No.4-9-20L5, Mother Dairy Road, Hayathnagar, Ranga Reddy District, Telangana
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-/ SCHEDULE A-GHMCACT, FORM 8 Nomination Paper ? (See Section 36) as amended ELECTION TO THE GREATER HYDERABAD 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, Ranga Reddy District, Telangana. 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.