APPLICABLE

(To be used by candidate set up by recognised political party) I nominate as a candidate for election to the House of the People from

ttre. t.J-.Dtlh5HfNA.k.ANN.rrDft...Parliamentary constituency. ,l Candidate' name...4ffll..,I-Ac-hy-l!.n.K..11..R.i-F-i?.1=...... Father'vmorhershusbancb - purgi.A.ii-..Y;.i,P.vi.,4.Y+ S.l;.ilH$ / ger-- postal aaaressc?.4d.4J da.Ka..l!.tltlKt'.ifl1:.a'.i,IJEgR AJ N:1 k L\ ilN + M t-r?AArl :'cI\ 't ANrrlf|'c16.L RAt MANGA.htnu.,s..1..sra6jHi;s tllrxname is enrered ar Sl.No *.F..j...... i" Part No .....?.4...... of the electoral roll for*e3..11rlgp,-.1,+*r..€:.I'trJf thssembly constituency comprised within)./.7-pAk{tlw Atsf'N,vi,D| Parliamentary Constituency.

My name ls..i):.K{iLK.tyl.B.y F)....P.a..9.5^.Ri.... and it is enrered at st.No..0l/..{...in part No./..?-18....or the electoral roll for{,D.al...13 ANf.vl.tlL-...... *(Assembly constituency comprised wirhin)..1.'l..LdK5lrl:tN.6...KAt*,!AD,4...Parliamentary consriruency.

/Wh-L'*:- oute-1.5-:.03:i'o l') Signature of Proposer

PART II

(To be used by candidate NOT lsed polrtlcal partY / We hereby nominate as candidate the Hor#e of t People from

Candidate's ..Father'Vmother'Vhusband's .....His/ Her postal (hc el!-ctoral roll fol

constltuency SCO rvrthin)

We dcclare that we are electors of the above Parliantentarv ncy:rrrd oul tlamcs arc entcred in the electoral roll for that Parlianren(ary Constituencv as i belou' and we appcnd our signatures below in tokcn of subscribing to this nonrinatiolt:- / Particulars of the proposers and their signatures

Narne of Electoral Roll No. of component Proposer sl. Assembly Part No. of Full Name Signatule Date No. Constituency Sl. No. in that Electoral Part Roll

I 2 3 4 5 o 7 l. 2. 3. 4.

6. 7. 8. 9. 10.

N.B.-There should be ten electors of the constituency as proposers.

PART III I, the candidate mentioned in Part UParrlI (Strike out which is not applicable) assent to rhis nomination and hereby declare-

(a) that I am a citizen of and have not acquired the citizenship ofany foreign State/country.

(b) thar I have completed... tl Q, Vears of age; [STRIKE OUT c(i) orc(ii) BELOW WHICHEVER IS NOT APPLICABLE]

(cxi) rhar I am ser up ar rhis elecrion by rhe.Bt,lRl}IlyX.$.N.0f.fl...t.SRry-..... party, which rs a recognised National Party/State Pany in this State and that the symbol reserved for the above Dartv be allotted to me.

OR

- (c) (ii) that I am set party/that t contestinS this election as an pal ty, which is a -unrecognised political \ syrnbols I have chosen' indcpendent candidatc. 'ike out which is not applicable) and t\thc in order of preference, are: \ (i) \ ,iii\ correctly spelt out above (d) that my name and rny father,s/lplrrn*"n r*g*oa'r name have been

in...e.izqh 9.4\...... (name of the language) ; qualified and not also disqualified for being (e., that to tffe best of rny k'owledge and belicf, I am

\

Ialsodeclarethatlhavenotbeen,andshallnotbenominatedaSacandidateatthepresent House of the People from more general election/theif-el€€$iees being held simultaneously' to the

than two Parliamentary Constituencies.

a;.-. o^t d.?...:.9..)-.-t o t'l sien"\*#a;a"

,'assembly in the case of Jammu and Kashmir' r Score out the words constituency comprised within" Daman and Diu and Andaman and Nicobar Islands, chandigarh, Dadra and Nagar Haveli. Lakshadweep. *Score out this paragraph' if not applicable- **Score out the words not aPplicable. N.B'_A,.recog4isedpotiticalparty"meansapoliticalpartyrecognisedbytheE|ectionCommission in the State concemed' under the Election Symbols (Reservatibn and Allotrnent) ordel, 1968

