FORM-28 r(iJ '\"'\ (See Rule 4) ~ ,'O'o NOMINATION PAPER
ELECTION TO THE LEGISLATIVE ASSEMBLY OF J.Y.~..V..~ .~ . f. . ~ . ~~.. STATE (Strike off Part I or Part II below whichever is not applicable) Re ize 1 (2c m) phi in wh 1ite bac full fa c
PART-I (To be used by candidate set up by recognised Political Party) •.ri nominate as a candidate for election to the Legislative Assembly from the
17 .~ .. N . 9: . ~ . r .T~. ~f.!jssembly Constituency.
Candidate's Name...... N.A.r..: .A..'i. . hr:!. . ~S. . 17..~..4......
Father's I ~s I Httsb~ Name ...... Y.. ~ .. ~ .. V......
His postal address .... N.
...... £ . ~~. ~ ..kl:r.£~4... : .fl...~ . r.~ "tJj_ .
His name is entered at S.No.i11. in Part No .. ..i..... of the electoral rol'I for
.....4.~I ..<.--:. .RA.X.Y.S.H. .fl Y.IJ .r.!...... Assembly Constituency.
~ y name is ..... V..§ .. ~'l\. V./J . t-!.. ~...... and it is entered at
S . No.~3 in Part No .. B.~ of the electoral rolls for .!1.:-:-.. t!.
Date ... ./..n .:. JJ..~...~ .? . ~ ~ (Signatu e of proposer)
' \ 2 , -;t;T-11 (To be used by candidate NOT ~et up by recognised Political Party)
We hereby nominate as candida e for election to the Legislative Assembly from the
...... IY. o. '1./}fJ{ ~Afsfrn~ 1 ~~ stitue ncy. Candidate's Name...... N..9..T.. .. .!J.t.f...~ J ..~ . /)..~ ..Y. ~
Father's I Mother's I Husband's Name ...... N.6.f .. l?..P.P.. W. .. r:,,AIJ. .L 'E:
His postal address ...... N.o.T. .. .. f.!. . P..f.. . '-::-:-. . ~ ...C . f.t.lJ. . t.... ~
His name is entered at S.No...... in Part No ...... of the electoral ron for
...... N~flJl..£ ..k .. l ..C. ./J..IJ... ~..f'Assembl Constituency.
We declare that we are electors of thi s Assembly Constituency and our names are
entered in the electoral roll for this Assembly Constit uency as indicated below and we append our
signatures below in token of subscribing to this nomir ation :-
Particulars of the proposers and their si_c;inatures.
I Electoral Roll No. ot proposer SI. Part No.of S.No. Full Nar e Signature Date No . Electoral in that Part Roll (1) (2) (3) (4) (5) (6) 1. 2. - 3. !IT JI P. L~ I c tt YI I t" . . / 4. / - 5. 6. 7. 8. 9. 10.
N.B:- There should be ten electors of the constituency as pro~ osers 3
PART-Ill
I, the candidate mentioned ~ n Part l/ ~ art II (strike out which is not applicable) assent to this nomination and hereby declare that:
(a) I am a citizen of India and have not acquired the citizenship of any foreign State:
(b) that I have completed ...... 6.q.... years of age.
(Strike out c(i) or c(ii) below whichever is not applicable) rJ \..- cotJG. R6S S' (c) (i) I am set up at this election by the "" . NV.! . ~~... ~~!~ .~ .... i arty, which is recognised National Party/State Party. in this State and that the symbol reserved for the above party be allotted to me.
(ii) I am set up at this election by the ...... party, which is a registered-unrecognised political party I that \am contesting this election as an independent candidate (strike out which is not applicable) a\ d that the symbols I have chosen, in order of preference are:- - (i) ... ..r/Df ...I}.9. . ~..~ . ~~ ~(~L~ ..... N(;/f..n2.J.lr. .\. ~):) .tft ii) .. No..T..1.t.,f.J.. .~.).. .<;.. ~ . 11 L t;' '
(d) my name and my father's/mother's/husband's name have been correctly spelt out above in ... f. ..~ . ~ - ~\$.H. . (name of the language)
(e) 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 m ber of the ...... ~...... **~ste/tribe which . ** . J1Lb 1s a scheduled caste/tribe of the State of...... No1;)0ft.--1...... 1:: .... 1n re a ion to ...... (area) in that State.
I also declare that I have not been, and shall not be nominated as a candidate at the present @eAerBI clcotion/the bye e ~ ections being held simulltaneously, to the Legislative Assembly of ...l~J)9. ..~H . ~ .@. . y..(State) from more than two Assembly Consti~encies. v'611)_ ----- Date: .. .?.:f . :-: . 1.~ . :.Md b (Signature of Candidate)
*Score out this paragraph, it not applicable.
**Score out the words not applicable.
N.B.:- A "recognised political party" means a political party recognised by the Election Commission of India under the Election Symbols (Reservation and Allotment) Order, 1968 in the State concerned. 4
PART Ill A {To be filled by the candidate) Whether the candidate (i) has been convicted (a) of any offence(s) under sub-section (1 ); or (b) for contravention of any law specified in sub-section(2) of section 8 of the Representation of the People Act, 1951 (43 of 1951);or (ii) 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 furnish the following information:
(i) Case/First Information Report No./Nos...... N.1.k ......
' ' (ii) Police Station(s) ....NJ.k...... District(s).... N.J..k...... State(s) ...... H..( .k......
