FORM 2A (See rule 4) '0\\ NOMINATION PAPER Election to the House of the People r$ v' Al /\
r
STRIKE OFF PART I OR PART tr BELOW WH]C}IEVER IS NbT APPLICABLE PART I (To be uscd by caadidate set up by recognised politictl parry)
oominatc a candidate for election to the House of the People from .Parliamentary corstihrency. Caodidate' .V.L.e{.r- FathYr's/me$€i{6/h$b.sd's aame...*+lgra{" postal address rui(L/(l .r*p"t. ?*h*m *ea/ a ; P*rt.ufu"' elecmral roll !pdf";4* Constituency. My name is.1flad\o..M.elea..Elu*ar*4. and it is entered at S.No..9.4t...in part No../15-...of the electoral roll tN 39....no-*4?...... -...... '(Assembly constituetrcy compriscd witbinlf:r{tr ,fraolon ada-, mtao- oate ..$,11:lJ. Signarule of Propos&r_+g PART II Cto be us.d by candidate NOT set up by recogtriscd potirical pady) Wc hereby nominate as for electiotr to the Hougc of thc Pmplc &on the...... ,...... P Constihrency z Candidate's name...... : Fathet'Vmoth€1$/husband's a narlre...... ,...,...,..,...,..,,,,,..,..,,..,,...... His address. I is enarod S.No...... in pat \ No...... ofthc claioral roll fot --- - "\ - ...... t(A!€cobly coDltitr:ncy conFilcd within) ....I-.*._ _ _"\ .-.....padirlncorrfy coostirEocy. We declan: tb!. r wc arE ct\ors of tbc above partiaoatrry Co*itrmy and ouLr names are cotcrcd in thc clectoral roll &at padilrtr€Dt8ry \ Coortitumcy as indicaied bcilow End we cppeDd our sigrlturr! bclow i! totsD of 8ubscdbing !o rhis lomirstion: _ Prrticulrrc dfrhe rnd thclr llmtturc! Sl.no. N8me of Elcdlor Rott No. of Full Namc Signature Date comlx)tretrt \roporer Asscmbly Pan xo. d( S.No. ia CoDstitueocy Elecbral \ rbat pafi Roll I 3 5 6 7 L 2. 3. 4. 5. 6. 7. 8. 9. 10. N.B.- Thereshouldbe@ I, the cardidare meot,"""o t a*,i*llrlfsrt *" ow *h"t is not applicsble) assert to this nomination and hereby declare_ (a) that I am a citizefl lndia of and havc trot acquired the citizenship of atly foreign state/countly. (b) that I have completed.....J.(...... years of agc; t.JlY o* .(O:: c(n) BErow wHr€Hnvrn rs xor lPPrrcerLrl (c) (r) tiar I am s€t rp at Ois electioD by rte... pety, which is a recogniscd Nationfpafyi Sra& i""y L , , i"" ,U, ,1" symbo/rcserved for the sbovc palty be a]loted to E€. "ra OR (c) (,, that I sln at this ele&tion by rhe ....-....il.a*...Ab_bLc.i../*_- .. party, which \ a registered-unrecognised politicat party/that I sm cootesthg rhis elcction_ as an (Strite {ependent candidate. out which is aot applicable arj tbar thc symbols I ha\ choseq in order ofprefcrence, are:_ i b+- t t... effl;c.atl<\ u t 4FpL e4 i- t i ti . iii.. aspL.CAAk. (d) that my narnenarpe a)da4d ^1"* rglrqy farbefvmother'Vhusbaad'sfarbefvmother'Vhr.rsband's name havehq..l-.h.^turtv becn correcrly spelt-, out above h..€.n$*+(...... (name of thc langrage); (., that to the bysr ofmy krowledgc and beliel I am qualified and not also disqualificd for b€ing choscn lo fill the sear in the House ofthe people. 'l frrnher dcclare that I 8m a rr/-ynbet ol the.....5tttt1lAl...... *.Castrftr6 which is a r.esadEi# schedulcd of the State of ...... dd.rU.*-..,...... _..in n:lation 24.W!V.-.....tatr(a\ itr that Stare. declarE tiat I have aotnot been,been andanrt shall not be oomimted as a candidate at the pres€nt gercral election/rhe bye-elections being held simultaneously, ro the House of the people ftom more than two Parliamentary Constiruencies. 'A.&{,"Jet\/L-,Y D*e..$.:.!:1.:l.J Signature of Catrdidate- 7 - l. r 7 ?Score out thc words "assembty coDsrit!€ncy *iOio; i, O"GIiG, Kashmir, "o-p.i""a -a Andaman and Nicobar Islalds, Chandigarh. Dadm and Nagar Haveli, Damaa and Diu and Lakshadweep. tscor€ out this paragraph, if nor applicabie. "Score out the words not applicable. N.B.-A "recogtrised political party,' means a political party recognised by the Election Commission under lhe Election Symbols lReservation and Allotneflo Order, 196g itr the State concemed. PART ITIA (To be filled by the candidare) (l) Whether the candidate- (i) has beell coovicted- (a) ofany olfeuce(s) under sub.section (l); or (b) fior coDr.sveorion ofany law speciied in suLsectioo (2), ofsection 8 of the Represetrlation of the people Acq l95l (43 of l95l rlcsl.