TART,NA

(To be filled by the candidate)

(l) Whether the candidate - (i) has been convicted- (a) of any offence(s) under sub-section(1); or I (b) fcir contravention of any law specified in sub-section(2)' of section 8 of the Representation ofthe People Act, l95l (43 of 1951); or \^ (ii) has becn convicted for any other otl.ence(s) for u,hich he has been sentenced to imprisonment for two years or lnore. .-- Me

If thc answer is "yes,', the candidate shall furnish the followrng inlbrrnation : (i) Case/first information report No./Nos...... NeI (ii) Police station (s)

(iii) section(s) of the concemed Act(s) and brief description of the offence(s) for which he has been convicted NAt Afut_-Calatt

of

. ... )re;/No rcvision filcd tx) the appeal(s)/applicarion(s) for revision filcd

(xi) has/have been disposed of or (xii)

Govcrnment of lndia or

-tf yes, give detaits ...... l\€* ..dfl\,rtX (,AjD,h.- (5) whether the candidate has been disqualified under sectron 8A of the said Act by an order of the president? . . . .NI...... Cle(/fllo; -lf yes, the period for which disqualified N S! O+p.\i.CrJv^1(^ tai.toyut,y (6) whether the candidate was dismissed for corruption o. ro{r whire hording office under dre Covemmcnt of India or th.,,eouenr,l,cnt of any State? ..[S.0.. -lfyes.rhedareofsuchdismissal C+eslNot ffAt tEUCsh{^ (7) Wherher thc candidate subsislin-u colltl'act(s) r'r'ith thc indivitlual '"t Governmcrlt cirhcr in capacity ur.n""ttrtrst 'y or. partnership in which thc supply canditlate has a share fbr of any goods to that Govemrnctlt or fbr executtton of works Governmcnt? ....ffu.:.... (youuNo) trrrrlertakcn by that _ll'yes, with which Govemment and details *of subsistirrgsubsir conrract(s)..tr.*t *ffp!.taw< (8) wherrrcr rhe candidare ,, ;;:,:;'::::'oa ntanagin-e agcnl' or managc. or secretary of corporation (other a'y co'pany or than cooperative socicty) in the capital of which the Govemnrent or State Go\ Ccntral 'enlment has not less than twenty-flve (ycslNo) perccnt sharc'? yt*Wuuha-

-If Yes, wirh which govemmenr and the details thereof...... tS:a{., *1tp+tc ^-try, (9) Wrcther thc candidate has hoer, disqualilied/tic^,,-r:r.:^i , ., by the conrn,ssiotr trtttler rhe said Acr Section .l0A of . aJ' .. . . ,*o|]l -If yes, rhe date of disqLralifi.",ton . . Npf . ff #f Uhh Place: M*4"r,-n

Datc : {s_o3r^o{g Signaturc

lre of

oate...-.O):.?.€.:dg I Lq--r Returning.s- Orficer l

PARTV offrcer Acccpring or Re.jecting the-"' Non,rnation papcr I :,::t"::::::n]:shave o ' 'vrrt'rdtrur rapcr examined this nominati,.,,'natlon ,_ paper'.,"--. in accorc.lance^ - withwrrn I-lttl rnn rL^ h 'L(' sectionsectron 36 of the ^t.ln-csentarron ^fof the people Acr. I 95 lf 43 l9-51 , ..^., of | / .uru 0cctdc as followt:_

Rcturning Officer INDTA NONJUDICIAL

: G*pye-rnm-en'!.-of qdiqqqt -Karlajaks.

e'StamP

Certificate No. rN-KA801 4730821 80il7R 22-Mar-2019 03:58 PM Certificale lssued Date o Account Relerence NONACC (Fl)/ kakstcloS/ / KA-DK i Unique Doc. Reference SUBIN.KAKAKSFCLOSgl 21 81 41 834840R Purchased by NALIN KUMAR I Description of Document Article 4 Atfidavit Description AFFIDAVIT Consideration Price (Rs.) (Zeto') First Party NALIN KUMAR KATEEL I Second Parly NA Stamp Duty Paid By NALIN KUMAR KATEEL .r\\ a.\ ''. \ o. Stamp Duty Amount(Rs.) 50 2 (Fifty only) sll'u'?3^',!l$\""ii'\- i -'.r'' h\P'\ ;6('r,-$Pljno"'"ilr -q1l$j1o'r \--l/ t E -7ou"not*"" ,i

