Nl'1,1 Cid- R-.Srjn Strike Off Part I Or Part II Below Whichever Is Not Applicable Za\Nr[Xu [Rc PART

$Nl'1,1 Cid- R-.Srjn Strike Off Part I Or Part II Below Whichever Is Not Applicable Za\Nr[Xu [Rc PART$

FORM 2A (See Rule 4) NOMINATION PAPER Election to the House of the People Nl'1,1 CId- r-.srJn Strike off Part I or Part II Below whichever is not applicable za\nr[xu [rc PART. I (To be used by candidate set up by recognized political party)

I nominate as a candidate for election to the House of the People from the IS-BAPATLA (SC) Parliamentary Constituency.

Candidate,snameBABYLATHA.NANDIGAMMHusband,sname SURESH . NANDIGAM His postal address 2-619 Uddandurayunipalem Village, Thulluru Mandal, Guntur District. His name is entered at Sl. No. 36 in Part No 19 of the electoral roll for 86-TADIKONDA (SC) (Assembly constituency comprised within) l3-GUNTUR /' Parliamentary Constittiency.

My name is Raj Kumar Chandolu and it is entered in Sl.No.lll in Part No. 228 of the electoral roll for the 105 - Addanki Assembly constituency comprised within 15- Bapatla Parliamentary constituency.

Date: Signature of Proposer

PART II

We nominate as candidate for the House Parliamentary :ituency. Ca 's name Father's / Mether'Y usband's name H|6 postal address Her name is entered at No in Part No of the electo roll for ...... ( bly constituency comprised within. Parliamentary Consti

We that we are electors of the above liamentary constituency names are in the electoral roll for this Parli tary constituency as ind below and we our signatures below the token of ibing to this nomination: Particulars of the proposes and their signatures

Name of Elector Roll No. of Component Proposer S. assembly Part No. No. constituency of Sl. No. Full Name Signature Date in that Electoral part Roll I 2 J 4 5 6 7 I NIL NIL NIL NIL NIL NIL 2 NIL NIL NIL NIL NIL NIL J NIL NIL NIL NIL NIL NIL 4 NIL NIL NIL NIL NIL NIL 5 NIL NIL NIL NIL NIL NIL 6 NIL NIL NIL NIL NIL NIL 7 NIL NIL NIL NIL NIL NIL 8 NIL NIL NIL NIL NIL NIL 9 NIL NIL NIL NIL NIL NIL 10 NIL NIL NIL NIL NIL NIL

NB : There should be ten electors of the constituency as proposers.

PART III

I, the candidate mentioned in Pa**I lPartII (Strike out which is not applicable) assent to this nomination and hereby declare -

(a) that I am a citizenof Indian and have not acquired the citizenship of any foreign z State / country. '(b) That I have completed 34 years of age; [srRIKE our c(i) or c(ii) BELow WHICHEVER IS Nor APPLICABLE]

OR (ii) I am set up at this election by the by the the YUVAJANA SRAMIKA RYTHU ' CONGRESS PARTY(YSRCP), party,which is registered unrecognized politic al partyl that . (Strike out which is not applicable) and that the symbols I have chosen, in order of preference, are: (i) ...... (iD ...... (iii)

JAI that my name and my fa*hefshe+her+ /husband's name have been correctly spelt out above in ENGLISH Lansuaee (name of the language): and

(e) that to the best of my knowledge and belief, I am qualified and not also disqualified for being chosen to fill the seat in the House of the People. * I further declare that I am a member of the Madiea (SC) Caste/tribe which is a scheduled caste/tribe of the State of Andhra Pradesh in relation to Thulluru (area) in that State.

I also declare that I have not been, and shall not be nominated as candidate at the present general election / bye-elee+iens being held simultaneously, to the House of the People from more than two Parliamentary Constituencies. f-rruGb,.* Date:25-03-2019 Signature of Candidate

* Score out this paragraph, if not applicable. ** Score out the words not applicable.

NB - A "recognised political party" means a political party recognised by the Election Commission under the Election Symbols (Reservation and Allotment) Order, 1968 in the State concerned.

PART IIIA (To be filled by the candidate)

I Whether the candidate i) Has been convicted (a) ofany offence(s) under sub-section (1); or (b) for contravention of any law specified in sub-section (2) of section 8 of the Representation of the People Act, 1951 (43 of YES/NO/ 1951); or ii) has been convicted for any offence(s) for which he has been sentenced to imprisonment for two years or more

o'Yes", If the answer is the candidate shall furnish the following information: (i) Case/first information report No. / Nos. Not Applicabl0. (iD Police station(s) ...... District(s) . Sate (s) Not Applicable (iii) Section(s) of the concerned Act(s) and brief description of the offence(s) for which he

has been convicted. Not Applicable . (iv) Date(s) of conviction(s) Not Applicable (v) Court(s) which convicted the candidate Not Applicable (vi) Punishment(s) imposed [indicate period of imprisonment(s) and/or quantum of fine (s)lNot Applicable (vii) Date(s) of release from prison Not Applicable

(viii) Was /were any appeal(s) / revision(s) filed against above conviction(s) NO (Yes/No).

(ix) Date and particulars of appeal(s) / application(s) for revision filed Not Applicable

(x) Name of the court(s) before which the appeal(s) / application(s) for revision filed Not Applicable (xi) Whether the said appeal(s) / application(s) for revision has / have been disposed of or

is/ are pending Not Applicable , (xii) If the said appeal (s)/ application(s) for revision has / have disposed of - a) Date(s) of disposal Not Appticalle b) Nature of order(s) passed Not Applicable

(2) Whether the candidate is holding any offi4ce of profit under the Govemment of India or State Govemment? NO (Yes/f.{o) If yes, details of the office held - Not Appticable

(3) Whether the candidate has been declared insolvent by any court ? NO 1y"*4t1o, If yes, has he been discharged from insolvency - Not Applicable

(4) Whether the candidate is under allegiance or adherence to any foreign country? NO 1Y"*4t1o, If yes, give details - Not Applicable

(5) Whether the candidate has been disqualified under section 8A of the said Act by n order of the President? NO 1Y"*151o, If yes, the period for which disqualified - Not Applicable

(6) Whether the candidate was dismissed for comrption or for disloyalty while holding office under the Government of India or the Government of any State? NO 1y"*4to, If Yes, the date of such dismissal - Not Appticable

(7) Whether the candidate has any subsisting contract(s) with the Government either in individual capacity or by trust or partnership in which the candidate has a share for supply of any goods to the Government or for execution of works undertaken by that Government ? NO (YesA{o) / (8) Whether the candidate is a managing agent, or manager or Secretary of any company or Corporation (other than a cooperative society) in the capital of which the Central Government or State Government has not less than twenty-five percent share? NO (YesAro) (9) Whether the candidate has been disqualified by the Commission under section 10A of the said Act NO 1Y".4t1o,

If yes, the date of disqualification - Not Applicable

Place: Ongole fr [a*k b#^* Date25-03-2019 Signature ofCandidate a

PART IV (To be filled by the Returning Officer)

paper Seriat No. orNomination . 2. AIHP *e. \.*tl..f

This nomination was delivered to me at my office at.?:5..fh.f

Date .*14t, Returning Officer

*Score out the word not applicable

PART V Decision of Returning Ollicer Accepting or Rejecting the Nomination Paper

I have examined this nomination paper in accordance with section 36 of the Representation of the People Act, 1951 and decide as follows: -

Date Returning Officer

(Perforation) Rs.,,,,I 0G

qsiEqqi ]NDIil

tlf cD 51 8501

t.s---? La,L)

(sEE RULE 4A)

E F

IAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO THE HOUSE or rnr PEoPLE FRoM Is-BApATLA (scl pARLIAMENTARy coNSTrruENCy

fl ra.nr,q.

