FORM 2A (^See mle 4) NOMINATION PAPER . Election to the House of the people z44rt e/- r: lsl-) I oslHpl^m\e"
:
STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOTAPPLICABLE
(To be used by candidate set up by recognised political party)
Constituency.
".g";^;- a v T1,., I &l. ,3'u t1 Date Signature of Proposer PART II (To be used bY cafldidate NOT set uP b ised political partY)
of the People from the.... We hereby nominate as candidate for eiection to the Parliamentary C onstituencY Candidate's name. Father's/mother's/husband's name...... """"His postal address 'l
of the electoral His name is entered at S.No....""""""""in Part No' y constituency compris.ed within)
y and our riames are W.e deolare that we are electors of the above Parliamentary as indicated below and we entered in the electoral roll for that Parliamentary Consti append our signatures below in token of subscribing to this Particulars of the proposers and their s
Sl.no:
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N.B.- There should be ten electors of the constituency as proposers. 2 N/P- PART III I' the candidate mentioned in Part ,y*((Strike out which is not applicable) assent to this nomination and hereby declare--
(a) that I am a citizenof India and have not acquired the citizenship of any foreign State/country.
that I have (b) complered...... 6.0...... years of age; ISTRIKE OUT c(i) or c(ii) BELOW WHICHEVER rs Nor APPLTCABLE] (c) (r) that r am set up at this election by the.... ItJ,rn* cauma- parry, which is a recognised National Parfy/State Party in ^lC?.'M.this State and tt ut [" symbol reserved for the above.party be allotted to me. o
(c) (ii) that I am set up ?t this elefon by the parfy, which is a regiStered- ised politic al pafi/that I am contesting this election as an independent /ndidate.'(Strike out which is not applicable) and that the symbols I have in order of preference, are:-
(d) that my name and my father's/mother'slhusband's name have been correctly spelt out above i"..WeI*-..... (name of the language);
(e) that to the best of my knowledge and belief I am qualified and not also disqualifled for being chosen to fill the seat in the House of the people.
relation to...... Mntt.,.f*"uj in thar State.
! I also declare that I have not been, and shall not be nominated as a candid ate atthe present general election/the bye-elections being held simultaneously, to the House of the People from ! more than two Parliamentary Constifuencies.
3 .&o Ig nut.....8.{. Sigffiture of Candidate
TScore out thewords "assembly constituency comprisedwithin" in the case of Jammu and Kashmir,
Andaman and Nicobar Islands , Chandigarh, Dadra and Nagar Haveli, Daman and Diu and Lal 3 *Score out this paragraph, if not applicable' **Score out thewords not applicable' N.B.-A,,recognisedpoliticalparty|,mennsapoliticclpartyrecognisedbytheElectionCommission Allotment) Orderi 1968 in the State concerned' under the Election Symbols (Reservation and PART IIIA (To be fitled bY the candidate) (1) Whether the candidate- (D has been convicted- (a) ofany offence(s) under sub-section (1); or (2), of section (b) for contravention of any law specified in sub-section (43 1951); or YesA'{c 8 of the Representation of the Pebpl'e Act, 1951 of which he has been (ii) has been convicted for any other offence(s). for sentenced to imprisonment for two yearS or more' "Yes", the candidate shall furnish the following informatiort: If the answer is : (i) Case/first information report No'A{os" " for u'hich (iii) Section(s) of the concerned Act(s) and brief description of t e offence(s) he has been convicted ...... l\/..A (,v) Date(s) of conviction(s) ...... [l.A (v) Court(s)whichconvictedthecandidat6..... M &...... ' x (vr) Punishment(s) imposed findicate period of i t(s) aird/or quantum o{' fine(s)1. Nl.* NI (vii) Date(s) of release from prison...... '.Y. ,\l. (viii) Waslw eryany appeal(s)/revision(s) fi led against above viction(s)...Nf .... /\ YesAio M-4g- (ix) Date and parricurars of appeat(s)/application(s) for revision fired. ....M.|t (x) Name of the court(s) before which the appeal(s/application(s) --:"urvs for revision fiied. . ..M.fi- ...... -. .:...::...... -...... :.:l...... (xi) whether the said appeal(s/application(s) for revision has/have been dispo."o is/are pending...... oro, : A/ ft lltav ebeen disposed of- (a) Date(s) of disposat l\l.fr.. (b) Nature of order(s) passed. .M.fl: whether @ the candidate is holding.any office of profit under the Govemment of India or State Government?...... lVegnf6; ,r/ (3''i whether the canditlate has been declared insolvent by any court?...... :.. (yes/Irlo) -If Yes,,has he been discharged from insolvency...... 0!m (4) wnetnyz$e candidate is under allegiance or adherence to any foreign country?...... (YesAI.o) -If Yes, give details . NIt.k (5) Whether the candidate has been disqyntffied under section 8A of the said Act by an order of the Presidenti. 