FORM-28 q \b& (SEE RULE 4J r1 I NOMINATION PAPER o the 89 HUZURNAGAR Legislative Assembly of Tetangana State.
SIR/KE OFF PART I OR PART II BELOWWHICHEVERIS NOT TTTHLIOAELE
PART I (To be used by candidate set up by recognized potiticat party) I nominate as a candidate for Election to the Legislative Assembly from the 89 HUZURNAGAR Legislative Assembly Constituency. Candidate,s name PAREPALLY SHEKHAR RAO ,s/Mother ,s/Husband,s [Father name] tate pApA RAO. His Postal address: H. No 10 _ 64/1, Raghavendra Colony, Janapahad Road, Nereducherra, suryapet Dist. ce, No. 94900 98358. His name is entered at sr. No: 374 in Part No: 31 of the electorat roil for 89 HUZURNAGAR Assemoty constituency.
My name is NAGATAH K.DAMAGUNDLA and it is entered at sr. Nolln part No).3'of the erectorar ro, for the 8g HUZURNAGAR Assembry constituency.
F h, ' u\a-qa,L,&-r Date: 30.09.2019. (Signattrre of (fie proposer)
PART II
(To be used by candidate NOf sef up by recognized political party)
we hereby nominate as candidate for erection to the Legisrative Assembry from the HUZURNAGAR Legislative Assembry constituency (89). candidate,s Name
Father's / mother's/ husband's Name Nor AppLTcABLE His postar address Nor APPLICABLE. His name is entered at sl. No: NorAppLlcABLE and it is entered at Sl. No: NOT APPLTCABLE of the etectorat roll for the NOT APPLICABLE Legislative Assembly Constituency.
\-= We declare that we are electors of this NOT APPLICABLE Legislative Assembly Constituency and our names are entered in the electoral roll for this Legislative Assembly Constituency as indicated below and we append our signatures below in token of subscribing to this nomination:-
PARTICUI.ARS OF THE PROPOSERS AND THEIR SIGNATURES
Sl. No. Elector roll No. ofproposer Full Name Signature Date
Part No. of S.No. in Electoral Rool that part
I 2 ) 4 5 6
NOTAPPLICABLE
N.B.: There should be Ten electors of the constituency as Proposers.
PART III l, the candidate mentioned in Part I / Part ll (NOT APPLICABLE) assent to this nomination and hereby declare that - (a) lam a citizen of lndia and have not acquired the citizenship of any foreign State;. (b). that I have completed 52 years ofage: [sTRlKE OUT b(0 OR b(ii) BELOW WHTCHEVER tS NOT APPLTCABLE] (c). (i) I am set up this election by the Communist Party of lndia (Marxist) (C.P'|.(M) party, which is recognized National Party/State Party in this State and that the Symbol reserved for the above party be allotted to me. Or (ii). that I am set up at this election by Not applicable party, which is a registered unrecognized political party / that I am contesting this election as an Not applicable candidate and that the symbols I have chosen, in order of preference, are:- (i)... Not applicable (ii).. Not applicable (iii)... Not applicable ( d ). my name and my fathe/s/mother's/husband's name have been correctly spelt out above in English ( name of the language ). ( 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 Legislative Assembly of this state. I further declare that I am a member of Not applicable '*caste/tribe which is a scheduled tribe of the State of Telangana in relation to Not applicable (area) in the State.
I P r=--[ I also declare that I have not been, shall not be nominated as a candidate at the present general election / the bye-elections being held simultaneously, to the Legislative Assg.,rbly of Telangana (State) from more than two Assembly Constituencies.