I{BABY LATHA NANDIGAM Wife of SURESH NANDIGAM, aged 34 years, resident c i Door No.2-6l8, UDDANDARAYLTNIPALEM VILLAGE, THULLURU Mandal, Guntur tistrict, 522503, Andhra Pradesh , candidate at the above election do hereby solemnly affirm a,rd state on oath as under:-

H (') I am a candidate setup by YUVAJANA SRAMIKA RyrHU CONGRESS PARTY(YSRCP) (**name of thepolitical party)l idate (strike out whicheuV( is not applicable) f.{ {b-{L*ti'* (2) My name is enrolled in 86 TADIKONDA (SC) ASSEMBLY CONSTITUENCY of ANDHRA PRADEH STATE (Name of the Constituency and the State), at Serial No36 in Pan No.19 ( UDDANDARAYUNIPALEM VILLAGE).

(3) My contact telephone number(s) 8125227799 is/are.and my e-mail id - [email protected] (if any) is and my social media account(s) NO (if anylislare (D ...... NrL (ii) NrL...... (iii) ...... NrL

(4) Details of Permanent Account Number (PAI9 and status of filing of Income tax return:

Total income SI.N The financial year for Shown in Income Tax Return (in Rupees) o. Names PAN which the last Income- for the last. Five Financial Years tax return has been hled completed (as on 3 I't March) I Self (i) NIL (iD BABY LATHA. BRWPNs3I2G NIL NIL NANDIGAM (iii) NIL (iv) NIL (v) NIL 2 Spouse (D 2017 -2018 - Rs.3,40,270-00 (ii) 2016-2017 SURESH - Rs.4,00,160-00 BABU.NANDI BARPN8O23L 2017-2018 (iiD 2015-2016- Rs.3,05,610-00 GAM (iv) NIL (v) NIL .) HUF (rf (D NIL candidate is NIL NIL (iD Kartha/Coparcen NIL or) (iiD NIL NIL (iv) NIL (v) NIL 4 Dependent -l (D NIL

NANDIGAM. (ii) NIL PRINCE NO PAN NIL SUJITH ALLOTED (iiD NIL KUMAR (son) (iv) NIL

(v) NIL

5 Dependent -2 (D NIL

NANDIGAM NO PAN NIL GLORI ALLOTED (iD NIL SUREKHA (Daughter) .,4 \-. (iiD NIL = $\, r;ffi4 /1{.\i t :< 'r*:l &H /..'l rL^aGil- KO# h{m ?Ht*'*Hu;li65risr; '#ffE??"ilr aioqs A (iv) NIL

(v) NIL

(i) NIL

6 (iD NIL Dependent -3 NIL NIL (iii) NIL NIL (iv) NIL

(v) NIL

Note: It is mandatory for PAN holder to mention PAN and in case of no PAN it should be Clearly stated "No PAN allotted"

(s) Pending criminal cases (i) I declare that there is no pending criminal / case against ^". (Tick this alternative if there is 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: Nor APPLICABLE (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 and NOT NOT NOT NOT address of Police Station APPLICABLE APPLICABLE APPLICABLE APPLICABLE concerned (b) Case No. with Name of the NOT NOT NOT NOT Court APPLICABLE APPLICABLE APPLICABLE APPLICABLE (c) Section(s) of concerned Acts/Codes involved (give NOT NOT NOT NOT no. of the Section APPLICABLE APPLICABLE APPLICABLE APPLICABLE ...... e.9. Section of IPC, etc.). (d) Brief description of offence NOT NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLE (e) Whether charges have been framed (mention YES or NO) NO NO NO NO (0 Ifanswer against (e) above is NOT NOT NOT NOT YES, then give the date on APPLICABLE APPLICABLE APPLICABLE APPLICABLE which charges were framed G) Whether any AppeaU Application for revision has been filed aeainst the NO NO NO NO .:92 yES rT ttgt,,*;,Mention L Y//\' conviction \l ,ffil*r REDDY NG4 u W EEtl: e++o1s3o4e (i) I declare that I have not been convicted for any criminal offence.{

(Tick this alternative, if the candidate has not been convicted and write NOTAPPLICABLE against altemative (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 NOT NOT APPLICABLE APPLICABLE APPLICABLE (b) Name ofthe Court NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE (c) Sections of Acts/Codes involved (give no. of the NOT NOT NOT Section...... e.g. IPC APPLICABLE APPLICABLE APPLICABLE etc.) (d) Brief description of offence for NOT NOT NOT which convicted APPLICABLE APPLICABLE APPLICABLE (e) Dates of orders of conviction NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE (0 Punishment imposed NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE (e) Whether any Appeal has been filed against conviction order NO NO NO (Mention YES) (h) If answer to (g) above is YES, NOT NOT NOT give details and present status APPLICABLE APPLICABLE APPLICABLE ofappeal

(64) 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 fN 5(D and 6(i), above)

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 ofdates 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 201 I

(7) I give here in below the details of the assets (movable and immovable etc.) of myself, and all dependents : N €-u6h- ffi LM ro*h1'#H{l$k Note: l.Assets in joint name indicating the extent ofjoint ownership will also have to be given. Note:2. In case of deposiVlnvestment, 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) ofthe 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';

Depe S.N Description Dependent n- o. Self Spouse HUF Dependent-l -2 dent- 3 (i) Cash in hand Rs.2,00,000/- Rs.3,00,000 /- NIL NIL NIL NIL Details of deposit in Bank l) Savings A/c. l) Savings Account accounts No.254210100014532 No. 192310100018644 (FDRs, Term Balance Rs.7,731-00 Deposits and all Rs. I 133-00 ofAndhra Bank ofAndhra Bank of Mandadam Branch. 'elagapudi deposits Branch. Balance including saving 2) Savings Bank A/c. 2) Savings Account accounts), No. 50 I 0025 0582532 No. Deposits with Rs.58,l l8-00 38338439498 Rs.0- Financial. ofHDFC Bankof, 00 Institutions, Tulluru Balance State Bank of India Non-Banking Bapatla Branch. Financial 3) Savings Bank A/c. Balance Savings savings bank No. 24090048776 bank Cooperative account Rs.7l8-00 3) Savings Bank account societies and no.254210100 of Coastal local area no.254210 the amount in Bank limited, Tulluru 100014693 each such NIL Rs.678/- Branch. Balance Balance Rs.678/- Andhra deposit Rs.00-00 Andhra Bank,Velagap of Coastal Bank Bank,Vela udi branch 4) Savings Bank A,/c. oecretariat Branch, gapudi No.2194010000082 Tulluru Branch branch Rs.5l07 4) Savings Bank A/c. United Bank Of India No.2194010000037 MangagiriBranch Rs.3,110-00

;\ Mangalagiri Branch. B

5)Savings Bank account No.033301000009362 ru Rs.885-00 t:,.,)ff, of Indian Over Seas *;F,?RT Bank Limited, Branch. r#,*ry*i{t'E{tr d ryw, Tulluru. Balance 6) Savings bank account No.50100083278804 Rs.34,309-00 ofHDFC Bank, Vijayawada. Balance

