,488/- Company and the amount I D.O.M.-16.12.2019 i (v) Personal loans I advance given to any person or entity including firm, company, NIL NIL NIL NIL NIL tru8t etc., and other receivable8 from debtor8 and the amount (vi) Ford Eco sport Maruti Swift Motor vehide8 I Aircrafts I Yachts I Ships, (details of Car Car DL 2C AF make, registration number Reg. No: DL 10 DI<' 5931 8488•Value: NIL NIL NIL etc., year of purchase and 31.07.2014 Rs.4,25,000/ amount) Rs. 9,18,845/ Year-2004 (vii) Jewellery, bullion and Gold Ornaments valuable thing(s). (Give Wt.:200 Gms. NIL NIL NIL NIL details of weight and value) Value:Rs.5,72,400/ (viii) Any other assets such as value of claims I interest NIL NIL NIL NIL NIL (ix) Gross total value Rs. 44,68,971 Rs.4,25,000/- NIL NIL NIL A A H S L· t ~ 1n t ht• name ot (late) l'vlr:-;. hala1:-:.L•lv1 1:-:. yet to he.• part1lL01H.'d antong t he le gal heir ~ . B. Details of ill1lllovable assets: Note 1 : P rnperties in joint owm•rship indica ting the extC'nl of joint uwnt•rship will also have tu be indicntc>d. Note 2: Each land or build.ing or a pa rtme nt ::; houlcl be ment ioned se pa rate ly in this format. Spouse SI. Dc•pen Dl'pen D t> p t> n Dt•scription Sl'lf (*late Mn;. No dent-1 d e nt-~ de nt-3 Kalaisclvi) (i) Agricultural land: 1. Pooranankuppam Revenue Village, Kombakkam Puducherry. Location(8) Revenue Village, NIL NIL NIL 2. Thavalakuppam Puducherry. Revenue VUlage, Puducherry R.S. No.15/2 1. R.S. No.107/3, 108//8, llO/l Survey number(8) Ward L, Block 1 NIL NIL NIL 2. R.S. No.33/5, 33/9, 33/10 T.S. No:15/2 Area ) . 0.83.75 Hectares 25 Kuzhi (Total measurement NIL NIL NIL 2. 0.50.5(i) Hectares in acres) Whether inherited property? Yes No NIL NIL NIL (Yes or No) Date of purchase, in " ~ s e of self- acquired Nil 27.7.1995 NIL NIL NIL \ i)ert 1 Nil Rs.36,500/ NIL NIL NIL. 5 Spouse SI. Dcpe n Depc n Depen De~eriµtion Self (*late Mrs. No dent-I dent-2 de nt-3 Kalaiselvi) Any inve8tment on Yes (Dilapidated the land by way of Nil development, shed) NIL NIL NIL construction, etc. Approximate 1. Rs. 52,00,000/ current market Rs. 55,00,000/- NIL NIL NIL value 2. Rs. 2,25,00,000/ (ii) Non-Agricultural land: Pooranankuppam, Location(8) Plot at Gurgaon NIL NIL NIL Puducherry Sector 40, Survey number(8) R.S. No.101151, 101152 NIL NIL NIL Plot No.928 Area (Total mea8uremcnt 3,615 Sq. Ft. 160 Sq. Mt. NIL NIL NIL in 8Q .ft.) Whether inherited property'? Yes No NIL NIL NIL (Yes or No) Date of purchase, in case of sclf Nil 12.11.1994 NIL NIL NIL acq uired property Cost of land (in case of purchase) at the Nil Rs.7,50,000/- NIL NIL NIL time of purchase Any investment on the land by way of Nil Nil NIL NIL NIL development, construction, etc. Approximate current market Rs. 15,00,000/ Rs.50,00,000/ NIL NIL NIL value (iii) Commercial buildings (including apartments): Location(s) NIL NIL NIL NIL NIL Survey number(8) NIL NIL NIL NIL NIL Area (Total measurement NIL NIL NIL NIL NIL in sq.ft.) Built-up area (Total measurement NIL NIL NIL NIL NIL in sq.ft.) Whether inherited property'? NIL NIL NIL NIL NIL (Yes or No) Date of purchase, in case of self NIL NIL NIL NIL NIL acquired property Cost of property (in case of pmchasc) at NIL NIL NIL NIL NIL the time of purchase Any investment on the land by way of NIL NIL NIL NIL NIL development, construction, etc. NIL I NIL NIL NIL NIL 'J·f(L/ 6 SI. SpcntH C' Oc;;criptiun Self I Depcn I Dcpen I Dt•p en No I I (*late MI'S. Kalaiselvi) dcnl-1 dL•nt-~ cknt-3 (iv) Residential buildings (including apartments): 1. House No.5, 1. House No.5, Ellaianunan Koil St., Ellaiamman Koil St., Puducherry-1. Location(s) Puducherry-605 001. NIL NIL NIL 2. Shanthi Nagar Extn., 2. Flat at Vikas Puri, llango Nagar, Delhi. Puducherry 1. Door No.5, Ward-D; Block-16, 1. Door No.5, Ward - D, T.S. No.201 Survey Block-16, T.S. No.201 NIL NIL NIL numher(s) 2. Ward-G, Block No.17, T.S. No.135, R.S. No.96/21 2. No.38, Sector-C 1. 