\ Dote: 30.09.2019. ( Signolure of the Condidote ). *Score out this paragraph, if not applicable ** Score out the words not applicable. N.B.: A "recognized political party' means a political party recognized by the Election Commissioner under the Election Symbols ( Reservation and Allolment ) Order, 1968 in the State concerned. PART III A ( To be fiiled by the Candidate ) Whether the Candidate - (D has been convicted - (a) of any offence(s) under subsection (1); or - No - (b) For contravention of any law specified in Sub-section (2), of Section I of the Representation of the PeopleAct, 1951 (43 of 1951); or- - No. (ii) has been convicted for any other offence(s) for which he has been sentenced to imprisonment for two years or more. - No - lf the answer is "Yes", the candidate shall furnish the following information: - Not Applicable - (i) Case /First lnformation Report No./Nos. - Nil - (ii) Police Station (s) Nil -...... District (s) .....- Nil -...... State (s) .....- Nil (iii). Section (s) of the concerned Act (s) and brief description of the offence (s) for which he has been convicted - Nil - (iv). Date of conviction (s): - Nil - (v). Court (s) which convicted the candidate. - Nil - (vi). Punishment (s) imposed ( indicate period of imprisonment (s) and / or quantum offine (s), - Nil - (vii). Date (s) of release from prison: - Nil - (viii).Was / Were any appeal(s)/revision(s) filed against above conviction(s) - No - (ix). Date and particulars of appeal (s)/application (s) for revision filed: - Nil - (x). Name of the Court (s) before which the appeal (s) / application (s) for revision filed: ' Nil - Y7-4- (xi). Whether the said appeal (s)/ apptication (s) for revision has/have been disposed of or is/are pending: - Nil - (xii)-..tf the said appeal (s)i application (s) for revision has/have been disposed of: - Not applicable - a. Dates of disposal ...... -Nil - b. Nature of Orde(s) passed ...... - Nil - (2) Whether the candidate is holding any office of profit under the Government of lndia or State Government?...... (Yes/No) - No -
- lf Yes, details of the office held ......
(3) Whether the candidate has been declared insolvent by any Court? .. (Yes/No) -No- - lf Yes, has he been discharged from insolvency
(4) Whether the candidate is under allegiance or adherence to any foreign country?...... (Yes/No) - No -
- lf Yes, give details......
(5) Whether the candidate has been disqualified under section 8A of the said Act by an order of the President?...... (Yes/No) -No-
- lf Yes, the period forwhich disqualified......
(6). Whether the candidate was dismissed for corruption or for disloyalty while holding office under the Government of lndia or the Government of any State?...... (Yes/No) -No_
- lf Yes, the date of such dismissal......
(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 that Government or for execution of works undertaken by that Government?...... (Yes/No). - No -
- lf Yes, with which Government and details of subsisting contract(s) ......
(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?...... (Yes/no). - No- - lf Yes, with which Government and the details thereof P\: (9) Whether the candidate has been disqualified Commission under section 10A of
the said Act...... (Yes/No). -No- - lf yes, the date ofdisqualification...-......
Ploce: Huzurnogor. D--*-- P \:t Dole: 30.09.20'lt. ( Signolure of Condidote ).
I PART IV
( To be filled by the Retuming Offrcer )
Serial Number of Nomination Paper . This nomination was delivered to me at my office at ..... (hour) on ...... (date) by the * candidate/proposer.
Dote: ( Returning Officer )
*Score out the words not applicable.
PART V Decision of Relurning officer Accepling or Rejecling lhe Nominqlion Poper I have examined this nomination paper in accordance with Section 36 ofthe
Representation of the People Act, 195 I and decide as follows:-
Dote: ( Returning Officer )
Perforation
PART VI Receipi for Nominotion Poper ond Notice of Scruliny
( To be handed over to the person presenting the Nomination Paper )
Serial Number of Nomination Paper ..'...
...... The Nomination PaPer of a candidate for election form the
(hour) ...... (date) by the Assembly constituency was delivered to me at office at ...... on *candidate/?roposer. All Nomination Papers will be taken up for scrutiny at ...... '..
(hour) on at ...... (place). Dote: ( Returning Oflicer )
*Score out the words not applicable. FORM OF OATH ORAFFIRMATION [ARTICIE 173 (A) OF THE CONSITUTION OF INDIA] (To be made by a candidate for election to Legislative ofState)
having been nominated as a Candidate to fill a seat in the Legislative Assembly (*or Legislative CouncilJ do swear in the name of the God / solemnly affirm that I will bear true faith and allegiance to the Constitution of India as by law established and that I will uphold the sovereignty and integrity of India. t\r Signature an d name in block Letters of the Candidate PRFaP,rrlT -3Gtc\{AR RAc .
