-/ SCHEDULE A-GHMCACT, FORM 8 Nomination Paper ? (See Section 36) as amended

ELECTION TO THE GREATER MUNICIPAL CORPORATION 2016.

1. Name of the Ward 13 . HAYATHNAGAR

2. Name of the Candidate DINDU PRAVEEN GOUD

3. Father's name BAI-A KRISHNA

4. Age 42 YEARS

5. Address H.No.4-9-20l5, Mother Dairy Road, Hayathnagar, , .

6. If the candidate is a member BC- B (GOUD) of the Backward Classes.

7. Number and Name of the ward 13- HAYnA L THNAGAR "" ^"^|n'ns electoral rolls in which the name oof Q b d )o z) of the candidate is included.

8. Part Number and serial number of Part No.No. ,;L.No.! @ the candidate in the ward electoral roll.

9. Name of the proposer / u{ 64ra 10. Part Number and Serial Number Part No. Sl.No. ffi of the proposer in the ward 13 - HAYATHNAGAR electoral roll concerned.

11. Signature of the proposer : ...... i. 5 rf t al Decraration by ca ')

I hereby declare that I agree to this nomination.

Date: I 6f I b Sig/{atu re of Candidate lnor (DTNDU PRAVEEN GOUD) )

FORM _ I

[See rule 4] DECLARATION AS TO CHOICE OF SYMBOLS

I am set up at this election as a candidate for the Office for Member tiom 13- Ward HAYATHNAGAR, Greater Hyderabad Municipal Corporation by TELANGANA RASHTRA SAMITHI.

OR

I do hereby declare that the symbols which I have chosen for my

election are shown below in the order of preference.

Si ture of the Candidate Date:- l4lot) eolb NAME: DINDU PRAVEEN GOUD / a

FORM - II

[See rule 4]

DECLARATION BY CANDIDATE WHO IS A MEMBER OF BC

Declaration by a candidate who is a member of any of the Backward Classes

to the election to the office of Member of the Greater Hyderabad Municipal

Corporation from 13 - HAYATHNAGAR Ward.

I hereby declare that I am a member of the BC-B (GOUD) which has been

declared to be Backward Class in BC-B (GOUD)

)Cl b Date: t 6 lc) Name: DINDU PRAVEEN GOUD C ./

FORM _ III

[See rule 4] DECLARATION TO ABIDE BY THE CODE OF CONDUCT

I hereby declare that the code of conduct prescribed by the State Election

Comrnission has been read by me/read over to me and I will abide by the conditions

stipulated therein.

Date: lO lC llWtb

NanTe: DINDU PRAVEEN GOUD

Signature DECLARATION

(to be filed by contesting candidate along with nomination papers)

I, DINDUPRAVEEN GOUD, S/o BALA KRISHNA, hereby declare that I am not disqualified to the best of knowledge and belief for being chosen Ward Member of the greater Hyderabad

Municipal Corporation under sections 2lA, 2lB and 22 of Greater Hyderabad Municipal

Corporation Act, 1955.

Signature of the Candidate

/ b oate: ...1.

Signed before me on this...... y of January,2016 DECLAR.ATION TO BE FILED BY THE CANDIDATE FILING NOMINATION ON ACCOUNTS OF ELECTION EXPENDITURE

I, DINDU PRAVEEN GOUD, S/o BALA KRISHNA, Resident of H.No.4-9-2015, Mother Dairy Road, Hayathnagar, Ranga Reddy District, Telangana, Greater Hyderabad Municipal Corporation, having filed the nornination for the office of Member of 13 - HAYATHNAGAR Greater Hyderabad Municipal Corporation hereby acknowledge that I have been supplied with a copy of the State Election Commission's Order No.392/TSEC-ULBs l2}l5, dt.21.07.2015 relating to maintenance of accounts of election expenditure by the contesting candidates and also the Notification No.409/TSEC-ULBs 12015-1, dt 30.12.2015 prescribing maximum limit on expenditure which can be incurred by the contesting candidates for the said offices.