(iiD Details of investment in Bonds, Debentures/ Shares and NIL NIL NIL units in NIL NIL NIL companies/ Mutual Funds and others and the amount. (iv) Details of investment in NSS, Postal Saving, Insurance Policies and investment in NIL NIL NIL NIL NIL NIL any Financial instruments in Post office or Insurance

the amount (v) Personal loans/advance given to any person or entity including firm, NIL NIL NIL NIL NIL NIL company, Trust etc. and other receivables from debtors and the amount. (vi) Motor Car bearing number Vehicles/ AP27AF6789 of2010 Aircrafts/ model purchased as ,ffirq(-sit.v;; Yachts / Ships second hand for N Details of Rs.7,00,000-00 2.two wheeler bearing NIL NIL NIL NIL NIL number ffiH$i I AP07CG0Il7 of2015 v Wffi v fiL"$+UF^^ srlflx#Hrnfiil$'-#itil'#;?#fstetltso* f'f A (vii) Jewellery, 250Grams Gold 150 Grams Gold 50 Grams Gold 50 Grams bullion and Omaments with gold Ornaments with gold NIL Ornaments with Gold NIL valuable only only gold only Ornaments thing(s) (give Rs.7,65,625-00 Rs.4,59,375-00 Rs. I,53,125-00 with gold only details of Rs.l,53,125 weight and -00 value) vlll Any other assets such as NIL NIL NIL NIL NIL NIL value of claims/interest (ix) Cross Total value Rs.17,45,594 Rs.8,05,410-00 NIL Rs.153803-00 Rs.153803- NIL 00

B.Details of Immovable assets:

Note:1. Properties in joint 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 owner ship of offshore assets.

S.No Dependent Dependent Dependent -l -2 -3 t) Vellacheruvu village Land of Location(s) SantamaguluruMandal, Survey Prakasam District number(s) a)S. No. 246la3la Ac.0.50cents

2)Uddandarayunipale mi village, NIL Tullurumandal, Guntur District S.No. 121-1g Ac.l.07cents (Assign land)

3)Lingayapalem village, Tullurumandal, Guntur District S.No.215 ..4 Ac.0.57 cents is under K the enjoyment of the \ $ candidate il*fo \kN'xi

Aootd. bv Government ttf India CinOfri Nigar, 3rC lane, ONGOtf eeL#,- Prakasam District, A.P., India N Cell: 944O183t149 Whether inherited NO NO NO NO NO NO property (Yes or No) Date of purchase in case ofself- 1.27-4-2016 acquired NIL 2.assign land NIL NIL NIL NIL propeffy 3.Eniovment Cost of Land (in case of NIL Rs. NIL NIL NIL NIL purchase) at 1)2,00,000-00 the time of purchase Any Investment NIL NIL NIL NIL NIL NIL on the land by way of development, construction etc.

Approximat NIL Rs.5,00,000-00 NIL NIL NIL NIL e Current market yalue (ii) Non- Situated in Agricultural D.No.343/1,3 43 13,34411 Land a and344llc an extent Location(s) of 177.7 SqYds situated NIL NIL NIL NIL NIL Survey in Karlapudi village of number(s) Amaravathi Mandal. Area (total NIL measurement 1s99.3 NIL NIL NIL NIL in sq. ft.) Whether inherited No properfy NIL NIL NIL NIL NIL (Yes or No) Date of purchase in 3-10-2018 case ofself- NIL NIL NIL NIL NIL acquired property Cost of Land (in case of Rs.4,09,000/- purchase) at NIL NIL NIL NIL NIL the time of purchase Any

.,, NIL s: land NIL NIL NIL NIL NIL trlr9

}ULE $am t AAI ,& fr$#imate t6.V. r: b$N{r6,rov NIL NIL NIL NIL NIL ffi ATE-& ilOTRRV e,%fl:'JHT,#Htiti?lf f;n; e44o 183o4e r.'r- w(#^ (iii) Commercial Buildines (including apartments) NIL NIL NIL NIL NIL NIL Location(s) - Survey number(s) Area (total measurement NIL NIL NIL NIL NIL NIL in sq. ft.) Built-up Area (total NIL NIL NIL NIL measurement NIL NIL in sq.ft.) Whether inherited NIL NIL NTL NIL NIL NIL propefty (Yes or No)

Date of purchase in case ofself- acquired NIL NIL property NIL NIL NIL NTL Cost of propery (in case of NIL NIL NIL NIL NIL purchase) at NIL the time of purchase Any Investment on the property by NIL NIL way of NIL NIL NIL NIL development, construction etc. Approximate current NIL NIL NIL NIL NIL NIL market value iv) Residential l) situated in Buildings Uddandarayunipalem (including village of Tulluru apartments): Mandal of Guntur Location (s) - NIL District H.No. 2-5 NIL NIL NIL NIL Survey RCC Daba house in ,ffi, 870Sq.feet N l\mbe(s) 1+,\ 4A\r'roc u-1 ,e\ET Fsffi'\"7:-5 870 sq.ft NIL NIL NIL NIL DVOC/\TI

Ganohi Nagar,3rd Lene, ONGOIE Pra!

Whether inherited yes NO property (assign land inherited NIL NIL NIL NIL (Yes or No) from father)

Date of purchase in case ofself- NIL NIL NIL NIL NIL NIL acquired property

Cost of property (in Assigned land the case of NIL value ofthe property NIL NIL NIL NIL purchase) at is not mentioned the time of purchase Any Investment NIL NIL NIL NIL NIL NIL on the land by way of development, construction etc. Approximate current NIL NIL NIL NIL NIL NIL market value

(v) Others (such as interest in NIL NIL NIL NIL NIL NIL property)

(vi) Total of current NIL NIL NIL NIL NIL NIL market value of (i) to (v) above

in below the details of liabilities/ dues to public financial institutions and government:- give separate details of name of bank, institution, entity or individual ind amount before ffiM qrift?l#gritl|# N'*hL*fh' s. Description Self Spouse HU Dependent Dependent Dependent No. F -l -2 -J I Loan Or dues to l) Gold Loan in Bank/Financial Andhra Bank, l) A Gold loan in Institution Velgapudi Branch Andhra Name of Bank or under account bank,Velagapudi Financial no.25423010001483 Branch under account Institution, 3 a loan of no.254210100004153 NIL NIL NIL NIL Amount Rs.2,00,000/-- was 2 aloan of outstanding, taken from the bank. Rs.69000was availed Nature of loan from the bank.

Loan or dues to any other individuals/ entity other than NIL NIL NIL NIL NIL NIL mentioned above. Name(s), Amount outstanding, nature ofloan Any other NIL NIL NIL NIL NIL NIL liabilitv Grand total of Rs.2,00,000-00 Rs.69,000-00 NIL NIL NIL NIL liabilities 2 Government l(A) Has the Deponent been in occupation of accommodation provided by Dues: Ithe Government at any time during the last ten years before the date of Dues to notification ofthe current election ? departments (B) If answer to (A) above is YES, the following declaration may be dealing with furnished namely: - Government The address of the Government accommodation accommodation: There is no dues payable in respect of above Government accommodation, towards- (a) rent; (b) electricitycharges; No (c) water charges; and (d) telephone charges as on (date)

[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

Nole- 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 with NIL NIL NIL NIL NIL NIL Government transport (including {lqcrafts and ,r( N hllicopters) (iv) Infime Tax dues NIL NIL NIL NIL NIL NIL iizt r) dues NIL ,/ NIL NIL NIL NIL NIL NII, NIL NIL NIL NIL flf,r.ru{ % ffi':'r,Tcw k\S{KnEn DY -r' -by C ':i..€-' Gorcinment 9f .lndia #PJ* [l':flf'[ffi!: El,tEE Pmkasani District. A.P., India 7t Cell: 944i) 183O49 *td6-- i) Any other dues NIL NIL NIL NIL NIL NIL (viii Grand total of all ) Government dues NIL NIL NIL NIL NIL NIL (ix) Whether any other liabilities are in dispute, if so, NIL NIL NIL NIL NIL NIL mention the amount involved and the authority before which it is oendins. (9) Details of profession or occupation (a) Self House wife (b) Spouse Photographer & cultivation (9A) Details of source(s) of mcome