{o (ii) has been convicted for any other offence(s) ihr which he has b€en senienced to imprisonment lbl t*o yeaft or more. l l;atL' Ifth€ answer is'YeJ', the candidate shall furnish the following informatioo: il ctaP (i) Case/frst infomation rcpon No.iNos.... ,rrl!.1.< (ii) PoliG $ation(s)-...... 4l.t-. District(s)...... rr1 1I-...... s""<.j...... - l. t. t--. (iii) Section(s) of&e concemed Act(s) and brief desgriprion pf thc offence(sl for which hc has bcen convicted...... *J e 1 .. *f,k h: I4b4i .. .. (tu)D;;(;t.;""";i;;;;;i';...... ;,;."fp L; i-;JL lffi:1il;;il#;:i; ;;"}o;fll *1rLr* u.. (vilPunishmcllt(s) imposed liodicate period^r.* oi imprisonmen(s) and/or quantum of nn{s)l...... r.'l ).L: (vii) Date(s) of release from prison...... ,\1. r.t=1... . .,...... (viii)WaJwerc -atry appeal(s)/revision(s) filed against above cosviction(s).. .')!:.i... v".nY (.!) Date aod particuta$ of app€al(slapplicatioB(s) for rcvision li rca...... N.aL.41Lt-ll'- (r, Name ofthe court(s) be{ore which the appeal( r/application(s) for revision filed...... ilel..*ffr.X$.bk- (r,) Whether thc said appeal(s)/application(s) ft,r revision has,4rave been disposed of or israre pending....,rJ** a'SlL' e- t t'- (.ri, If the said Apcal(syapplication(s) for revision has/have been disposed of- (a) Date(s) ot disposal...... NIL,-r...... (b) Nature of ord (t) Wbeti€r thc cedidrtc is s nl'nrg'g Egcat, or rn,'l'ger or Sccr(fry of my coqoay c Corporain (oinc( tl'"" a coopqrtive society) itr thc cspiirl of wti:h the Cqtd Crovernnqt or Slre Govcnr"urr hls Dot lcss rS.a twcaqFfivc FrEeot sh[r? G4dr8!. -IfYes! wilh which covsram€nr aod the dctails therpof .-.-.Nl t = (9) Whc&lr thc cEDdide hrs bcco.,drqu.lifGd by tbc Cmnissioo rnder s€ctim tOA of ltc sril Acr...... (YciiMtf Jf yrs, thc dsE of disqudiecadoo...... fl/l-<...... l,,J-e^"p)r Plrrr.:..Dugo)a z-A-, Slgtshr!'of Cardi&te rg Drlc:.qlai.t9.. b/ri PART IV I hEve cr.oinod tnis oomin:tiot paper in accordaacc with sectioo 36 of the Rrtr€scoeti@ ofrbc Peoplc Act, l95l(43 of l95l) and tleci& rs fotlows:- Date Retumilg Officer (PcNforlti@) 5 -( Oeclaration by Candidater'Election agent/Proposer while submltting the photograph of the candidate subject: Election to '..1,.tx..T.*.1.,1* (mention the name of the House) from .*.nryt-lk/'..r.t-'.A...... -... (name of the constituency) / election to Councile of Statls/ Legislative Council by Assembly Members. t..Sa.i'...Aili/.sdkk..:f..sy'*...... 1r*t'kA*-/'alJ"aa,*4*!.e6^?.e.,.lda ..a**.,tQyt*./Lat...,...... (name and address), s(n/daughter/wife of \hri .l*J*t1..-t-tt u-.-..-.-...... , nontinated as .:andidaie for the abovementioned election, am submitting herewith my photograph for the purpose of printing the same on the ballot.paper. I declare th.rt the photograph has been taken during the last 3 months before the date of n0titication of election. (Filleel up this part when the candidate himself is submitting the photograph)' OR r-.ler'ti,rn agent/proposer of Shri .. (name and address 0f thc candidate), son/daughter/wife of Shri'...... ,'...". ''", e {:ardidate tbr the abovementioned election, hereby submit the photograph of the ';airl cartrlidate for.the purpose of printing the same on the batlot paper. I declare ttrat lire photograph tras been taken during the last 3 months before the date of notification of electiofl . photograph). {i:ill up thi5 part }vhen the election agent/proposer is submitting the onte: .. /..:..!....1.?., a8q0r Llll-0rofl s".175 o€c'ac s0937002 (Receipt Book)' 6,6 s'. 3 q66 a'. @... :,.W.1.1... Ai. "..0-h r'slt *ha *tt.e*-..1i4!*...... :. r.....q o8 lsppafrlry.b ,o*",.0.flb fr Ps. hC$4, *. lasoo-ll sT&.{r*++r OGP-(FORMS)CTP-30'€0,0008ks.-1 5-'1 2-z),7 u:eot..]i oRr01 m7636 I) f,l), FI ::1'*'::'- a.l M I oR/or,m7/3362s9 ] " !!) oRro11m77336262 elg t9o t9 e6c alg qia tq aig , 57 Ae: eoer ----:!J L----:3' u2G00545// q u2c0363226 ie , e?a q9 orc : {iiSrffi bne era:#oo! g0 s6e elF, a.