Sworn in the name of God/ solemnly affirmed by Shri/ (Place) at ....fhour) this the day of .2019 before me.
Signature of Authorized person Name Designation and Seal
(cERTIFICATE FOR RECEIPT OF OATH) (To be handed over to the candidate by the authorized person)
Certified that ...... (name) a candidate for election to the Legislative Assembly [*or Legislative CouncilJ has made and subscribed the oath / affirmation as required by the Constitution oflndia before me at my office at ...... (hourJ on ." ' (dateJ
D Signature of authorized person Name, Designation and Seal Date
*Score out which is not applicable.
N. B.: This Form should be supplied to the candidates both in English and in the official Language ofthe State / Union Territory' Place:-Huzurnagar.. N, B. 1.. The affidavit in Form 26 and Forms A& B have to be filed latest by 3:00 P.M. on the last date of filing nominations. 2. The nomination paper will be reiected, if a Candidate fails to fill the blanks in Form 26 even after reminder by R0 by the hour fixed for scrutiny of Nomination Paper, 3. 0ath has to be taken after filing nomination paper and before the date fixed for scrutinY. 4. Certified extract ofelectoral roll can be filed up to the time ofscrutiny. 5. Security deposit should be made either before filing of nomination paper or at the time of filing of nomination paper. Therefore, there is no question of issuing notice for making the security deposit. ! I :'
q1-tls"A Rs. 100-', ,:*. * ; ONE 4{ I t5. 100 HUNDRED RUPEES I qruis{d Y I oo ?:IT-I INDIA )'t o I I INDIA NON DICIAL, D "JU r AN @ o6 n. eo ed'rmr rEI-TINGANA 927 A5 sr.Ho..-//.{J.},= ou,ffi.,1.:,31?, t o / r n c-=d) ., ",..fiR *.g..A4t,l,wo4l,fl ez ?o a o fuA {/a*L on Ltcencod^ffi,* $tamp Vendor L No.1 &'20 1 3, i). l- Ho32f;r0t g ,q.T... I 7..4.?6....* Hrr.:urnagt, CrI! g8{g7az3a3
t FORM 26 [See rule 4A) I T I I e I
before the along with nomination paper d Affidavit to be filed by the candidate Assembly Telangana State (name of e turning officer for election to Legislative l. ( of the ConstituencyJ c- .-r"r..j it HUZURNAGAR constituency Name ,'l i' ct) PART - A o 56 years' resident of -/) B RAO' S/o. PAPA RAO, Aged: PAREPALLY SHEKHAR District Road, Nereducherla, SuryaPet havendra ColonY, lanaPah ad [t.lo: ro '64ll,Rag at the above election' do full addres s), a candidate ell: 94900 98358: (mention Postal an state on oath a under: f;erebY solemnlY affirm t\ RACl P I t.H MA RANGAB.A..ul. \ NOTARY Stroot' See ram H.No. 9'15, 7 rnda Oiet I MIRYALGUOA-50 2011 sl No. 14O GOr 1.4 I Cell:94.iOt
E ,ft \t 4r' t/ ,'' { t 05-,^,IOV-2C ig .l *- ,l ,tb 26 AUG >. (c DL' \.. \ .,
Cell: 94900 98358: [mention full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath a under: i1) I am a candidate set up by COMMUNIST PARTY OF INDIA (MARXIST) (c.P.r.(M).
(2) My name is enrolled 89 HUZURNAGAR Legislative Assembly Constituency, Telangana ( Name ofthe Constituency and rhe Statel, at Serial No. 374, in Part No. 31. i3) My contact telephone number[sJ is/are 94900 98358 and my e-mail id (if any] is - Nil -. And my social media accountfsJ (if any) is/ are:-
(i). Parepally Shekhar Rao Face Book Account.
