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ANNEXURII 6.3 CHAPTTR VI. PARA22
No:03/18 Date of issue:05.06.2018
EXTRACT FROM ELECTORAL ROLL OF 028-Kozhikode South Assernbly Constituenc!, / 05-Kozhikode Parliamentary Constutrrency in the SatefJT of Kerala
Part No:56
Section No:1, Savio H S School (Right Wing of East Building), Pin:673017 :-: Sl. i House No. lNameof Elector i Relationship Nane of Relation , Sex jAgel' EPIC No. No.' r I lifissued) rir:r.''-l--i,'-- ] , i 12ffi 3012223A Abdul.Kareem I Father Ismalutti lMalel 65_I_FZQ.13:1629_7)
Certified to be true extract from the electoral roll of the above-mentioned constituency,
Place : Kozhikode Electoral Retiitration Officer Date : 05.06.2018 028-Kozhikode South LAC
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r tJl.S. VTJAYAN' \. Deputy Secrctary' . I cqislature Secretarlal' T trlruvananthaPuram' 6
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COMMUNICATION WITH RtrGARD TO AUTHORISED PBRSONS TO TNTTMATE NAME(S) OF CANDTDATE(S) SET Up BY RECOGNISED NATIONAL OR STATE POLITICAL PARTY OR REGISTER-ED UNRBCOGNISED POLITICAL PARTY
FOR USE AT ELECTIONS TO COUNCIL OF STATES AND STATE LEGISLATIVE COUNCIL
To
l. The Chief Electoral Officer, Il .JL. (.y.4n ...(Stare/Union Tenirory).
*2. The Returning Officer for the biennial/bye- election to the Cou4cil of S tates/State-tegislatwe-€ouneil by Assembly members. . .dd C f A.aq. . ...
OR t' *The . for the biennial/bye-election [otD ; *:i (
Subject:- Biennial/Bp;election 10 Council of States/S+-ae-tegisla+ive-eeune il from.K ilq16...(State/IJnion-:Fetr{+ory) - Authorisati& of person(s) to intimate nanle(s) of candidate(s).
Sir,
xuthorised b), lql,ffi,Tif :ftfli?f $f",{ffild|}"*4,{w:i"iiTi}13**ijH',,olil State of ./ f to intimate the name(s) of the candidate(s) proposed to be set up by the Party at the election cited above:-
Name of person Name of office District(s)/area(s)/Constituency/ authorised to held in the party Constituencies in respect of which send notice he has been authoriSed
l. KoDir ** a Rrj lA(* !sd^rA,\ (-r,.ri^!N,si FAai-l cF iA;a,/+ 2. 0''{Aal.,ji,) -ic lku.,'iA-A s -iA ?e .: ! tel n'\ \ i 6PryS i-+ s( *\ Depitv Secretary' t cq isliture Secreta riat, M .l tr iluvananthaPu ram ' Or
?. The specimen signatures of the above mentioned person(s) so authorised given below:
l
')
J. Specimen signatures of Shri (D...... (iD...... (iiD
YC;
ofthe Party'
of the Party)
mav D0. t'l.8. l .l his rnust bc: de iiverecl to the Returning ()fficer and the chief Electoral officer not lntcr than J.00 p.m. on the last date for making nominations_ 2.Forrtr rrrust bc signcd in ink by thc office bcarer(s) mentioned above. No l'ircstrtrilc signature or siunlrurc bv rrrt'ans of r.ubber stamp. etc.. of any oftice bearer slrall bc ucccptco. -i.No liornr transmittcd by fax shall be accepted.