(a) Self I Business

(b) Spouse I Photographer & Cultivation

(c) Source of income, if any, of dependents, : NIL (9B) Contracts with appropriate Govemment and any public company or companies

(a) Details of contracts entered by the candidate...... NIL

(b) Details of contracts entered into by spouse...... NIL

(d) Details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest...... NIL

(e) Details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners...... NIL (f) Details of contracts, entered into by private companies in which candidate or spouse or dependents have share...... NIL (10) My educational qualification is as under: l) Intermediate at st. Paul's Yocational Junior college Tenali in March 2004. (Give details of highest School/ University education mentioning the firll form of the ifrcateldiploma/ degree course, name of the School/ College/ University and the in which the course was completed.) d 0}*rt--fh' PART-B

(l r) ABSTRACT OF THE DETATLS GrVEN rN (l) TO (10) OF PART-A

I Name of the candidate Smt. BABY LATHA NANDIGAM

2 Full postal address D.No 2-618, R/o Uddandarayunipalem, Tulluru Mandal, Guntur District. 3 Number and name of the constituency and State 15- BAPATLA PARLIAMENTARY CONSTITUENCY (SC) ANDHRA PRADESH 4 Name of the political parry which set up the candidate YUVAJANA SRAMIKA RYTHU (other wise write 'Independent') CONGRESS PARTY(YSRCP) 5 Total number of pending criminal cases NIL 6 Total Number of cases in which convicted NIL 7 Year for which last Total Income Shown PAN of Income Tax Return filed (a) Candidate BRWPNs3l2G NIL NIL (b) Spouse BARPNSO23L 2017-2018 Rs. 3,40,270-00 (c) HUF NIL NIL NIL id) Dependents NIL NIL NIL 8 Details of Assets and Liabilities (includins offshore assets) in rupees S.No. Description Self Spouse HUF Dependent- Dependent- Dependent- I 2 J A Moveable Assets Rs. Rs. (Total value) Rs. 17,45,594-00 Rs. 8,05,410- NIL 1,53,803-00 1,53,803-00 NIL 00 B ImmovableAssets I Purchase Price ofself- acquired immovable RS.4,09,000/- RS.2,00,000/- NIL NIL NIL NTL DroDertv II Development/ construction cost of immovable property NIL NIL NIL NIL NIL NIL after purchase (if aoolicable) III Approximate Current Market Price (a) Self-acquiredassets a)Rs.8,00,000/- b)Rs.5,00,000/- NIL NIL NIL NIL (Total Value) (b) Inherited assets(Total b) NrL b) NrL NIL NIL NIL NIL Value) 9 Liabilities I Government dues (Total) NIL NIL NIL NIL NIL NIL II Loans from Bank. Financial Institutions and others Rs.2,00,000/- Rs.69,000/- NIL NIL NIL NIL (Total) I 0 Liabilities that are under disnute I Government dues(Total) NIL NIL NIL NIL NIL NIL II Loans from Bank, \ \). Financial. Institutions and NIL NIL NIL NIL NIL NIL tihprs (Total) ' ifi .? ,}\ [iSrpst Educational Qual cation: ff* : ?( ,[>. oil, lX\i.r."Oiate at St. Paul's Vocational Junior college Tenali in March 20{]! lt Prara MO.,",,l.Of highes$o oy.diu"rrityeducation mentioning the full form of the certificate/ diploma/ :N ry lifteecourse"\arN$fmffi.nilW Colleee/ University and the year in which the course was completed.) qs !4oVbcAre stCTfrnnY of India il-J d.*k-Llt-. 43fr5*il,Eli'f$ru13'*'i[ititrfit{i'ls**t;g* A

VERIFICATION

I, the deponent, above named, do here by 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 10 of Part B above.

Verified at Ongole this the 25th day of March 2019.

Solemnly affrrmed and signed before me on this the 25th day of March 2019. [+leL^h* dDeponent \ qxM eq &iqeIPils'Bet*ffi8.-qLan( os8'slff;i.,)'" "'tr,:,,ifi.;tt*'dlf''Gandhi Negaq.3rd Notes: l. Affidavit should be filed latest by 3.00PM on the last day of filing nominations. 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. J. 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. 4. The affidavit should be either typed or written legibly and neatly. 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 sworn Original / dupticate

(Original to be kept with nomination Paper and Duplicate to be handed over To candidate)

Name ofthe constituency :15-BApATLA(SC)PARLIAMENTARY CONSTITUENCY Name of the Candidate : BABy LATHA.NANDIGAM Date and time of filing nomination paper: 25_3-201; Sl. No. of Nomination paper : Sl. No. Documents Whetherfiledl@ nay defect/shortcoming in the documents, the same should be soecified) I Affidavit in Eo.r., X (a) Whether all columns are filled up Yes (b) If not, which are blank No column(s) (please specify) (c) Whether the affidavit is sworn Notary Public before on oath Commissioner or Magistrate of First Class or before Notary Public 2 Certified extract of etecto.at ,ott

(when candidate is an elector of a Filed different constituency)

1 J Forms A and n lappliiable in the case of candidate set up by political Form B filed parties) 4 Copy of caste certificate fro- competent authority (if the candidate Filed claims to belong to SC/ST) 5 Security deposit (whether made) Yes 6 Oath/affi rmation (whether taken; Yes

The following which have not been fired shourd be fired as indicated below : a) should be filed latest by b) Above mentioned columns in the Affidavit in Form 26 have been left blank. You must submit a fresh affidavit with columns duly filled up before the commencement of scrutiny of nominations, failing which the nomination paper will be liable to be rejected. I

c) should be filed latest by Received

(Signature of candidate) Signature of RO/ARO

Date & time: Place: Ongole

N.B. : 1' The Affidavit in Form 26, Forms A& B have to be filed latest by 3.00 p.M. on the of filing nominations last date 2' If columns have been left blank in the Affidavit in Form 26, this should be specified against item I' and candidate should be asked to submit an_affidavit complete in all respect, latest by the time fixed for commencement of scrutiny of nominations. Failure to submit revised affidavit complete in all respects, even after rerninder by Ro will be a ground for rejection of the nomination paper. 3) oath has to be taken after filing nomination paper and before the date fixed for scrutiny. 4) certified extract of electorar roll can be filed up to the time of scrutiny. \E ql t=-s$ Rs. 100: I I- ONE --; t s"100 HUNDRED RUPEES -.ti t mq'iqqqt IilT

cD 51 8502

I ADDITIONAL AFFIDAVIT FILED BY THE CANDIDATE ALONG WITH ftlovtIN,lTloN pApER BEFORE THE RETURNING oFFICER FoR ELECTIoN TO THE HOUSE OF THE PEOPLE FROM Is-BAPATLA (SC) PARLIAMENTARY CONSTITUENCY (NAME OF THE CONSTITUENCY)

H s, BABY LATHA NANDIGAM Wife of SURESH BABU NANDIGAM, aged 34 years, resident of Door No.2-6lB, UDDANDARAYUNIPALEM VILLAGE, THULLURU Mandal, Guntur District, 522503, Andhra Pradesh (mention full postal address), candidate

H %t the above election do hereby solemnly affirm and state on oath as under:-

E lo I have not been allotted any govt. accommodation at any time during the I period of last I 0 years prior to the date of notification of the current election. ..'1 K.V. KRNT{I{A tnn*t

VERIX'ICATION

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 25th day of March,20lg

NW)U\-*DEPONENT

solemnly affirmed the contents !*"* in the affidavit and signed before me on this 25rh day of March,2019

K.V.