[ii). - Nil -
(iiD. - Nir -.
(4) Details of Permanent Account Number I PAN] and status of filling of Income Tax return:
SI,NO Name PAN The financial Total Income year for which shown in the last Income- Income-tax tax return has return (in been filed Rupees) 1 Self Parepalli Shekhar APJPP9SB4H -Nil - -Nil - Rao. 2 Spouse Parepally ESOPP6679E -Nil- -Nil- Raiyasri. Dependant - 1 -NiI- -Nil- -Nil- 4 Dependant - 2 -Nil- -Nil- -NiI- 5 Dependant - 3 -Nil- -Nil- -NiI. d Ci (5) Pending criminal cases: NOT APPLICABLE N o- (0. I declare that there is no pending criminal case against me. tJ-J U) (Tick this alternative ifthere is no criminal case pending against the Candidate and o write N0T APPLICABLE against alternative (ii) betow: NOT APPLICABLE. rr_)
Or
(iD. The following case(sJ is/are pending against me: NOT APPLICABLE' 6,N T. FTAMA RANGA RAO: NOTARY B.A.,LL.B. F E H.No. 9-'l 5, Seetharampuram Slreet, MIRYALGUOA-508 207. Nalgonda Oist. Sl.No. 140 GOl\rS No.274212011 cell: 944()6 37644 (lfthere are pending criminal cases against the candidate, then tick this alternative and score offalternative (iJ above, and give details of all pending cases in Table belowJ. NOT APPLICABLE.
(a FIR N o. police ) with name and address of -Nil- -Nil- -Nil- Station concerned Case No. with Name of the Court -Nit- -Nil- -Nil- 1.c., Section (s) of concerned Acts/ Codes involved -Ni1- -NiI- .NiI. (give no, ofthe Section, e.g. Section...... of IPC etc., d Brief descri tion of offence -Nit- -Nil- -Nil- (el Whether charges have been framed [mention -No- -No- -No- YES or NO t0 If answer against (el above is YES, then give -Nil- -Nit- -Nil- the date on which char es were framed te) Whether any Appeal/ Application for revision -No- -No- -No- has been filed against the proceedings Mention YES or NO
(iil The following case[s) is/are pending against me in which cognizance has been taken by the court (other than the cases mentioned in item (iJ above)
a Name of the Cou Case No. and date of order taki CO izance -Nil- (b) The details of cases where the court has taken cognizance, section[s] ofthe Act(sl and description ofthe offence(sJ for which -Nil- CO izance taken (c) Detils ofAppeal[s) Application(s) for revision (ifanyJ filed / -Nit- a inst the above order S
(6) Casesofconviction:
(il. I declare that I have not been €l convicted for any criminal offence. qt fTick this alternative, if the candidate has not been convicted and write NOT t- APPLICABLE against alternative (iiJ below). nrJ Or ) -t (iD. I have been convicted for offences mentioned below:
(lfthe candidate has been convicted, then tickthis alternative and score off alternative (i) above, and give details in the Table below). NOT AppLICABLE.
Table 6^ T. RAMA RANGA RAC' / V NoTARY B.A.,LL.B. H.No. 9-1 5, Seetharampuram Stre6t, ------r MIRYALGUDA-5C8 207 ll lQonda Dist. Sl.No. 140 G'li.i3 lir ';421?-O1'l Cell: f -i-44(. 1 a Case No. -Nil .N iI- -Nil- Name ofthe Court. -Ni -Nil- -Nit- tc) Sections ofActs/Codes involved (give no. of Nil -Nil- - Nil- the Section, e Section ...... of I.P.C. etc. (d Brief ) description of offence for which Nit -Nil- -Nit- convicted (el Dates of orders of conviction -Nil - Nil- -Nil- rn Punishment im osed -N il -Nil- -Nil- Whethe r any ts) Appeal has been filed against No No No conviction order. Mention YES or NO thl If answer to [g] is YES, give details and present -Nil_ -N it- -NiI- status ofa al
(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 ofconviction as given in paragraphs (5] and t6). NOTAPPLTCABLE.