(iii) Section(s) of the concerned Act(s) and brief description of the offence(s) for which he has been convicted ...... rJ.t..k ...... f\}.(..L-...... '''' ...... '' ...... '' ''' '.. '''.' .... '.. '...... ''' '.'' ''' ''' '''.'''' '...... ·-,J .,·..l.-, ......
(iv) Date(s) of conviction(s) ...... N . ~...k ......
(v) Court(s) which convicted the candidate ...... f\).\.L.--......
(vi) Punishment(s) imposed [indicate period of irnprisonment(s) and I or quantum of fine(s)] ...... N .\..l....,:;......
(vii) Date(s) of release from prison ...... r.J..'\ ..b ...... ' (viii) Was/Were any appeal(s)/revision(s) filed against above conviction(s) ...... "*9/No. Nt L
(ix) Date and particulars of the appeal(s)/application(s) for revision filed ..... N.r.'..v .....
(x) Name of the court(s) before which the appeal(s)/application(s) for revision filed ...... N.rk......
(xi) Whether the sa ~ d appeal'(s)/application(s) f~r revision has/have been disposed of or is/are pending ...... ···N·l- ·l-- ·· ··· ····· ...... ·· ····· ·· ····· ·· ·· ······ . (xii) If the said appeal(s)/application(s) for revision, has/have been disposed of - /'JI u (a) Date(s) of disposal ...... rY . ~ . ~ ......
(b) Nature of order(s) passed ...... N\ .. k ... :-: ...... Place: ~ " '9 U c.. \;l- £tz-VZ..lf v -~ ~ Date: ~ J \\ ' '\_,-D\ b (Signature of the candidate) 5
PART IV (To be filled by the Returning Officer)
Serial No. of Nomination paper ......
This nomination was delivered to me at my office at ... ~ . ~ -~ - ~ - - ~7.. (hour) on . t::?~ .),..'.(l4:fdate) by the 'candidate/proposer ...... ':!:. .·... N.~~r?\mr.. (name).
Date ...0..;i. /.11.{. t6 Rel urninJ;er
* Score out the words not appl1icable RETURNiNG-OFFICER.vn·cum·· -~ DIRECTOR OF INDUSTRIES &COMMERCE PUDUCHEIUiV
PARTV DECISION OF HETURNING 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...... Returning Officer
...... Perforation......
PART VI RECEIPT FOR NOMINATION PAPER AND NOTICE OF SCRUTINY (To be handed over to the person presenting the Nomination Paper)
Serial No. of Nomination Paper ......
The nomination paper of ...... a candidate for election from the ...... Assembly Constituency was delivered to me at my office at ...... (hour) on ...... (date) by the *candidate/proposer.
All nomination papers will be taken up for scrutiny at ...... (hour) on ...... :...... (date) at...... (place).
Date...... Returning Officer
*Score out the words not applicable INDIA NON JUDICIAL
e-Stamp
Certificate No. IN-PY142611764663400 Certificate Issued Date 27-0ct-2016 05:01 PM Account Reference l'IYIPACC (SH)/ pyshimp17/ SARAM/ PY-PU Unique Doc. Reference SUBIN-PYPYSHIMP17218143673018840 Purchased by V NARA Y ANASAMY Description of Document Article 4 Affidavit Property Description NOMINATION FOR NELLITHOPE 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)
------• -· •• -· •••••••• - -Please write or type below this line------• -- ••• ------
FORM-26 (See Rule 4A) 2 PART-A
I, NARAYANASAMY**son /daughter /wife of VELU, aged 69 years, resident of No.5, Ellaiamman Koil St., Pondicherry 605 001, Puducherry U.T. (mention full postal address),a candidate at the above election, do hereby solemnly affirm and state on oath as under:
1. I am a eandidate set up by INDIAN NATIONAL CONGRESS (Name of the political party) /**am eontesting as an lflaepeREient GB:Reliaa:te. (** StnJ-te ou,t whicheuer is not applicable)
2. My name is enrolled in 14-RAJ BHAVAN-PUDUCHERRY (Name of the Constitueney and the State), at Serial No.119, in Part No.I.
3. My eontaet telephone number(s) is/are 9443233909, 0413-2339099 and my e-1110£/ lD (if any) is [email protected] and my Social Media aecount(s), if any 1-8/are Twitter ID: VNarayanasami and Facebook ID: pondy.vnarayanasamy.