I hereby declare and undertake to keep my election expenditure within the lirnit prescribed and also to maintain true and day to day accounts of the expenditure in the rnanner prescribed.

I, further, declare that I am fully conversant with the legal provisions contained in Greater Hyderabad Municipal Corporation Act, 1955 and rules issued thereunder dealing with election expenses and I hereby undertake to act in accordance with these provisions of Law and the rules made thereunder and in the true spirit of democracy while contesting the election for the above mentioned office.

S ignature Contesting Candidate

The above declaration is signed before me

Returning Officer 4t

Photo Voter Slip GHMC ORDINARY ELECTIONS, 2016

Ward No. & Name :13 Hayath Nagar pS No. : 45

PS Location :'rshakina Foundation Hayathnagar Room No.7r' Electoral Roll Sl. No. 472 Name :SKYLAB KATEPAKA Father/Husband'sName :LINGAMAIAHKATEPAKA Age :34 Yrs., Gender:Male

Door No. :4-3-57 EPIC No. :2T53026912

Date: 16-01-2016.

MC Photo Voter SIip GHMC ORDINARY ELECTIONS, 2OI6

Ward No. & Name :12 Mansoorabad PS No. : 52

PS lncation :"City Model School, Hayath Nagar, Room No.Srr

Electoral Roll Sl. No. 724 Name :D PRAVEEN Father/Husband's Name :D BALA KRISHNA Age :38 Yrs., Gender:Male

Door No. :4-9-2015 EPIC No. :JJK5997556

Date: 15-01-2016.

Ccgrinls;icni;r, Circle-3& GHMC

Orisinal / DuPlicatq paper and (Original to be kept *itn ilmin-ation '6r'pii.",. to be i''anded over to the candidate)

inati

Nattte oi MuniciPal CorPoratton Nrn-rt.t and Name of the Ward Nanre of the Candidate I.\f " paper fjrt. una tinre of filing nomination Sl. No. of the notnination PaPer wtilr frted (write Yes <-rr No) (if tlrere is anY defect / sliould sl. Documents to be enclosed sliorictming, tlie same No. bols) l. SC/ST/BC t'J3L'D issued bY 2

,r - III D ^^^^arned and qualification: tl.:l: liabilities and educational i';;;;.;ribed bv the Cornmission dulv sworn ;f*" Jf r.* Class Magistrate / Notary Public' (a) w (b) li G#iati*- ,=garding electton expc.uiture accounts. ations Declaration disqualiilc be filed as indicated which have not been filed should The following documents should be filed latest bY (a) should be filed latest bY

(Si gnature of candidate)

Date & Time : Place :

PM on shatl be filed before 3'00 Certificates nrentioned above

es etc'' dutY filled in all inations' or at the time of ce fbr making the

securitY dePosit' 3RD ORDII{ARY ELEC{IONS TO GRTATER TIYDERABAD MUNICIPAL CORPORATION, 2016 " Particulars of the Contesting Candidates 1 Name* D irulo Drnvfta bntd 2 Father's/ Mether's/H-ursband's Name* D' Aalarrts h'M Age (in Years)* u3- 4 Gender* //a.U-' tt-T-flo/s '4ryY 5 Address for Correspondence * PW r

6 Circle* 34 l' ,1 na*nY U 7 Ward* lg hrtmlhrtnt*zan-L . 8 P.S No.* a"-

9 Serial Number of the candidate in the electoral Roll" l0 Marital Status* Htf xn'td 11 No. of children '' ? "/ fi,ro ) t2 Occupation* Zo*,ir,tr 13 Social Status* ,'rc",a' 14 Educational Qualifi cation* lzfi4rtat'fin>rl 15 Upload assets & liability documents

16 Date of nomination* I7 Party Category* '/z/zrlazrl.t /z;ln a,.- ;/z ; F-r, a Whether Conttsted 18 in any elections previously, If so,particulars thereon rt/e t9 Elected postions previoulsy held.If so particulars ilD