1,496 Sq. Ft.(Total Extent) A1·ea 1. 1,496 Sq. Ft. (Total Extent) Joint ownership (Total Joint ownership Self-Share: 748 St1. Ft. NIL NIL NIL measurement Spouse Share: 748 Sq.Ft in sq.ft.) 2. 1,560 Sq. Ft. 2. 160 Sq. Mt. Built-up area (Total 1. 2,700 Sq. Ft. 1. 2,700 Sq. Ft. NIL NIL NIL measurement 2. 5,000 Sq. Ft. 2. 1,320 Sq. Ft. in sa.ft.) \Vhether t inherited No No NIL NIL NIL property? I (Yes or No) ! Date of purchase, in case of self 1. 6.3.1981 11. 6.3.1981 NIL NIL NIL acquired 2. 16.7.1979 2. 27.4.1995 property 1. Rs.50,000/ 1. Rs.50,0{)0/- Cost of land (in (Total Rs.1,00,000) (Total Rs.1,00,000) case of purchase) Joint Ownenship - Joint Ownership NIL NIL NIL at the time of SelfShare Spouse Share purchase Rs.50,000/ Rs.50,000/- I 2. Rs. 9,000/ 2. Rs.13,5{),000/- Any investment i on the land by 1. Yes 1. Yes way of NIL NIL NIL 2. Yes 2. Nil (Flat) development, i construction, etc. Approximate 1. Rs. l,OO,OG,000/ 1. Rs. l,00,00,000/ current market NIL NIL NIL 2. Rs. 1,70,00,000/- 2. Rs. 1,50,00,000/- va lue Others (such as (v) interest in Nil Nil NIL NIL NIL property) Total of current (vi) market value of Rs. 5,62,00,000/ . Rs.3,55,00,000/- NIL NIL NIL (i) to (v) above 8. give herein below the details of liabilities I dues to public financial institutions and government:- N ote: l'Ien::;e 141ve ::; e pa l'a tc dctm I s ul name of ba nk, 111 st1t ution. e ntit\· ur individua l and amount be fore each ite m. SpOU<:; L' De pe n De pe nd De p e n SI. No Dus t:riptiun Se lf (*late Mrs. de nt-1 c nt-~ de n t-3 I\:a laisclvi) (i) Loans or dues to Bank I Financial institution(s):- Name of the Bank or UCO Bank, NIL NIL NIL NIL Financial institution Puducherry Amount outstanding Rs. 27 ,66,228/- NIL NIL NIL NIL Nature of loan Mortgage Loan NIL NIL NIL NIL Loans or dues to any other individuals I entity other than mentioned above: . Name (s) NIL NIL NIL NIL NIL Amount outstanding NIL NIL NIL NIL NIL Nature of loan NIL NIL NIL NIL NIL Any other liability NIL NIL NIL NIL NIL Grand total of liabilities NIL NIL NIL NIL NIL (ii) Government dues: Dues to departments dealing with NIL NIL NIL NIL NIL Government accommodation Dues to departments dealing with supply of NIL NIL NIL NIL NIL water Dues to departments dealing with s upply of NIL NIL NIL NIL NIL electricity Dues to departments dealing with s upply of NIL NIL NIL NIL NIL telephones I mobiles Dues to departments dealing with government transport (including aircraft NIL NIL NIL NIL NIL and helicopters) Income ta x dues NIL NIL NIL NIL NIL · Wealth ta x dues I NIL NIL NIL NIL NIL Service ta x dues NIL NIL NIL NIL NIL Municipa l/Property tax dues NIL NIL NIL NIL NIL Sa les ta x dues NIL NIL NIL NIL NIL Any other dues NIL NIL NIL NIL NIL (iii) Grand total of all Governme nt dues NIL NIL NIL NIL NIL Whether any other liabilities are in dispute? lf so, me ntion the amount (iv) NIL NIL NIL NIL NIL involved and the a uthority before which it is pending w .\ ~::;e t ~ 111 t hL• name ol (late) !Vlr ~. h a la1::;c lv1 b yet lo be partllwned among tlw le gal hL•1rs. 9. Details of profession or occupation (a) Self : Advocate (Suspended practice in Advocate Profession, because of holding as Chief Minister) (b) Spouse :Not Applicable 10. My educational qualification is as under: (Gi ve cleta.ils o/ highest School I Uni ve rsity education 111entiuning the / ull form o/ the cerllf ica.tel diploma / degree cou.rse, .....