{{a tF 6olcelce6+qlg ,g 6s Aff qS€ ,q:.3 As: sQer aq 2e 6o:qe6 I d,l I .!l GHS3499572 hle ce6qlq en , q66rclg o6c clF: ofirq qlg 6019 el3,e'94 crg a{:2e Q.r: q!€ E g,31 0o coo, A Eq, 3c Ae, q!€ I .33t ldl I 45t orq:orqclg e'q :9ael q|g 66lcortr.n?eorS 60eolo:a96o6 oacolq ee6srg ag € A.t: qS6 a9.., Ae' q$c aq: n 6o qocr Uz@572610 I 13?t I .rt i:=i:' H og:,8 aer qQs aq 3r Ae 086r orr,01/007,1330270 lel I .il ot]]01/m7/334268 ca , tec aE 6€leelqiq clg ;-,:;: H Eq:57 ar*: qoor sq, 7, 6?, qQ€ | *11 112co80079/ o'" , p-ocqqd eta,o69qri cie 09 6{rda qd 6o€ ore soo 6erac qil ao ? 610 roe ssec qd 6oleol9 qca €elce qd aq ,1 arF qt6 a9,?3 er.'iq9c rq ,. ep qqe :31 uzco3633'll -11 vt1at.Rlt2 619 , q€ao iela qd clg , coe gqra ad' .H aGl* eloeoe €ree qd 6o|e era foa6qrae a{ o,t: ?6 4 a9,,3 Ae:q$c E!9 3c 6.l qe€ *"1 \./' OPJA .071336212 aelc *lea9 qd ::,.,"" H aq, a3 66r q!6 Kiosk Ope6tor SWARUP KUMR PAL, oRn 1n2O162, , BARK/A|rO ffifliltillmM sl GOVERNMENT OF ODISHA orlc. oftha Tahasildar. Moroda. Mlscollaneous c€nificaro ca6e llo: e4Asll36 of2019 CASTE CERTIFICATE lRure 8 (l) oa lh6 odisha casle c6rrili€r6 (ror scheduled Casle and s.heduled Tnbo) Rules,1980l Ihis is lo cerlify that Shri Blsweswar Tudu Son of Shri Sukul Tudu of Village/Town KHUNTAPAL P.S MORADA in the district ayurbhan, an the State of Odisha belongs to SANTAL tribe which is recognized as Scheduled Trlbe underlh6 con8litution lscheduled Caste / Scheduled Tribe) order 1950 as amended by the scheduled Caste and S.hcduled Tribe List (tr,,lodmcation) order'1056 ond Schedulcd Caste arrd Sche,nrled lrlbe Order (Amendment) Acl, '19/tj. Shri Blswaswar Tudu and he/hls family ordinarily reside(s) in Vjllage/Town KHUNTAPAL of l'.layurbhanl District in lhe State of Odrsha. Place rl\,{oroda Date :03-04-2019 SAHOO SAMBTT 3ffiJ[ifftgifPf SANGRAIVJEET tn Signature of the Applicant .\ - Sionature of the R6i/enue-^v- Officer- - Dato : 03-04-20'19 NOTE: : : - lt is a digitelu signad eleclonically genealed cetlifrcate and lhercfo@ needs no ink-signed sonatu.e. - This ceftifrcdte is issued as pet $cnon 4,56,6 ot lnfomalion Technology Act 2OOO,and ils subsequent anendnenls in 2008 and as per Rewnue & Disaster ManagEnent Depanmant notification nuhb'ts IMU-13/1012518/R&DM dated 2l -1O.2O1o, RDM-|MU-EGOV4o01-12412U dated 10.09.2012 and RDM-IMU-EGOV-OO01 -2O12n5042 dated 12.09.2013 - Fof any quory of vedfica on, Agency/Depadment/Offrce nay visit http://adislrictodisha-gov.ln. - Tdmpenng ot this cerulcate will attract Nnal acton- * PART VI Receipt for Nomination Prper and Noticc ofScrutiny (To be handcd over to tho on pres€nting the Nomination Paper) Serial No. of nomination paper.!.1. The nomination paper "/1r:f!|*!,.a " candidate for election from ...... Parliamentaitaiy rconstituency was deJivered to me al my office ,,.' t-.- s4lor{agt...taut"t by lhe roecdidrkr'proftser. All. nomination papers will be tak€n up for sc-iiry:i.tl...P-L,rr..1t orr) on.r!,.o.s'.J1.(date) at..9.h3...-(.: .,.- :|...h*Y oateol{etl}*r'l RETU 6-MAYURdHANJ (S.T.) PARLIAIdENTARY CONSTITUEIICY *Score out the rvord nol applicable- BARIP,TDA, (ODTSHA) /ll4- rflt\'l*tlto'rp Fll,,t- r5700t 6 OGP--{rP-..TCP (llolr€ ELEC ) r3-5.O0 B*s 1C2.2o19 vd--...f-'...... '31'No"'I" I'OTARIAL 6IAUP TOT AFFIX€O I Tg TEN I sqn RUPEES { f, 10 Rs.10 I ,r' 43AA 649540 ; FORM . 26 (See rule 4A) AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWTH pApER NOM{\ATION BtrFORE THE RETURIuNC OFFICER FOR ELECTToN i (NAME OF THE HOUSE) a' "LOKSABHA #ROM... s - MAYURBHANJ LSjT.) CONSTTTUENCY (NAME oF THE coNsiiTUENcYT I panr.a .... J l_ BISHWESW4B lUqU son of Shri SukutTudu Aged 54 years, resident of Vrllage- Khuntapal, P.O paramananda, p.S_ irorada Dist_ Mayurbhanj plN_757018 (mentron full postal address), a candidate at the above election, do hlreby solemnly affirm and stlte on oath as under:- (1) I am a candidate set up by Bharatiya Janata Dartv l2t My name is enrotted in. 34 - M6iafi--Ass;bti Constituency ODISHA..... ilName of the constituency and the State), at Serial No...nZS.. in pa'rf Ho_.lrs (3) My contact telephone numbe(s) is/are... 94386j708 & 732BB4OO}7 f,nd my emart id (if any) is [email protected] and my soctat media account(s) (if any) is/are (i) f,ace boot (ii i/Vhatsapp (iii \ ) A.l(. fMessenger ronni I /1.u,*,t"w t-L A'#$*r t'rlr a.