Aoottl. bY Covernmeni ot India ginOni Nigai.3rd l-,,:r:t:, 0NGOL-E Fraiii.ani tlistrict. A.P., India t tY COMI4ISSION Cetr:9440183049 EXPIRES ON 21-07-2023 fl

E U ffiftril.Irudi Rs. 100--:

s. 100 HUNDRED RUPEES t ,.-]

t ( Irrrnqwil

I 3TT-T INDIA t-t t EIAi

*oq6df,.5H vtsr ANDHRA PRADESH nD".l 'Ar-App,n1ffi1.3ffi@\. _cD 51 8103 s"r-.rr:odf.*r*?.f.:H..'Ur9 | ^ q :'::,;:']:i.,I.gif..8H:**sBI-*b.};;l,*Htrir$.#i$:ftid.: s.-i i". d*A;+i[p5ia, l;;]i;l--i1l,llli['3,i$iitJf, illiJ#l al.mavlT FILED BY THE cANDIDATE AL,NG *ITH NoMINATT,N pApER BEFORE THE RETURNING OFFICER FOR ELECTION TO THE HOUSE OF THE l{oilE^rygrvlt=s=-ps=e4Jll?iirpARLrAMENrARycoNsrrruENcy(NAME oF THE CONSTITUENca

E I' LATHA NANDIGAM wife PABY of sURESH BABU NANDIGAM, aged 34 years, rCSidCNt Of DOOT NO.2-6/B, UDDANDARAYLINIPALEM VILLAGE, THULLURU MANdAI, cttut District'Pin code No.52 2503,Andhra Pradesh (mention full postal address), candidate at above election $e do hereby solemnly affirm and state on oath as under:_

My husband Suresh Babu Nandigam @ Suresh. Nandigam is a candidate set up by YtfuAJAN.q. SRAMIKA RYTHU CONGRESS PARTY (YSRCP) fOT 15- BATATLA(SC) PARLIAMENTARY CONSTITUENCY of ANDHRA PRADESH STATE and I am the substitute candidate who will step in on the approved candidates nomination H beifrg rejected on scrutiny. There by I filed nomination under PART- I FORM-2A nomination pu*t' If the nomination of Suresh babu. Nand igam @Suresh. Nandigam is not consideration {ry}8;tbg- scrutiny my name may be taken into consideration es a nqn,tidara ca}rra r.., +L^ ffinymyT^-":,":*""intoconsiderationasacandidatesetupbythe r+ry6q* ffihM...Ka}iY Kfl 6,rfiiffifi,lig!;^:fry9ll .\(UilP il*,tt?:rli&?lBon -ri rr,l-r83o49 YUVAJANA SRAMIKA RYTHU CONGRESS PARTY (YSRCP) for 15- BAPATLA(SC) PARLIAMENTARY CONSTITUENCY Of ANDHRA PRADESH STATE. Hence the affidavit.

f %.}i:.blr",. Deponent

Swear, Solemnly affirmed the contents in the affidavit and signed before me on this 25s day of March, 2019 at Ongole

K.v. KtsIsHN XivAarg& rygf-,Y, 65ffi[i&!:llnlg:'::,rs:l:B'-'i8i? Nlsar,.3rd !-ane' iilH;",f i1;rfi;'i'12.1*'' tEil"giAC-:"'*t*+e ,*H80#fJi-I0,, rqlro=r-A Hs*.,1 00 ONE s. 100 I.IUNDRED RUPEES anr-n INDIA NDIA-NON-JUDICIAL

cD 51 8505

A$FIDAVIT FILED BY THE CANDIDATE nironr ALONG WITH NOMINATION PAPER rHE RETURNING oFFrcER FoR ELECTT.N To rHE P4OPLE FROM Hous, oF THE PARLIAMENTARY CONSTITUENCY OF'THE CONSTITUENTro (NAME

E ti

T, IANV LATHA NANDIGAM WifE Of SURESH BABU NANDIGAM, AgEd 34 YEATS, resident of Door No.2-6lB, UDDANDARAYLINIPALEM VILLAGE, THULLURU Mandal, Guntur District, 522503, Andhra Pradesh (mention full postal address), candidate at the above election do hereby solemnly affirm and state on oath as under:_ !

I filed my nomination g as a candidate on behalf of yuvAJANA SRAMIKA RYTHU c()NGRESS PARTY (ysRcp) for IS-BAPATLA (sc) PARLIAMENTARY CONSTTTUENCY Of ANDHRA PRADESH STATE. I AM AN EIECtOT iN SETiAI NO. 36 PArt No$rg of 86-TADIKONDA (SC) Assembly constituency. In the elector roll in Telugu my mentioned as Babylatha Nandigam but in English it is typed as Bebilatha Nandigam.

HM f.wGfl"* 81ffi-r;*ff'[?'fft*t;$'' t'!Y,t'?,'f,[ffi !l$1fr1.! Referring my name in the Electoral list as Bebilatha Nandigam in English is only typing mistake. My name is correctly mentioned in Telugu.

Hence the affidavit.

^{-B+k[ct*Deponent Solemnly affrmed the contents in the affidavit and signed before me on this 25ft day of March, 2019 at Ongole.

i' . ,.i .",:iON Fj(PIRts rlN 21-07-2023 '3t21120'19. 60r78jpg

ANNEXURE S Chapter 24, Pa624.3

FORMAT FOR ISSUING CERTIFIED COPY OF EXTRACT FROM ELECTORAI. ROLI (with photograph)

(Lcaer head ofthe auArcig isruingthc extrscl)

Dy. No, of the Appllcstlon Dsteoflssue : lqh\1"\t ( as entered in the rcgister on receipt of each application)

EXTRACT FROM ELECTORAL ROLL Of Ndik\&\F$k(Assembl)'/ Parllamcntary

Constitue rcy)in the Stete/UT of \$r\\\(.o* r[,r.

nprcxo.LF*\k\-13\\ Elecror's Nam€: B\R\\ L$t\ t&\. N\N\!(\\ Father's.Name: s\g 5qqsu

Certified to bc lruc o(iract fmm thc clectoral roll nslituency, rcvised w.r.l. 01.01.20_ as thc qualirying date and as in force on

Ptacc: \\sgN( (Signaturc and scal ofcompctcnt authority) Dut"' at\a\N\1

- Do[.'n*t.t"\tw lilo trAHstLD,f ii THULLUB

httpsr/mail.900916,com/maiyu/o/#inbox?projeclo.= I 111 a ,

t" x?h I 7i?? \ *_igJ 6&urj ;5o6rlo

,*, '1-,a1,-, .: --..{ f-

,-; ::- I,.vlC-' 2-(1,'B

cl f t? r. -l'r,.'JUr l* l(v't^ fimil l>,['.(l'il.- t,Q'rl .,,o.Po)*- =U'^"^t.U*, rS -!- rQ AERo &JII,iI.DAR

t[ rl itiiuD ll

"ffi'iffi'n^ a ,t

YFII/State Andhra Pradesh

ftw-q qqr ffiq{ Setnssentty Tadikonda (SC) Constituency

IT{iNarne \ ffio"J $oarlo BEBILAThA NAI{DIGAI,|

frq/Gender F

q6fl"t q* oci6'/ePlc No LFyQ617322

ftdrefr iD'T TI'B/F athe/dH usbandrs *Ddf Narne SURESH

,to qrfr \+guPart Nunber

'+{rrI E-t fl-rI/Part Narne UDDAT{DUMYUNIPALEM

{f,*fldr s-qi6/serial No 36

{ fr'q1q t-Elpotting station M. P. PSCHOOL, HARIJAIIAWADA

Ttril{ O1 AntqPolling Date No election scheduled currentlY ffi ftfulPrinted on 3/1512019 2:44:46PM

$te 1 .Itb u,H:tis csrgl€r genorercdadb poirtdcrtyfqte ifsrdionto&evd€r.

f.iae 2 . lhis is nd an iler{ity dmrren.

