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O ..S'l-Clh ,Le ~J NOTA Y ':; <\ ,. .- j i~ INDIA NON JUDICIAL c, ~ (; f- Z "'z ffi" > 8 -c »: -c f- z< '"-c "'u, 0 f- Z e-Stamp W :;; z ffi ~> -c -c -c Certificate No. IN-KA71923443707633R <. «z: Certificate Issued Date 12-Mar-2019 01:07 PM -c< u, 0 Account Reference NONACC (FI)/ kaksfclOS/GANDHINAGAR/ KA-BA Z .u ""z. Unique Doc. Reference SUBIN-KAKAKSFCLOS75447667096290R '1 »~ SHOBHA KARANDLAJE DAUGHTER OF MONAPPA GOWDA o Purchased tJYI, r• « Description of Document Article 4 Affidavit '"~ Z 0:" Description AFFIDAVIT ';\ C Consideration Price(Rs.) o z :;;-" (Zero) z ffi > First Party SHOBHA KARANDLAJE DAUGHTER OF MONAPPA GOWDA 0 'c: -c x: Second Party NA :" z~ Stamp Duty Paid By SHOBHA KARANDLAJE DAUGHTER OF MONAPPA GOWDA «cc u, 0'" Stamp Duty Amount(Rs.) 100 .. (One Hundred only) ~s: c£ ::.. ;~ « '" «'"f- z rr -s " _. , v , • 1.,·. ~, Please write or type below this line ·········_-····-r---·-································---..----.---------.- --"''5'" -< Form 26 (See rule 4A) ~~ "z AFFIDAVIT TO BE FILED BY THE CANDIDATEALON_GWITH NOMINATION PAPERBEFORETHE 6ffi RETURNING OFFICER FO~ ELECTlqN TO LOKSA:B..fl)\(;~~M& OF THE HOUSE) FROM ~ " ''''~~ .: ''''' <l; 15-UDUPI- CHIKMAGALUR CONSTITlJENCY(NAME OF TAE- Co.~S.T1TUENCSVvORN TO BEFOR' ~ - Statuto' 01e(i)F CORRECTIONS:.~ONLY I ..S'l-clh ,Le_ ~J I~' r.o~~ ~t~l 1. The authenticity of this Stamp Certuicate should be verified at ."w. ww.sbcilestamp.corn". Any discrepancy in the details on this Certificate ann' available all the website r~nders i1l1lValld NOTA c y 2. The onus of checking the legifimacy is on tile users of the certificate. " 3. In case of any discrepancy please inforrn Ihe Competent Authority. W"P'U,P.I. h ...... PART A I SHOBHA KARANDLAJE **Sffil/daughter/wtfe of MONAPPA GOWDA Aged 52 years, resident of#16, 2NDMAIN, 3RD CROSS, CHIKKAMARANAHALLI, NEW BEL ROAD, BAN GALORE -560094 (mention full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath as under:- (1) I am a candidate set up by BHARATIYA JANATA PARTY (**name of the political party) / **am contesting as an Independent candidate. My name is enrolled in 158-HEBBAL ASSEMBLY CONSTITUENCY, KARNATAKA (Name of the Constituency and the state), at Serial No 47 in Part No 50 (2) My contact telephone number(s) is/are 9448087039, 9013869186 and my e-mail id (if any) IS [email protected] and my social media account(s) (if any) is/are (i) https://www.facebook.com/shobha.karandlaj (ii) https://www.facebook.com/ShobhaBJ P/ (iii) https://www.instagram.com/shobhabjp/ (iv) https://twitter.com/ShobhaBJP (v) WhatsApp No: 9448087039,9013869186 No. OF CORREC1\ONS~ONLY NOTARY UDUPI 2 (4) Details of Permanent Account Number (PAN) and status of filing of Income tax return: The financial year for which Total income shown in Income tax return the last SI.No. Names PAN (in Rupees) for the last five Financial Income- Years Completed (as on 31st March) tax return has been filed (i) 2013-14 15,65,230.00 (ii) 2014-15 20,53,730.00 1 Self AJYPK5906C 2017-18 (iii) 2015-16 88,90,630.00 (iv) 2016-17 23,11,830.00 (v) 2017-18 24,16,090.00 (i) r---- (ii) NOT NOT NOT 2 Spouse (iii) NOT APPLICABLE APPLICABLE APPLICABLE !---- APPLICABLE (iv) !---- (v) (i) !---- HUF (If Candidate (ii) NOT NOT !---- NOT ".) IS (iii) NOT APPLICABLE APPLICABLE APPLICABLE !---- APPLICABLE Karta/Coparcener) (iv) !---- (v) (i) r---- (ii) NOT NOT r------- NOT 4 Dependent - 1 (iii) NOT APPLICABLE APPLICABLE APPLICABLE r- APPLICABLE (iv) r- (v) (i) r- (ii) NOT NOT '--- NOT 5 Dependent - 2 (iii) NOT APPLICABLE APPLICABLE APPLICABLE ~ APPLICABLE (iv) r------- (v) (i) r- (ii) NOT NOT !---- NOT Dependent - 3 (iii) NOT APPLICABLE 6 APPLICABLE APPLICABLE - APPLICABLE (iv) - ~.., A~ (v) ~~ '~-!_\'~ .., * DEVADAS * SWORN TO B~fP.: M~ $l__Q!~ \.L ~~ BAL., LL.B. « 7 G) Advocate I ~)1\e\ o UDUPI-576101 ~ 'OlA ~ LAW '133 LCL 06 !!IJ UDUPJ No. OF CORRECTIONS:0..H.(mLY '0 .~i'j 'P i!'"1X'iCt.....,;/1' --.