4. Details of Permanent Account Number (PAN) and status of filing of Income Tax Return:- The finaneial year for Total income shown 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
6. I -am I am not accused of any offence(i:;) punishable with imprisonment for t"wo years or more in a pending case(s) in which a charge(s) has I have been framed by the comt(s) of competent jurisdiction. If the deponent is accused of any imch offence(s) he shall furnish the following information: (i) The following case(s) is I are pending against me in which charges huve been framed by the court for an offence punishable with imprisonment for two years or more:
~ Case I Fin;t Information Report No.I Nos. together with ~omPiet~details I Not Applicable __ of co_pcerned Police Station I District_! State _ (b) Section(s) 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(::;) on which the charge(s) was/ were framed Not Applicable (±) Whether all or any of the prnceeding(s) have been tayed by any Court(s) Not Applicable of competent jurisdiction (ii) The following case(s) is I are pending against me in which cognizance has been taken by the Court [other than the cases mentioned in item(i) above]: -,-~'---~~~~~~~~~~~~~~ (a) Name of the Court, Case No. and date of order .Judicial Magistrate-IV, taking cognizance Puducherry. (Old No.33/2015 & 34/2015inJM-I) I Renumbered as STC 258/16 and STC 290/16. - Date 13.1.2015. (b) The details 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 offonce(s) for which co ·nizance taken (c) Details of appeal(s) I applieation(s) for revision (if The above two cases in [SI.No. (a)] ~=:::j::==~~a.ny) filed against the above order(s) are pending. Hence the question of a peal/revision does not arise. till' Court. inespcctivc of thL• quantum of cation Nu. 3/4/2012/SDR dated ZG-!.l-2012) 3
6. I have been I have not been convicted of an offern:e(s) [other than any offence(s) referred to in sub-section (1) 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 impri8onment by a court of law: - - (a) The details of case(s), section(s) of the concerned Act(s) and Not Applicable desc}jption of the offence(s) for_w hich c.:Q_nvicted ____ (b) Name of the Comt(s), Case No.(s)., and date(s) of order(s) Not A _ licable (c) Punishment im osed Not A> licable (d) Whether any appeal was I has been filed against the conviction Not Applicable order. If so, details and the resent status of the a peal
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 : A8sets in joint name indicating the extent of joint ownership will also have to be given. Note 2: In case of deposit I investment, the details including serial number, amount, date of deposit, the scheme, name of the Banl~ I Institution and Branch are to be given. Note 3: Value of Bond8 I Share Debentures 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 5: Details including amount is to be given separately in respect of each investment.
Sµou::;e SL Depen Depen Depun De~cription SL'if (*late l\hs. No t.lent-1 dent-~ clent-3 Kalaiselvi) (i) Cash in hand NIL NIL NIL NIL Rs. 1,00,000/-
(ii) Details of deposit 111 Bank SBI-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 lm;titutions, Non- ICICI Bank, Pondicherry. Banking Financ.:ial Ale No.623301116664, Companies and Co-operative Amount: Rs. NIL Societies and the amount m 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. 1~ · >..J '-'i.l.-,'16.'t Amount Rs.15,00,000 (Election Account) 4
Spou;;e SI. De pen Dopon Depen Dc tH: ription Self (*late Mrs. No dent-1 de nl-2 de nt-3 Kalaiselvi) (iii) Details of Investment 111 Bonds, debentures I shares I and units ln Companies I NIL NIL NIL NIL NIL Mutual funds and others and
the amount i (iv) BIMABACHAT Details of investment in NSS, Postal Saving, Insurance Policy No.735933093 · Policies and investment ln D.O.C.-16.12.2010 NIL NIL NIL NIL any Financial Instruments in Premium: I Post Office or Insurance Rs. 5,58,488/- Company and the amount D.O.M.-16.12.2019 (v) Personal loans I advance given to any person or entity including firm, company, NIL NIL NIL NIL NIL trust etc., and other I I receivables from debtors and l the amount (vi) Ford Eco sport Maruti Swift Motor vehicles I Aircrafts I Yachts I Ships, (details of Car Car DL 2C AF make, registration number Reg. No: DL 10 DF 59;11 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
' 1\sset.8 m the nanw ol (late) l\frs. hala1selv1 1s yet to be µart1l10nl•d arnunr: thl• legal heir~.
B. Details of immovable assets: Note 1 : Propertie::; in joint owne r;;hip indica ting the exte nt ofjoint owner::; hip will ah;o have to be indicate d. Note 2: Em:h land 01· building or apartment ::;houlcl bo men tioned :;eparntely in thi::; format.
Spouse SI. De pen De pen Dept•n Description Self (*late Mrs. No de nt-] de nt-2 clent-3 Kalaiselvi) (i) Agricultural land: 1. Pooranankuppam I Revenue Village, Kombakkam I Puducherry. Location(s) Revenue Village, NIL NIL NIL 2. Thavalakuppam Puducherry. Revenue Village, I
Puducherry I R.S. No.15/2 1. R.S. No.107/3, 108//8, 110/1 Survey number(s) Ward L, Block 1 NIL 2. R.S. No.33/5, 33/9, 33/10 NIL NIL T.S. No:l5/2 Area r. 0.83.75 Hectares 25 Kuzhi (Total measuremc'nt NIL NIL NIL 2. 0.50.50 Hectares in acres) Whether inherited property? Yes No NIL NIL NIL (Yes or No) T Date o.f pu.rchase.' in ~Q_~~ se of self- acqmred Nil 27.7.1995 NIL NIL NIL '~ >oertv * .V.K.P st of land (in case (;) , ~ Puouc UMAl I ~ ))llrchase) at the Nil Rs.36,500/- NIL I NIL NIL 0 R Hi~RRy .sl1 ie of purchase ':;.. '!I~ •• -~~ ~ · o ~~ / ~Pa"ITT\\C""- \11 / 5
Spouse Sl. De' pen Depen De pe n De;;L:ription Self (*late Mrs. No dent-] dent-~ dc n t-3 Kalaiselvi) Any investment on the land by way of Yes (Dilapidated- Nil NIL NIL NIL development, shed) construction, etc. Approximate 1. Rs. 52,00,000/ current market Rs. 55,00,000/- NIL NIL NIL 2. Rs. 2,25;00,000/- value (ii) Non-Agricultural land: Pooranankuppam, Location(s) Plot at Gurgaon NIL NIL NIL Puducherry
Sector 40, I Survey number(s) R.S. No.101/51, 101/52 NIL NIL NIL Plot No.928 Area (Total measurement 3,615 Sq. Ft. 160 Sq. Mt. NIL NIL NIL in SQ .ft.) Whether inherited property? Yes No NIL NIL NIL (Yes or No) Date of purchase, in i case of self- Nil 12.11.1994 NIL NIL NIL acquired property I Cost of land (in case of purehase) 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, 1 construetion, ete. Approximate current market Rs. 15,00,000/ Rs.50,00,000/- NIL NIL NIL value
I (iii) Commercial buildings (including apartments):
Location(s) NIL NIL NIL NIL NIL
Survey number(s) NIL NIL NIL NIL NIL Area (Total measurement NIL NIL NIL NIL NIL in sq.ft.) Built-up area (Total meas urement NIL NIL NIL NIL NIL in sq.ft.) Whether inherited property? NIL I NIL NIL NIL NIL (Yes or No) i Date of purchase, in case of self- . NIL NIL NIL NIL NIL acquired property Cost of property (in case of purchase) 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. Approximate current market NIL NIL NIL NIL NIL value I ~OI4~Y * ' V · ~ .~ N.K.PERUMALI *I ~ PUDUCHERRy ' ?...... ·o '""I/I~ ~Puouc~ 6
SI. SpousL' Dcpen De pen Dq )en Dest:riµtion Self No (*late M1·s. Kalaiselvi) dent-I d e n t - ~ dent-3
(i v) Residential buildings (including apartments):
1. House No.5, 1. House No.5, Ellaiamman Koil St., Ellaiamman Koil St., Puducherry-1. Loca tion(s) Puducherry-605 001. NIL NIL NIL 2. Shanthi Nagar Extn., I 2. Flat at Vikas Puri, Ilango Nagar, Delhi. Puducherry 1. Door No.5, Ward-D, Block-16, 1. Door No.5, Ward -D, T.S. No.201 Block-16, Survey I T.S. No.201 NIL NIL NIL number(s) 2. Ward-G, Block No.17, T.S. No.135, I 2. No.38, Sector-C R.S. No.96/21 I
I 1. 1,496 Sq. Ft.(Total Extent) Area 1. 1,496 Sq. Ft. (Totlll i':xtcnt) Joint ownership Joint ownership (Total I Self-Share: 748 Sq. 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 sq.ft.) Whether inherited No No NIL NIL NIL property? (Yes or No) Date of purchase, in case of self 1. 6.3.1981 1. 6.3.1981 NIL NIL NIL acquired 2. 16.7.1979 2. 27.4.1995
property I 1. Rs.50,000/ 1. Rs.50,000/- Cost of la nd (in (Total Rs.l,00,000) (Total Rs.1,00,000) case of purchase) Joint Ownership - Joint Ownership NIL NIL NIL at the time of SelfShare Spouse Share Rs.50,000/ Rs.50,000/ purchase 2. Rs. 9,000/ 2. Rs.13,50,000/- Any investment on the la nd by 1. Yes l. Yes way of NIL NIL NIL 2. Yes 2. Nil (Flat) development, construction, etc. Approximate 1. Rs. l,00,00,000/ 1. Rs. 1,00,00,000/ current market NIL NIL NIL 2. Rs. 1,70,00,000/ 2. Rs. 1,50,00,000/- value Others (such a s (v) interest in Nil Nil NIL NIL NIL property) Total of current (vi) mar·ket value of Rs. 5,62,00,000/ Rs.3,55,00,000/- I NIL NIL NIL (i) to (v) above 7 8. I give herein below the details of liabilities I dues to public financ:ial institutions and government:-
Note: P ca:-;e ~ivc ~cparatc detai :; of name u f b ank·. 1n:;t1tut1un, ent1tv or me r1v1c . I ua I anc amount l >Clore' enc 1 1tc 111 . Spouse De pen De pend D e pen SL No Descript ion Self C"late Mr:;. de nt-1 e nt-2 dc nt-3 h:alaise lvi) (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 out8tanding 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 out8tanding NIL NIL NIL NIL NIL
Nature of loan NIL NIL NIL NIL NIL
Any other liability NIL NIL NIL NIL NIL
Grand totai 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 department dealing with supply of NIL NIL NIL NIL NIL electricity Dues to departments dealing with supply of NIL NIL NIL NIL NIL telephones I mobiles I Dues to departments dealing with government transport (induding aircraft NIL NIL NIL NIL NIL and helicopters)
Income tax due8 I NIL NIL NIL NIL NIL Wealth tax dues NIL NIL NIL NIL NIL
Service tax dues NIL NIL NIL NIL NIL
Municipal/Property tax dues NIL NIL NIL NIL NIL
Sales tax dues NIL NIL NIL NIL NIL
Any other dues NIL NIL NIL NIL NIL (iii) Grand total of all Government dues NIL NIL NIL NIL NIL
Whether any other liabilities are 111 dispute? If so, mention the amount (iv) NIL NIL NIL NIL NIL involved and the authority before which it
is pending j I * \ i-set~ in the naml' of(late) Mrs. l\a la1"elvi 1" yet to hL• pa rtitioned amoni; the legal heu·s.
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: (Give details of highest School I University edu.wtion mentioning the /itll /arm ol the certificate I diploma I degree course, name o/ the Sdwo/ !College / University and the year i11 which the course was complet.ed)
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: l. Name of the candidate Shri V. NARAYANASAMY 2. Full postal address No.5, EllaianunanKoil St., Pondicherry, Puducherry 3. Number & name of the constituency and Sta te No.17- Nellithope Assembly Constituency, Puducherry 4. Name of the Political P a rty w hjch set up the INDIAN NATIONAL CONGRESS I candidate (otherwise write "Independent") •k 5(i) Total number of pending cases where charges have been framed by the Co urt for offences NIL punisha ble with imprisonment for two years or more *(ii) Total number of pending cases 'vvhere 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 imprisonment for one year or more [except fo r offe nces referred to in sub-sections NIL (1), (2) or (3) of section 8 of the Representation of the People Act, 19511 Year for which PAN of last incon1e tax Total income shown return filed 7. (a) Candidate AKUPS9377C 2015-16 Rs.19,89,150/ (b) Spouse NIL NIL NIL
(c) Dependents NIL NIL NIL 8. Details of assets and liabilities in : -- Spouse Depend Depen Depen Description Self (*la te Mrs. Ka l<:iiselvi) ent-1 de nt-2 dent-3 Movable assets (Total A. Rs. 44,68,971/ Rs.4,25,000/- NIL NIL NIL value) f--- ----·---··- B. Immovable assets
(i) Purchase price of self Rs.59,000/ Rs.21,86,500/- NIL NIL NIL acquired immovable prnperty (ii) Development/constrnction 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) I I (b) Inherited assets (Total I 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) 9
Spouse Depend Depen Depen Description Self ('' Jato Mrs. Kalaiselvi) ent-1 clent-2 dent-3 10. Liabilities that are under dispute:
(i) Govemment 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 de/ai/11 of" highest Sdwol!Uniuersily education men/ ion i11g I he full form of the certi/lcaleldiploma/degree course, 1u1111.e of the School /College/ University and the year in whi.rh the course 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 I
M.L. Annamalai University, Chidambaram 2008
·!:Note: Details of a.ll pending cases 1.n which cognizance has been tahen by the Cow·t, 1.rrespect1ue of the quantum of punishment or framing ofcharges will have to be disclosed. (ECI's clari/icalion No. 314120121SDR dated 26-9-2012)
VERIFICATION I, the deponent, above named, do hereby verify and declare that the eontents of this affidavit are true and correet to the best of my knowledge and belief and no part of it is false and nothing material has been concealed therefrom. l furthe r declare that:
(a) T ~~ s no ease of conviction or pending ease against me other than those mentioned in item , 5 l\ ''''j an Verified at Puducherry thi8 the ...... ~ . ! . ~... day of OCTOBER, 2016 v~ SIGNED BEFORE ME DEPONENT ~,\\o\\\.." N.K.PERUMAL,B.A. . B.L., Notary Public 530, Bharathy Street, F'UOUCHERRY - 605 001 Note J:i\ffidavit should be filed latest by 3.00 p.rn. on the last cl ay of filing nomination. Note 2:Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class 01· 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 ease 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-PY142840896802850 Certificate Issued Date 31-0ct-2016 10:38 AM Account Reference 1.MPACC (SH)/ pyshimp17/ PUDUCHERRY/ PY-PU Unique Doc. Reference SUBIN-PYPYSHIMP17218497684286460 Purchased by V NARA YANASAMY Description of Document Article 4 Affidavit Property Description NOMINATION FOR NELUTHOPE ASSEMBLY CONSTITUENCY Consideration Price (1Rs.) 0 0 (Zero) 0 • 0 0 First Party V NARAYANASAMY •• Second Party RETURNING OFFICER Stamp Duty Paid By V NARAYANASAMY Stamp Duty Amount(Rs.) 20 • (Twenty only) 0 00 051 53877 ...... __-----'~~ tj'fj! nticlty of th i ~ St.:i rnp Cert!fic( le st·1ou!rl bf! vmifiHd t1t www. sh c1lestamµ.coni"" Any discrepancy in the details on this Certifica:e r:lri d a on the 1Nebs1te renders it rnval! d. -....;:::=~;:"";: nus of checking the legitimacy is on the users of the ceriificaie . . n case of any discrepancy please inform the Competent A.ulhority. Election to Puducherry Legislative Assembly (Name of the House), from 17- Nellithope Assembly Constituency. I,NARAYANASAMY, (Name of candidate), son/d!iwght:cr/wife of VELU, aged69years, resident of No.5, EllaiammanKoil St., Pondicherry, a candidate at the above election, do solemnly affirm and state on oath as under: (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 3rc1 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 this the ...... J..'.~ .... day of October 2016 v·ifi DEPO~ TT - SIGNED BEFORE ME ""Aj\j / \ \.~\)o' \~7~\ N.K.PERUMAL,B.A.. B.L., Notary Public 530, Bharathy Street, PUDUCHERRY - 605 001 PUDUCHERRY MUNICIPAUTY REVENUE SECTJON- I No.1948/PM/RO.l/A.4/201&-17 13 ' J 0 - 2.-0 /,b To Thiru. NARAYANASAMY, S/o. Velu, o. 5.. Ellaimman Koil Sreet.. Puducherry. Sir, Sub: PM - RO I- Issue of No Arrear Certificate for the candidate of Puducherry Legislative Assem bly El ection - 2016-Reg. Ref: Your Letter dated. 03.10.2016 '"** With reference to your letter cited above on the subj ect mentioned above it is certified that Thiru. NARAYANASAMY, 5/o. Velu, has no any arrear of tax/ payment to this Puducherry M unicipality upto the financial year of 2016-17. This certificate is issued to produce before the Election Commission of India for the Nellithope constituencv in connection with the Puduchern; Legislative Assembly El ection - 2016 .. Note:- Certificate f'.ees Rs. 100/ Receipt No. ~ ate . \..3 l Q ' ~ . ~ ,. '"t ! -;..r •• ..., 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 V . NQ'(' 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. e:.3 I~ lb. OFFICER REVEN OFFICER OULGARET MUNICIPALITY PUDUCHERRY ·HS 005. To 7~\~ Thiru/Tmt./Selvi. v. ~~:n:>~~rrl1\8~ ;?r~ r Receipt No. 0\C 8Q.5"" Certificate Fee ~ . \oo&- Date ~ ,... to/' &A?U OFF/Cl! OF THE H41JOUR COldUNE PANCHAYAT No.31 t2016/BCP/RevJRl Bahour, the 6.H .2016 CEH.TIFJCA TE Certified that 1 hlru. V. Narayanasamy S/o. Vetu residing at No 05. Ellaiamman Koil Street, Puducherry-605 001 has no taxes due to this Commune Panchayat as on 06 10.2016. This certificate is issued to the individual on his reque ·t to contest as a candidate in the ensuing Assembly Elections 2016, Puducherry. .. (G. SA~ IRA R.i\JAN) COfvl?\.fiS SIONER To Thnu. V. Narayanasamy, S/o. Velu No.OS. Eliaiamrnan Koi1 Street. Puducherry-605 001 ARtYANKUPPAM COMMUNE PANCHAYAT OFFICE ARJYANKUPPAM- -PUDUCHERRY-7. No. 20-212016-201 7I ACP/Rev CERTlFICATE This is to certify that Thiru. V. Narayanasamy, S/o. Velu residing at No.5, EHaiamman Koil Street, Puducherry has no due to this Commune Panchayat as on date. This certificate is issued to the ind;vidual on his request to file nomination in the Puducheny Legislative Assembly Election 2016. Rt. No. 84~{:, Date:-~ --3 poi ro To Thiru. V. Narayanasamy, S/o. Velu No.5, Ellaiamman Koil Street, Puducherry. ' ' No.F. J.J'.3 /VCP/2016-17/ Rev/ NAC • OFFICE OF THE COl\iIMUNE PANCHAYAT VILLIANUR -:oOo:- Villian Llr , D t NO ARREARS CERT FICATE This is to certlfy thaL Thiru / ~ V- . N~d<. . 4Y4-Ntl.S.IJ:M . ~ ., . S/o. Vf '-:--, {j ...... residing at.. ~ ...... '£ ~ eJ.\aj.Q;.W'~ ..1~.\ . ~~~ ...~ ~~Y. 'fd . has i\lo · ues / Arre21rs to be paid LO this Co rn mu r. c Pa n ;_:h ~ 1 y<1l ~ ~,:.; u11 This Certificate is i ssu ed to c n tx:-, ' 1n : lk Lt·5 isJ,1[ i\t_, Assem LI · Cl c tion 20 16 . (D . ARU~lv! l~ CO I MISSIONER Certificttc rec Rs . : . 9:-~k Recei '.\u. _. ~ 9:-.~~), ... . Dale "S : \0 .. .. \.b . SSIONER NETTAPA PANCHAYAT F.No. This is to certify that Thiru/T-mt .....V ~ ..N . fl . R . Pt . \:-J/+. N4 . ~F} .TXJ. ~ .. son / WHe of...... V.£3..k-.\J... .· ...... residing a t U .o~ . S:, .. .c~, .A r.o.mAN... .Kol.k..STI< .~ar 1 .....P.uD .V..C'...t-\ &. .RR.tf... ~- .. ..b . o~.... D.o.l. .... ~ ···········- ...... has no arrear d ue to this Commune Panchayat as on date. This Certificate is issued for the purpose of participating th e Legislative Assembly By Elections in Puducherry State for the Year 2016 . Rt. No. CJ9\11 ~ ~r,o (A.MANOHAR ) Da ted: I fJ, IO• '6 Rs. 25 / - COMMISSIONER (f) 0413-2640 l 6 1 MANNADIPET COMMUNE PANCHAYAT THIRUSUVANAI. PUDUCHERRY- 605 107· No. /MCP/20 /- Dated, the No. - 44-4}MCP}Revenue}2016 Dated: 17.10.2016 NO DUES CERTIFICATE This is to certify that Thiru.V.NARAYANASAMY, residlnq at No.5. Ellaiamman Koll Street, Puducherry has "'NO DUES" in this Commune Panchayat as on date. This Certificate is Issued based on his request to contest In the Puducherry Leqislatlve Assembly Election 2016.• Puducherry. I~ (.P.SEETHARAMAN'} COMMISSIONER To Thi ru. v. Naravanasamv No. 5, Etlatamman hJd st~t, Puducherry - 605 001 tq. .:i.s /- B; \\ "'o ~ &7 7 8 :>C\T-A.P\ '. ' 7 ..-t1) ~ ~ \,..b OFFICE OF THE EXECUTIVE OFFICER (TEMPLES) KARAIKAL N0:537/EO(T)IKKL/2016 DATE: 14-10-2016 TO WHOME SO EVER IT MAY CONCERN This is to certify that Thirn.V.Narayanasamy residing at No.5, Ellaiamman Koi1 Street, Puducherry has NO DUES as on date to the Temples under the jw·isdiction ofthe undersigned. ~~\o EXECUTIVE~ OFFICER (TEMPLES) A -fhi~ ;~ t·, r--"rt1'fy t Th; L V NAR 1 ·1. VA' r !..!.. .:;:: •\''1 -;_;-- 1' hl =- ~ _ :'.) ~. :'.:> • I_.'-" - ~ • Q ., . L • _ - . ""'\. l rl..J.. i l. -./ .(""'"'\.. _ V - --- V . .._ .._ ...... u..:es-: Ho1..1 e:, Irn! ·ra Nagar, Gorimed , Pt.ausherry and!'..~:..:, ::.; :: __ :;s -::.:: ~\IP'~ ~~\',O PUBLIC RELA NS ASS~STANT Pu~ r<- -1 ·r- ·i.i .i. '!' ' Y. GOVT. GU EST HOUSE .'.)are: 16.:0.2Cl 6 INDIRA NAGAR PU DU CHERRY 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. ? ~f , ../ - ..... - ~-.. (L.EZHUM-'ALAi(r 6 MANAGER GOVERNMENT TOURIST HOME UPPALAM,PUDUCHERRY Place: Puducherry. Date: 29.09.2016. Copy submitted to: The Director of Tourism, Puducherry. p TD TCl-IERR T l~ RI DE ELOP.1E 1 P R Tl T PTDC LIM TED oS-lo-),b lfu..'i ~ to C_~ ~ ~ccf- ~6 OV\ ~ cfk~ ~h ?¥J dLtR-- ~ ~ ()~ h.v~ p~ ~"'tt -- bD 500 I I' MANAGER WATER SPORTS CHUNNAMBAR ~ ' ~o· /' It-\5- f2-_U . V , N flf2_A 'I ffN,cl i. A rviy/ No,,>/ E,-~ 0-/VV'\'YY) OM ko ~ Sl/ pu.Juc_~v-; - bos oo I. 'I 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!RAMJC4/2016 / 5-:/b GOVERNMENTOFPUDUCHERRY OFFICE OF THE REGIONAL ADMINISTRATOR *** Mahe, Dt: 07-10-2016 To ?fh'iru. V. Narayanasamy, No. 5, Ellaiamman Koil Street, Puducherry - 605001. Sir, Sub:- 0/o the RA Mahe - No Due Ce11ificate - 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~~:tl y , (S. MANICKADEEPAN) REGIONAL ADMINISTRATOR MAHE PUDUCHERRY TOURISM DEVELOPMENT CORPORATION LIMITED PTDC (A Government of Puducherry Undertakin ) 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. ~r,/ / v (M. SEZHIAN) MANAGER SEAGULLS BEACH To Thiru, V.Narayanasamy, No.5, Ellaiamman Koil Street ' Puducherry-605 001. C!N : U55 l09PY2005SGCOO 1857 l{egd./A dm n Off : '-! .40, Gout;ert;:~lil~~ · RP~ agar , Puduchert)-605 001. South n lia Phone : Admn. Off l-04J3- 2 3 3 s .3 7"( "2 EJ~'J '.'i'ou n ~'M fom ation : 9I-04JJ-23394 7, ::'.2267,~4 Fax : 9 l-04 J 3-23%44'1 e-mail : wowpondy@gmailcom Gl ._RNMENT OF PUDUCHERRY OFFICE OF THE RESIDENT COMMISSIONER PUDUCHERRY HOUSE, NEW DELHI ~~OC'IJC'IJ No.ARC/PH-ND/2016-17/ s·.£S Date: 07.10.2016 To Shri V. Narayanasamy Hon'ble Chief Minister Government of Puducherry No.5, Ellaiaman Koil 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 lffi"CT. ~ ·f.rrrJ:r ~a; Bharat Sahchar Nigam Limited {. (l'J'.Rei #-(EJ)R COT~)/ (A Goverhmentoflndia Enterprise) MY.. O\itil t :H~ .~ )\)! lNTIUJ~~ CITT . 605 001. . " BSNL ~ Cl51~iC'tl!l, ~tf . f,0\ija~ 111! · Office of the General Manager, Puducherry - 605 001. AO (TRA) PY NO Dues / 2015-16/ .R.1 Dated@ Pondicherry the 07-10-2016 CERTIFICATE TO WHOM SO EVER IT MAY BE CONCE~ 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 ofcontesting Legislative Assembly Election. ( tlo-- &'\A\ ~ Pondicherry. ACCOUNTS OFFICER [TR), 07-10-16 010 GM, BSNL, . ! ! i\ ' -PUDUCHERRY-605 001 \ .t '"" fl· No.2684 !PW/PHD/JAO/REV/2016 GOVERNME 1T OF PUDUCHERRY PUBLIC WORKS DEPARTMENT PUBLIC HEALTH DIVISION -oOo- NO DUE CERTIFICATE Ellaiamman ~< i Street. Pud ;cherry has no dues o wa er ta.x u;;.i c 3rd Quarter 2016 Rs.70.r -. Ca1d ;,a::.ter -e"'vice o 1ne '"'tio po'1cy star.ii.::. 1 h:. ~m of T rn . ·L Vara: Se!·Ji h c·- 1 es ~ 1 the ~sserntl\ · E'.e~Jr r· 2L i 6. ' M· a ~. JUNIOR ACCOUNTS OFFICER IREV \, PUBtl _, HEA TH DlVIS,ON P.W.D., PUDUCHERRY. \../' 1 .,- V : ~a ..d /an;·-arn'/. ~ , . No : Eliaiamman Kni/ .~tr€er 1 1 ID ;ad'~t "'-• c ·ern, ~· • No. ~~Jf 6 /PW/EE/BRC/DB/DBII/2016 GOVERNMENT OF PUDUCHERRY PUBLIC WORKS DEPARTMENT BUILDINGS & ROADS (CENTRAL) DIVISION PUDUCHERRY -ooo- 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. To Thiru V. Narayanasamy, No.5, Ellaiamman Kail Street, Puducherry-605 001. o.0700105/ED/Rev.l/S.l/U3/ 2016 GOVERNMENT OF PUDUCHERRY ELECTRtC TY DEPARTM ENT -oOo- Puducherry, the /- 1o -:zo>~ CERTIFICATE This is to certify that Thiru . V.Narayanasamy, No.5, Ellaimman koil street, Puducherry; has cfeared the C.C . Charges upto August 2016 in respect of Policy Nos.02-07-01 -0105/A2,02.:07-01-0105BJA2, 02-07-01-0105CIA2 and 02-07-01-01050/A2 existing m the name of Thiru. J. Narayanasamy, No. 5, E'laimmanko·1 Street1 Puducherry. There 3re no dues pending to be settled in respect of the above mentioned policies upto August 2016 which is for the purpose of puducherry Legislati Je .A.ssen1bly Election, Puducherry. ~~ JUNIOR ACCO~TS OFFICER (REVE UE-1) To Thiru. V. Jarayanasarny, No 5, Ellaimmankoil street 1 Puducherry. 1 , 0.070105/ED/Rev.l/S.l/U3/2016 GOVER MENT OF PUDUCHERRY ELECTRICITY DEPARTrJtENT -oOo- Puducherry, the o-, - 1o -2 o tb CERTIFICATE This is to certify that Thiru. V. Narayanasamy, No.5, Ellaimman 1' ii street) Puducherry, has cleared the C.C.charges upto claim of Septen1ber 2016 in respect of Policy Nos.02-07-01-0105/A2,02-07- G1-01058/A2, 02-07- 1-0105C/A2 and 02-07-01-0105D/A2 existing 1 in the narr.e of Thiru. V. arayana..-am , • 'c. 5, Ellaiamman koil Street; ~~.d ic err . There are o dues ending to be settled in respect of .r~& abo 1e mentioned policies for the claim upto September 2016 .ihil:h :s f r the purpose of puduche. ry Legislative Assembly Election, P •:1 herry. \A..,/\\, ~,.,,v JU JOR CCOU~TS OFFICER ( EVENUE-1) T Thiru. V .. Jarayanasamy, , 'o. 5! El!aiamman koi. stree', PLducherr;605001 \il NO.RS. 49/2016-l 7 MSA Dated the 23rd September, 2016 NO DUES CERTIFICATE This is to certify 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 Rajya Sabha on 06.10.2009. .., (S.C. DIX T) JOINT DIRECTOR Tel.: 23034540 LO SABHA SECRETARIAT (MSA BRANCH} Telegrams:LOK SABHA, NEW DELHI PARLIAMENT HOUSE A ME, No. :150543/1 5-LS/MSA/LSS/2016-20'17 Dated : 23/09/2016 TO ! VNOM SO EVER IT MAY CONCERN This is to certify tliat "No Dues" are outstanding against V. Narayanasamy, MP (15 Lok Sabha), I. C.No. 150543 as per the information received from the various Branches of Lok Sabha Secretariat and other allied agencies like !VITNUBSNL, 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 {Ct \-y Yanam, dated 07-10-2016 NO DU ES CERTIFICATE This is to certify that Thiru V.Narayanasamy, Hon'ble Chief Minister, l\lo.5, Ellaiamman Kail 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. 7(c9 (D. SUB RAMAN I ES W ARAO) REGIONAL ADMINISTRATOR YANAM To Thiru V.Narayanasamy, Hon'ble Chief Minister, No.5, Ellaiamman Kail Street, Puducherry. GOVERNMENT OF PUDUCHERRY TALUK OFFICE PUDUCHERRY *** 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 Kail Street, Puducherry has No ARREARS of Land tax in respect of this Puducherry Taluk limit. -:r. jj'b • I,,() • lb fJ. DAYALAN ) . TAHSILDAR ~ Place: Puducherry DAYAL~ E HSILDAR Date: 06.10.2016 . or::F CE PUOUCHERRY NOTORIAL CERTIFICATE Be it known and made manifest (unto all people), that on 31st day 01= October two thousand and Sixteen at Pondicherry. I, N.K.. PERUMAL, l'\Jotary appointed by the Government of Pondicherry to practice in Pondicherry State of Pondicherry duly authorized admitted and sworn subject to the provisions of the Notaries Rule 8(5) do hereby certify that; Deponent personally appeared before me is known to be the person desc1·ibed in the Indemnity l3ond as Mr. V. NARAYANASA.MY. Deponent and he deposed in my presence and signed his after knowing the contents of this Indemnity Bond, having been read over and exolained to the clHponent who seemed perfectly in understand it er acknowledged that he signed the same at freewill. This instrument is intended to take effect within Pondicherry. NOTOFalAl REGISTER BOOK: 1 VOLUl\11E·V 1 PAGE No.17, SERIAL No.90, IN TESTIMONY WHEREOF I have hereunto set my hand and seal of office at Pondicherry on 31st day of October 2016.