,r,t{-r'\}''"'1r ': Ur(D u'0'Pt^)t* ll .s9\t "ffi.., rvr\c, ,\ ' . +ef {,b6 arae ,2019 86 ryCSoC (JS 5) ?rJ6xrd Sof,rad J6o, uo6!B6i ai"6o boq:g 19

1 Z-t aroa 2-156.55 5 so5 !Oot,66pd,(ro11)Sloo,a:gro(o:). -uq,oore6a0i J] 321 udorircosi6 13 I apijroloooslil Lair 160 l6d $si5 i 'f,oa L66r'LU, B8's0 ,f,ar LE6o ':16, loadd so6.ro 6o,5 {o6 Oroo 3.6 66-tdJ god$sr6 Ou. soptd: gp

qd: locEr 1.6 qqc:oDf! :.6 nod tosU, :-6:A sdirt_l l7 gofr,. 0 lca'*rr 34 OdrS* 8f. 5ds*:.1 4l Oo,t:$ O t4 Ltx26ri702 I 15 I APl5l010069r7r 16 I lrxzorz:ti i&6:6 s'JO no6do tba :u! ss5 506.10 ctuc aA 65oo loaro 6o.6 tdr 5"56, ror! 4 r:c;& a'6 ,:o_tdc $6s i.od::oo6 :.('.^ ffifrF ;.cclqur$ t:6..B s*:'.. :5 !6.i:* :{..rr... 6). ,ffi^tdffi {l sori& O t::r;:" &. ,j eprsro-r0oos0s[' 'ffi ".,:- l r* i ,,oonii*r.ri le I Ueoo2627!S rcr:s 6oa,rc rr:c: sDO '.o€o nr' ;i"ffi aB egi.6 Lr:& :!1. a6lo eaa6 r{D :iDo ,r il..-. tlt ."ffi.?Fr:-i . 'ruoeD [. fq.-ic edsu5 g(]l ffi dol6 rid] o56 ro iqrj:oo& l-t .':::"";; b S- :";.1:"; :d$" tu ,..,sr I s*sr lfi 006!. O 4oI uooo:rirr]".*- '' ffi .I ,e*ur.r,i 4r I ueobo:qsoo Lc6-rci aoloesree)lDO ffi,,Wffi rctas. ssir6 :o0 LL{c l)E 106l '.D0 co.6r.)c) o5o ou"", ffiffiffiffi .otcesoeQ, 4d-'o6i aolo Fr eO qolloc* l.x ffi qyjioc& l.t iotl ::*C :-t :dj-a' :,1 co-L( =fffiil r

I ioa:oEdo l-l.l l. qod:!oDG 2'14 :c,.',= Q ffi lCr;i. {! .,ci;L. -O 581 r.rrx16t7t.r0 a'O 60 I i;eoorrrlq.r lrrj'j"i S$o a)0 a-cd: ai: tJ.llco $ca6o

4C.i: on dqJ6 oQ) ..ca:3.c* l-l.l """# W .."'-... \) lri;j CI

L-lc)Jacitl 'irl j ,K*$- J [c$a 'Z)

tef'"',t'. ' i;,+ Q'l' I of I

ERNI.'EN'I ERNMEN] ,9.1-,.',-- @ Y}1 S: fl:s ! ffi AP16 37889421

GOVERNMENT OF ANDHRA PRADESH REVENUE DEPARTMENT

Application No

til iliil1il ffi irililtffi ilililililt iliiil il fiil cGco11921{t24650 o{te I la/o3/2019 COMMUNITY, NATIVITY & DATE OF BIRTH CERTIFICATE 1.This is to certify that the Srilsrimathi/Kumari NANDIGAM BABYLATHA S/o I Dlo lM/o lFlo / Vtlc I Hlo / C/o Sri. SURESH of UDDANDA RAYUNI PALEM village / Town of Ihslrrr Mandai of SgrGulDistnct of the State Andhra pradesh belongs to t{adioa-(sc) Community / Caste which is re.ognized as Scheduled Community / Caste under The Constitution (Scheduled Tribes) Order, 1950, S.Cs, S.Ts lrst (l',lodif icatirn)

order 1956 and S.Ts (Amendment) Act 1976 as Amended from time to timc . 2.It is certified that the Sri/Srimathi/Kumari NANDIGAM BABYLATHA is a native of U D fAl"E!! LocalitylLandmark of UDDANDA RAYU T PALEM village / Town of Thullur Mandal of cuntur_Drstrici of the State Andhra Pradesh. 3.It is certified that the piace of Birth Sri/Srimathi/Ku mari NANDTGAM BAqYIAIIIA is of UDDAIiBA &ILU_NIIIALEU village / Town of Thullur Mandal of cuntur District of the State Andhra Prrdesh 4.It rs certified that the Date of Birth Sri/Srimathi/Kumari NANDIGA'4 EABYLA_r,iJA rs,l_9 Day Apr-;l rlonttl lgqli Year (in words) One Zero - April - On6 Nlne Elsht Flve as oer the (lecl<-r'ation given by hrs/]er Fatner/Mother/Guardian and as eniered in the School records where he/she stu(lied.

Certified By

f\t,l -l- f6-qrwe\Ja Ftr L J_l

NaMo : I PADIi{AVATHI l)esigriation r TAHSTLDAR Mand l : fhullur

Note : This is Digat.lly Signed Certificatc, does not require pxysical signiiture. And this certifica:e can b.l vcnfied at http://www.ap.meeseva.gov.in/ by fumlshlng the .,pplicatior number rn,:ntioned ln the Cei:iiicatc M aorer;o JoagcS eroBoil:0.:5u erhs;u 6s3O qi$; 635s6er bqe55r.: Dectaration by the Authorized Agent for Delivering the Electronic Services

5i so-"u.5er6 5)grr. Q5eds bsriy'dtu er&s;,}es soQrSoS bBs)J 5oo& i$ )oE5 er:)95 a5i.'f,"o"$3 X)oF)i 55e)) eeo)) OJiB. 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.

€{ So"arjtr6 tu(5$" Gied3 r)5}r'65x cd:-,1oba65 ei6s3":-&s 5o{r5b5 b}Sp i:oe -r6&d fsSrzrct'$s i5ooaae56. The information contained in the computer printouts has been produced from the aforesaid computer systems during the penod over which the computer was used regularly.

iii. 6; so4r5t:5 tuger" tEr"Sdc 35rr"65! sof,er5 ::gSpd r.ssps bded 5tsJ.6)

During the said period, inlormation of the kind contained in the computer printout was regularly recorded by the aforesaid computer systems in the ordinary course ol the activities.

aosUea iv. s, so"a15e.:5S::gSsr" Qsed3 6J}ltr"6 X>soJooef SoU"Jur53ESJ 6oq 5tictu'losJf 5)oob) b66r

Throughoutthe material part of the said period, the computerwas operating properly, and there have been no such operational problems that affect the accuracy of the electronac record contained in the aforesaid computer systems.