1verffi -' -If Yes,.the perio.d fo.r rvhich disqualified.... . nf ' .4. (6) Whether the candidate was dismissed for comrption or for disloyairydisloyaity *'hilewhile holdjnotg*goffice under the Government of India or the Government of any State? ...... (yesAfo) -iri.r, irrc date of such dismissar...... M:. t..... (7) Whether the candidate has any subsisting contract(s) fyith the Government either in individual capacity or by trust or partnership in which the candidate has a share for supply of any goods to that gr6*^"nt or for execution of works undertaken by that Government?...... (YesA[o; -IfYes, with which Government and details of subsisting contract(s). . .. . ft 'f (8)Whetherthecandidateisamanagingagent,orrlanagerorSecretaryofanycompany orCorporation(otherthana,oo,**elcieu]inthecapitalofwhichtheCentral than twenty-five percent share?"""""' state Government has not less Governrp6t--/ or (Yes/no) INAY: ::"::::::*:::"1:T:"-'.:::::.'re" 10A of the by the commission under section whether.the candidat ehasbez,Kwalifietl (g) i (YesNo) said Actt:...... ] -If yes, the date of disqualification' ''{'f- t W . a t. Signature of candidate 1 Place: .P\fi?:k \J I ! t Date: . r)" t1 , '..s.,10 i PART IV (To be filled by the Retuming Officer) seriat No. of nomination paper ..0{..tf/X.f.f f 1.9 This nomination was delivered to me at my office u*.....t,.1-g.t(hour) *..*.t{.attf...., (date)bytheltg4ndid41olhr€po€€r.(nameofproposer...... ) ! @/.-- Retuming Officer . PART V Decision of Returning OfficerAccepting or Rejecting the Nomination Paper I have examined this nomination paper in accordance with section 36 ofthe Representation of the People Act, 1951(43 of 1951) and decide as follows:- Returning Officer (Perforation) ...... crorool o eeodbd,E'err*r stvr ANDHRA rRADEsH G' :i- ..t. cH.sfihiqTfrm,on {94o.i:"e- &l:oB-Boq, . ,*. frlo. o8-.81s-ClOl.i 2013 \,,,,, ]. 1 9'20?1 IS-*Sr- <\o g{srsa-\Gcn . R.l-.irjo. 08-8 18-OO3/20 Susr\\" 1 P0rl-lCE Otr ARTERS, 0NCIJLE'523 002 ' ..r 0.N0. 35"1 {31551 3), lt,. i ,, " uk Cell: 9985336574 Form 26 (See rule 4A) AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONG WITH NdumaTIoN PAPER BEFORE THE RETURNING OFFICER FOR ELECTTON TO LOK-SABHA (HOUSE OF THE PEOPLB) FROM I5.BAPATLA (SC) PARLAMENT CONSTITUENCY (NAME OF THE CqNSTITUENCY) PART.A s I, Smt. JESUDASU SBELAM, Son of ABRAHAM, Aged 67 Years, resident ofBIt.Xo.3, Sai Apartments (Towers) 4th Line, Brundavan Gardens, Guntur, Gqntur District, (mention full postal address) a candidate at the above election, dohereby solemnly affirm and state on oath as under : 3',*rE .,fi;*- \ (1) I arn a candidate set up by the "INDIAN NATIONAL CONGRIISS" (xxnarne of the political party) / x*am contesting as an lndependent candidate. (strike out whichever is not applicable) (2) My name is enrolled in 93 - PRATI{IPADU CONSTITUENCY, A.P. STATE (Name of the Constituency and the state), at Serial No.592, In Part No.240. (3) My contact telephone number(s) is Motrile No.9868181113 and my e- mail id (if any) is email id [email protected] and my social media account(s) (if any) is/are (D Whatsapp No.9868181113 (iD Nil (iii) Nir (4) Details of Permanent Account Number (PAN) and status of filing o1' Income Tax return. S1.No. Names PAN The Total lncome shown in financial Income Tax Return (in year for rupees) for the last fir,e which the financial year completed last Income- (as on 31't March) tax return has been filed 1 Self ALSPS4793B 2013-14 (i) 19,82,7801- (JESU DASU 20t4-15 (ii) 18,2r,4301- SEELAM) 2015-16 (iii) 23,45,3501- 2016-17 (iv) 17,45,9101- 2017-18 (") 17,52,9201- 2. Spouse AELPS7359P 2013-14 (i) 25,86,3301- ( Sujatha 2014-15 (ii) 2,27,6101- Seelam) 2015-r6 (iii) 2,79,3401- 2016-17 (iv) 3,66,3601- 6 a\ -\re t 2017-r8 (v) 3,17,2501- + 6E- 'dPt HN + h^49- ..=I J.a HLiF (rf (i) Nit candidate is Nit NiI (ii) Nil Karta I Coparcener) ( iii) Nit (i") Nit (v) Nit 4. Dependent (i) Nil (ii) Nil Nil Nit (iii) Nit (iv) Nil (v) Nit 5. Dependent 2 (i) Nil (ii) Nit Nil Nit ( iii) Nil (iv) Nil (v) Nit 6. (i) Nir (ii) Nit Dependent 3 Nil Nit (iii) Nit (irr) Nir (") NiI Note : It is mandatory for PAN holder to mention PAN and in case of no PAN. It should be clearly stated "No PAN allotted" (5) Pending Criminal cases @ I declare that there is no pending criminal case against me. (Tick this alternative if there is no criminal case pending against the Candidate and write NOT APPLICABLE against alternative (ii) below) OR '9#;& ,lowing criminal cases ur. p.?rding against me-Not Applicable EI sct, k*!e (If there are pending criminal cases against the candidate, then tick this alternative and score off alternative (i) above, and give details of all pending cases in the Table below) Table (a) FIR No. with name address of Not Applicable and Not Applicable Not Applicable Police Station concerned Case No. with Not Applicable Not Applicable Not Applicable Name of the Court (b) (c) Section(s) of Not Applicable Not Applicable Not Applicable concerned Acts /Codes involved (give no. of the Section, e.g. Section of IPC. etc.). (d) Brief description of Not Applicable Not Applicable Not Applicable offence (e) Whether charges Not Applicable Not Applicable Not Applicable have been framed (mention YES or NO) (0 If answer against (e) Not Applicable Not Applicable Not Applicable above is YES, then give the date on which charges were framed (e) Whether any Not Applicable Not Applicable Not Applicable Appeal / Application for revision has been filed against the proceedings (Mention YES or NO) 4 (6) Cases of conviction ,'..