Rr4. f.lo. 1920

Please write or type below this line FORM- 25 {See rule 4A)

AFFIDA'IT TO IJE FILED BY THT CAI.DtI)ATE Ai.NNGTVITH NOMINATICN PAPER BEFOT.E THE RETURNIII6 OFFICER FOR EI.ECTION

TO THE HOUSE OF pEOpLE (NAI\4E OF TUE l{ousE) FROM 17 DAKSHTNA XANNADA (GENERAL} CONSTITUENCY (NAME OF THE CONSTITUENCY)

a

ERRoRs/co RREciloNs ETc,r-v3

Staturory Aled:

cerriricare erourd be ver,ried ar "ww.shciresramp com". ' ,1ff,331i",j]l'i,il i:Ri"sl€mp Any discrepancy in rhe dera,rs on rn6 certiricare ad as 2 7he onus o, checkirc lhe tegiti,r€cy ls on trc users ot lhe certitrcate 3 h ,__,case ".ot -,,,any discr€",-- petenl Aulhoity. PART A

NAIfN KUMAR KATEEI son Of LATE NIRANJANA SHETW, Aged 52 yea;s, resident ot ts-24-2o5917, FIat No.2O1,ASHOKA APARTMENT, NEAR DAIVAJNA KALYANA MANTAP, HOIGEBAIT ROAD, ASHOKNAGAR, MANGATURU- 575 006 DK. (mention full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath as under:-

(1) lam a candidate set up by (! 7 rv.-.,\l (** name of the political party)/*r*@.

(+lstrike out whichever is not applicable)

(2) My name is enrolled in 203, MANGATURU CITY SOUTH ASSEMBTY CONSTITUENCY, STATE ( Name of the Constituency and the state), at Serial No 487 in Part No 90. U!] ,-\) (3) My contact telephone number(s) is/ ' aft 9448549445 and my e-mail id (if any) is [email protected],[email protected], my social media account (s) (if any) is/are

(i) twitter@nalinkateel

(ii) facebook page https://www.facebook.com/kateelnalin

(iii) Instagram-nalin_kumar_kateel

(iv) nalinkateel.com

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

st. Names PAN The financial year for Total income shown in Income No. which the last Income Tax Return (in Rupees) for the tax return has been last five financial years filed completed (as on 31" March)

1. Self AEDPN5O4lD 20t3-2074 (i) 4,56,550.00 2074-2075 (ii) 4,45,460.00 20L5-20L6 (iii) 4,85,697.00 2016-2077 (iv) 5,29,953.00 20t7-2078 (v) 6,21,756.00 z. Spouse AXBPS5753q 20t3-zoL4 (i) 3,03,417.00 SHRIDEVI N SHETW zoL4-zoLs (ii) 3,98,329.00 (wrFE) 2015-2015 (iii) 5,97,101.00 20t6-2077 (iv) 4,84,485.00 70t7-20t8 (v) 4,53,564.00 3. HUF (if candidate is Not Applicable Not Applicable (i) Not Applicable Karta/Coparcener) (ii) Not Applicable (iii) Not Applicable (iv) Not Applicable (v) Not Applicable z/4 l>F:;:f,rrvr\.ffi.. l*{

' (\/ @ d^^"[

Ko.F-I-WZ ETG' I ^".aorelt0NS 9 !t

4, Dependent 1 NO PAN Not Applicable (i) Not Applicable KUMARI SANNIDHI N. ALLOTED (ii) SHETTY (DAUGHTER) Not Applicable ( t, Not Applicable (iv) Not Applicable (v) Not Applicable Dependent 2 NO PAN Not Applicable (i) Not Applicable KUMARI SANSKRUTI N. ALLOTED (ii) sHETTY (DAUGHTER) Not Applicable (iiD Not Applicable (iv) Not Applicable (v) Not Applicable 6. Dependent 3 Not Applicable Not Applicable (i) Not Applicable (ii) NIL Not Applicable (iD Not Applicable (iv) Not Applicable (v) Not Applicable Note: lt is mandatory for pAN pAlnl Holder to mention and ln case of no PAN. lt should be clearly stated "No PAN allotted "