*;tr65; pi lf\drr"e .r"<\) d035oe! 56$ so8ctr! .1" ld56o $65) i)OEirXI.

The matter stated above is correct to the best of my knowledge and belief.

ru ANDI{RA STATEMENT OF xCCOUNT STATE I]ANK OF INDIA BAPATLA AG COLLEGE ROAD, BAPATLA GUNTUR DISTRiCT Branch Code : 815 Branch Pirone :224261 IFSC: S8IIJ0000815 MTs. NANDIGAI4 BAiJYLATHA MICR:522002302 w/o.suRESH,2-5 Account No. : 38340293112 UDDANDRAYUNI P,\L EIi Product : REGULAR SB CHQ-INDIVIDUALS GUNTUR Currency : INR 522503

Oate:25103/2019 Tirn{: : l0:17:-14 E-mail :

Cleared Balance : 1,02,000.r)OCr Uncleared Amount : 0.00

+MOD Bal : 0.00 Monthly Average Balance : 2000

Limit : 0.r)() Orawing Power: 0.00

Int. Rate: 3.5U o/i, r,,J. Nominee Name: ,/ Account open Date 2t103/2Ot9 ',r Account Status : OPEN " St.rtcnrent From 21,0i12019 lo !5/03/2019 Page No. : 1

Pos t Value Detai.1s Chq. No . Debit Credit Balance Date Date

Bll.Ol,GHT FORiirU.D : 0.00 :ir100.00 2000. 00Cr n..: . ' .: I (i0000.00 102000.0OCr

t;;

CLOS]NG BALAN('E : 1,02,000.0ocr Statement Summary Dr. Count 0 Cr. Count 2 1,02, 000.00

,:,r* l..N l) oF s].,\.tElvl EN.[.,!,1,,

tk*n*yff*e BIO.DATA-FORM

1. Name of the Candidate: NANDIGAM. BABY TATHA

2. Name of the Sathef/N4€ther/Husband: NAND|GAM. SURESH BABU

3. Age-Date of Birth: 34yrs | 10-04-1985

4. Caste: MADIGA-(SC)

5. Occupation: HOUSE WIFE

6. Qualification: TNTERMEDTATE(Voc)

7. Native Place: UDDANDRAYUNIPATEM

8. Permanent Address: UDDANDRAYUNTPALEM (VtttAGE & POST), THULTURU (MANDAI), GUNTUR (D!ST), P|NCODE-522503.

9. Present Address: SAME AS ABOVE

10. Telephone No: 8L25227799

11. Mobile No: NO

12. Fax No: NO

13. Email lD: [email protected]

14. Social Networking sites:

15. Two Pass Port Size Photos (Please enclose)

15. Any other information

(Signature of the Candidate) i- *' . . BY SPEED POST I I".No.5(?84)/2008-NC 32/2018 Government of India Ministry of Lau' & Justice , Department of Legal Affairs (Notary Cell)

Shastri Bhawan, New Delhi Dated: 03'08'2018

To Smt. /Sh.Venkata Krishna ReddY K' Advocate & Notary Public Door No.7-445,3rd Lane,Ga ndhi Nagar,Mangamur Road,Ongole,Prakasam Distt',Andhra Pradesh-52 3002

renewal' Sub. : Forwarding of certificate of Practice as Notara after

Sir/Madam,

subject ciied above and to I am clirected to refer to your letter dated 2l .03.201 8 on the Registration No'6400 duly forward herewith yo,i, Original"Certificate of Practice as Notary renewed for a further period of five years W'E'F '22'07 '2018'

2. Please acknowledge the receipt. Yours faithfullY. a

Encl.: As. Above. W (Kusurn Jain) Section Otficer Tel. No.Oll-23383221

\ \ \ \ F .a, Fite No. 5(?a4),zzooe_Nc 1,, Regn. No. : 64oo

{

ffi ErTrTuT sqfuofuqrqrilraft *2ffiBj; ffi 5z36DL.m En +at srfdfrqq 1952 (tssz 6r fi) + ereftq +ao +6q sil{ Fe +at A6T + v=X| I qawTq m-r+ +frq q,ia qd qfr srq.r? + frq nW fuqr qrrr Fr +t Effirerr A Bil-{ HEErr 4f, gat*t dr0t+orfoq5g1L2dE +) frqn qqr t GOVERNMENT OF INDIA U,trttfirutf, trf lflru rtirt Cerrified rhat Shri/SffffiNff. Venlcata Krlshba Reddry K., Advoeat son/dlrykxxndorif,x of Sh. venkateswara Reddv Resident of Door No.?-4zIS, eandhr. !, Brd la,ne, l,Iangartrr Roadl Ongo].e-S2AOO2 ( AMHRA PnADESH ) has been appointed as a Notary under the Notaries Acr, 1952 (53 of 1952) and is authorised to practise as such, in and Dtstrlct ( AIIIDEIRA rhrougho.r, ongole PRADESH ) _ for a period of five years. Given under my hand and sed of the Government oflndia, on this6orr\g Sa"-o,Qday "W T"'otl,s,+*4-"'4 Etd7+ rrrtr rrrmrc + rg'ffi aa+5Ad €,8 q? qtzr iera/- , , Afu fl+ furrrr 79ffi ( 11 .EE'(mAEr/ r Joint Secretary/Sgra@to t6e Government oJf India Ministry of Law & Jrtstice Department of Legal Atfairs New Delhi 1 e'

€qo-o

€@B qs.f,Hj 6ts) l' !1t (rrffY| q-r,/sATrsH CHANry .e'tn-.r/cc"t. ' rig.c rrfu{ \"i- Rfn rqtF.+F Joini Seoetary & Legal Advreor ilonow,at frE cirr m FlIa *:"::11t'1* cf, Vinistrv ot Law I Justrce ",'.'.' Shorr!,J l:g (frO fu fr.6n7olo Legal Afrairs) .11:,',.,,.... -''"'t''tt:e <{ HilNew Dclhi $.;i; ;:I:; ff#a"t,Hfie* J; t "ta\ € (D ((}. s. \,,Ir'1 \v) J+-lnl 3e;. et:..y - i,. ,.:l /r.dvi 5..:r Mirrlg1., oI .-- .,(r. ffi l_.aw ,_. (D.e..ntt.-r-fI +rarnTeovr '_ , t.- t,.,i(: ) (lcvl, ot lr->:tr;r. i.l+,w lt..:rrr;

/ir::i;;:n:ions for Rcnewal of cci:lfrcate of Bracticc Shcutd bc $i,'6rriitt,.:d for Accordasce to Luie 8-B o[NotadesRules 1956

\1=:.' l FORM A

COMMUNICATION T{/ITI{ REGARD TO AUTI{ORISED PIIRSONS TO TNTIMATE NAMIS OF CANDIDATES SET UP BY RI;COGNISIJD NATIONAT OR STATE POTTTICAL PARTY OR RDCISTIRED UN.RECOGNISED PARTY. POLITICAL

par:agraph [See 13(c) , {d} a1d [e) of the Election Symbols ffieservarion and Allotnrent] 0rder, lg6g.i To

I. The Chief Electoral Officer, And}*a Pradesh fStatelu*ion"Terrireg ) The Returning Officer for the

1"5 - Bapa tla (S.CJ p nr I i am e n to ry Co n s ti t u e n c1t,

subject Gerteral liltrtions to House of Pe0rlle fram&ndhra pradesh(state/ltnirxr.:l"r*r,r*r,xy) - Allotment of syrnbols - Authorisatiott of penious to inrinute names of candidates. 5ir, In pumuance of patagraph 13 (cl, (tl) and (e) of the Election symtrols I.968, hereby {Reservatiorr arrd AllotmentJ order, I c0urmunicate that the foilouring person (s) has;,have been authori.sed try y{IVA;AI{A S'*MTKA R'THU C0N6RESS pARTy, which ,, flr;i;ip.iisrate Farry in the staw a{ a,dhtsro,dsstt Iffiffi*toint,irnatetlrenanresoft}recandidatespropweptobesetuptrythe

Narne of persou authorisecl District(s)/arca to Name nf office hekl in the (sJ constituentyf sencl notice parry colrstituencies in respect of -which he has br:en authorised. 1 2 -! J

1. Y.S. MOI{AN REDDY PARry PRESIDENT 15-Bapatla (SC) parliamentary 'AGAN Constituency, Andlrra pradesh.

\ ,t0 ,'\'-.* /ge$

Q'$:i-''''n:i*u"' *r EI ;

?' 'llt0 spt'citltelt signatttrr:s nl'the abi;ve mentioned pe rson (s) so authorisecl ar.t, gi'un he low:- V I' specirnerr y.s. signarures of shri IAGAN Mor{AN REDDY

(i) w (,i)w0,, .$q' 2. Specinren signatures of Slrrj

ti)

3. Spercimen signatures of Shri

ti) (ii)

YCIurs fairhftrUy. ry\ {Y.s. REDDYI

Yuvajana Place: llyderabari, Sranrika Rythu Corrgress party

Date: t 9"0J.2019

(Seal of the parr.y) NB.

1. Thi's must lle delivered to rhe Returning officer and trre chief Elcrt|[d offic,er p.m. on the lastdate formaking nominations. t nor rar*r than 3 . ,; r 2. Form must tte signed in ink by the oflice bear {rr(sfin'enuor*a *bove. No racsirnile signature by signarureor means ,f rubber stamp, etc., of arry \ffice bearer shail be ag6qgrtetr. 3. No form transmitted by fax shall be accepted.W \ SV. ,,"7...:,;,.t](

FORM B V- NOTICE AS TO NAME OF CANDIDATE SET UP BY THE POTITICAL paragraphs PARTY [see 13 (b], {c) and {e} and 13A of the Election symbols (Reservation and Ailotment} Order 1968)

To The Returning Officer for the partiamentary lS-Baoatla {SC) Constituency.

Subject:- General/bye Election to House gf Pegpte from l5.garatra fscl parliamentary Constituency in And hra pra des h tstate/rrnio{++e;*rary} - s"ffiffi of ca nd idate. 5ir, ln pursuance of paragraphs 13.{b}, (c} and (e} and 1lA of the Election symbols (fleservation and lll*"n.1order,1958,thereby|iuenoticuonbehalfof (i) that the person whose particulars are furnished in columns to approved candidate I2l [4] below is the of the party ahove named, and {ii} the person whose particulars .r* n',*ntioned in columns [5t to l7J below is rhe substitute nomination :1",.,11ff:Jllon scrurinv or on il,T;,[};;il,.::1,::X:yffi.lno;aare,shis withdrawing being reje*ed from rhe.onru.*, if rhe substnd;J;il,l:iil -*i,,e-oi ,',,":X-":",1ff1:; i--.*i;.fllj"il_p-slpugsgtgttfk*sllgt,_ufsr$jl consriruency:*..,-,-,,",-_",*.1- yj:":.:i:Trn* j ruamior*;-*l**-6ifrffi, it,$urru;ldfiilst,r LonstrtuencyiapprovediNrr*roe&/ -.xixjiii,.:i"' Name ol the iiii.trr,p+l :ifJi,',li Tili.il[: 1,*,ffiffii,* I I I i*',','.:gl*r'o-u'r;"il'*n'r-iuu'muii' i",i?ip*,",r 'i:$;t:::1" I .;;;il;-; i ;#j,;il" I "" I wiusup.in ,,,*"or I I I i ruhstitute on the approved I randidate cardidatrls nomlna$on being rejectrd on scru$nyor on hls

withdrawing frorn the contest if substitutc candid;rt0 is still a contestirrg cantlidatc 3 4 --,-"-{- J 6 7

Uddandarayuni uddaodaravuni Nandigam'--'ryr.s"''"''" rouru r.1*Tlr:il Nandgam aaby I | -.rnuturu(uinJal), .. I "-"L" I Nan,risan I | lsurp,rr,n,r,r,,sureshSuresh 1,.:,?1.:ill:1,1., H;;ililfr, I H!" I Babu I rr,,rr,,,rii""ofhulturu{rfandat}. ::l:--/ l,.rlott I I .unturDist 'irl ilii l|!: lFhrl &'l^i ci "#$ffi#$i,ff.ffio$r;l. l';r P1"l!t,-i"' '2. Thc notice in ,8,*,rn,, 'i Forrri *,rry'*, in favour of .Shri/Snrr./Sr/hri...... ,. party's dpprovpd can(,rr1ll.i/Shri,lSfl1.75urIi, ...... a5 ' ._ " ..'"""'" .. .,_".'.' .' .".T' . ir lrarsby rescinded I ' """""/" '.as PartY's substrtute candrdate

3' lt is certified ' that cach of the candidates who$e nam* i$ rnsntioned above is a member parry and lris name is duty of this politicar borne on the rolls of membu" of il;;;;..

U: v.s. rncffiil6d,r\neooy Pre\irtre\irJent YI,VAJAT.IA Place: t"tyderabad SRAMIXA RYl HU CONGBTSS PARIY Dale: 19.03.2019

" Score off, if not applicable"

N.B" d*livererl to the Returnlng officer not rarer rhan :rl[J:[:e 3 p.rn. on the rast date for making 2' tolm must be signed in lnk by the office bearer fsJ menlioned above. No facsirnire rneans of rubber starnp, etc., signature or signature by of any office bearer shall be accepted. 3. No form transmitted by fax shall bu ,a."piuU. 4' Para 2 of the Form rrrusl' be scored off, if not applicabre, or rnust be property fi[ed. if appricabre.

: 'i l';D Jl ,lbn t " rl"w O;lrea 55s"6 bgo

( erd6 o"arSor,io erOSej Sa ( b ) ) ( $ga:oosj i.g .36ur; e,dJg 6olJ$e)3,i6 ) ...... a$.&.,...... riw...edd...... ees ss efs n* bs,E o"ScSes Soire)a e-"J$. qJrl;5oebi 5)O pC.:"eao 6b / S*eldsSorr €irao 8QJo";$:. tJe.ro Sd?oC$ S6om 'S[: ardel o.a.5orio o* AIg C".S,]SJ sO6 6oe:"$5 ;!Oo1x bpJs5e3 $o5cr;o"5,t; s"$oo"S5 Oileao BS)_"JI.:.

boeiso y'. er6fL^ 5dr N B^a7 La-thq GENEML ELECTTONS TO Hop, 2019 15 - Bapatla (SC) parliamentary Cons tuency RECEIPT FOR DEPOSIT

Serial No. I ! Oate. .03.2019 Received a sum of Rs.12,5OO/- (Rupees Twelve ihousand and five hundred only) in cash from :trri ...... N:.94fu ...t&[fi.0l...... contesting candidate sponsored by party/independent towards deposit for contesting from 15 _ Bapafla (SC) Padiamentary Constituency.

(oR)

Received Challan for Rs.12,5OO/- (Rupees Twelve thousand and five hundred onty) paid in

Signature of RO/ARO