-- (i), I declare that I have not been convicted for any criminal offbnce. (Tick this alternative, if the candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below) OR (ii) I have been convicted for the offences mentioned below : NOT APPLICABLE. (If the candidate has been convicted, then tick this alternative and score off alternative (i) above, and give details in the Table below) Table (a) Case No. Not Applicable Not Applicable Not Applicable (b) Name of the Court Not Applicable Not Applicable Not Applicable (c) Section(s) of Not Applicable Not Applicable Not Applicable concerned Acts /Codes involved (give no. of the Section of IPC. etc.). (d) Brief description of Not Applicable Not Applicable Not Applicable offence for which convicted (e) Dates of orders of Not Applicable Not Applicable Not Applicable conviction (0 Punishment Not Applicable Not Applicable Not Applicable imposed (e) Whether any Not Applicable Not Appticable Not Applicable Appeal has been filed against the conviction order (Mention YES or NO) 'answer to (g) Not Applicable Not Applicable Not Applicable DU:s YES, give Zrst ffig"a present ; -}'n. 5 ol P 9t-/ * W \ F tbI (6A) I have given full and up-to-date information to my political party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and (6). Not applicable. [candidates to whom this ltem is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i), abovel Note : 1. 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.€., the latest case to be mentioned first and backwards in the order of dates for the other cases. 4. Additional sheet 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 2011. (7) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all dependents. A. Details of movable assets : Note: 1. Assets in joint name indicating the extent ofjoint ownership will also have to be given Note: 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. Note: 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. Note: 4. 'Dependent means parents, son(s), daughter(s) of the candidate or spouse and any other person related to the candidate whether by blood or marriage, who have no separate means of income and who are dependent on the candidate for their livelihood. Note: 5. Details including amount is to be given separately in respect of each investment. Note: 6. Details should include the interest in or ownership of offshore assets. Explanation : For the purpose of this Form, the expression "offshore assets" includes, details of all deposits or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabilities in foreign countries'; Description elf pouse t Depe Depe Dep o. I Nden nden nde l t-l t-2 t-3 i) Cash in hand 1400560 67s109 VA NA NA NA ii) Details of deposit in 314706 580120 VA NA NA NA Bank accounts 1 .syndicate bank- Rs.330 1 l.andhara bank - (FDRs, Term Z.andhrabank- Rs.7422 Rs.1045 3.karnataka state apex bank- 2.axis bank Deposits and all other -Rs.3059 Rs.1275 3.indian bank Guntur types of deposits 4.state bank of india- Rs,1 128 -Rs.1575 including saving 5.state bank of Patiala- Rs.1264 4.sbi elamanchelli - accounts), Deposits 6.sbi parliament house-Rs. 1 58344 Rs.35454 with Financial 7.sbi rail bhavan- Rs.5044 5.sbi rail bhavan - Institutions, Non- 8.sbi Guntur- Rs.6884 Rs.18390 9.deposit with service 6.sbi delhi- 190662 Banking Financial civil institute 194 7.sbi brindavan Companies and -Rs.71 1 0.electricity deposit -Rs. 1 6655 garden -289783 Cooperative societies l l.deposit with metro politan club 8.sbi bangalore - and the amount in -Rs.30000 Rs.l395 each such deposit 1 2.telephone deposit- Rs.2945 9.syndicate bank - I 3.mysore development authority Rs. I 191 -Rs.5100 1 0. electricity deposit l4.silver city project membership -Rs.34441 -Rs.3000 1 l.telephone deposit I 5.acro co-operative house -Rs.3000 building society -Rs.l 150 l2.deposit In cooperative society- Rs.125 iii) Details of investment 9266194 11486451 NA NA \A NA in Bonds, l.share capital in palnadu solar l.share capital in Debentures/Shares power plant pvt ltd -Rs.9000000 palnadu solar power and units in 2.GPF- Rs.198126 plant pvt ltd - companies / Mutual 3.IDFC- Rs.20000 Rs.10500000 Funds and others and 4.metrapolitan society shares - 2.annaporna hydro the amount. Rs.2400 power plant - 5.NHPS shares -Rs.25668 Rs.102000 6.UTI MEP- Rs.20000 3.aruna sugars - Rs.9100 4.canarabank mutual funds -Rs.10000 5.GIC mutual funds -Rs.20000 6.IDFC bonds - Rs.3500 7.IFCI- Rs.3500 -. 8.other investmeuts [.. - N?- Rs.58134 il%ua&*N 'lr 9.modren synthetic - wvh ffW' MdzL-- 60s0 0.investment in p- rax -Rs.730323 l.nagarjuna srtilizers -Rs.7344 2.SBI magnum - !s.10000 3.UTI master gains Rs.16500 iv) Details of investment 572756 293374 NA NA \IA NA in NSS, Postal 1.LIC jeevan dhara -Rs.2000 1.PPF -Rs.293314 Saving, Insurance Z.LIC mutual finds -Rs.2000 Policies and 3.PPF SBI Rail Bhavan Br., New investment in any Delhi Rs.502000 Financial instruments - 4.PPF(SBM), Vidhan Sowdha Br. in Post office or Bangalore - Rs.66756 Insurance Company and the amount (v) Personal \it 270696t NA NA NA NA loans/advance given l.loan to palnadu to any person or entity solar poer plant pvt including firm, ttd -Rs.2010961 company, Trust etc. Z.loan to annaporna and other receivables hydro power plat - from debtors and the Rs.696000 amount. vi) Motor 1521530 752706 NA NA NA NA Vehicles/Aircrafts/ l.volswagan car -Rs.87 1729 [.honda amaze - (Details Yachts/Ships 2.honda city car -Rs.649800 R.s.752706 of Make, registration number. etc. year of purchase and amount ) vii) Jewellery, bullion and Nir 5330139 NA NA NA NA valuable thing(s) 1.gold ornaments - (give details of Rs.73917 weight and value) 2.ornaments from mother - Rs.5248000. 