-!!::::===~ . no. m e oft.he School ! College! University a.nd the year in which the co urse was completed) S.S.L.C. Government High School, Ariyankuppam, Puducherry 1965 B.A. Tagore Arts College, Puducherry 1969 B.L. Madras Law College, Chennai 1973 M.L. Annamalai University, Chidambaram 2008 8 PART-B 11.ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A: 1. Name of the eandidate Shri V. NARAYANASAMY 2. Full postal address No.5, EllaiammanKoil St., Pondicherry, Puducherry 3. Number & name of the eonstitue ncy and State No.17- Nellithope Assembly Constituency, Puducherry 4. Name of the Political Party which set up the INDIAN NATIONAL CONGRESS eandidate (otherwise write "Independent") *5(i) Total number of pending cases where eharges have been framed by the Court for offe nees NIL punishable with imprisonment for two years or I I more •k (ii) Total number of pending cases where the Court(s) have taken cognizance [other than the 2 (Two) cases mentioned in item (i) above] 6. Total number of cases in which convicted and sentenced to impri8onment for one year or more [except for offences referred to in 8ub-sections NIL (1), (2) or (3) of section 8 of the Representation of the People Act, 1951] Year for which PAN of last income tax Total income shown return filed 7. (a) Candidate AKUPS9377C 2015-16 Rs.19,89,150/ (b) Spouse NIL NIL NIL (c) Dependent8 NIL NIL NIL i 8. Details of' a ssets and liabilities in : Spouse Depend Depen De pen Description Self (-klatc iVIrs. K a lai:oc lvi) ent-1 clenl-2 dent-3 Movable assets (Total A. Rs. 44,68,971/ Rs.4,25,000/- NIL NIL NIL value) I B. Immovable assets (i) Purchase price of self- I, Rs.59,000/ Rs.21,86,500/- NIL NIL NIL acquired immovable property I (ii) Develop ment/c.:onstruction cost of immovable property Rs.1,54,00,000/ Rs.54,00,000/- NIL NIL NIL after purchase (if applicable) (iii) Approximate current market NIL NIL NIL price of (a) Self acquired assets (Total Rs.2,70,00,000/ Rs.3,55,00,000/- NIL NIL NIL value) (b) Jnherited assets (Total Rs.2,92,00,000/- NIL NIL NIL NIL value) 9. Liabilities (i) Government dues (Total) Nil Nil NIL NIL NIL Loans from Bank, Financial UCO Bank (ii) Institutions and others Nil NIL NIL NIL Rs.27,66,228/- (Total) I 9 Spouse Depend Dep 11 Depen Des<.:riµt ion Self (*late Mrs. Kalaise lvi) ent-1 clent-2 clent- :3 10. Liabilities that are under dispute: (i) Government dues (Total) NIL NIL NIL NIL NIL Loans from Bank, Financial (ii) Institutions and others NIL NIL NIL NIL NIL (Total) 11. Highest educational qualification: (Give details of highest School/U11iversity education 111e11t ioni11g the {111/ form olthe certificate/ diploma/degree co1ll'se, name of the School/Col/egel University and the year in which the cour.~e was completed) S.S.L.C. Government High School, Ariyankuppam, 1965 Puducherry B.A. Tagore Arts College, Puducherry 1969 B.L. Madras Law College, Chennai 1973 M.L. Annamalai University, Chidambaram 2008 *Note: Detmls of all pendr.ng cases rn which cognizance has been taI:en by the Court, 1rrespect1ue of the quantum of punishment or fi·aming ofcharges will haue to be disclosed. (ECJ's clarification No. :JI 4 I 20121SDR dated 26-9-2012) VERIFICATION 1, 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 and no part of it is false and nothing material has been concealed therefrom. I further