-:.\'\F\r.k . (4) Details of Permanent Account Number (pAN) and status offiling of lncome Tax return: ffi! o( oYa/ names PAN The financial year T"A i""."* "h-"" N no. for which the last lncome- tax return (in lncome- tax retuh Rupees) for the last five has been filed Financial Yea6 (as on the 31st March) 1. Self ADPPTB4T2K 2018-19 i) Rs.9,19,489i- Bishweswar 2017-1A Tudu ii) Rs.10,09,776l- 2016-17 iiii) Rs.7,93,1351 2015-16 liv) Rs.11,29,4'l9l 2014-15 v) Rs.8,20,2741 2. Spouse i) NOT APPLICABLE Smt.Sumita NO PAN ALLOTED NOT APPLICABLE NoT Tudu lii) APPLTCABLE (iii) NoT APPLTCABLE iv) NOT APPLIcABLE v) NOT APPLICABLE HUF (lfthe 3. (i) NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Candidate ii) NOT APPLICABLE is Ka.ta or iii) NoT APPLTCABLE Coparcener) iv) NOT APPLIcABLE v) NOT APPLICABLE 4. Dependent-1 i) NOT APPLICABLE Sumedha NO PAN ALLOTED {OT APPLICABLE ii) NOT APPLICABLE Tudu iii) NoT APPLTCABLE iv) NOT APPLICABLE v) NOT APPLIcABLE 5. Dependent-2 i) NOT APPLICABLE Sunetra Tudu NO PAN ALLOTED !OT APPLIGABLE ii) NOT APPLICABLE (iii) NoT APPLICABLE iv) NOT APPLICABLE v) NOT APPLICABLE 6. Oependent-3 i) NOT APPLICABLE Bibhuprasad NO PAN ALLOTED \OT APPLICABLE ii) NOT APPLICABLE Tudu iii) NoT APPLTCABLE iv) NOT APPLICABLE v) NOT APPLICABLE Note : lt is mandatory for PAN hotder to mention pAN and in case of no pAN. it shoutd be cleady stated "No PAN allotted"- 7 {L<>t ,+&tw.du ffir {5) Pending criminal cases o (i) I declare thatthere is no pehding criminalcase against me. (Tick this allernati there is no criminal case pending against the Candidate and write NOT t APPLICABLE against atternative (ii) below) OR .liiD.- The following criminalcases are pending against me: (lf there are pending criminal cases against the candidate, then tick this alternative and score off alterdative (i) above, and give detaits of alt pending cases in the Table below) Table (a) FIR No. with name Morada P.S.Case No. \OT APPLICABLE NOT APPLICABLE and address of 50/07 d1.03.11.07 Police Station concerned (b) Case No. with 3.R. Case NOT APPLICABLE \OT APPLICABTE name of the Courl \o.1215107 n the Court of SDJM Saripada (c) Section(s) of Uls 323, 294 , 506, \OT APPLICABLE NOT APPLICABLE concerned - 353, 341448, 34 tPC Acts/Codes involved (give no. of the Seclion, e.g. Section ...... of lPC, etc.) (d) Brief description 323 punishment for NOT APPLICABLE NOT APPLICABLE of offence ,oluntary causing hurt 294 - obscne acts or iongs in any public ,lace 506 - criminal ntimidation 353 - assult or iriminalforce to deler )ublic servant from lischarge of office luly 341- wrongful restrinl 448 - house dispalch 34 - act done several lerson in furtherance )f common intention A.K. NOTA h/"*n*e'''lz"'^dt^ l,K'r aY; (e) Whether charges NOT APPLICABLE \OT APPLICAB have been framed NO (mention YES or NO) v'r.o) (0 lf answer against (e) above is YES, NOT APPLICABLE !OT APPLICABLE \OT APPLICABLE ihen give the date on which charges (s) Whelher any AppeaY Applicalion for NOT APPLICABLE \OT APPLICABLE \OT APPLICABLE aevision has been filed against the Proceedings (N4ention YES or NO) (6) Cases of conviction {). ldeclare that I have not been-convicted forany criminal offence. (Tickthis alternative, if the candidale has not been convicted and write NOT APPLICABLE against alternative (ii) below) OR (ii) I have boen convicted for the offences mentionedbelow: ,lot +PlL |4ALE-- (lf lhe candidate has been convicted, then tick this alternative and score -----..*5--off alternative (i) above, and give details in the Table below) 1. ^.