SIGNATURE OF THE CONTESTING CAIDIDATES 3

E

@oon-ea TELANGANA . SMT. ^o..!.d,J.3. 2014 N"' te-1rI'i:'Is/ .' Ll;; msidll Pht t{0.84, K!,Hltlorl,' ?.nai iS.bit,. C.rr' g1 3r24!iB7F

(Annexure to Order No.385 /TSEC-ULBs/ 2015. Dt,3O.05.2015'l { AFFIDAVIT I For election to GREATER HYDERABAD MUNICIPAL CORPORATION (Name of the Murjcipal Corporation) From 13 (THIRTEEN) HAYATHNAGAR Ward (/i/o. & Name of ute vvdru)

fl 'I, DINDU PRAVEEN GOUD Son of BALA KRISHNA, Aged 42 years, resident of H.No.4- 9-2115, Mother Dairy Road, Hayathnagar, Ranag Reddy District-501 505, Telangana, a canlidate at the above Election, do hereby solen nly affirm and state on oath as under:- 1. Ipm a carrdidate set up by TELANGANA RASHTRA SAMITHI.

Contd...... 2 )

ALfI'OCATE €I }.JOTAR,Y r Appornied by Co:,i, olA.P. Al.l.puri Colory. 0iiii :rrii;r,. ltyd.500Nl,

t I

i;2 ii

Details of PAN and status of filing of Income tax return.

s!, Names Permanent The financial year Total income No, Account For shown In Income Number which the last Tax Return ( in (PAN) Income-tax return Rupees) has been filed 1. Self 2. Spouse- NIL NL

3. Dependent 1 NIL NIL NIL 4. Dependent 2 NIL NL NL 5. o.-elndent 3 NL NIL NL

2. The following case(s) is/ are pending against me in which cognizance has been taken by the court: J.1 sl. Offence Description No.

(a) The details of cases where the couft has taken cognizance, Sections of the Act and description of the offence for which NIL

cognizance taken : (b) Name the of court, Case No. and Date of order taking NL

cognizance : (c) Details of Appeal (s) / Application(s) for revision (if any) fited NIL

against the above order(s) :

4. Cases in which I have been convicted by a court of law:

The details of cases, Sections of the Act and description of the offence for which convicted: the Court(s), Case No. and Date(s) of order(s)

Punishment imposed : 5. That I give herein below the details of the assets (movable and immova[le etc.) of myself, my spouse and all dependents: A. Details of movable assets : (Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given. 2. In case of deposit/Investment, the details including- Serial Number, Amount, Date of Deposit, the Scheme, Name of Bank / Institution and Branch are to be given.

3. Value of Bonds/Share/Debentures 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.

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

5. Details including amount is to be given separately in respect of each investment)

Sl.No Description Self Spouse Dependent-1 Dependent-2 Dependent-3

NIL o Cash in hand Rs.1,O0,0O0/- Rs.50,000/- NIL NIL () Details of Deposits in Bank Savings. Savings. accounts (FDRs, Term Andhra Bank, HDFC, Deposits and all other Hayathnagar Hayathnagar types of Deposits including Br, Br, saving accounts, Deposits Ac/No.124511 Ac/No.50100 with Financial Institutions 011500033, 0104412, NIL NIL NIL with Financial Institutions, Rs.1,000/- Rs.40,000/- Non Banking Financial Companies and Cooperative Societies and Savings. the amount in each such HDFC, deposit. Hayathnagar Br, Ac/No.501000 LM44t68 Rs.10,000/-

() Details of Investment in Bonds, Debentures/ shares and units in companies NIL NIL NIL NIL NIL Mutual Funds and others and the amount.