declare that: T !Je!J!As no case of conviction or pending case against me other than thoso m entioned in items 5 . \l ~ a i?cf6of Part-A and B above: ~~ ) 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 Puducherry this the ...... ~~········ .. day of OCTOBER, 2016 DEPONENTv SIGNED BEFORE ME ~0-,o\'-\, N.K.PERUMAL,8.A.. 8 .L., Notary Public 630, Bharathy Street, PUDUCHERRY - 606 001 Note J:Affidavit should be filed latest by 3.00 p.m. on the last clay of filing nomination. Note 2:Afficlavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. Note 3: All columns should be filled up and no column should be left blank. If there is no information to furnish in respect of any item, either "NIL" or "NOTE APPLICABLE" as the case may be, should be mentioned. Note 4: The Affidavit should be either typed or written legibly and neatly. INDIA NON JUDICIAL e-Stamp Certificate No. IN-PY142839842532970 Certificate Issued Date 31-0ct-2016 10:31 AM Account Reference IMPACC (SH)/ pyshimp17/ PUDUCHERRY/ PY-PU Unique Doc. Reference SUBIN-PYPYSHIMP17218494986324860 Purchased by V NARAY ANASAMY Description of Document Article 4 Affidavit Property Description NOMINATION FOR NELLITHOPE ASSEMBLY CONSTITUENCY Consideration Price (Rs.) 0 0 0 (Zero) 0 0 First Party V NARAYANASAMY Second Party RETURNING OFFICER 0 Stamp Duty Paid By V NARAYANASAMY 0 0 Stamp Duty Amount(Rs.) 20 (Twenty only) ...... --.• ------...... Please write or type below this line ...... 0005 153 882 Any discrepancy in the details on' this C f} r t i fir. ~:1 te and as Election to Puducherry Legislative Assembly (Name of the House), from 17- Nellithope Assembly Constituency. I,NARAYANASAMY, (Name of candidate), son/ (i) I have not been allotte any govt, accommodation at any time during the period of last 1 ears prior to the date of notification of the current election. OR (ii) I have been allotted govt. accommodation at Government Guest House, New Delhi and Chennai (mention the address of the accommodation) during the period of last 10 years prior to the date of notification of the current election, and there are no arrears of any dues to be paid towards rent for the accommodation or any arrears to the agencies providing electricity, water and telephone at the said accommodation as on 30th September 2016(the date should be the last day of the 3rd month prior to the month in which the election is announced) (iii) "No Dues Certificates" from the agencies concerned are attached hereto. VERIFICATION I, the deponent above named, do hereby verify and declare that the above statements are correct to the best of my knowledge, and no part of it, is false. Verified at Puducherry tliis the ...... :_3;~.... day of October 2016 v DEPONENT SIGNED BEFORE ME r..A~) / ,,"\\b • '\.~7°'\' N.K.PERUMAL,B.A.. B.L. Notary Public 530, Bharathy Street, PUOUCHERRY - 605 001 PlJ DUCHERRY MLJN,JCIPAlJTY REVENUE S!CTlON ~ l No. 1 948}P M/R O J/A . 4/2 0 1 6~ 17 To Th im. NAP~YANASAMY, S/o. Vetu, No. 5. Ellaimman Koi I Sree t,. P ducherr Sir, S ub ~ PM - ROI- Jssue of No Arr,ear Certificat e for the candida te of PuduchNry Legisla ti ve Assembly Election - 2016-Reg. Ref: Your Letter da te . 03.10.2016 With reference t 1our letter cit ed above or t h ~ subject mentioned above it is cert ified that Thiru. NARAYANMAMY, S/o. V'elu, h:as no a ny arre:cir of tc:; x / p.ayment to this P ducherry 1i/!unic'pality upto the fi nancial year of 2016-17. Th ls cert ifka te is issued to pro uce before the El ection Commissi on of India for the 1 el t;tho, e constituency in 1con nection ivvith the Puducherry Legislativ.e Assembly Election - 2016 , Note:- Certificate Fees Rs. 100/ Receipt No. ~ D- te . OULGARET MUNICIPALITY PUDUCHERRY-5 F.No.12-2/Rev/O.M/2016 Jawahar Nagar, dt. 3 _ lo~\,( NO DUE CERTIFICATE This is to certify that that Thiru/Tmt./Selvi \/. NQ.._'('O\.