3.silver jewelry - Rs.11 4.silver articles - Rs.8211 viii) Any other assets such 186540 48979 NA NA NA NA as value of l.computer -Rs.12560 l.house hold articles claims/interest 2.furniture & fixtures -Rs.142630 -Rs.43964 3.nokia mobile -Rs.3 1 350 2.sewing machine - Rs.5015 ix) 1,50,24,211 2148,31,458 8 W { Details of Immovahle assets: Note: 1. Properties in j.oint ownership indicating the extent ofjoint ownership will also have to be indicated Note: 2. Each land or building or apartment should be mentioned separately in this format Note: 3. Details should include the interest in or ownership of offshore assets. S. No Description Self Spouse H Depen Depe Depe U dent-1 nden ndent F t-2 -3 i) Asricultural Land ll.Agricultural land at ll. Agricultural Land at NA lNa Ne IPusulur Vill. Location(s) lGangadipalem f^ Survey lle.da.,undipadu fi.epalle Mandal, Guntur number(s) lMandal), Guntur Dirtt., lDistrict, AP. Sy.No. 111614 lSy. No.271ll6,{ 2. Agricultural Land at lMeasuring 0.56 acres Gangadipalem Vill. l{Cu.."nt market value) Repalle Mandal, Guntur 8.s.8,00,000/-. Distt. I Sy.No. ll00l2, I 2. Agricultural Land at 3. Agricultural Land at B.K.Palem (Kakumanu Yalamanchili village of Mandal), Guntur Yalamanchili mandal, District, AP West Godavari Dist. Sy. No.3l2 SY. No.33612,3,6.7,8 & Measuring 0.50 acres 33813,34618,38617 , (Current market value) 38713 Rs.7.5 laks 4. Agricultural Land at lnumella Village, Ipur 3. Agricultural Land at Mandal, Guntur District Kamarajugadda Vill. SY no: 48811,2,3 & Repalle Mandalam, 488135, Guntur Distt., AP Sy. No.1123/3, Measuring 1.55 acres acquired on lease cum sale for Prawn cultivation from Kokkiligadda Nageswara Rao, ;1 S/o. Venkata Rayudu !lo On 06-02-1989 for consideration of 9 il9l Rs.5,600/-. I dffi #w Agricultural Land at ngadipalem, hantinagaram Hamlet, le Mandalam, AP ntur Distt. y.No. lll5ll easuring 2.49 acres uired from Madduri iah, S/o. Yellaiah lease cum sale for .wn cultivation. 06-02-1989 for ideration of s.5,780/- Agricultural Land at ewaridibba Hamlet), .gadipalem R ill. Repalle , Guntur istt., AP y.No. 112411 easuring 1.36 acres ired from Lanke enkateswara Rao, o.Jagannadham on I 5-03-1989 for a ideration of s.2,1761- Agricultural Land at ewaridibba [{amlet), ipalem R ill. Repalle andalam, Guntur istt., AP y.No. 112412 casuring 1.36 acres uired from Lanke enkateswara Rao, o.Jagannadham on I 5-03-1 989 for a ideration of s.2,1761- 7. Agricultural Land tP Inumella Villa I Mandal, vinukonda Sr Registrar, Guntur District SY no: 48811,2,3 & +88/35 measuring l0 rcres purchased on \0-07-2012 for a :onsideration of ls. 13,82,480/- current market value) ts.90 lakhs l. Drip Irrigation rrovided for \gricultural lands in \014 at a cost of Ls.1,25,1251- l. Agricultural Land at numella Village, Ipur lfandal, vinukonda Su] i.egistrar, Guntur )istrict . ,Y no: 48814,468136 t 37 measuring 0.05 cres on 03-12-2014 cr a consideration of i.s.8, 1 7,3 1 5/- (current rarket value) is.45,45,000/- Area (total l.measuring 0.56 Acres 1. measuring1.26 Acres NA NA NA A measurement in 2. measuring 0.50Acres 2. measuring2.00 Acres acres) 3. measuring 1.55 3.measuring3.8l-l12 Acres cents 4. measuring2.49 4.measuring 9Acres Acres 5. measuringl.36 Acres 5. measuring 1.36 Acres T.measuring l0Acres 3.Nil ).measurine 5.05Acres ffi 1.7 Whether inlierited l.Yes l.No property NA NA NA NA 2.Yes 2.No (Yes or No) 3.No 3.No 4.No 4.No 5.No 5.No 6.No 7.No 3.No ).No Date purchase of in case ll.Nir 1.04.1l. r 989 NA NA NA NA of self - acquired property lz.Nl 2.04.11.1989 b.oo.oz. rqsq 3.28.07.2012 l.oa.oz.rsto 4.30.07.2012 5.15.03.1989 5.29.03.20t4 6. 1s.03. I 989 7.30.07.20t2 8.Nil 9.03.12.2014 Cost of Land (in case of l.Nil 1.44t0 NA NA NA NA purchase) at the time of 2.Nil 2.7000 purchase 3.5,600 3.1907s00 4.5780 4.976600 5.2176 5.43t6660 6.2t76 7.1382480 8.125125 ).8t7315 Any Investment on the NA NA NA NA land by way of development, construction r r etc. Approximate Current NA NA NA NA market value z. ). 1. Y 9 Lakhs per Acre ii) Non-Agricultural Land l.Residential Site at 1. Residentail Site at NA NA A NA Mantripalam Vill. Agathavarapadu Location(s) Lankalapalam, Sabaripal a village, Near Guntur Survey nurnber(s) Mandal, Visakhapatnan-r 2. Residential Site at District, Plot No. 240 Pothina Mallaya Survey number(s): 154/2 Palem (Madurawada) 2. Advance paid on in Visakhapatnam 20.3.2008 for acquirinq a 1.2 W idential sitc in MPs & urvey number(s) 's Indira Mutual ing Society at . Residential Site at igattam Vill. hayat & Mandal, izianagararn istrict, Plot No. 34 urvey number(s): t77 & 178 . Residential Site at igattam Vill. anchayat & Mandal, izimragararrr istrict, Plot No. 35 r77 &t78 . Residential Site at antripalam Vill. abbavaram Mandal, isakhapatnam strict, Plot No. 240 y. Nos. 15412 . Residential Site at vari Enclave, ari District, Sy. Nos.129, 145, 150/P, t5t &,t5412 . Resdidential Site otimallaya palem Madurawada, in isakapatnam y. Nos.8/l . Residential Site at alamanchali Vil Yalamanchali . Nos. 33618 Area (total measurement l.measuring 