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. . NO TCD A5 'TO NlMES OF CAIIDIDATTS SET tJI' BY'I-TIE POIJI]iCAL F'AR{Y FOR. USE AT ELOCI1ONS TO COTINCIL OF' STAITS AI\D I,EGISI,ATIVE COUNCTL
L The Chief Electoral Officer, K grc)A...... (sraretm€'ritory). The Retuming Officer for the bi€nnial/b,€-election to the Council of StatesA.egislati+e-€onneil by Memben of Legislative Assembly.....Jd.efYd!4 aR
*The Returning ofrcer t"r6(ui*"l"vUv"*f*tion ftom*+...... (Constiurency) fom the State y--- "- - ...... -...... --.--:...:...... r...... -...--...... Subject:-El*tionto Coutrcil of Stat€Vlegiskie€oitnail no...... il(e.y-Ttr'& ...'..... (Staterusioi-*itoryFsetting up of candidates.
Sr, ln &e C vtnwi sD r. r hereby give notice on uenarr or..kyp-.Y.?i{.f-. ?-qQ dryJ', (i) that the person(y') whose particulan are furnished in columns(2) to (4) below iVare the approved candidate(s) of the party above named, and
(ii) the person(s) whose particulars are mentioned in columns (5) to (7) below is/are the substitute candidatds) of the party, who will steP,in on the approved candidates' nomination being rejected on scrutiay or on his/their withrtrawing from the contest, if the substitute candidate(s) is/ are still a , , contesting candidate(s) :,, '.1 at the ensuing Biermial/Pye-election to the Councii of State/Stcte+ogislativs€ounsil:
Namo of Father'V Postal address Name of the substitute Father's/ Postal approved lffi/ of approved candiclate who will step-in Mother's/ address of candidate I{:rrsbands candidate on ttre event of approved Husband's substitute namo of candidales' nomimtion being name of candidate approved rejected on scrutiny or his substitute oandidate withdrawal &om the cont€st candidate if substitute candidate is still a contesting candidate six $1. F fsdqco rd .\'< N r! lFio 2. v H: -tJ t- 3. t- l-:.- J 3 J frEi 4. o 5 <'r* co e4 co ;-s etc. r') s_ar OLW -l 15v KNPP.30l/2018. Dcputy Secretary Legislature Secretariat, Thiruvana ''2 *The j . notice in Fom 't:j gilei: eiriie.r in favour of Shri./Smt"/Sushri...... :: . \ - - - :.s,1a1tv's. appro,'ed candidate,'grdShrii Snt.,/Susiri,..,, ...... -....as pany's subsft:t:. candidate is hereby rescinded/
It is certified that each of the candidates whose name is mentioned above is a member of this political party and his name is duly bome on the rolls of memben of this party.
*c- Yours faithfully, aar a \ t Stike out whichever is not applicable. +t Mention names of Graduates' /Ieachers' /Local Authorities' Constituency, as the case may be. :*trt Under this column mention name of the Constituency, as l. By Assembly Member, 2.Graduates' Constituency, 3.Teachers' Constituency, 4. Local Authorities' Constituency, as the case may be. $ If more than one candidate is to be elected from the Constituency. /{r.