~~~ S/o./W/o/D/o \LR-\\/\ residing at ~~· s; '1.-t~ f\.CY!\~. '6t'N1\ &'r This Certificate is issued to the said individual on his / her request for the purpose of contesting the Bye Election to the Nellithope Legislative Assembly Constituency. c.3 I a. IE,. OFFICER REVEN OFFICER OULGARET MUNICIPALITY PUDUCHERRY •HI 005. To Y~\~ Thiru/Tmt. / Selvi. V - ~~~~ y~--- Receipt No. 0\08~ Certificate Fee ~ . \oo l-- Date 3 .--to,,.. &/o\J, OFFICE OF THE BAHOUR COMUNE PANCHAYAT No.31/2016/BCP/Rev.IRI Babour, the 6.10.2016 CERTIFICATE Certified that Thiru. V. Narayanasamy. S/o. Ve1u residing at No.05, Ellaiamman Koil Street. Puducheny-605 001 has no taxes due to th.is Co1mmme Panchayat as on 06.10.2016. This certificate is issued to the individual on his request to contest as a candidate in the ensuing Assembly Elections 2016, Puclucheny. (G. SA IRA RAJAN) COMMISSIONER To Thiru. V. Narayanasamy1 S/o. Velu No.05, Ellaiamman Koil Street. Puducheny-605 001 ARIYANKUPPAM COMMUNE PANCHAYAT OFFICE ARIYANKUPPAM - PUDUCHERRY-7. No.20-21201 6-2017/ ACP/Rev Date:- 3- l D - 2..-o1b CERIIFIC/,JE This is to certify that Thiru. V. Narayanasamy, S/o. Velu residing at No.5, Ellaiamman Koil Street, Puducherry has no due to this Commune Panchayat as on date. This certificate is issued to the individual on his request to file nomination in the Puducherry Legislative Assembly Election 2016. \c\yJVP (P. THY) COMMISSIONER Rt. No. 89.)...,6 Date:-~ --3 J10/ ro To Thiru. V. Narayanasamy, S/o. Velu No.5, Ellaiamman Koil Street, Puducherry. No.F. J.J:J /VCP/2016-17/Rev/ NAC OFFICE OF THE COMMUNE PANCHAYAT VILLIANUR -:oOo: Vi-Ili~ n !' , D NO ARREARS CERT FICAT E This is to certify thal Thiru / ~ ... V· .. N.B:A. . 4Y,4N. tl.$./.t.~ . :-f . ,...... S/ 0 ... . . V ~ . L: ~ ...... ~~~Y.'.'J .. ".. .""." ... . h a s No Dues / Arrears to be p a id Lo this Commu ne Pa n c h cr\ <- ! t ~t s 0 11 cl : 1!c'. This CertificaLe ts issu ed Lo con t1.·s1 i n th,· L1· g,1 s l n i,·e . ssern lJ! Election 20 16. (D . ARU~!YI ~ COMMISSIONER CertificaLc Pee Rs.: . ~~} ...... Receipt No .. ei .cQ..:ESEhJ Date : s ~ . \O · .. \,b. .. SSIONER NETTAPA PANCHAYAT Dated : 17/1n/ Ib This is to certify that Thiru/'ffftt ..... V~ ..N . f) . R . Pr . ~r+.NA.£8 .f!J. ~ .. son / Wife of...... V.B.~. V. .. .·...... residing at U .o~ . :;;, ... €:-~, Aro.m.1&.r.-J ....k~tk . £1R .~a.f 1· ... . Pv D.V..C!..t\ ~- R RY .. -- ~ · .. .. b . o~.... b.o.)..... -~--- ...... has no arrear due to this Commune Panchayat as on date. This Certificate is issued for the purpose of participating the Legislative Assembly By Elections in Puducherry State for the Year 2016. Rt. No . 09I11 ~ ~[.. (A. MANOHAR) Dated: \!),\0·'6 Rs. 25 /- COMMISSIONER f) 04 L3 -2640 t6 l · MANNADIPET Cc:>MMVNE PANCHAYAT THIRUBUVANAI. PUDUCHERRY- 605 107· No . /MCP/20 /· Dated, the No. - 44-4JMCP} Revenue}2016 Dated: 17.10.2016 NO DUES CERTIFICATE This is to certify that Thiru.V.NARAYANASAMY. residinq at No.Sc Ellaiamman Koll Street. Puducherry has "NO DUES" in this Commune Panchavat as on date. This Certificate is issued based on his reo.uest to contest In the Puducheny Leglsfatlve Assembly Election 201 6. • Puducherry. (P.SEETHARAMANl COMMISSIONER To Thi ru .V . Naravanasamv No. 5, ENaiammc.m koN street, Puducherry - 605 001 ~.2S/- B; t \ t1 c ~ 8-7 7 8 vC\f-~ '. ' 7 -t~ .. ~ t....b OFFICE OF THE EXECUTIVE OFFICER CTENIPLES) KARAIKAL N0:537/EO(T)IKKL/2016 DATE: 14-10-2016 TO WHOME SO EVER IT MAY CONCERN This is to certify that Thim.V.Narayanasamy residing at No.5, Ellaiamman Koil Street, Puducherry has NO DUES as on date to the Temples under the jmisdiction of the undersigned. ~~\o EXECUTIVE~ OFFICER (TEMPLES) No DJes Certif:ca e This is to ce1iify thar, Thi V. NARAY AL~ASAlVil, Hon'ble Ch· e_ Ministe ·, !'