(candidates to whom this ltem is not applicable should clearly write Nor APPLICABLE IN VIEW OF ENTRIES IN 5(D 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 ofdates for the other cases. 4. Additional sheet may be added if required. c 5. Candidate is responsible for supplying all information in compliance of Hon,ble c, Supreme Court's Judgment in W.P. [C) No. 536 of 2077. o- UJ (7) That I give here in below the details of the assets (movable and immovable etc.,) of C) myself, my spouse and all dependents: o A. Details of movable assets:
Note: 7 Assets in joint name indicating the extent of .ioint ownership will also have to be given.
Note: 2 In case of deposit/lnvestment, the details including Serial Number, Amount, date ofdeposit, the Scheme, Name ofthe bank/lnstitution and Branch are to be given. 6.\. RAMA RANGA-BAO ? \: 'r-'' ' -' -" -irciiacv B A ,LL'B' H No- 9-15. Se;tharamouram Street, iJiCVAtouba sr,a rr7 rr ':rnnda Dist. ""Sf.No. taO ( .\, " 'l':n11 Cell: gr.;?:i_,,1 o/- vlli Any other assets such as value -Nil- -Nil- -Nil- of claims/interest -Nil- -Nil- IX Gross Total Value Rs.03,12, Rs: -Nil- -Nil- -Nil- 429/- 07,oo,0oo /-
B. Details of Immovable assets:
Note: 7: 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.
sl. Description Self Spouse Depen Depen Depen No. dant-1 dant-2 dant-3 (D Agricultural Land Chandupatla -Nil- -Nit- -Nil- -Nil- Location (s) of Chiwemla Survey number(s) Manndal, Suryapet Dist. Sy. No. 385/AA, 387 /8, 388/E, 389 /8, 3es /A, 396/u. Area [total measurement in Ac. 03.34 gts. -Nil- -Nil- -Nil- -Nil- acresl Whether inherited property -Yes- --Nil- -No- -No- -No- [Yes or NoO '>- Date of purchase in case of -Nil- -Nil- -Nil- -Nil- -Nil- self-acquired property Cost of Land (in case of Rs. -Nil- -Nil- -Nil- -Nil- purchase] at the time of 25,00,000/-. purchase Any investment on the land by -Nil- -NiI- -Nit- -Nit- -Nit- way of development, construction etc., Approximate current Rs. -Nit- -NiI- -Nil- -Nil- market value 25,00,000/-. (ii) Non-Asricultural Land: -Nit- -Nil- -Nit- -Nit- -Nil- Location[sJ Survey Number(s) Area (total measurement in -Nit- -Nil- -Nil- -Nil- -Nil- sq.ft.) Whether inherited property -No- -No- -No- -No- -No- G,A T. A RANGA RAO lrAM NOTARY B.A.,LL.B. uram Street, H .No. 9-'15, SeetharamP 207. Naigonda Dist. R: 5C8 MIRYALGUDA: 2t2011 Sl.No. 140 GOMS No 274 Cell: 94 406 376/1 4 (Yes or Nol Date of purchase in case of -Nil- -Nil- -Nit- "Nil- -Nil- S elf-ac uired ro e Cost of Land ( in case of -Nit- -Nil- -Nit- -Nit- -NiI- purchase) at the time purchase Any investment on the land by -Nit- -Nil- -Nit- -Nit- -Nil- way of Development, Construction etc., Approximate current -Nil- "Nil- .Nil- -Nil- -Nit- market value (iii) Commercial Buildings -Nil- -NiI" -Nit- -Nil- -Nil- Iincluding apartments) -Location(s) -Survey No[sJ Area ftotal measurement in -Nit- -Nil- -Nil- -Nit- -Nit- sq.ft.) Built-up Area (Total -Nit- -Nil- -Nil- -Nit- .Nil- Measurement in Sq.ft.J Whether inherited property -No- -No- -No- -No- -No- [Yes or No) Date of purchase in case of -Nil- -Nil- -NiI- -Nil- -Nil- self-acqui red property. Cost of property fin case of -Nit- -Nil- -Nil- -Nit- -Nil- purchaseJ at the time of purchase. Any investment on the -Nit- -Nit- -Nil- -Nil- -Nil- property by way of Develo ment construction etc Approximate current value. -Nil. -Nil- -Nit- -Nil- -Nil- Iiv) Residential Buildings H. No. 10 - -Nil- -Nil- -Nil- -Nit- (including apartments): - 64 /t, Location(sJ - Surevey Raghavendr Number(sJ. a Colony, Nereducherl rlr a, Suryapet District. € Area (total measurement in 1800 sq. ft. -Nit- -Nil- -Nil- -Nil- sq.ft.) ,.d Built up area [Total -Nil- -Nit- -Nit- -Nil- -Nit- a measurement in sq.ft. o Whether inherited property -No- -No- -No- -No- -No- ..) (Yes or No). Date of purchase in case of Purchased -Nil- -Nil- -Nil- -Nil- self-acquired property. in the year ?OLS, Cost of property fin case of Rs. -Nil- -Nil- -Nil- -Nil- purchase) at the time of 20,oO,OOO / - purchase. Any investment on the land by -Nil- -Nil- -Nil- -Nil- -Nil-
r. RASA RANG^A RAO NOTARY B.A.,LL.B. ,b H No. 9- 15, Seetha rampu ram Streot, P Dis MIRYAL GUDA-508 207. Nalgo nda --= Sl.No 140 GOMS No.27 42 t2011 Cell:94 376a4 way of development construction etc. Approximate current market Rs. -Nil- -Nil- -NiI- -Nil- value. 20,00,000/. Iv) Others [such as interest in -Nit- -Nil- -Nil- .NiI- -Nil- Pro e (vi) Total of currnet market value Rs. -Nil- -Nil- .Nil- .NiI. of (i) to [v) above 45,00,000/-.
(Bl I give herein below the details of liabilities/dues to public financial institution government:-
(Note: please give separate details ofname ofbank, institution, entify or institution
Amount before each item] ti) Loan or dues to Rs. 15,00,000/- -Nil- -Nit- -Nit- -Nil- Bank/financial to S.B.l., institution(s) Name of Nereducherla the Bank or financial towards House institution, Amount Loan. & Gold Loan from S. B. outstanding, Nature of I., Loan Nereducherla: o6 60,000 Loan or dues to any -Nil- -Nil- -Nil- -Nil- -Nil- Other individuals/ entity other than mentioned above Name(s) Amount outstandin& nature of loan. Any other liability - Nil- -Nil- -Nil- -Nil- -Nit- Grand total of Rs.21,60,000/- -Nil- -Nit- -Nit- -Nil- a= liabilities. ,!c- Government dues: (A) Has the Deponent been in No. (t, (ii) Dues to occupation of accommodation Departments provided by the Government at any o dealing with time during the last ten years before ,-, government the date of notification of the current accommodation. election? No. (B) If answer to (A) above is YES, the following declaration may be furnished namely:- NOT APPLICABLE. (i)The address of the Government accommodation:
,x Y.:--T - NiI -. NOT APPLICABLE. (ii) There is no dues payable in respect of above Government accommodation, towards- (a) rent: -Nil- (b) electricity charges: -Nil- (c) water charges: and -Nil- (d) telephone charges as on -Nil- (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. Note-'No Dues Certificate' from the NOT APPLICABLE. agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted. (iii) Dues to depa rtment dealing with Government -Nil- -Nit- -Nit- .NiF -Nil- tra nsport (including aircrafts and helicopters) Iiv) lncome tax dues -Nit- -Nil- -Nil- -Nil- -Nil- Dependent- Dependent- Dependent- Self Spouse 1 2 3 (vl GST Dues -Nit- -Nil- -Nil- -Nil- -Nil- g (ui) M u nicipal/Property -Nil- -Nil- -Nil- -Nil- -Nil- \, tax d ues o_r (vii) Any other d ues -Nit- -Nil- -Nil- -Nil- Lr.l -Nil- ,JU, (viiiJ Grand total of all -Nit- -Nil- -Nit- -Nil- -Nil- o Government d ues ../) (ix) ffiil,ff:::J;""' dispute, if so, mention the amount .NiF -Nil- -Nit- -Nil- -Nil- involved and the authority before which it is pending
T. A RANGA RAO *s NOTARY B.A.,LL.B P P"-:-j Street' H.No. 9-15' SeetharamP uram Nalgonda Dist. MIRYALGUDA -508 207. Sl.No. 140 GoMS No 2742t201'l Cell:9 41,O6 '644 (e) Details of profession or occupation:
(a) Selft C.P.I.(M) Party Organization.