22 Cents ll .measuring I l70sq.y Nn Na NA NA in sq. ft.) 2.Nil lds. 12.measuring poosq.yds 3.measuring 25Osq.yds 4.measuring 200sq.yds 5.measuring22cents 6.measuring 333sq.yds T.measuring 300sq.yds E.measuring 484sq.yds Whether inherited 1.No l.No NA NA NA NA property 2.No 2.No (Yes or No) 3.No 4.No 5.No 6.No 7.No 8.No Date of purchase in case 1.22.t2.2001 1.0t.02.t996 NA NA NA NA of sclf - acquired property Z. )_.26.02.1986 ).26.03.2003 +.26.03.2003 t.22.12.2007 5.25.09.2006 7.22.06.1986 Cost of Land (in case of t.265110 1.80356 NA NA \A NA purchase) at the time of 2.50t250 2.10011 purchase 3.2t9200 4.175200 5.2641t0 6. l 09600 7. l 800000 8.242000 Any Investment on the l.No l.no NA NA NA NA land by way of 2.NO 2.no devel oprnent, construction 3.no etc. 4.no 5.no 6no 7.no 8.no 14 W Approxirnate current Rs.1,52,35.857/- l. 35,00,000 NA NA NA NA market value 2. 19,00,000 3.12,00,000 4.10,00,000 5.10,00,000 5.7,00,000 7. 3.2,42,000 |(iii) Commercial Buildings NA NA NA NA \IL NIL (including apartments) -Location(s) -Survey number(s) Area (total measurement NIL NA NA NA NA in sq. ft.) \II, Built-up Area (total \IL NIL \A NA \A \IA measurement in sq.ft.) Whether inherited \IL VA NA NA \IA property \IL (Yes or No) Date of purchase in case NIL \IL NA VA NA \A of self - acquired property Cost of property (in case \IL NA \IA NA NA of purchase) at the time of NIL purchase Any Investment on the \IL NIL \A NA \IA NA property by way of development, construction etc. Approximate current NIL \IA NA \IA VA market value \II, (iv) Residential Buildinqs f .interest in dwelling 1.3 bed room flat at NA \IA NA NA (including apartments) : house pusuluru village in bhanu enclabe in -Location (s) Guntur district. Hyderabad -Survey number(s) 2.two bed room flat in rail 2.2bed room flat at vihar gurgoan I laryana. alpine apartments in J.house at HSR layout , ballary bangalore Area (Total measurement I.NA 1.1610 sq ft NA NA NA NA in sq. ft) Z.795sqft 2.950 sq ft 1.3575sq ft Built up Area (Total NA 1.1.1610 sq ft \A NA \IA NA measurement in sq. ft.) 795sq ft 2.950 sq ft 3575sq ft Whether inherited yes l.no \A NA \A \A property NO 2.no (Yes or No) no 15 W Date of purchase in case I.NA 1.26.03.1991 NA NA NA NA of self- acquired property 2.23.t0.1996 2.06.10.1991 1.02.03.1995 Cost of property (in case I.NA .569000 \A NA NA NA of purchase) at the tirne of 2.4,64,614 .674326 purchase 3. 1,80,200 Any Investment on the I.NA 1.no NA NA NA NA land by way of 2.NA 2.no 3.yes(building development, construction - Rs.99,01,078) etc. Approximate current 1.2,00,000 1.40,00,000 NA \A NA NA market value 2.35,00,000 2.18,00,000 ).3,79,01,078 (v) Others (such as interest in 1.NA. 1.NA NA NA \A NA 2.NA 2.NA property) .vi) Total of current market Rs.5,68,36,935/- Rs.2,97,05,000/- \A \A NA \A value of (i) to (v) above (3) I give herein below the details of liabilities/dues to public financial institutions and government:- (Note: Please give separate details of name of bank, institution, entity or individual and amount before each item) 5. Description Self Spouse HUF Depend Depend Depen \o. ent-1 ent-2 dent-3 i) Loan or dues to 68,96,498 \il NA \iA NA NA Bank/Financial Lhousing loan (on NA \A NA NA Institution(s) bangalore property) - Rs.3549501 or Name of Bank 2.housing loan(SBI)- Financial Institution, Rs.3346997 Amount outstanding, Nature of loan Loan or dues to any Nit Nil NA NA NA NA other individuals/ entity NA NA NA NA other than mentioned above. Name(s), Amount outstanding, nature of loan Any other liability 12,go,oo0 1,66,000 \IA \A NA NA l.rental advance - HSR l.rental advance property -Rs. I 200000 -Rs.166000 2.rental advance - zursoan -Rs.80000 GrandJotaL of liabilities 1,76,498 1,66,000 A A VA \A I ,./58*. ffi 16 Government Dues: (A) Has the Deponent been ,/ - "*"p"lro" of [' Dues to departments accommodation provided by the Government at YESA{O dealing with any time during the last ten years before the Govemment date of notification of the current election ? accommodation (B) If answer to (A) above is YES, the following declaration may be furnished namely:- (i) The address of the Government accommodation: NOT APPLICABLE (iD There is no dues payable in respect of above Government accommodation, towards- (a) rent; Not Applicable (b) electricity charges; Not Applicable (c) water charges; and Not Applicable charges as on t ,, T:Til", [the date should be the last date of the third month prior to the month in which the election is notified or any date thereafterl. Note- 'No Dues Certificate' from the agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted. iii) Dues to department dealing )0 l0 NA \A NA A with Government transport 'including aircrafts and relicopters) .-r:*.- r{Yffiffifl*!i ffi 17 W roxffi"ob(#''Qif,ff/ Self Spouse HUF Dependent-l Dependent-2 Dcpendent-3 (iv) Income Tax dues \il \il NA NA NA A Iv) GST dues Nil Nil \IA NA NA A vi) Municipal/Property tax Nil Nil NA \A NA A dues vii) Any other dues Nil \til \IA NA VA A (viii) Grand total of all \il \il NA NA NA A Government dues Whether any other Nil Nil NA A NA A (i*) liabilities are in dispute, if so, mention the amount involved and the authority before which it is pending. (4) Details of profession or occupation: (a) Self : PUBLIC SERVICE (POLITICAL ACTIVITY) (b) Spouse HOUSE WIFE & ENTREPRENUER (9A) Details of source(s) of income: (a) Self : RENTAL INCOME, PENSION INCOME (b) Spouse: RENTAL INCOME, OTHER INCOME LIKE BANK INTEREST INCOME ETC., (c) Source ol incorne, if any, of dependents NA (9B) Contracts with appropriate Goverrment and any public company or companies (a) details of contracts entered by the candidate NA details of contracts entered into by spouse NA ils of contracts entered into by dependents NA ils of contracts cntered into by Hindu Updivided F-aniily or trust in which the [+ -\. $)/ ?ii+ candidatc or spouse or dependents have interest NA (e) details ol-contracts, entered into by Partnership Finns in which candidate or spouse or dependents are partners NA (0 details ol contracts, entered into by private companies in which candidate or spouse or dependents have share NA (5) My educational qualification is asunder: M.Sc., ANDHRA UNIVERSITY, WALTAI& l;{.Ay 1977. (Give details of highest School / University education rnentioning the full form of the certificate/ diploma/ degree course, name of the School lCollegel University and the year in which the course was cornpleted.) PART _ R (11). ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART - A: 1 Name of the candidate Shri. JESUDASU SEELAM Full postal address lI.No.3, Sai Apartments (Towers) 4th Line, Brundavan Gardens, Guntur, Guntur District Number and name of the Is.BAPATLA (SC) PARLAMENTARY constituency and State CONSTITUENCY, ANDHRA PRADESH Name of the political party which set up INDIAN NATIONAL CONGRESS the candidate (otherwise write 'Independent') 5. Total number of pending criminal cases NIL c. Total Number of cases in which NIL convicted PAN of Year for which last Income Total Income Shown Tax Return filed a) Candidate A.LSP54793B 2017-18 17,45,910 'b) Spouse A.I,EPS7359P z0l7-r8 3,17 ,250 c) HUF !A !A ,IA 'd) Dependent \tA {A {A 8. Details of Assets and Liabilities (including offshore assets) in rupees Self Spouse HUF Dependent- Dependent-2 Depende ., zf$.." nt-3 152 I 530 752706 NA NA NA NA ?r.?, 19 W \rpw = B. Immovable Assets t1816459 10379373 NA NA NA NA Purchase Price Rs.1,52,35,857/- Rs.58,00,000 NA NA NA NA ofself-acquired immovable property I Development/co Nit Nit NA NA NA NA nst ruction cost ofimmovable property after Purchase (if applicable) Iil Approximate NA NA NA NA Current Market Price (a) Self- acquired -P assets (Total tf Value) (b) Inherited assets (Total Value) ). Liabilities \A \IA \A VA (i) Government dues Nil Nil \IA NA NA NA (Total) :ii) Loans from Bank, Rs.68,96,498/- Nil Nil NA NA NA Financial Institutions and others (Total) 10. Liabilities that are under dispute (i) Government dues Nil Nil NA NA NA NA (Total) (ii) Loans from Bank, Nit Nil NA NA NA NA Financial Institutions and others (Total) ll Highest educational qualification: M.Sc., ANDHRA UNMRSITY, WALTAI& NIAY 1977. fgfi#fffi\highest School /University education mentioning the full form of the certificate/ ffirSe,nameoftheSchoollCollegelUniversityandtheyearinwhichthecourse idW,W 20 \, 1 VERIF'ICATION 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 and 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 5 and 6 of Part A and B above; (b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and l0ofPartBabove. Verified at ONGOLE this the 22ND day of MARCH, 2019. NOTARY M *uM'\& K:Xm ADVOCATE Aoo6. bv Govemment ot India ;F.ffi[ds eiiatrie*n:t?'itsi*'d;B*',*,s.!'*1'$qpl Naqar, 3rd Lane, ONGOLE DOTRES ON 21-*-2023 Note: l. Affidavit should be filed latest by 3.00 PM on the last day of filing nominations. Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. Note: 3. All columns should be filled up and no column to be left blank. If there is no information to furnish in respect of any item, either "Nil" or "Not applicable", as the case may be, should be mentioned. Note: 4. The affidavit should be either typed or written legibly and neatly. Note: 5. Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is swom. m',q 21 oo1 0() 1 001 c oo1 oo 1 001 f3,' ee o 6 [! d 5' err*r xtgr ANDHRA rRADESH 6 tu.rh . . cI. ., f1?,\?...tno*&koz-Bo\q L. No. 0B'.Bl u2o13 qoH g€e) 0s-et8'fi,3/201*e0:l-l Tc---F ;-s;*,- qho, s55c5om^, t.LNo. \o . Guxr\ss, Dlo. 5i{e[6(r1lrucE otrRIES, o€fl!{ae- "ar !,,{ti1,: ,--Q onlh.E*. ci* gsrffi7' E H ANNEXURE ADDITIONAL AFFIDAYIT TO BE SUBMITTED BY CANDIDATE B' Election to LOK SABHA (House of the People), from 15 - BAPATLA $1sC) PARLAMENTARY CoNSTITUENCY. il ' I, JESUDASU SEELAM (name of candidate), Son of ABRAHAM, aged 867 years, resident of H.No.3, Sai Apartments (Towers) 4th Line, Brundavan "Gardens, Guntur, Guntur District, a candidate at the above election, do solemnly affirm and state on oath as under : , (i) I have not been allotted any govt. accommodation at any time during H the period of last l0 years prior to the date of notification of the En current election. (except during the period of my being Member of Parlament, Rajya S abha from June -2004 to June 2016 for which the g Rajya Sabha Secretariat has collected the prescribed license fees.) - (ii) "No dues certificates" form the agencies concerned are attached E 6ereto. Nft 22 ?Fts?q 6*il solt7 i1 , 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 ONGOLE this the 22"d day of MARCH, 2}lg fril- DEPONENT - KVAN ADVOCATE{ NOTARY AooE. W Co6mment of lrdh ginOfri Nagar, 3rd tare, ON@LE Prakasani District. A.P., India Cell:9440183049 HY @f{ITIISSION FXPTRES ON 21{7-2023 23 FORM B PARAGRAPHS [SEE 13(8),(C)AND (E)AND 13A OF THE ELECTION SYMBOLS (RESERVATION AND ALLOTMENT) ORDER 1968J To The Returning Officer for the h.hfu.Y.T(A.... Constituency. subject:- General Election/bye-election to the House of the people/ Lok sabha trom.....hA.PAT.CA (Name of the constituency)in.rlnlOF.iir|..f&t0fffttate1- setting up of the candidate. Sir, ln pursuance paragraphs of 13 (b), (c)and (e)and 13Aof the Election Symbols (Reservation and Allotment)Order, L968, I hereby give notice on behalf of lndian NationalCongress - (i) That the person whose particulars are furnished in columns (2) to (4) below is the approved Candidate of The party above named, and (ii) The person particulars whose are mentioned in columns (5) to (7) below is the substitute candidate of the Party, who will step-in on the approved candidate's nomination being rejected on scrutiny or on his/her Withdrawing from the contest, if the substitute candidate is still a contesting candidate, at the ensuing general/bye election from this constituency: 1. Name of the Constituency BAI ATLA 2. Name of the Approved Candidate Jus tJ D A-l U -(€ELA r) 3. Father's/Mother's/Husband,s name of Approved Candidate *$anu+tt 4. Postal Address ofthe Approved Candidate 5. Name of the Substitute Candidate who will step in \ Ww,&ru*!a^*'Q'^^)"t;^' (i) on the approved candidate,s nomination being I Rejected ;;*', on scrutiny or I (ii) \ on his (approved candidate) withdrawing from the Ar,(- Contest if however the nomination paper of substitute Candidate is accepted on scrutiny as an independent Candidate and, is still a contesting candidate. 6. Father's/Mother's /Husband,s name of the substitute Nft Candidate 7. Postal address of the subtitle candidate: fV?1 *2. The Form 'B'$ a rl ie r in favo u r of Shri/Smt/Sush ri...... \tice 1...... as party's aapproved p p roved d ida te. RnoArruA n d )nrll5mr/susnrl;;;:;:::8ilSh rilSmvSu-tsm; \oioate.\ """"' as party's su ate is hergbyhereby rescinled.rescin\ed. ,uft- 3' it is certified that each of the candidate whose name is mentioned above is a member of this political [arty and his$iname is dury borne on the roils of the members of this party Yours faithfully, Dr. N. Raghuveera Reddy President. Andhrapradesh Congress Committee p ra ce... :V. i1?9 dNa4i- Date.....zifllaO I l * Score off, if not applicable. N.B. 1' This must be delivered to the Returning officer not later than 3 p,m. on the last date for making Nominations. 2' Form must be signed in ink by the office bearer (s) mentioned above. No facsimile signature or signature by means of rubber stamp, etc., of any office bearer shail be accepted, 3. No form transmitted by fax shall be accepted. FORM'A' COMMUNICATION WITH REGARD TO AUTHORISED PERSONS TO INTIMATE NAME OF CANDIDATES SET UP BY RECOGNISED NATTONAL PARTY (See para 13 (c), (d)and (e)of the Election Symbols (Reservation and Allotment)Order, 1968) To, 1. The Chief Electoral Officer Andhra Pradesh. rhe Returnins officer for the B.^P h.T.LA Parliamentary Constituency. Sub: General Elections to House of the People from Andhra Pradesh - Allotment of symbols - Authorisation of person to intimate the names of candidates. Sir, ln pursuance of paragraph 13 (c), (d) and (e) of the Election symbols (Reservation and Allotment) Order, 1968, I hereby communicate that the following person has been authorised by the lndian National Congress, which is a National Party, to intimate the names of the candidates proposed to be set up by the party at the election cited above. DistricVArea/Constituencies in Name of person authorised to Name of Office held in the party respect of which he has been send notice authorised. DR. N. RAGHUVEERA PRESIDENT, ANDHRA AII Parliamentary REDDY PRADESH CONGRESS Constituencies of Andhra COMMITTEE Pradesh The specimen signatures of the above mentioned person so authorised are given below: Specimen signatures of Dr. N. Raghuveera Reddy : l^ 1 ilZ:Z 2. 3. lndian National Congress Place: New Delhi, Dated: lBth March, 2019 NB: 1. This must be delivered to the Returning Officer and the Chief Electoral Officer not later than 3 p.m. on the last date for making nominations. 2. Form must be signed in ink by the office bearer mentioned above. No facsimile signature or signature by means of rubber stamp, etc., of any office bearer shall be accepted. 3. No form transmitted by fax shall be accepted. ,eri@)*.x e@\. /nree seva &r6baxnls,aoi# ) Y9 - J GOVBRNMENTrNM.r,Nr O()F-NHHRA plorn.Ab REVENUE DEPARTMENT rc v 4g46253 Apptication No ll tl I I i ill i I I illlllillllilllilllllllllllllililllllilll lil ' cGcol 1921848018 Date t 2t/D3/2Ot9 COMMUNITY, NATIVITY & DATE OF BIRTH CERTIFICATE 1'This is to certify that the srilsrimathi/Kumari JEsupAs SEELAM s/o / D/o / M/o / F/o /\ty/o / t1/o / C/o Sri' ABRAHAM SEELAM- of PusuLUR village / Town of Pedanandipadu Mandal of Guntur District of the State Andhra Pradesh belongs to Mala-(sc) community / caste which is recognized as schecjuled community / Caste under The constitution (scheduled rribes) order, 1g50, S.cs, S.Ts list (Modification) order 1956 and s.Ts (Amencment) Act 1976 as Amended from time to time . 