(v) Details of Investment in NSS, Postal Savings, Insurance Policies and NIL NIL NIL NIL NIL Investment in any Financial Instrument in Post oFfice or Insurance Company and the amount

(v) Personal loans/ advance given to any person or entity including firm NIL Company, Trust etc., and NIL NIL NIL NIL other receivables from debtors and the amount. (vI) Motor Vehicles / Aircrafts/ Yachts/ Ships (details of Skoda Rapid Make, Registration No.etc, Vehicle No. NIL NIL NIL Year of purchase and TSO8E83333 amount) Model : 2013 Rs.8,00,000/-

Bullion and Gold Gold (v) Jewelry, NIL valuable thing (give details 5 Tulas 10 Tulas NIL of weight and value) Rs.1,25,000/- Rs.2,50,000/- NIL

NIL NIL NIL (viii) Any other assets such as NIL NIL value of claims/Interest

NIL NIL (x) Gross total Value Rs.2,36,000/- Rs.11,40,000/- NIL

B. Details of Immovable assets:

(Note: 1. properties in joint ownership indicating the extent of joint ownership will also have to be indicated.

2. Each land or building or apartment should be mentioned separately in this format.)

Sl.No Dependent- Dependent- Description Self Spouse 1 Dependent-2 3 o AEriculture Land Sy.No.74, (Location(s) Survey NL Situated at rrr r NL NL N umber(s) veliminedu Village,

Chitya I Mandal, Nalgonda Dist Area (Total measurement in NL Ac.1-11 Gts NL NL NL acreq) Whether inherited proPertY NL NO NL NL (Yes or No) NL

Date of purchase in case of 2013 self acquired proPerty NL NL NL NL Cost of Land (in case of purchaser) at the time of NL Rs.6,00,000/- NL NL NL

Any investment of the land by way of develoPment, NL NL NL NL NL construction etc. Approximate current market Rs.7,00,000/ va lue NL NL NL NL o NON Asriculture Land (Location(s) Survey NL NL NL NL NL Nr rmhcrls) Area (Total measurement in Sq. Ft) NL NL NL NL NL Whether inherited property (Yes or No) NL NL NL NL NL

Date of purchase in case of self acquired property NL NL NL NL NL )f fn

,

purchase) at the time of NL NL NL NL NL purchase

Any investment of the land by way of development, NL NL NL NL NL construction etc.

Approximate Current market value NL NL NL NL NL

Commercial Buildinss ) (including apartments) NL NL NL NL NL Location(s) Survey number(s)

Built up area (Total NL NL NL NL NL measurement in Sq.Ft)

Whether inherited property NL NL NL NL NL (Yes or NO)

Date of purchase in case of self acquired property NL NL NL NL NL

Any investment on the property by way of NL NL NL NL NIL development, construction etc

Approximate Current Market Value NL NL NL NL NL

(v) Residential Buildinss (lncluding Apartments) Location(s) NL NL NL NL NL Survey number(s)

Area (Total measurement in Sq.Ft) NL NL NL NL NL

Whether inherited property (Yes or No) NL NL NL NL NL

Date of purchase in case of self acquired property NL NL NL NL NL Cost of property (in case of purchase ) at the time of NL NL NIL NL NL purchase

Any investment on the land by way of development, NL NL NL NL NL construction etc

Approximate Current Market Value NL NL NL NL NL

(v) Others (such as interest in N property) NL NL NL NL

(v) Total of current Market Value of (i) to (v) above NL NL NL NL NL

\grE ai7 .t,

6. I give herein below the details of liabilities/ dues to public financia! institutions and Government :-

(Note : Please give separate details of name of Bank, institution, entity or individual and amount for each item)

Sl.No Dependent- Dependent- Description Self Spouse 1 Dependent-2 3 o Loan or dues to Bank/ Car Loan Financial lnstitution(sl 1) HDFC Bank, Hayathnagar, Name of Bank or Fl NIL Branch, Amount HYDERBAD, NL NL Rs.4,00,000/- outstanding Nature NL of Loan Loan or dues to any individuals/ Entity other than mentioned in (i) NL NL NL NL NL above. Name(s) Amount outstanding Nature of loan Any other Liability Rs.15,00,000/- NL NL NL NL Grand total of Liabilities Rs.15,00,00,000/- Rs.4,00,000/- NL NL NL