(b) Spouse: House Wife:
(eA). Details of source(sJ of income:
(a). Self: C.P.l.(M) Party Organization Remuneration.
(b). Spouse: House Wife.
(c). Source of income, ifany, ofdependents. - - Nil- teB). Contracts with appropriate Government and any public company or company.
(a). details ofcontracts entered by the candidate ... N0T APPLICABLE.
(bl. details ofcontracts entered in to by spouse ... Nil.
(cl. details ofcontracts entered into by dependents ... Nil.
(d). details of contracts entered into by Hindu undivided family or family in which the candidate or spouse or dependents have interest ... Nil.
(eJ. details ofcontracts entered into by Partnership Firms in which candidate or spouse or dependents are paftners ... Nil. t0. details ofcontracts entered into by private companies in which candidate or t spouse or dependents have share ... Nil. ct (10) My educational qualification is as under:- S.S.C. Class, Zilla Parishath High o- ,rJ School, Chandupatla, Nalgonda DisL in the Year 197O. :fl
(GiQ details of highest School/University education mentioning the full form of the o
Certificate/diploma/degree course, name ofthe School / College / University and
The year in which the course was completed')
PART- B
[11) ABSTRACT OF THE DETAILS GIVEN IN (1J TO [10] OF PART - A:
1 Name of the Candidates Sri./Smt./Kum. PAREPALLY SHEKHAR RAO Z Full postal address H.No: 10-64/1, Raghavendra Colon ana ahad Road, ('4" T. RAMA RANGA RAO NOTARYB .A.,LL.B, ), uram Streot, P---= H.No. 9- 15, SeetharamP 508 207. N loonda Dist. MIRYALGUDA. '742120 Sl.No. 140 C : r.t1 11 (>ell: 944U('\'' 44 9 Liabilities (il Government dues -Nit- Nit -Nil- -Nil- -Nil- (Total) (ii) Loans from Banks, Rs.21,00,000/-. -Nil-. -Nil- .Nil- -Nil- Financial Institutions and others [Totall 10 Liabilities that are under dispute (D Government dues -Nil- -Nil- -Nil- -Nil- -Nil- ITotall (ii) Loans from Banks, -Nil- -Nil- -Nil- -Nil- -Nil- Financial Institutions and others [Total] Highest educational qualification; S,S,C. Class, Zillaparishath High School, Chandupatla, Suryapet District in the Year 1966, (Give details ofhighest School/ University education mentioning the full from of the ceftificate/diploma/degree course, name ofthe School/College/University and the year in which the course was completed.)
VERIFICATION
I, the deponent, above named, do hereby veri$r and declare that the contents ofthis 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:-
(al there is no case ofconviction 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 liability, other than those and 8 of PartA and items 8,9 and 10. mentioned in items 7 b :-;___e I oorporueFr
verification:- Solemnly sworn and signed before me on this the 30 th day of September,
20L9, at Miryalguda'. GA, NOTARY PUBLIC, T. RAMA RANGA RAO: tt\q NOTARY B.A.,LL,B.. ste iliifrlJ,i;f :,,?l i ?tT R: Effi,'ff h 3Q Sl.No. 140 GOt\,4 S No.2742l2011 cell: 944(]6 37644