-[A^NOTARY //41*d)*\"/ h'A- l,x$, NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Name of the Court NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Sections of Acts/Codes NOI APPLICABLE NOT APPLICABLE NOT APPLICABLE involved (give no. of the Seciion, e.g. Section ...... of lPc, elc.). Brief description ol offence for NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE which convicted Dates of orders of conviclion NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Punishment imposed NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Whether any Appeal has been filed NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE against conviction order (Mention YES o. NO) lf answer to (g) above is YES, give NOT APPLICABLE NOI APPLICABLE NOT APPLICABLE details and present status ofappeal NOTARY^.-t*,1. PUB.LIC, -g#tS{E-^q ,"' ko.q*ra".Wv'A' \tr- (64) I have given full and up{o-date information to my political party aboui all pending c cases againsl me and aboul all cases of conviction as given in paragraphs (5) and I Candidates lo whom this ltem is not applicable should clearly write NOT APPLICABLE lN VIEW OF ENTRIES lN 5(i) and 6 (i), above l Note : l. Details should be entered clearly and legibly in BOLD letters. 2. Details to be given separately for each case under different columns against each item. 3. Details should be given in reverse chronological order, i.e_, the latest case to be mentioned first and backwards in the order ol dates forthe other cases. a. Additionalsheet may be added if required. 5. Candidate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W.P (C) No. 536 of 20'1'1. (7) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all dependents I A . Details of movable assets : Note : 1. Assels in joint name indicaling the extent ofjoint ownership willalso have to be given. Note : 2. ln case of deposit / lnvestmenl, the details including Serial Number, Amount, date of deposit, the scheme, Name of BanU lnstitution and Branch are to be given. Note : 3. Value of Bonds/ Share Debenlures as per the 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 i 4. 'Dependent' means parents, son(s), daughte(s) of the candidate o. spouse and any other person related to the candidale whether by blood or marriage, who have no separate means of income and who are dependent on the candidate for their livelihood. Nole : 5. Details including amount is to be given separately in respect of each inveslment. Note: 6. Details should include the interest in or ownership of offshore assets. Explanalion- For the purpose of this Form, the expression "offshore assets" includes, details ot all deposits or investments in Foreign banks and any othe. body or institution abroad, and details ofallassets and liabilities in Ioreign countries. *nhryAr /9 q/ Descriplion Self Spouse r# Bishweswar Sumitra qeqs Tudu Tudu ad Tudu Cash in hand. Rs.1,00,000.00 Details of deposit i BI ORKEL Bank accou plicab,e plicable plicable (FDRS., Term Depos and all other types Rs.1,10,000/- deposits including sav ng accounts), F.D. Rs.70,0001 Deposits with Financial SBI ORKEL lnstitutions, No Banking Financial Union Bank Companies and C Baripada operative Societies -6530201000 and lhe amounl in 8062 each such deposit. Details of investment Applicable in Bonds, licable plicable plicable Debentures/Shares and units in companies/ Mutual Funds and olhe.s and the amount. Delails of investrnent ot Applicable in NSS, Poslal icable plicable plicable Saving, lnsurance Policies and investment in any Financial instruments in Posl office or lnsurance Company and the amount o.