(5) Pending criminal cases (\ )V-.,.r, (i) | decf are that thy*K no pending criminal c"r" .". ) "gjflSl (Tick this alternatfve if there is no criminal car>6-nding against the Candidglednd write NOT AppUCABLE affist atternative (iil betow)

OR

(ii) The following criminal cases are pending against me: /' (lf there are pending criminal cases against the candidate, then tick this alternative and score off alternative (if above, and give details of all pending cases in the Table below) Table

(a) FIR NO. CR NO. CR NO. cR NO.0256/2017 CR NO with name 029312018 Dated 0278/20L7 Dated 07.09.2017 and address of offiz/20L7 22.O4.20t8 0F Dated Police Mangalore North Dated Station concerned Bantwaltown 07 .09.20L7 Police Station 03.01.2017 Police Station Mangalore East Konaje Police Police Station Station (o) with Name or cRL.P 1s40l2019 SRL,P 8763/2OL7 JMFc 2ND court 3." JMFC l::::,"" in the High Court in the High Court Mangalore Court of Karnataka of Karnataka FIR STAGE Mangalore Ba ngalore Bench Bench CC No- srl!/2018 Posted fo r Appearance on 09-04-2019

|. i'.i' '\t\n'.ir" ': Uisr'' ,, ., ., , -: t( r9t0-^' '' i .' iio l a

(c) Section.(s)of concerned Representation of rPc 1850 (U/S- rPc 1860 (U/S- tPc 1850 Acts/Codes involved People Act 1950, 3s3) r$,L45,747,74!,786, (u/s s06) (give no, of the Section, 19s1,1989(U/S 188,268,7491, e.9., Section ,.,, of tpc, r23l etc,). Karnataka Police Act, 1963, (U/S 105,108) (d) Brief description of Personal Criminal force to Unlawful assembly Criminal offence abusement deter Public and obstructions of Intimidation Servants from public transport Discharge of his Duty (e) Whether charges have NO NO NO been framed (Mention NO YES or No) (0 lf answer against (el Not applicable Not Applicable Not Applicable Not above is YES, then give Applicable the date on which charges were framed

(e) Whether any YES YES NO NO AppeayApplication for revision has been filed agalnst the proceeding (Mention YES or Nol (6) Cases of conviction

(i) | declare that I have not been convlcted for any criminal offence. r (Tick this alternative, if the Candidate has not been convicted and write NOT APPTTCABLE against alternative (ii) belowI OR

\

Table

(al Case No, NIL NIL NIL (b) Name ofthe Court Not Applica ble Not Applicable Not Applicable (cl Sectlon of Not Applicable Not Applicable Not Applicable Acts/ Codes involved (give no, of the Section,e.t. Section ...,. of JPC, etc,). (d) Brief description of offence for Not Applicable Not Applicable Not Applicable whlch convicted (e) Dates of order of convictlon Not Applicable Not Applicable Not Applicable

{f) Punishment imposed Not Applicable Not Applicable Not Applicable

(c) Whether any Appeal has been filed Not Applicable Not Applicable Not Applicable agalnst convicllon order (Mention YE5 (h) Not Applicable Not Applicable Not Applicable ffi:uYE$8ive \a Vft' t I +i @-- \ VMAEZ a6\L ffit/ro**t tlolls EIc' o

{6A)l have given full and up - to-date information to my politicat party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and (6)

to lcandidates whom this ttem is not applicable should clearly write. NOT APPIICABIE tN V|EW OF ENTERTES tN 5(i) and 6 (it 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 shourd be given in reverse chronorogicar order, i.e., the ratest case to be mentioned first and backwards in the order of dates fo;the other cases

4. Additional sheet may be added if required.

5. candidate is responsibre for supprying a[ information in compriance of Hon,bre supreme Court's iudgment in W.p (C) No. 536 of 2011. (7) That lgive herein berow the detairs of the assets (movabre and immovabre etc.,) of myserf, my spouse and all dependents: A. Details of movable assets:

Note: 1. Assets in joint name indicating the extent of joint ownership wifi arso have to be given. Note: 2' In case of deposit/rnvestment, the detairs incruding seriar Number, Amount, date of deposit, the scheme, Name of the Bank/tnstitution and Branch are to be given. Note: 3. value of Bonds/share Debentures as per the current market varue in stock Exchange in respect of listed companies and as per books in case of no 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 ofeach 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 institutions abroad, and details of all assets and liabilities in foreign countries,; @-