o Government Dues : Dues to departments dealing with government NL NL NL NL NL accommodation Dues to departments dealing with supply of NL NL NL NL water NL Dues to departments dealinS with supply of electricity NL NL NL NL NL Dues to departments dealing with supply of NL telephones/ mobiles NL NL NL NL Dues to departments dealing with government NL NL NL transport (including NL NL aircrafts and helicooters) lncome Tax Dues NL NL NL NL NL Wealth Tax dues NL NL NL NL NL Service Tax Dues NL NL NL NL NL Municipal / Property Tax Dues NL NL NL NL NL Sales Tax Dues NL NL NL NL NL Any other dues NL NL NL NL NL Grant total of all Govt. -Qyes NL NL NL NL NL

I

7. Details of profession or occupation :

a. Self : BUSINESS

b. Spouse : HOUSEWIFE

8. My educationa! qualification is as under:

SCHOOL SECON DARY CERTIFICATE

From LAYOLA MODEL HIGH SCH00L, , Hyderabad, Telangana.

9. ABSTRACT OF THE DETATLS GrVEN rN (1) TO (8) ABOVE:

1. Name of the candidate DINDU PRAVEEN GOUD

2 Full postal address H.No.4-9-20/5, Colony, Hayathnagar, R.R Dist, Telansana-501 505. 3. Number and Name of the Ward of Municipal WARD No.13 Corporation and District. HAYATHNAGAR 4 Name of the Political Party which set up the TELANGANA RASHTRA candidate [otherwise write'lndependent') SAMITHI 5. [a) Number of cases in which conviction order Nil passed.

[b) Total number of Pending cases where the court(s) NiI have taken cognizance 6 PAN OF Year for Total which last Income Income Tax Shown Return filed

[aJ Candidate : .

'l t t-J- [b') Spouse i .)'( LL )J N rt-t- Nil Nil (c) Dependents N tt-t-

.ljCil Vt tP,

T * J2 /, 1l\ tL

7 Details of Assets and Liabilities in rupees

Deponent- Deponent- Description Self Spouse Deponent- I ) 3 A Movable Asset (Total Rs.2,36,OOO/- Rs.11,40,000/- Nil Nil Nil Value'l B Immovable Asset (Total NIL Rs.7,00,000/- Nil Nil Nil Value) (,) Purchase Price and Development Cost of Immovable Nil Nil Nil Nil Nil Property (Total Valuel () Approximate Current Market Nil Nit Nil Nit Nil Price ofAsset (Total Value) Rs.2,36,000/- Rs.18,40,000/- Nil Nil Nil I Liabilities Rs.15.00.000/- Nrl Nil Nil Nil [iJCovernment dues Nil NI Nil Nil [Total) Nil (ii) Loans from Bank, Financial Rs.3,00,000/- NI Institutions and Nil Nil Nil 0thers [Totall 9. Highest educational qualification:

Passed SSC in the year of 19BB-89, through Layola Model High School, Vanasthalipuram, Telangana.

VERIFICATION

I, 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, no part of it is false and nothing material has been concealed there from. I further declare that:

(a) There is no case of conviction or pending case against me other than those mentioned in items 3 and 4 above; (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 5 and 6 above.

Verified at Hyderabad this the )uV of January ZOt6.

Lb fuu"nqa'&

r oFFICE OF THE NO.13 - HAYATH NAGAR' ,#ffi r,.s.N;AAR crRcLE MUNTcIPAL coRPoRATIoN' UtLrt*' \7 ! r t t t ll a r t ! l ! r r t a ! t t lt lt t al la !

Receipt No.

towards deposit to the office of

Member in GHMC.

Signatu Ward yath Nagar, Circle No. 3A' .Nagar, GHMC. -l

,'t:l FORM-IV

[See rule 5]

This nomination paper for the Election to the Office of Member of the Municipal

ivered at my OfIice

* Strike offwhichever is inapplicable. tl