2.It is certified xxxxicxxxxxxx that the Sri/Srimathi/Kumari j5 s native of Locality/Landmark of *********x** Village *x****xx*xtr( / TOwn Of Mandal Of xxxxxxxxxxxx District Of the State Andtrra Pradesh. 3.it is certified place xxxx*xxxx*x* that the of Birth sri/srimathi/Kum3;i is of xx*xxi(xx***x village / xx*******:t** Town of Mandal Of ,ix:t *xx*xxr.xx DiStriCt of the State Andhra pradesh. 4.It is certified that the Date of Birth SrilSrimathi/Kumai'i JEsupAs SEELAM is o1 Day IIy Month 1_9s1 Year (in words) Zerc one - Julv - one Nine Five one as per the declaration given by hrs/her Father/Mother/Guardian and as entered in the School records where he/sire studiecj. Certified By Name : GUNTUR SUJATH,A Designation : TAHSTLDAR Mandal : pedanandipadu Note : This is Digitally Signed Certificate, cloes not require physical signature. And this certificate can be verjfied at http://wwr^r.ap.rneeseva.gov.in/ by furnishing the application numberhentioned in the Certificate. Note: This is a Digitally $rgned Cedificate, does not require physical signature and this cerlificate can be verified by funrishing the application number mentioned in the Certificate. Jelgs5 *xero ero6o.tJ:c.:s er$s;.s 6scQ et$J 635suea 5q65r: Declaration by the Authorized Agent for Delivering the Electronic Services 5a sof5e^:5 sr$* 6odn b5r,v65r er6S;.rys soQr5e"r5 3pS3 rco& 3s $oaS erX:O*5 X:5:.":"o"33 bE$15 55e:> eo:: ${8. The computer output in the form of computer printouts attached herewith is the correct representation of its original as contained in the computer systems accessed by me for providing the service. ii. 5a 5oQr5e^:5 srrg5* fpoSn b5l.:r6$) Sdrfoba&r er6s;.rys soQr5e^r5 R:6S"1 sro& 5":50oX>ar&5E. t\oLo Ssrzrct$S bde$ The information contained'in the computer printouts has been produced from the aforesaid computer systems during the period over which the computer was used regularly. iii. et so{r5e^:5 s::g:er" podo bb3rv65r: sofSecS SgS;ef [55J&5 rgo$ slr6r 3cU:er&SA. During the said period, information of the kind contained in the computer printout was regularly recorded by the aforesaid computer systems in the ordinary course of the activities. iv. 5+ 5o{r5e.:5srg5* F&SS K>5r,r"6r":56ea hS:d!o$ so{f5er5R:gS"1roq x)Cictuisr5Jl srodtu bd6 sofSer5 lgS"1d e5; JolgSS Ss6;o croo"$e!s: parse5o S=o SrfpS 365;rea r5:b5o: d$. Throughout the material part of the said period, the computer was operating properly, and there have been no such operational problems that atfect the accuracy of the electronic record contained in the aforesaid computer systems. pJ r":6-6.5; SXrc[rer: o5: EObSoeS 56$ $OcUrr a 3a5bo 3:US rOpoSf. The matter stated above is correct to the best of my knowledge and belief. r6d!tu' )i*Vflr pattabhipuram 5rr(5 Seal ryw' AND}-INA PRADESH AT\DHRA PRADESH GENERAL ELECTIONS TO HoR 2019 15 - Bapatla (SC) Parliamentary Constituency REGEIPT FOR DEPOSIT SerialNo. 03 Date. ffi .os.zot s Received a sum of Rs. 12,5oot- (Rupees Twelve thousand and five hundred only) in cash from shri . Ta€.q.PEq. 5qg{am . contesting candidate sponsored by IrAb cq.T.$q|.. ... party/in*ep#nt towards deposit for contesting from 15 - Bapafla (sc) Parliamenta ry Constituency. (o1) Received Challan for Rs.12,500/- (Rupees Twelve thousand and five hundred only) paid in ..... Treasury/RBl on ... Ol-- Signature of RO/ARO FORM OF OATH OR AFFIRMATION [Article 84 (A) of the constitution of India] )orlioment) r . ....,,!.#p*..O$g..u_.:...Eeel8zp. .:. a candidare to fir a sear in rhe ,.r.r-: God/solemnly ;ijii **;;;l#l3 lr':il.Tffi.:.ld: affirm that I witi neai true faith lna-uilugiunce to the constitution as bv raw estabrisrreo anJt-nat r t iiirprror; of Ilj|: #;"s"rereignty and inresrity of M*,(,*- gr ... o,ri: ,er i#fl,::,:,Ifi [: sworn in the name ", .:ro,.Tg r5Ej#",Y:ffifl,* a "frr*r,I * t''do\rp-eA o. *os* .. ffi #.$?T. l . r.l,i *1ffi s rh e. . . . . tnffiffi .g.8, rd. d a y or March 2019. before me. Ol- Signature of the authorized person Name and designation and seal Tahsildar's Office Pedanandipadu Ivlandal Guntur District, Andhra Pradesh. Rc,No,69l2OL9 /A, Dated: 19.03.2018 CERTIFICATE 'This is certi$r that, Shri Jesudasu Seelam S/o Abraham aged 66 years has enrolled his vote in pusuluru village of Pedanandipadu Mandal, Guntur District in Prathipadu Assembly Constituency (93-SC) of Andhra Pradesh vide serial No.592 in Part No.240, Voter ID No.SAAO272484. cr '\rTtr;l irlSTRlCT A Soqu5 : 2( a.;.r,i,:.-.rr, .i,)].r.r'-j.lno i)Dax A)OoS)r i:g: : 93-p..])c) (Ji: l:,) (Jlr 3) e*rlo ,'. s?J"ds ()o$i ;Daicr1-u:l(L} : l-2-97 "ajoe 5-16,/Z ( 5721 CF;,riG) I sztl CFaJ230Bf,07 APi6o97o1836{o ,Or, *'-5*"* rS.:n. i:'(o : .lu.)ra t":ld,-' . i*4- 56).: ea, ua;J6e :i .i;':'n\L. oo{ bdJ : i)r%no6o ro{ bO : s,co.lraj #11J bd) : tur\e+)u _ X .: ffi*ffi, .1, ' +-18 "t:_i,'. rrod $oDCb : 4-36 ro$ aozror: +-le tr ffii aoglloodr: , Do1r6J : 35 Sodar : not6): 32 0od;f$: iX, ro:ra:: 5o io*r. q; ! :t: i. ,i, 1 # 0t. :: sr'rl I sisl cF02347726 | ' 68ifi.) 5di : 6on)g rf;rh) 5,6r: *r.ihro ls0no bdl: hsrnodo oot, bal : bottcuS 49 bo: 'foft6), *6to:3ortol5-l lrotlioe)d):4-38 ,oAt ssr,Jd) | 4-3E .ao0] ioc)tl) : 4-38,/65 0oflj5x: iD ;ta$bl : 42 kfnD:;O i5c6{D : 66 0"nal : }- $<6*5r: 47 sr8 57el AP16o97o1B34o1 I sttl ;AA0084863 I sAA0016444 I 56r: b56o! 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