~'\_:'"' '~ (5) Pending criminal cases at there is no pending criminal case against me . .. r..,..._._·... no criminal case pending against the Candidate and write NOT APPLICABLE against alternative (ii) below OR (ii) The following criminal cases are pending against me: (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 SPL CC 124/2014, (a) FIR No. with CRIME NO. 627/17, NOT APPLICABLE DEPUTY DIRECTOR name and HONNA VARA POLICE (PRIVATE OF ENFORCEMENT address of the STATION, HONNA VARA COMPLAINT BEFORE DIRECTORATE, Police Station UTTARA KANNADA MAGISTARTE) ZONAL OFFICE, 3RD FLOOR, BMTC concerned SHANTHINAGAR, TIMC, KH ROAD, BANGALORE-560027 CRlME NO. 627117, PCR NO. 55750/2016, SPL CC LXXXI, (b) Case No. with PRINCIPAL CIVIL JUDGE ADDITIONAL CHIEF CITY CIVIL AND Name of the (JUNIOR DIVISION) AND METROPOLIT AN SESSIONS Court JMFCHONNAVARA MAGISTRATE MAYO JUDGE(CCH 82) HALL BAN GALORE (c) Section(s) of the 45( I) OF PMLA ACT concerned RlW SECTION 200 OF ActslCodes 153A, 153, 505(2) OF IPC 449 & 500 OF IPC CRPC FOR OFFENCE involved (give no. VIS 3 AND 4 PMLA of the Section ACT ..... of IPC etc.) No. OF CORRECTIONS~.ONLY SWORN TO BEFORE ME ~1~/\l 4 ~RY UDUPI C (d) Brief description IT IS ALLEGED THAT, ON ROSHAN BAIG HAS IT IS ALLEGED of offense 14/12/2017 AT 20:37 I'VE FILED A PRIVATE THAT I HAVE TWEETED THAT "JIHADIS COMPLAINT INVESTED SOME TRIED TO REPE AND ALLEGING THAT 1 MONEY IN A SHELL MURDER A GIRL HAVE DEFAMED HIM. COMPANY. STUDYING IN 9TH STD NEAR HONNA VAR, WHY IS THE GOVT SILENT ABOUT THIS INCIDENT? ARREST THOSE WHO MOLESTED AND INJURED THIS GIRL. WHERE ARE YOU CM @SIDDARAMAIAH?" - THEREBY CREATED HATRED BETWEEN HINDUS AND MUSLIMS IN HONNAVARA TALUK HENCE COMMITTED OFFENCE O/S 153, 153(A), 202(2) 07 IPC (e) Whether charges have been NO NO NO framed(mention YES or NO) (f) Ifanswer against(e) above is YES, then give NOT APPLICABLE NOT APPLICABLE the date on which NOT APPLICABLE charges were framed (g) Whether any WP N0.48543/20 14 IS Appeal/ Applicati PENDING BEFORE on for revision THE HON'BLE HIGH has been filed COURT OF NO NO KARNATAKA, against the APPEAL FILED BY proceedings(Men DIRECTORATE OF tion YES-or NO) ENFORCEMENT IN MSA NO. 112/2018 IS PENDING, I HAVE NOT RECEIVED ANY NOTICE. OREME ?Op., \ er NOTARY UDUPI (6) Cases of conviction (i) I declare that I have not been convicted for any criminal offence . ./ 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 above, and give details in the Table below) (i) Table (a) Case No NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE (b) Name of the Court NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE (c) Sections of Acts/Codes NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE involved (give no. of the Section, e.g. 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 (f) Punishment imposed NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE (g) Whether any Appeal NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE has been filed against conviction order (Mention YES or No) (h) If answer to (g) above NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE is YES, give details and present status of appeal ~or~~ . OF CORRECT\ONS:&'ONLY .sL_",tlP-~ * 0EVADAS ).:. No. G)( Ad BAL., LL.B J * o Vocate' e: UOUPI-576 <C SWORN TO BEFORE l\lIE ,....\ LAw 133LCl1g~ ~ . ,,"<- ~' OJ:" - ~Y'-:' kl-~P~ NOTARr/~l("\ _./ _-"'" UDUPI 6 --------- - - - ... (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). [Candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i), above] 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.e., 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. Caiididate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W. P (C) No. 536 of2011. (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 of joint 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 BankiInstitution 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, sorus), 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.
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