<1) This rnust be delivered to tho Retuming Officer and Chief Eleotoral Officer not later than 3.00 p.m. on the last date of making nominations. Q) Form must be signed in ink by the offrce bearer(s) mentioned above. No facsimile signature or siglature by means of rubber stamp, etc., of any office bearer(s) shall be accepted. (3) No Form transmitted by fax shall be accepted. (4) Para 2 of the Form must be scored off if not apptcable, or must be properly filled, if applicable. /fu^t cte t, i**i1ffi'* Annexure - 1 (ii) The following case(s) is/are pending against me in which cognizance has been taken the Court [other than the case mentioned in item (i) above]:- sl. (al Name of the Court, (blThe details of cases where the (c) Details of Appeal(s) / No. case No. and date of court has taken cognizance, Application(s) for revision order taking cognizance: section(s) ofthe Act(s) and (if any) filed against the description of the offence(s) for above order(s) . which cognizance taken I JFMC-3, ST t755lL4 L43,r47,L49,283 IPC 39 R/W dr.o7l12/2Or3 121 of KP ACT tJ 4_ JFMC-3, CC 1498/15 r43,t47,L49,283 IPC 39 R/W o8/o7l20ts 121 of KP ACT & 77 nq- JFMC-3, ST 3019/13 t43,L47 ,L49,283 IPC Sec 3 & 4 L2lO8/2oL3 of Kerala Public Ways N t4- 3 Restriction ACT ,39 R/W 121 of KP ACT PC 2812018 ACJM L43,r47,283,3s3 rPC R/W 149 4 Special Court. il Lt-- Eranakulam dt.3o/os/zots Annexure'F 1. Adbul Kareem Bank Falqnce a) Axis Bank, Kozhikode Branch Rs.1,46,776.68 (A/c No. MOLOO4I63277 9l b) Indian Overseas Bank, Chevayur Branch Rs. 70,676.41 (A/c No. 089901000009620) c) Mavoor Service Co-operative Bank, Mavoor Rs. 25,438.80 (A/c No. 0200000134383) d) Federal Bank, Medical College Branch Rs. 798.98 (A/c No. 11100100209845) e) Treasury Savings Bank, Sub Treasury Rs.97,084.00 Legislative Complex, Thiruvananthapuram (A/c No. 799010400006403) f) Fixed Deposit No. 51"7, Thiruvananthapuram Rs. 5,00,025.00 District Revenue Department Employees Co-operative SocietY Fixed Deposit No. 701, Thiruvananthapuram Rs. 50,751.00 District Revenue Department Employees Co-operative Society L-1-'-- v -"j-"--n LPr P'(z+ fu'tW ,ts-q W9 .l -z- 2. P.K Rahmath Bibi Bank BFlance a) Indian Overseas Ban( Chevayur Branch Rs.2,22,984.83 (A/c No. 089901000006s56) Rs. 1,45,887.74 b) Kerala Gramin Bank, Kozhikode Medical College Bra nch (A/c No. 402581001021251 c) KovoorVanithaCo-operativeSociety 15,250.00 Dai[ DePosit (A/c No. 196) Rs. (A/c No. 20) Rs. 1,508.00 ls-S.+h $\$s ?r E-mail: secretary(r'.r,i, ln:a ubha org "[elqt, '.]tt i\io. ):'tl)-| " .lsf I.l{,x } !. i4-Jll Fo.r A471-2305891 Pin 695 033 SECRETARIAT OF THE KERALA LEGISLATURE No. 1 0309/M.A . Al I 20 17 il-es.. Thiruvananthapuram, 08-06-2018. NO DEMAND CERTIFICATE Certified that no dues are outstanding against Shri. Elamaram Kareem, formet Member of Kerala Legislative Assembly (X & XII KLA), for accommodation in Legislators' V.K. Babu 4nua rq|Mh) e*e 'tlB[ii"i""*'"fii-ouw s9-"'"",ti$ r,'.r, !4]illii""rr"oPu"'" , Teiephone No.2512524 E-mail: [email protected] Post B+:. r,io. 54-10 i :tx 0471-230i31!.. Pin-695 033 SECRETARIAT OF THE KERALA LEGISLATURE ThiruvananthaPuram, No. I 03 09/\4.4 . Al I 20 17 ll-eg. 08-06-2018. NON -LIABILITY CERTIFICATE CertifiedthatnoliabilitiestoLegislatureSecretariat are outstanding against Shri. Elamaram Kareem, former Member of Kerala Legislative Assembly (X & XII KLA), V.K. Secretar5r. ,h^t- *W' a"Wt{P) .../ ,'' ,;f E in*-,* (r,fld | 2,5125)4 ,.,{ c.i.r'r ,";r-ucdmi .Dffld: 54i0 4: ' j',i-2-10589i. "r.ccicn) , ..a . ,.r1,,,. seco-|j-695 OJl GA,Og rDlqDoffDec om)l6,csctqo,g cnaM. 10309/"6y o."0."6) | 12017 I crfl . onu. rJ@)o or(ro6ngo c6rog CDlo)ofiDed,gld Groo(,,)oca0t(tscm qg1. e,O"lO1m- "619ooo cD'lcoram>ec oru@c5cno)goc@'l drxfi\Do.Hsi coco(o')c(oiojl(l) 6rucaDjoo,qo mlelone/lofl(m- aucasrJo.S$@CDcno. offu@So'I. rofloromool4tao, 08.06.2018. 