*. B*rol N o rA I , dy\arB(lc q'L"t"' $tsffur-t1 4.Y'*wW Iffi,, I foA V*Anl (v) loans/ Personal Not Applicable \ot \ot \,lot \ot given advance to qpplicable Applic qpplicable Applicable }::R}\HW any person or entity able including firm, company, Trust etc and other receivables kom debtors and the amounl (vi) lllotor Vehicles Hero HF deluxe Not Not Not \ot \ot /Aircrafts / Yachts / Regn No.OD'1'1C- Applicable Applic Applicable qpplicable Applicable (Delails Ships of 8709 able Make, registration dt.1z 1212015 number etc. year of Rs.48,000/- Purchase and Scorpio amount) Regn.No.OD11K- 2a39 d1.17.43.2017 Rs.l0lakhs (vii) Jewellery, bullion and Gold - 20 gm. Gold- 100 Not Nol Not Not valuable thing(s) (give 1s.60,000/- gm Applic Applicable Applicable Applicable deiails of weighl and Rs.3,00,000/ able value) Silver- 300 9m. Rs.15,0001 Not such (vl[) Any other assets :ridge. Not Applic Not Not Not as valle of claims/ 1s.B,000/- Applicable abte Applicable Applicable Applicable interest \ot Gross {ix) TotalValue Rs.13,97,000r is.3450001 qpplic \ot Not \ol ,ble qoolicable Applicable qpplicable B. Details of lmmovable Assets: Nole : 1. Properties in joint ownership indicating the extenl ofjoint ownership willalso have to be indicated. Note : 2. Each land or building or apartment should be mentioned separately in lhis format Note: 3. Detail should includenclude the interest hip of offshore assets S, Description Self Spouse HUF Depende Depend Depende No. n!1 el2 nt-3 Bishwesw Sumitra ar Tudu Tudu Sumedha Sunelra Bibhupra Tudu Tudu sad Tudu (i) Aqricultural Land Mouza- (huntapal Location (s) Survey Not Not Not \ot ).]ot Applicabl number(s) Khata No. Applicable Applicable Applicable Applicab a*"*i',{ IS^ Area {total measuremenl acres) lcable Whethe. inherited property (Yes or No) icable Date of purchasein case of self- acquired property Cost of Land (in case of purchase) at lhe Rs.15,0001 time of purchase Any investment on the land by way ot icable development, construction etc. Approximate current markel value pplicable Non-Aqricultural Land: Location(s) Suruey inumbe(s Area (total measurement in sq pplicable Whelher inheited Property (Yes or No) pplicable Date of purchase in case of Selt acquired property Cosi of Land ( in case ot purchase) at lhe time of purchase Any investment on the Iand by way of development, construction etc. Approximate currenl market value Commercial Buildinqs (including apartments) -Localion(s) numbe(s A,$?,^-,t'*Lr,' ruL<-ffi", #-m Area (total /F measurement in sq.ft.) Not Nol Not Not Not Applicable AoDlicable Applicable Aoolicable Applicab -8ft9 e |ilw Y Buih-up Area (total Not Not \,to1 Not Not measurement in sq.fl ) \ot Applicable Applicable qpplicable qpplicable Applicab Applicabl e Whether inherited \,lot properly (Yes or No) Nol ',lot ',lot !ot Not Applicable qpplicable qpplicable qpplicable \pplicab Applicabl Date of purchase in ,,tot .'l case of self acquired Not \ot \ot ',lot ot property Applicable qpplicable qpplicable qpplicable \pplicab qpplacabl e Cost of property (in case of purchase) at Not \ot \ot \ot \ot \ot qpplicable qpplicable qpplicabl the time of purchase Applicable Applicable Cpplicab : Any investment on the property by way of Not \ot \ol Not Not ',1ot qpplicable qpplicable development, Applicable Applicable Applicab Applicabl conskuction etc. e 3 Approxrmate current market value Not \ot \ol \ot Not Not Applicable qpplicable {pplicable Applicable qpplicab {pplicabl e Vouza- (iv) Residential Buildinqs Approximale current "{sl\l ma.kel value is.1,00,000/- Not Not \,Jor \ot Not ' Applicab Applic€ble qpplicable Applicabl Applici e ? (v) Olhers (such as interest in property) \ol Not Not \ot \ot Not qpplicable Applicab Applicable qpplicable qpplicabl Applcab e e I (vi) Total of current market \,lot value of (i) 10,00,000/- Not \ot \ot Not qpplicable qpplicable lo (v) above {pplicab Cpplicabl Applicable e l (8) I give herein below the details of liabilities/dues lo publjc financial institutions and government :_ (Note : Please gave sepa€te delails of name of bank, instatulion, entity or individualand amount before each ilem) st. Descriptron Sel, Spou HUF Dependent Dependet 2 Dependenl se -1 3 No. Bishweswar Suneiaa Tudu Sumil ,lo, Sumedha Tudu Bibhuprasa la Tudu d Tudu Tudu ff, (D Loan or dues to Vehicle loan Not \ol Not \ot Not BanU Financial br scorpio Applic Applica Applicable qpplicable Applicable