Nalin Kumar Kateel
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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 India 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/ MANGALORE/ KA-DK i Unique Doc. Reference SUBIN.KAKAKSFCLOSgl 21 81 41 834840R Purchased by NALIN KUMAR KATEEL 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 BHARATIYA JANATA PARTY (! 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,KARNATAKA 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.