ERRoR;TnNEIc'Nl Y" st. Description Self Spouse No HUF Dependent-l Dependent -2 SRIDEVI N SHETTY (UMARI SANNIDHI XUMARI N. SHETTY SANSKRUTI N. (i) SHETW Cash in hand RS.60,000.0o nl.ZZ,(II,,tJo NOT NIL NIL NOT APP (ii) oet.itr I oiu+orit in )Ldre 6anK ot Indta Bank of lndia,K.S.Rao | lClCl Bank,Near St lclCl Bank,Near Bank accounts (FDRS, Parliament House Road Branch, Mangaluru I I agnes St agnes Term Deposits and all Branch, Sansad S.E.Account I I bendoorwell bendoorwell, other Bhavan,New Delhi, N0.844010110000012 I types of Mangaluru Mangaluru S.B.Account No. Rs. 0.00 deposits inctuding S,B.Account S.B.Account I 30894:t45345 lclcl Banl!p.M.Rao I savtng accounts), Road, 056101501299 056101501300 Rs. 3,45,031.86 S,B.Account No, with Rs. 15,633.42 Rs.15,633.42 lDeposits Indian Overseas 001'10$06114 lFinancial, Bank, Rs. 3,085.83 hstitutions, Non- I Hampanakatta,Mar Canara Bank Urva Market I Banking Financial galuru, S.B,Account Branch,Mangaluru Companies and _ No. I Co S.B.Account NOT operative 002901000016557 I Societies No.1602101014514 and the amount in RS.21,261.91 Rs. 31861.53 I Canara Bank, I each such deposit Mangaluru Shedigudda Branch S.B. Account No.0880101025177 Rs. 92,958.03 lndian Overseas Bank M,G.Road S,B.Account No. 298901fin00(x)30 Rs.35,0O0.00

Iotal- Total- Rs.4,94,281.80 T.rtrl-P. a< n e2a Rs.15,633.42 (iii) Details of investment in Bonds, Debentures/Shares NIL Not NOT and units in NIL NI_ appl- NIL companies/Mutual icab - funds and other and te the amount.

(iv) Details of investment in Aditya Birla Sun NSt Postal Saving Life Insurance Insurance Policies and Co.Ltd., NtI Not investment in Rs.50,000.00 appl- NOT anyFjnancial NIL icab N - instruments in post - AEIE le offices or Insurance Company and the amount.

(v) Personal loans^dvance gven to any person or entity including firm, compan, Trust etc,, NIL Not and other receivable NIL appl' from debtors and the NIL icab NIL amount, te (vi) Motor Vehicles/ NIL Maruthi Alto Car 20OG Aircrafts/yachts^hips Model KA-19-Z-62 Not (Details of Make, NOT Purchased appl- reBistration number. on 2OO7 for NIL NIL icab- etc,, year of purchase Rs.3,25,000.00 le and amount) Mrket Value Rs.60,000,00

#*o^rciloNsErc'\\'[-" )l (vii) Jewellery,bulllon Gold - 109.m. Gold - 970 g.m Gold - 30 gm Gold - 30 gm. valuable things(s) (give (M.Value) (M.Value) ,(M.Value) (M.Value) details of weight and Rs.28,000.00 Rs.27,16,000.00 Not Rs, 84000.00 Rs. 84,000,00 value) appl ABIE Silver- 600 G.M Silver 300 G.M - icab (M.Value) (M.Value) le Rs.18,000.00 Rs.9,000.00 Furniture Rs.1,0C,000.00 Electr0nic Goods- Total- Rs.1,00,000.00 Rs. 46,000.00 Total-Rs. 29,25,000.00 (viii) Any other assets such Ntt fl iL Not NIL NIL NOT as value ol appl AALE claims/interest icab le (ix) Gross Total value RS,6,55,251,80 RS.30,42,048,36 Not RS.84.000.00 RS.84,000.00 NOT a ppl ABLE Rs icab le B. Details of lmmovable 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 nrentioned separately in this format Note: 3. Details should include the interest in or ownership of offshore assets. SL Description Self Spouse HUF 0ependent -L Dependent -2 Dep NO ende nt -3 (i) Apricultural Land Puttur kadaba Location(s) Hobali Palthadi Not Survey numbers (s) Village at serve NlL NIL NIL NIL a ppl No 45/1,45/3, icab 4613,4714 (p2), le 4el7,lp4l, sol2l}4l,s2 Area (total Measuring Not Not measurement in 10.15 acre. Not applicable appl Not applicable Not applicable a ppli icab caore acres) le Whether inherited Not Not property (Yes or No) Yes Not applicable appl Not applicable Not applicable appli icab cable te Date of purchase in Not applicable Not Not case of self Not applicable appl Not applicable Not applicable a ppli - icab acquired property cable le cost of Land (in case Not applicable Not applicable Not Not of purchase) at the appl Not applicable Not applicable appli icab time of purchase cable te Any Investments on Not applicable Not Not appl the land by way of Not a pplicable Not applicable Not applicable apprl icab development, cable te construction etc. Approximate Rs.80,52,000.00 Not Not Current market In which % of Not applicable appl Not applicable Not applicable appli icab vatue. share that is cable Rs,20,13,000.00 #ffi:=-::s iiiffi @ l w CERRICTIONS ETC.T\\MI a