'lf^, *m' qf"sL) Os,e,\ q*:,'*::"^#t*' ssfcp6/naal/04.8.17 r Cx' GOVERNMENT OF KERALA (POLITICAL) DEPARTMENT GENERAL- ADMINISTRATION -iiu* N o -047i-2324439!2578456' Fax No' 2325682 Thiruvananthapuram, 08'06'2018 No. 346lPol-1 / 2018 / G AD Dated, outstanding against This is to certify that there is no liability found Medical college P'O' shri Elamaram Kareem, Elamaram House, Kovoot, of the Govemment Guest Kozhikode, former Minister of Kerala in any Houses under Government of Kerala' A. P.RAJEEV UNDER SECRETARY TO ADDL. STATE PROTOCOL OFFICER I 4n^" ,qX ffirrtA ilitd-****-* - 1)r,, J R. P, ACI. I95 I L Y E\E Name of the Candidate ABDUL J(ARcEM Father/Mother/Flusband's name IJ MALUTTY l. Ilave you ever been convicted by a Court of law- (i) In any case specited in sub-section (1) of Section 8 of the Representation of the No People Ac; 1951 (ii) Iu any case specified in sub-section (2) of the said Section 8 and sentenced to NO imprisonment for not less than six months (iif In any other case and sentenced to No imprisonment for not less than 2 years 2. If yes, give d€tails (in each case scparately) as below- i.l A (i) Name of the Court by which Convicted (ii) Date of Conviction N.A (iii) Were you a sitting member of Parliament YesNo N.A . or of a State L€gislature, on the date of such Conviction (iv) If yes, give eract details of such status as , MP&lLAnt{LC N.A (v) Nature of offence committed (with details of the relevant Act and Sections) N.,4. (vf Punishment imposed N1.4. (vii) Period for which undergone impdsonment if any NA- (vin) Date of release fiom prison r$.4 crlt 3. Was any appeauapplicalion for revision filed Yes/I.{o N4, 4a^*, against above Conviction o"\ll4f!4 (i) Reference No. of appeal/application for revision filed, if any t\r'A, (ii) Date of filing of such appeauaPplication M.S. VIJATAN' for tevision NA. DcPutY SecretatY^' KNPP. 494/2@5/200. k[in*:,'.";'"t1. -/ \.1 2 (iii) Nane of the Court befoie which the l A' I {v . fl , appealr'application for revision fi led {it') Whether the saij apleaVapplicatrrllt j..r : Disposed of/Pending revision has been disposed of or is pending N A. (v) If disposed of,_ (a) Date of dispcxal tr.A . (b) Nanue of order passed N A, (vi) Whether any bail granted during the pendency of appeayapplication for revision NA. (vii) ff yes, period during which remained on bail : nace, J[4q v avlaqlQapvrqa Dare: 11 \ 6l &otS (Sigrwture of Candidate) Before the Retuming Offic€r ' For Election (ar^o *N, AFFIDAVIT Dep'tY.,ecrelerY' Legislature Secl€lt?l'I' Th iruvan anthaPu ram ' ag€d...... years, resident v-t-r. do hereby solemnly \ affinn and declare as tbllows :_ l;i l. That I have filed my nomination ,J- pape(s) for the aboye election. /.i 2. That, in connection with mv candidature for the above election, I am submitting onicer, il;.-i;;;;;:"ir#;entation tr"Tl"1*'Jt.T"rfftrning or '"..,nffirhe pmfle A| 3' That the infomation fumished in the enclosed pro forma is true to th€ and that nothing best of my knowledge and belief material has b@n concealed therefrom. Place : Date ; Depollent Verified before me (Signaure oJ verifying authority with sea[\