-To . 5, Ellais.mrr,an K oil Street, Puduche!1)' - 605001, hasp id Le arr.=. ars of he r::io:-r1 re .I ·n r ::.pect oft!s s··ay i 1 the Govi.: ·Guest Ho' se, Indira Nagar, ;_;crim:;dL, Puducher y a d I as o dues a~ or. 28.09.2016 ?):~\~ ~~\'\ \ti>\~ · Plac : ud cherry. PUBLIC RELA"ilONS ASSISTANl' Date: 28.09.201 6 GOVT. GUEST HOUSE INDJRA NAGAR PUDUCHERRY No. 35/GTH (U)/2016 GOVERNMENT TOURIST HOME UPPALAM, PUDUCHERRY. *** NO DUE CERTIFICATE This is to certify that Thiru. V. Narayanasamy , No .5 . Ellaiamman Koil Street, Puducherry -1 has "No Dues" in Government Tourist Home, Uppalam, Puducherry as on 29.09.2016. This certificate is issued to him for the purpose of Puducherry Legislative Assembly Election, Puducherry. ? ~ - ~ M - ca --~ " (L.EZHUM'ALii( fl1 MANAGER GOVERNMENT TOURIST HOME UPPALAM,PUDUCHERRY Place: Puducherry. Date: 29.09.2016. Copy submitted to: The Director of Tourism, Puduch erry. PUDUCHERRY TOURISM DEVELOPME T ft CORP RATIOI LIMITED PTDC ( CHJ\ ~~ ~ -6 Lel/\~ ~a.7f or> °"' Jok dk\AQ...- ~ ?-ea dl-V2-- a.:k ~ (') J::: hv~ MANAGER _WATER, SPORTS CHUNNAMBAR ~o· / lt-\S-f2-u · V · N fl(2_A y ffN~ ~A IV)// f\f o ,S:/ E;-~ CVV"'\ 'YYI '1J/v1 Ko ;J_ st/ f\,0.AAL~V\/ - boS oo I i{~, d drrn O!l" 0 2 • dint \. 1111.\;nt d • I' ul trc.d, Colas , ag.ir, J>uduchcrry-605 00 I outh !nd1a 1 •on1: \dmn OIT CJI 0 13-2 53 7 ',2353853 louri:;m lnl01matio11 91 0413-2339497,2226·; 1 l-.1 '11 04 1J 23 64 .1 na I . owp mi. 1 gm 11 OIT' GOVERNMENT OF PUDUCHERRY TOURISM DEPARTMENT No. 768/Tour/KKL/Election/16-17 Karaikal , dt. 07.10.16 NO DUES CERTIFICATE It is certified that Thiru. V.Narayanasamy, S/o. Velu has no dues to be paid to this Dept. in respect of Room Rent. This certificate is issued for the purpose of by Election to the Puducherry Legislative Assembly , 2016 on his request. (P.MUTHU} NODAL OFFICER. No. 68-12/RAM/C4/2016 / 51G GOVERNMENTOFPUDUCHERRY OFFICE OF THE REGIONAL ADMINISTRATOR *** Mahe, Dt: 07-10-2016 To /'fh1ru. V. Narayanasamy, No. 5, Ellaiamman Koil Street, Puducherry - 605001. Sir, Sub:- 0/o the RA Mahe - No Due Certificate -Reg. Ref:- Lr. No. Nil dated 06-10-2016 *** With reference to the above, I am to inform you that, NO DUES are pending for recovery towards the occupation of Govt. Guest House/Tourist Home, Mahe. Yo;~:r (S. MANICKADEEPAN) REGIONAL ADMINISTRATOR MAHE PUDUCHERRY TOURlSM DEVELOPMENT CORPORATION LIMITED PTDC (A Government of Puducherry Undertaking) Puducherry ,date:30.09.2016 NO DUE CERTIFICATE This is to certify that as on date there is no due at seagulls Beach in the name of Thiru.V.Narayanasamy, No.5, Ellaiamman Koil Street, Puducherry-605 001. ~t,~ (M. SEZHIAN) MANAGER SEAGULLS BEACH To Thiru. V.Narayanasamy, No.5, Ellaiamman Koil Street I Puducherry-605 001. CfN: U55109PY2005SGCOOl857 Regd./Admn.Off: 10. 40, ~Jt;~8iil~~· RiJ""lliJ\N agar, Puducherry-605 001 . South India Phone : Admn. Off : ~l-0413-23 3 5 3 7"('iE'3~~ :"Toi.ms !l!''Mformation : 9!