(i4 Non - Aqricultural land Not | Location (s) Not NIL NIL appl Survey numbers(s) NIL NIL appli icab cable le Area (total measurement Not in sq.ft.) Not Not applicable Not applicable appl Not applicable Not applicable appli icab caote te Whether Inherited Not property (yes or No) Not Not applicable Not applicable appl Not applicable Not applicable appli icab cable le Date of purchase in case N"t of self-acquired Not Not applicable Not applicable propeny appl Not applicable Not applicable appli icab cable te Cost of Land (in case of N"t purchase)at the time of Not Not applicable Not applicable appl Not purchase applicable Not applicable appli icab cable |e

Any Investments on the Not Not land by way of Not applicable Not applicable Not applicable development, appl Not applicable appli icab construdion etc. cable |e

Approximate Current Not Not market value Not applicable Not applicable appl Not applicable Not applicable appli icab cable te (iii) Commerclal Euildinqs Not Not (including apartments) NIL NIL appl NIL -Location(s) NIL appli tcab survey numbers (s) cable te Area (total measurement Not in sq.ft.) I Not Not applicable Not applicable .ppt Not I applicable Not applicable appli kab I caole lle Built-up Area (total Not Not measurement in sq.ft.) Not applicable Not applicable Not appl applicable Not applicable appli icab cable le Whether Inherited Not property Not (Yes or No) Not applicable Not applicable appl Not applicable Not applicable appli icab caote le Date of purchase in case Not ofself-acquired Not Not applicable Not applicable appl Not applicable propeny Not applicable appli icab cable te Cost of property (in case Not Not of purchase) at the time Not applicable Not applicable appl Not applicable Not of purchase applicable apprl tcao caote le Any Investments on the Not applicable Not applicable Not Not property by way of appl Not applicable Not development, applicable appli lcab constructaon cable etc, le

Approxamate current Not applicable Not applicable Not Not applicable Not applicable market value Not appl a pprl ,,ffifu Icab cable (,, @-

W:=\.= FTNYZ gszz .\ ERiioRs/conRrcll0Ns ETC. N \'!5{i9 (iv) Residential 1' Ftat at Ashoka Not Buildinqs Apartments,Flat appl (including NIL icab No.201, D.No. NIL Not apartments): te NIL t-s-24-20s9/7, appli -Location(s) 2)Flat.No 301 cable Survey numbers (s) D.no. 1-5-24- 2059/10. R.S.No. 66/2 in boluru YlLase Area (total 1) 1474sq Not ft Not measurement in appl 2) 1470 sq ft appli sq.ft.) Not applicable icab Not applica ble Not applicable cable le Built-up Area (total 71 7474 sqft Not Not measurement in 2].L470 sq ft appl appli sq.ft.) Not applicable icab Not applicable Not applicable caole le

Whether inherited Not Not property (Yes or No) Not applicable appl NO Not applicable Not appli icab applicable caote le Date of purchase in 1)L6.03.2009 Not Not case of self - 2lO9.U.21rs appl appli property Not applicable icab acquired Not applicable Not applicable cable le cost of Property (in 1) Rs.23,oO,ooOOO Not Not case of purchase) at 2) Rs.49,00,000,00 appl appli the time of Not applicable tcab Not applicable Not applicable caDte purcnase le

Any Investments on Not applicable 1.) Rs. I 10,00,000.00 Not Not applicable Not applicable Not the land by way 2) Rs. 2,00,000.00 appl I of appli icab caote ldevelopment, le I construction etc.

URs. 35,00,000.00 Not Not Not applicable 2)Rs. 53,00,000.00 appl a ppli icab Not applicable caote te Not applicable

(v) Others (such as Not Not interest in property) Not applicable NIL appl appli tcaD Not applicable Not applicable cable te

(vi) Total of current Rs.88,00,000.00 N"t Not market Value of (i) Not applicable appl appli lcab to (v) above Not applicable c30le te Not applicable q- Ht'#,rr)" w,y,r^",r,.fir*l rnnons/coRREciloNs clc. Nlw o

(8) lgive 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) st. Description Self Spouse HUF Dependent -1 Dependent -2 Depend No ent -3

(i) Loan or Dues of Bank of lndia Bank/Financial Mangaluru,Star Institutions(sl Home Loan,A/c No. Not Ntt NIL Not Name of Bank or NIL 844075110000223 applic applicabl able Financial Rs.31,15,166.60 e institution, Bank of lndia Amount Mangaluru,Star outstanding Home Loan,A/c No. Nature of loan 844075110000259 Rs. 13,35,778.00 Total- Rs.30,87,463.60 Loan or dues to any other individuals/entity NIL NIL Not NIL NIL Not other than applic applicabl mentioned above. able e Names (s) Amount outstanding, nature of loan Any other liablllty Ntt NIL Not NIL Ntt Not applic applicabl a ote e Grand total of NIL Rs.44,3,241.60 Not NIL NIL Not liabilities. applic applicabl able ii) Government (A) Has the Deponent been in occupation of accommodation provided by YES/NA\ Dues: the Government at any time durlng the last ten years befo.e the date of (ct. tic* L Dues to notification of the current electlon? the "l> departments oppropti dealing with (B) lf answer (A) above is YES, the following declaratlon may be furnished dte Government namelyr olternoti Accommodation (D The address of the Government Accommodation: vel NALIN KUMAR KATEEL, MEMBER OF PARLIAMENT, 20 MAHADEV ROAD , NEWDELHI - 11OOO1

(iD There is no dues payable in respect of above Government Accommodation, towardsi (a) Rent: (bl Electrlcitycharges (c) Water charges; and (dl Telephone charges as on 06-03-2019 (datel [the date should be the last date of the thlrd month prior to the month In which the election is notifies or any date thereafterl. Note: -'No Dues Certificates ' from the agencies concerned in fespect of rent, electrlcity charges, water charges and telephone charges for the above Government accommodatlcn should be submitted.

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(iii) Dues department Nil Nil Not Nil Nil Not dealing applic applicab Government able te transport (including aircrafts ano helicopters) (iv) Income Tax dues NIL NIL Not NIL NIL Not applic applicab able te

(v) GST dues NIL NIL Not NIL NIL Not applic applicab able te (vi) Municipal/Proper NIL NIL Not NIL NIL Not ty tax dues applic a pplicab able le (vii) Any other dues NIL NIL Not NIL NIL Not a pplic applicab able le (viii) Grand total of all NIL NIL Not NIL NIL Not Government dues a pplic applicab able te (ix) Whether NIL NIL Not NIL NIL Not other liabilities a pplic applicab are in dispute, if able le so, mention the amount involved and the authority before which it is pending. (9) Details of profession or

(a) Self - MEMBER OF PARLIAMENT ,I (b) Spouse - HOUSE MAKER (9A) Details of sources(s) of income: (a) Self - SALARY OF MEMBER OF PARLIAMENT (b) Spouse - Rentals, Business Income - discontinued

(c) Source of income, if any, of dependents, " NlI

(9B) Contracts with appropriate Government and any public company or companies

(a) details of contracts entered by the candidate NOT APPLIcABLE (b) details of contracts entered into by spouse NOT APPLICABLE (c, details ofcontracts entered into by dependents NOTAPPLICABLE

(d) details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dep€ndents have interest NOT APPLICABLE

(e) details of contracts entered into by Partnership firms in which candidate or spouse of Or dependents are partners NOTAPPLICABLE

(f) details of contracts, entered into by private companies in which candidate or spouse or dependents have 6y

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(10) My educational eualification is as unden

s.s.t.c_ sT.pHttoMtNA puTTU& H|GH SCHOOI, YEAR OF PASS|NG 1983.

(Give details of highest school University / education mentioning the full form of the certificate diploma / degree course, name of the schoor/co|ege/ university and the year in which the was completed.) course

PART- B

(il) ABSTRACT OF THE DETATLS GTVEN tN (1) TO (10) OF pART _ A :

1 Name ofthe Candidate I SRI. NALIN KUMAR KATEEI

2 Full postal address sHErry, FLAT NO | :a_y I'I"*r"NA 201 ASHOKA APARTMENT, I NEAR DEIVAJNA KALYANA MANTAP,HOIGEBAIL,ASHOK I I NAGARA,MANGALORE 575 006. 3 Number and name of the Constituency and State 17, DAKSHINA KARNATAKA 4 Name of the political partt which set up the candidate (otherwise write BHARATIYA JANATA PARTY 'lndependent')

5 Total number of pending criminal cases 6 Total number of cases in which convicted Ntt PAN no Year for which Total Income last Income Tax Shown Return filed (a)Candidate AEDPN5O4lD 20t7-2018 6,27,756.00 (b)Spouse AXBPS5753Q 20L7-2078 453,s64.00 (c) HUF NOT APPLICABLE NIL NIL (d) Dependent NIL NIL NIL 8. Details of Assets and liabilities including offshore assets I in ruo"". Description tserf I Spouse HUF Dependent -1 Dependent -2 Depende nt -3 A. Movable Assets Not (Total Value) applic Not NIL NIL able NIL NIL applicable

B. lmmovable Assets Not Not applicable Asset applic NIL Not NIL able NIL applicable Purchase Price of self - Not Not acquired immovable applicable applic NIL Not propeny NIL aole NIL applicable

tl Development/construct Not Not N . ion cost of immovable NIL applicable applic Not property after purchase able NIL applicable (if appllcable)

4 6+ { e t\ EIC. \ RR0RS,' coRRECTtoNs I}(.,l ill Approximate Current Not Not Market Price - NIL Ntt applic NIL NIL applicable (a) Self -acquired assets able (TotalValues) (b) Inherited assets (Totalvalues)

Not Not 9. Liabilities applic applicable NIL NtI a ble Ntt NIL

(i) Government dues Not Not (Total) applic applicable Ntt NIL able NtI NIL

(ii) Loans from Bank, Not Not Financial Institutions applic applicable and others (Total) NIL NIL able NIL NIL

10 Liabilities that are under dispute (i) uovernmenl dues Not I Not applicable (Total) IN|L NIL applic NIL NIL able

(ii) Loans from Bank, Not Not applicable NIL Financial Institutions NIL applic NIL NIL and others (Total) able

11 Highest educational qualifi cation: s,s.t.c- sT.pHttoMtNA HtcH SCHOOt, pUTTUR, YEAR OF PASSTNG 1983, (Give details of highest school/ university education mentioning the full form ofthe certificate/diploma/degree courses, name of the schoor/co|ege/ university and the year in which the course was completed,

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P.T.O t 13

VERIFICATION

l, the deponent, above named, do hereby verify and declare that the contents affidavit of this 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. lfurther 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) l' my spouse, or my dependents do not have any asset or riabirity, other than those mentioned in items 7 and g of part g,9 A and.items and 10 of part B above. . \t^_tr t3 Verified at MANGALURU, thisthe f $rJ.6ay of MARCH 2019.

Note: 1. Affidavit shourd be fired pM ratest by 3.oo on the rast day of firing 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. lf there is no information to furnish in respect of any ,.Nil,,or,,Not items applicable,,, as the case may be, should be mentioned.

Note: 4. The affidavit should be either typed or written legible and neatlv.

Note: S.Each page of the affidavit shourd be signed by the deponent and the affidavit shourd bear o-n.each page the stamp of the Notary or 6ath commissioner or Magistrate before whom the affidavit is sworn.

EIC' ERRons/coRllECIl0NS ( 0-'v c) '=-::))

Mangaloro

O.K.Disl., Karnataka )zl'\ \oi.:::i4j-"U'\jiii{{;ri.;m NOTARIAL REG. NO (.5 7 II 1 :-','A:,Y" .-*\-- ,T)"3117