Lnsttution {s) Name tDl1K-2939 eble rle of the Bank or 100000/- from Financial lnstitulion, -IDFC bank Amount outstanding, rersonal Loan or dues to loan \ot \ot \ol Not ,lot ahy other 1s.300000r qpplic qpplica Applicable Applicable \pplicable individuals/ IDFC bank ,ble )le entity other than \'lol Any other liability Applicable \ot ',lol \ot Not N01 qpplic qpplic€ qpplicable Applicable Applicable rble lle Grand total of Rs.10000r to \ot Not \ol Not Not liabilities le paid qpplic Applica qpplicable Applicable Applicable ,ble ble ll A.K. NOTAI -\,'-4a-fu1/ ti /^U/, "fi^r' i6cql or.l! ffi nhn' (ii) Government Dues : (A) Has the Deponent been in occupaiion Dues to accommodation provided by the Government at (Please Departments dealing time during the last ten years before lhe date the with Government notification ofthe current election ? appropriale accommodation alternalive) (B) if answer to (A) above is YES, the following declaration may be lurnished namely:- (a) The address ofthe Government accommodation (ii) There is no dues payable in respecl of above Govetnmenl acLommodatton, lowards (a) rent; NIL (b) eleckicity charges; NIL (c) water charges; and NIL (d) telephone charges as onllldate) NIL [the date should be the last date ofthe third mo prior to the month in which the election is notified or any date thereafterl. Note -'No Dues Certificale'from the ag an respect of rent, electricity charges, water charges and telephone charges forthe above Government accommodation should be submitted. o.o.l\o,*A- ) 4ol,*'l*'-"'y'"/ -" ruor,rCffi 906r-rL \x$" 12 (ot 'i(l Dues to Not \r%) (i ) deparlment Not Applicable Not Not \ot Noi '.-oi-reYa)/ dealing with Applicabl Applicab qpplicabl Applicable Governmenl e le lransport (including aircrafls and helicopters) Not (iv) lncome {ax dues ,,lot Applicable Not \ot ,,lot Not Applicable Applicabl qpplicab qpplicabl Applicable Self Spouse HUF Depend€ Dependet- Dependenl3 nt-1 2 Bishweswar Sumitra Bibhuprasad Tudu Tudu Sumedh Suneka Tudu a Tudu Tudu Not (v) GST Dues \ot Applicable N ol \ot \ot ,lot qpplicable Applicabl qpplicab qpplicabl \pplicable e Not (vi) Municipal/Property \ot Applicable Not Not \ot !ot qpplicable tax dues Applicabl Applicab {pplicabl qpplicable 3 Not (vii) Any othea dues Nol Applicable \ot Nol Not \ot Applicable qpplicabl Applicab Applicabl Applicable e Not {viii) Grand totalof Not Applicable Not \ot Not Not Applicable all qpplicabl qpplicab Applicabl Applicable government : e dues Not (ix) Whether any other ,,Jot Applicable Not \ot ,,tot \,lor qpplicable liabilities are in Applicabl {pplicab qpplicabl {pplicable dispute, if so, e mention the amounl involved and the authority before which it is pendinq (9) Details of profession or occupation : (a) Self - (BISHWESWAR TUDU) SOCIAL WORK (b) Spouse (SU|\4|TRA TUDU) HOUSE WIFE (9A) Delails of source (s) of income : (c) Self - (BISHWESWAR TUDU) CULTIVATION (d) Spouse (SUMITRATUDU) - /V'rL (c) Source of income, if any, of dependents, ...... N1L..... 4o4"-a),,/ z& A.K. a"ffirr NOTARY (e8) Conkacts with appropri and any public company or companies (a) delails of contracts entered by the candidate ..... Not Appticabte...... _...... (b) details of contracts entered into by spouse - Not Appticabte (c) detajls of contracts entered into by dependents - Not Applicable (d) details of contracts, entered into by Hindu undivided Family or trust in which the candidate or spouse or dependents have anteresl ...... Not Applicable.. (e) delails of contracts, entered inlo by partne.ship Firms in which candidate or spouse or dependents are partners ...... Not Applicable.. (l) Details ofcontracts entered into by private companies in which candidate or spouse or dependenls have share (10) My educationat qu"titi""tion i" ,fntlllli*bl" "" HSC Board of Secondary Odisha, Cuttack - ,l981 Diploma in Electrical Engineerjng from UGIE Rourkela (S.C.T.E_& V.T.),Odisha in 198S (Give delails of highest School/Universily education mentioning the fullform ofihe cerlificate/diploma/degree course, name of lhe School/College/University and lhe year in which the course was completed.) fu/r*,u- Ud,/ LY.