-0413-2.J39497, 2226744 Fax : 9 1 -0413-23 ~ 6444 e-mail : [email protected] Gl _ RNMENTOFPUDUCHERRY OFFICE OF THE RESIDENT COMMISSIONER PUDUCHERRY HOUSE, NEW DELHI roro0C!8C!8 No .ARC/PH-ND/2016-17/ §_£S Date: 07 .10.2016 To Shri V. Narayanasamy Hon 'ble Chief Minister Government of Puducherry No.5, Ellaiaman Kail Street Puducherry 605 001 Sub: No Due Certificate- Reg . Ref: Letter dated 01.1 U.2016. Sir. With reference to your letter dated 07.10.2016, it is informed that no dues are outstanding against you to be settled in respect of this Guest House, as per our records. Yours faithfully, ~ (K. K. SINGH) Addi. Resident Commissioner llml. ~ ~ ~~s/ Bharat Sanchar Nigam Limited (lfRCi triCfii? .COT (A Government ofindia Enterprise) '3<\~)/ ~tllZ ·. D\ltil t:tf·" .~ ),l)J ll~'L!.IV~ ~ ·· mT ffi1;Ut&ia; 95~t1 605 001. · r.t..:111~ ~n Offi ce of the General Manager, Puducl1erry - 605 001. ·· AO CTRA) PY NO Dues I 2015-16/ J( I Dated @Pondicherry the 07-10-2016 CERTIFICATE TO WHOM SO EVER IT MAY BE CONCERN This· is to certify that there is no due in the name of Sri. V.Narayanasamy residing at 5, Ellamman Koil Street, Puducherry605001 .This is issued for the purpose of contesting Legislative Assembly Election. '/(~~\ ~ Pondicherry. ACCOUNTS OFFICER [TR), 07-10-16 . ()19 GM, BSNL, . : . ·" . '"'PUDUCHl:RRY - 605 001 . . No.2684 /PW/PHD/JJ.\O/REV/2016 GOVERNMENTOFPUDUCHERRY PUBLIC WORKS DEPARTMENT PUBLIC HEALTH DIVISION -oOo- NO DUE CERTIFICATE r1is is to certif-1 that ~h i ru V. r rav-n.asam .l r~sidma at No.5. -I .,. .,, .....,. J Ella1amman Koil Street, Puducherry has no dues of ·water tax upto 3rd Quarter 2016 (i. s . from July to September 2016) in respect of Policy t·1o.4677 Code No.23/102 vide receipt -Jo . O~ 4735 da ed 20/1 Q.'2016 for Rs.70 .t-. Said water ser-ice co nec•ion po icy star-ds in h~ n ~me of Tm!. ·1. r(alai Selvi. This certlf!cate is i:sue·1 or- thQ rcuueat o' the indr', idual :n eirder I to contest in the Assemb!~ Election 2016. M· a .~. JUNIOR ACCOUNTS OFFICER fREV., • I PUBLIC HEALTH DIVISION P.W.D., PUOUCHERRY. '-.,./' T..- 1, , J. lara·1a nasarnv. J I ' No 5 Ellaiamman Koil Street Puducherry. No. ~;) Puducherry, the 07.10.2016 NO DUE CERTIFICATE This is to certify that Thiru V. Narayanasamy residing at No.5, Ellaiamman Koil Street, Puducherry-605 001 has no dues in respect of Government Accommodation. This certificate is issued on the request of the individual in order to contest in the Assembly Election 2016. NGINEER (Central) Division To Thiru V. Narayanasamy, No.5, Ellaiamman Kail Street, Puducherry-605 001. No.0700105/ED/Rev.l/S.l/U3/2016 GOVERNMENT OF PUDUCHERRY ELECTRICITY DEPARTMENT -oOo- Puducherry1 the /- 1o - .'."loJ-b CERTIFICATE This is to certify that Thiru. V.Narayanasamy, No.5, Ellaimman koil street, Puducherry, has cleared the C. C. Charges upto August 2016 in respect of Policy Nos.02-07-01-0105/A2,02-07-01-01058/A2, 02-07-01-0105C/A2 and 02-07-01-0105D/A2 existing in the name of Thiru . V. Narayanasamy, No. 5, Ellairnmankoil Street, Puducherry. · There gre no dues pending to be settled in respect of the above mentioned policies upto August 2016 which is for the purpose of puducherry Legislative Assembly Election 1 Puducherry. ~\o JUNIOR ACCO~TS OFFICER (REVENUE-I) To Thiru. V. Narayanasarny, No. 5, Ellaimmankoil street, Puducherry. No.070105/ED/Rev.l/S.l/U3/2016 GOVERNMENT OF PUDUCHERRY ELECTRICITY DEPARTMENT -oOo- Puducherry, the 01 - to - 2 o tb CE TIFICATE This is to certify that Thiru. V. Narayanasamy, No.5, Ellaimman ko!I street, Puducherry, has cleared the C.C.charges upto claim of September 2016 in respect of Policy Nos.02-07-01-0105/A2,02-07- 01-01058/A2, 02-07- 1-0105C/A2 and 02-07-01-0105D/A2 existing in the narr e of Thiru. V.Narayanasa T1y 1 o.5, Ellaiamrnan koil Street1 PLducherry. There are o dues pending to be settled in respect of the above mentioned policies for the claim upto September 2016 f hich is for the p rpose of puducherry Legislative Assembly Election, Puducherry. \~~\~ ~,c\Y° JUNIOR ACCOUI T OFFICER . ( EVENUE-1) "To Th.. . 1ru . IN. arayanasamy, , o. 5, El.aiamman koi street, PJducherry.605001 'ii NO.RS. 49/2016-17 MSA Dated the 23rd September, 2016 NO DUES CERTIFICATE This is to ce1tify that as per records of this Secretariat and the information furnished by the allied agencies, nothing is due against Shri V. Narayanasamy, Ex. Member Rajya Sabha as on date. Shri V. Narayanasamy retired from the Raj ya Sabha on 06. l 0.2009. ., (S.C. DIX T) JOINT DIRECTOR Tel.: 23034540 LOK SABHA SECRETARIAT (MSA BRANCH) Telegrams:LOK SABHA, NEW DELHi PARLIAMENT HOUSE A NEXE, FAX:23010756/230'17167 NEW DELHI - 110 001 No.: 150543/15-LS/MSA/LSS/2016-20i7 Dated : 23/09/2016 TO I VHOM SO EVER IT MAY CONCERN * * * * * This is to certify that "No Dues" are outstanding against V. Narayanasamy, /I/IP (15 Lok Sabha), l.C.No. 150" 43 as per the information received from the various Branches of Lok Sabha Secretariat and other allied agencies like MTNUBSNL, NOMC and Directorate of Estates as on 2310912016. ~~+ Executive Officer Lok Sabha Secretariat New Delhi GOVERNMENT OF PUDUCHERRY OFFICE OF THE REGIONAL ADMINISTRATOR (TOURISM UNIT) * * * No.137/RAY/Al/Tourism/2016 {G.. \l( Yanam, dated 07-10-2016 NO DUES CERTIFICATE This is to certify that Thiru V.Narayanasamy, Hon'ble Chief Minister, l\Jo.5, Ellaiamman Koil Street, Puducherry is not having any dues to the Government Guest House running by Tourism Department at Yanam. This certificate has been issued to the applicant with reference to his application dated 06.10.2016 in order to enclose the same along with his nomination papers for ensuing bye elections. L..---. '---,.,.__~__,_--:,::-i( c.9 (D. SUBRAM AN IESWARA0) REGIONAL ADMINISTRATOR YANAM To Thiru V.Narayanasamy, Hon'ble Chief Minister, No.5, Ellaiamman Koil Street, Puducherry. GOVERNMENT OF PUDUCHERRY TALUK OFFICE PU DU CHERRY *** No.3734/TOP/A/NOC/2016 Puducherry, the 06.10.2016 NO ARREARS CERTIFICATE Certified that Thiru. V. Narayanasamy S/o Velu residing at No.5, Ellaiamman Koil Street, Puducheny has No ARREARS of Land tax in respect of this Puducherry Taluk limit. -T. lfb . - (J. DAYALAN ) TAHSILDAR Place: Puducherry J.DAYAI ~NE TAHSILDAR Date: 06.10.2016 OFFICE, PUOUCHERRY NC~JQRIAL CERTIFICATE Be it known and made manifest (unto all people), that on 31st day of October two thousand and Sixteen at Pondicherry. I, N.K. PERUMAL, Notary appointed by the Government of Pondicherry to practice in Pondicherry State of Pondicherry duly authorized admitted and sworn subject to the provisions of the Notar·ies Rule 8(5) do hereby certify that; Deponent personally appeared before me is known to be the person described in the Indemnity Bond as Mr. V. NARAYANASAMY. Deponent and he deposed in my presence and signed his after knowing the contents of this Indemnity Bond, having been read over and ex lained to the deponent who seemed perfectly in understand it or acknowledged that he signed the same at freewill. This instrument is intended to take effect within Pondicherry. NOlrOFUAL REGISTER BOOK: - VOLLIME~V , PAGE No.16, SERIAL No.86, IN TESTIMONY Wl-lEREOF I have hereunto set my hand and sea:I of office at Pondicherry on 31 st day of October 2016.