$^ I4 ./1Ar i.\ PART . B .:1) 4 ABSTRACT OF THE DETAILS GIVEN IN (1)TO (10)OF PART . A: i?i,.ie*i '\* 1 Name *W of the candidale Shri BISHWESWARTUDU qT- KHUNTAPAL, POi- PAMI\TANANDA 2. Full postal address ),S. IllORADA, DIST. MAYURBHANJ lDtsHA-757018 05 MAYURBHANJ (S,T.) 3. NLrmber and name of the constituency and State 4. Name of lfie political party BHARATIYA JANATA PARTY which set up the candidate (othelwise write'lndependent') 5. Total number of pending criminal 01 (one) cases 6 Total numbe. of cases in which NIL convicted 7 PAN oi Year for which last lncome Tax Totalincome .eturn filed shown (a) Candidate ADPPT8472K 2018-19 9,19,489.00 BISHWESWAR TUDU (b) Spouse Not Applicable Not Applicable Not Applicable SUI\,4ITRA TUDU \ot Applicable (c) HUF Not Applicable Not Applicable (dl Dependent \ol Applicable Not Applicable Not Applicable B, Deta:ls of Assets and Liabilities including offshore assets in Rupees Description Self Spouse HUF Dependen Dependet- Dependenl3 t-1 2 Bishwe Sumiira ,.,tt BibhJprasad Tudu Tudu Vet t.tu Sumedha Sunetra Tudu bt- Tudu Tudu Moveable 13,97000/- Not \ot \ot Not Assets Not Applicable Applicable qpplica qppljcable Applicable (Total )le value) /r1Y,*'P"'t'v '7"a2/u #S- t5 Applicable Puachase ,00000/- Applicable Price of pplicable self- acquired immovabl Developme Not Applicable nv icable icable pplicable consiructio n cost of immovable property aflea pLirchase (if Approxim ale Current market price- o self- acquired ,000/- plicable plica plicable licable assels (Total Value) (U inhe rited 100,000/ assets (Total Liabilities Not Applicable Applicable Loans from Bank, Financial ,00,000/ Not Applicable Institutions plicable and others (Total) -,'.\ A.t( /*r,,l*n" nd rvol T:,-; \*Ki P.! i 10 Liabilities that are under dispute {; (i) GcveTnment Not \ ot Not Not Not \ot Applicable \ d!es (Total) Applica Applica Applicable Applicable Applicable ble ble (iD Loans from \oi \ot Not Not Not Not Applicable Bank, qpplica qpplica Applicable Applicable Applicable Financial Dle cle lnstiiutions and others (Total) 11. Highest educational qualifi catlon : '1985 Diploma in Electrical Engineering from UGIE Rourkela (S.C T.E.& V.T ),Odisha in (Give deiails of highest School /University education mentioning the fLlll form of the cerlirlcale /diploma/ degree course, name of the School / College / University and the year in which the coulse was completed. Verirication l, the deponent, above named, do hereby verify and declare that the contents of ihis affidavit are true and co(ect to the best of my knowledge and belief and no part of it is false and nothing material has been concealed the.e from. I further declare that :- (!) there is no case ofconviction or pending case againsl me other than those menlioned in items 5 and 6 of Pa( A and B above; than those mentioned in O) l, my spouse, or my dependents do not have any asset or liabilily, other --' z \ items 7 and 8 of Part A and items 8. I and 10 of Part B above. Au,r*t""rn'- Verified at Baripada this the gth day of April 2019 '/" ,/ . - , ,'\\')ffi DePonent 1' Note : 1 Affldavit should be filed latest by 3.00 PN, on the last day of filling nominations Note : 2. Affidavit should be sworn before an Oath Commissioner oI Magistrate of the First Class or before a Notary P,rblic. Note : 3. All column should be filled up and no column to be left blank. :f there is no information to furnish in respect of any item, eithe. "Nil" or "Not applicable", as the case may be. shoutd be mentioned. Note : 4. The Affidavit should be either typed or w.ilten legibly and neatly should Note : 5. Each page oI the Affidavit should be signed by the deponent and the Affidavit bear on each page the stamp ot the Notary or Oath Commissioner or Magistrate before whom thc Alfidavit is sworn. Declare tolemnly Atfirm & ld.ntilicd bY ocatc A.K. s Urr*"* 6- ffi-: