I ytsr eg otd r$ d,5' en;sr ANDHRA rRADEsH 23 MARz[ll9' 6inffi' sl. No.-€F-L3., Dare : 23-03-20 1 9, Rs. I 00/- KINTHADA MADHAY Sold to: NfAHARTSETTY MADHAYI, wo.N. Narasimha Rao, Vijayaawada. t'"*oo'.:I1fi#||:, For Whom: Self. a. N^ 6^-r._oat,2ol7 I t09. I FORM 26 (See rul"r dA) s

I I

TH_E RETURNING OFFICER *i?Y FOR ELECTION TO THE HOUSE OF THE EA,|JYLH (NAME OF' THE HOUSE) ,, - -,O.O*O'O **A"N' CONSTITUENCY (NAME OF THE CONSTITUENCYI-"*O* Ie **senldaugh+e#wife of w laxasuUna RAO, Aged M, 47 years,vears residentresi.ent ofnf Door,'n^- No.N^ 1l-5-29.rr Er^ Rangannavarin^--- treet. Viiavawada -520001 (mention full :;ostal address), . candidate at the above election, do hereby solernnly affrrm and state on oath as under: (1; I AM A CANdidAtE SEt UP bY INDIAN NATIONAL CONGRESS PARTY (** name of the political * party)/** strike out whichever is not applicable)

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Y (2)MynameisenrolledinTg-VIJAYAWADA.WES.I.ASSEVIT- at Serial No 773 in ANDHRA PRADESH (name of the constituency and the State), Part No. 174.

my e-mail id (if any) -- NIL' (3) My contact telephone number (s) is /are 9848128623 and and my social media accounts (if any) are NIL (D " " "Nil' (ii) ...... Nil. (iii) ...... Nil.

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

T'otal irrcome Shown in S1.No. Names PAN The financial year for Irncome: Tax Return (in which the lupees;) for the last Five last Income- rinanc ial years comPleted (as tax return has rn 3l't March) been filed r I Self (1) 2018-1e (i) Rs. 6,04,546/- I (2) 2017-18 (ii) Rs.5,69,501/- (iii) I NaranarisettY ADXPNOO96M (3) 2016-17 Rs.5,16,9251 I Madhavi (4) 20rs-r6 Itv) Rs.4,95,852/- (s) 2014-ls (v) Rs. 3,98,540/- (1) 2018-1e (i) Rs.7,02,155/- 2 Spouse I Rs. 6,28,144l- (2) 2017-18 | CD Naraharisetty (3) 2016-17 (iii' Pts.6,47,2201' ADXPNOO53G | Narasimha Rao (4) 201s-16 (iv) Rs.5,91,0331 (s) 2014-1s (v) Rs.4,18,595/- NOT (i) NIL J HUF 0f NA Candidate is APPLICABLE (ii) NIL Kartal (iii) NIL Coparcener) (iv) NIL (v) NIL (i) NIL 4 Dependent I NOT APPLICABLE (ii) NIL NaraharisettY BGYPN6638J (iii) NIL Vinitha (iv) NIL 4 h.- (v) NIL d ',/" N $J)tur,- {o

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NOT (i) NIL 5 Dependent 2 APPLICABLE (ii) NIL (iii) NIL NaraharisettY BGLPN2393F Supraja (iv) NIL (v) NIL NOT (i) NIL 6 Dependent 3 APPLICABLE (ii) NIL NIL NaraharisettY BGLPN2395D (iii) Vishnu PriYa (iv) NIL (v) NIL it should be

clearly stated'No PAN allotted"

(5) Pending Criminal Cases : against / i. I declare that there is no pending criminal case ^" ' pending against the candidate (Tick this alternative if there is no criminal case (ii) below) and write NoT APPLICABLE against alternative OR me: NOT APPLICABLE ii. The fellswing Griminol eeses are Pending against then tick this (If there are pending criminal cases against the candidate, give details of all pending cases alternative and score off alternative (i) above, and in the Table below) Table (a) FIR No. With name NIL and address of Police NIL NIL Station concerned (b) Case No. with Name NIL NIL NIL of the Court (c) Section(s) of concerned Acts/Codes involved (give No. of NIL NIL NIL the Section, a.E t Section...... of IPC'

(d) Brief descriPtion of NIL NIL NIL offence (e) Whether charges framed have been NO (mention YES or NO) NO NO

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(f) If answer against (e) above is YES, then NIL give the date on NIL NIL which charges were framed. any APPeaV (e) Whether I Application for I Revision has been NO NO filed against the NO proceedings (Mention YES or NO)

(6) Cases of Conviction Criminal offence' / i. I declare that I have not been convicted for any and write NOT (Tick this alternative if the candidate has not been convicted APPLICABLE against alternative (ii) below) OR below : NOT APPLICABLE ii. I have been convicted for offences mentioned and score off (If the candidate has been convicted, then tick this alternative alternative (i) above, and give details in the Table below)

Table

NOT NOT NOT (a) Case No. APPLICABLE APPLICABLE APPLICABLE APPLICABLE *o NA (b) Name of the Court NOT "_ (c) Sections of Acts/Courts involved (give no, of the NOT NOT NOT APPLICABLE Section, e.g. APPLICABLE APPLICABLE Section...... of IPC' etc.) (d) Brief descriPtion of NOT NOT NOT APPLICABLE Offence forwhich APPLICABLE APPLICABLE convicted (e) Dates of orders of NO NO NO conviction NUI NOT NOT APPLICABLE /*n HK-"nt imPosed APPLICABLE APPLICABLE './ N .fqdAl^dJJ^' tr ffi or ,lY9ffi t1 j 'i 5

(e) Whether any has been filed against conviction NO NO NO order (Mention YES or NO) (h) If answer to (g) above is NOT NOT APPLICABLE YES, give details and NOT APPLICABLE APPLICABLE present status of aPPeal

about all (6A) I have given full and up-to-date information to my political Party as given in pending Criminal cases against me and about all cases of conviction I paragraphs (5) and (6). EW 6(i). above.

should clearly write NOT [candidates to whom this item is not applicable APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6(i), abovel

Note: 1. Details should be entered clearly and legible in BoLD letters.

2. Details to be given separately for each case under different columns against each item. to be 3. Details should be given in reverse chronological order, i.e., the latest case mentioned first and backwards in the order of dates 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 0f 2011.

etc.) of (7) That I give herein below the details of the assets (movable and immovable myself, my spouse and all dependents:

A. Details of movable assets:

also have to Note: l. Assets in joint name indicating the extent of joint ownership will be given. Number, Amount, Note: 2. In case of deposit/investment, the details including serial Branch are to be date of deposit, the schemeo Name of the Bank/Institution and ,./ N'Co-J'0ta-J

*7€ t/rq per current market value in stock Note:3. value of Bonds/Share Debentures as as per books in case of non-listed exchange in respect of listed companies and companies should be given' +to t .Dependent, daughter(s)-1-r^../^\ of^r the candidateaoat or spouse anc Note: 4. means parents, son(s), whether by blood or marriage' who any other person related to the candidate are dependent on the candidate for have no separate means of income and who their livelihood. separately in respect of each Note: 5. Details including amount is to be given investment. in or ownership of offshore assets Note: 6. Details should include the interest

assets" includes' Explanation: For the purpose of this Form, the expression "offshore Banks and any other body or details of all deposits or investments in Foreign liabilities in foreign countries' institution abroad, and details of all assets and

N. N. N. Bank 1) Saving Bank Gtails of deposit l) Saving Vinitha Supraja Vishnu No bearing in Bank accounts Accourrt bearing Account Priya (FDRs, Term 36302200000874 No 7382610860 with Syndicate Syndicate S.B.A/c. S.B.A/c. S.B.A/c. Deposits and all with No. No. No. Bank, Akividu Bank, Akividu other types of 06061010 06061010 06061010 Branch, West West 004318t. deposits including Branch, 0043163, 0043172, Godavari District Andhra Godavari .,Jisffict Andhra Andhra saving accounts), Balance as on Bank, Bank, Bank, with Balance as on Main Deposits 2210312019 is Main Main 2210312019 is branch, Financial Rs. 10'716/- branch, branch, /- Vijayawa Non- Rs. 2'654 Vijayawa I viluya*u Institutions, da da da Banking 2) Saving Bank Balance 2) Saving Bank Balance Balance as bearing No Financial Account as on Account bearing as on on Companies and 520101260069905 22103120 No 5211261476-9 221031201 221031201 with CorPoration 19 is Cooperative with State Bank of 9is 9is Bank, RR APPa Rao Rs. societies and the Civil Courts Rs. Rs. Street Branch, India, 5,000/- amount in each 4,E00/- l2,3E5l- Vijayawada. Branch, deposit such Balance as on Vijayawada 2010312019 is Balance as on Rs.1,000/- 2210312019 is Rs. 3,000 /- 'EZ=-

) Savings Bank account bearing No. 0606lorooo25o33 with Andhra Bank, Main Branch, Vijayawada Jointly held with spouse NaraharisettY Madhavi Balance as on 2210312019 is Rs. 547 /-

4) Saving Bank Account bearing No 520101260068322 with CorPoration Bank, RR APPa Rao Street Branch, Vijayawada. Balance as on 2010312019 is Rs.1'000/-

Details of investment in Bonds, debentures/ shares and units in companies/ Mutual funds and others and the amount Details of investment in NSS, Postal Saving, Insurance policies and investment in anY NIL Financial instruments in Post office or Insurance Company and the

,/ N m*/Aor*

' lt| 8

Personal loans/ advance given to any person or entity including firm, companY, Trust etc., and other receivables from debtors and the amount Motor Vehicles/ AMBASIDAR QUALIS -2.4 DFS Aircrafts/Yachts/ Bearing Reg.No. Bearing Reg.No. Ships(Details of AP 31 7777 AP 27 G 6789 Make, Year of purchase Year of purchase regisffation 2009 2010 Value at the time number etc. Year Value at the time ofpurchase and ofpurchase ofpurchase amount) Rs.l,00'000 /- Rs.2,00,000 /- NIL INNOVA (Llvfv) Bearing Reg.No. AP 16 BB 3377 Year of purchase 201 8 Value at the time ofpurchase Rs.4,50,000 /- 20 grms Jewellery, bullion 521.2 grms Gold 40 grms Gold Gold and valuable Rs.15,63.600/- Rs.l20'000/- Rs. thing(s) (give (approx) (approx) 60,000/- details of weight (approx) and value) Any other assets such as value of claims/interest Rs.19,75316/- Ps,.12,7720lL

B. Details of Immovable Assets: extent ofjoint ownership will also have Note: 1. Properties in joint ownership indicating ihe to be indicated separately in this format Note: 2.Eachland or building or apartment should be mentioned

assets. ils should include the interest in or ownership of offshore 6*_H / N ctr^dlt"rn #fi.,uoyllSl:.xhl

I ^\-_Y6. lrq LOF h,Y 9

l) Krishna District 1) Aericultural Land l) Krishna District Kalidindi Mandal, - Location(s) Kalidindi Mandal, Avakuru Village, -survey number(s) Avakuru Village, Sy.No.68 Sy.No. 11311,114 2) Krishna District 2) Krishna District Kalidindi Mandal, Kalidindi Mandal, Korukollu Village, Village, Korukollu R.S.No.443ll Sy.No.443ll 3) Krishna District District 3) Krishna Kalidindi Mandal, Mandal, Kalidindi ; forutoltu Village, Avakuru Village, Sy.No.21ll

4) Krishna District 4) Krishna District Kalidindi Mandal, Kalidindi Mandal, Avakuru Village, Korukollu Village, Sy.No. l27ll,l2712, R.S.No.70l12

5) Krishna District 5) Krishna District Kalidindi Mandal, Kalidindi Mandal, Avakuru Village, Korukollu Village, R.S.No.443ll 1 Sy.No. 6311,6417

6) Krishna District 6) Krishna District Mandal, Kalidindi Mandal, Kalidindi Korukollu Village, Korukollu Village R.S.No.443ll R.S.No.702l1B

7) W.G. District Akividu Mandal Madivada Village R.S.No.26611A Area (total 1) Ac.2-00 cents 1) Ac.1-00 cents measurement in 2) Ac.1-50 cents 2) Ac.2-85 cents

acres) 3) Ac.2-09 cents 3) Ac.1-17 cents 4) Ac.2-08 cents 4) Ac.1-96 cents 5) Ac.2-47 cents 5) Ac.5-00 cents 6) Ac.0-67 cents 6) Ac.3-00 cents 7) Ac.0-71 cents

ePry$ / \f . CI-F'dI6J-J

<2-F-f,9, 'ltg 10

--No-- Whether inherited r) -No- | t; property (Yes or No) 2) -- No-- | zy -- No-- -- 3) No-- I l) -_ No-- NO NO 4) --No-- NO NO I +l -_No--

s) --NO-- i

ol -- tro-- 7) -- No-- | purchase in 1) 28.02.200s Date of t) 27.10.1999 case of self-acquired 2) 13.04.2006 2) 17.10.2002 propertY 3) 10.09.2007 3) 29.05.2004 NIL 4) 01.1 1.2012 NIL NIL NIL 4) 31.05.2004 s) 01.1r.2012 5) 13.04.2006 6) 12.07.2016 6) 31.03.2007 7) 04.08.2016 Cost of Land (in case @l)Rs.4s'oooi- ofpurchase) at the 2) Rs.1,06,500/- | Z1 nr.t,oa,000/- purchase time of 3) Rs.2,07,000/- S) n".Og,SOol- i NIL 4) Rs.6"24,000/- NIL NIL NIL | o1 *.t,as,500/-

7) Rs.7.10,000/- Any investment on 1) -- NIL-- l) --NIL-- the land by waY of 2) --NIL -- 2) --NIL -- development, 3) --NIL -- 3) --NIL -- NIL NIL construction etc. 4) --NIL -- NIL NIL 4) --NIL -- s) --NIL -- s) -- NIL -- 6) --NIL- 6) --NIL -- 7) --NIL -- current 1) Rs.290'000/- Approximate 1) Rs.1'00,000/- market value 2) Rs.1,9o,ooo/- | z; n..r,eo,ooo/_ 3) Rs.2,8o,ooo/- *..r,ro,ooo/_ I ,) NIL 4) Rs.7,60,000/- NIL NIL NIL 5) Rs.8,50,000/- I I s) ns.s,zo,ooo/- 6) Rs.4,8o,ooo/- I u) *r.r,oo,ooo/_ T; ' (. / N cn'.^-JJ^t,.^.^- fi e \ffi & Irt 11

(ii) {on- Aericultural I r IILand NIL NIL NTL NIL NIL NIL llLocation(s) lrSurvey number(s) Area (total NIL NIL NIL NIL NIL NIL measurement in acres) I NO Whether inherited NO NO NO NO NO tproperty (Yes or No) Date of purchase in NIL NIL NIL NIL NIL NIL case of self-acquired property \l Cost of Land (in case NIL NIL NIL NIL NIL NIL of purchase) at the time of purchase \I Any investment on the land bY waY of NIL NIL NIL NIL NIL NIL development, construction etc. Approximate current NIL NIL NIL NIL NIL NIL market value Knshna ulstncr l- Commercial Vijayawada-1, Buildinss Raja RangaYYaPPa (including NIL NIL NIL Rao Street, NIL NIL apartments):- Ranganna Street - Location(s) I co*.r, -survey number(s) I o.r.,o. I l-5-20. Area (total 451.8 sq.ft. NIL NIL NIL NIL measurement in NIL sq.ft.) sq.n. lvlasras Built-up Area (total ZOZ NIL Terrace NIL NIL NIL measurement in sq.ft.) NIL 191 sq.ft. Bqq- inherited NO NO NO Whether NO NO NO property (Yes or No) nat" of pu.chase in NIL 24.06.2010 NIL NIL NIL case of self- acquired NIL property Cost of proPertY (in NIL NIL case of purchase) at NIL Rs.18,00,000/- NIL NIL the time of Purchase z4=R_ \./' N.fru&rcr; 4 \ o o :- I tt VW I /t? i '\ t2

Any investment on the property by waY NIL i NIL NIL NIL NIL NIL of development, construction etc. NIL Approximate current NIL Rs.25,00'000/- NIL NIL NIL market value Krishna District 2. Residential l) Kalidindi Mandal, Buildines Korukollu Village, (including R.S. No. 168, apartments):- D.No.7-60. - Location(s) -survey number(s) 2) Krishna District VMC Area, MutyalamPadu, Rama Krishna NIL NIL I NIL NIL NIL Puram, Re.Sy No. 5713. D.No.42-312-18

Area (total 1) 2,025 sq.ft. measurement in NIL 2) 780.03 sq.ft. NIL NIL NIL NIL sq.ft.) 3) 774.36 sq.ft. RCC Built-up Area (total 1) 450 sq.ft. measurement in sq.ft.) 50 sq.ft. Latrine, bath room

2) 600 sq.ft. Ground Floor First NIL 600 sq.ft. NTLINIL lNlt- lNtt- Floor

3) 779 sq.ft. Ground Floor 779 sq.ft First Floor 779 sq.ft. Second Floor I N'fn*lA*-; * iusrqsnoos€ 'r' c ( \s}-f, ltl l3 t,I

Whether inherited 1) -- NO-- property (Yes or No) NIL 2) -- NO-- NO NO NO NO 3) --NO--

Date of purchase in 1) 19.10.2011 t case of self- acquired I NIL 2) 15.12.2011 ' NIL NIL NIL NIL property 3) 28.03.2013 Cost of properry (in l) Rs.3,52,000/- case ofpurchase) at NIL 2) Rs.19,00,0004 NIL NIL N[- NIL the time of purchase 3) Rs.45,00,000/- Any investment on l) -- NrL-- the property by way NIL 2) --NrL -- NIL NIL NIL NIL of development, construction etc. 3) --NrL -- Approximate current 1) Rs.5,00,000/- market value NIL 2) Rs.22,00,000/- NIL NIL NIL NII, 3) Rs. 50,00,000/- i IV Whether inherited l) --No-- property (Yes or No) NO 2) -- NO -- NO NO NO NO 3) -- NO -- V Others (such as 1) -- NrL-- interest in property) NIL 2) -- NrL -- NIL NIL NIL NIL 3) -- NrL -- VI Total ofcurrent market value of (i) to Rs.37,50,000/- Rs.111,40,000/- NIL NIL NIL NIL (v) above

(8) I give 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)

sl. Depe Depen Depen Description Self Spouse HUF ndent No. dent-l dent-2 -3 I Loan or dues to 1) Agricultural Loan 1) Agricultural Loan Bank/financial amounting to amounting to institution(s) Rs.13?23,483/- with Rs.15,87,718/- with NIL NIL NIL NIL Name of the Syndicate Bank, Syndicate Bank, Akividu Branch. A/c. No. .Bank of financial Akividu Branch. A/c. 36308410000391 rTr fn\ion, No. 36308410000372 /91 ffi'o#) N'n^j-ha-*,

sF( t\t I ,)\ J , 13 \c)F t .?; 1iI W "/ t4

Amount 2) Home Loan amounting to outstanding, Rs.22,25,021/- with Nature of Loan State Bank of lndia, Krishna Lanka Branch, NIL NIL NIL Vijayawada A"/c. No. NIL 62277262335

3) Home RePairing Loan amounting to Rs.6,80,03 5/- with State Bank of India, Krishna Lanka Branch, Vijayawada A"/c. No. 62295870827

Loan or dues to Gold loan for an any other amount of individuals/entit Rs.9'72,000/- y other than with KarurVysYa NIL NIL NIL NIL NIL mentioned Bank, Vijayawada One above Name(s), Town Branch Amount (521.2 grams) outstanding, nature of loan Any other NIL NIL NIL NIL NIL NIL liahilitv total of NIL NIL Grand Rs.22,95,483 /- Rs.44,92,774 l- NIL NIL liabilities odation Provided 2. Government at any time during the last Ten years before the dues: by the Government dite ofnotification ofthe current Election? Dues to may lf the answer to (A) above is YES, the following declaration departments furnished namelY : dealing with be of the Govemment accommodation: Government D The address accommodation ./ YESNO ii) There is no dues payable in respect of above Government (Please tick accommodation, towards - the a) Rent appropriate b) Electricity Charges alternative) c) Water Charges -harg". d) Telephone as on NA (date) month prior to the month [The date should be last date of the third in which the Election is notified or any date thereafter'l Note:' No Dues Certif,rcate ' from the agencies concerned in respect ofrent, electricity charges, water charges and telephone be cfrarges for the above Government accommodation should Z ts submitted. \ *ffi;& ' CCE"ol'J^'u- ) '-/' N

to ll? .t t5

Depe Depen Depen ndent SPOUSE HUF dent-2 SELF dent-1 -3 (iii) Dues to department dealing with government NIL NIL NIL NIL NIL NIL transport (including aircrafts and helicopters) NIL NIL (iv) Income tax dues NIL NIL NIL NIL NIL (v) GST Dues NIL NIL NIL NIL NIL (vi) MunicipaV NIL NIL NIL NIL NIL NIL Property Tax Dues NIL NIL (vii) Any other dues NIL NIL NIL NIL (viii) all Grand total of NIL NIL NIL NIL NIL NIL Government dues (ix) Whether any other liabilities are in dispute, if mention the so, NIL NIL NIL NIL NIL NIL amount involved and the authority before which it is pending

(9) Details of profession or occupation: (a) Self HOUSEWIFE. (b) Spouse ADVOCATE (9A) Details of Source(s) of income: (a) Self ... AGRICULTURAL INCOME' (b) Spouse ... ADVOCATE PROFESSION

(c ) Source of income, if any, of dependents, ""'Nil" companies (9B) Contracts with appropriate Government in any public companies or (a) Details of contract entered by the candidate ""'Nil' (b) Details of contract entered by the spouse " "'Nil'

(c) Details of contract entered by the dependent(s) ' ' ' "Nil ' which the (d) Details of confiact entered into by Hindu Undivided Family or Trust on

or spouse or dependent have interest .. . "Nil'

(* ,,- N.c d#E; s(fl

AF .e "Jti 16

or (e) Details of contract entered into by Partnership firms on which the candidate spouse or dependent partners ...'.Nil'.....'. " " or (f) Details of contract entered into by Private Companies on which the candidate

spouse or dependent have share .....NiI'... " " " "

(10) My educational qualification is as under:-

of the (Give details of highest schoowniversity education mentioning the full form and the certificate/diploma./degree course, name of the School/Collegefuniversity year in which the course was completed.) /.- N.CY\-J'h'^:

16 ltr t7

PART.B

(11)ABSTRACToFTImDETAILSGIVENIN(1)To(r0)oFPART-A: XANAfiMTSETTY MADHAVI 1. Name of the Candidate ShJ Smt./ Kum 11-5-29, Rangannavari 2. Full postal address Doo. No. Street, VijaYawada -520001 I A M E N T T Z--VI.UY I,WADA PA RL 3. Nr.be. and name of the constituency and State CGNSTITUENCY, ANDHRA PR,\,DESH. the candidate 4. @arty which set uP INDIAN NATIONAL CONGRESS (otherwise write' IndePendent') NIL 5 Total number of pending criminal cases NIL 6. f"t"t of cases in which convicted "r*Uer for Total income shown 7. PAN of Year which last income tax return filed Rs. 6,04,546/- (a) Candidate ADXPNOO96M 201 8-19 (b) Spouse ADXPNOO53G 2018-19 Rs.7,02,155/- NIL (c ) HUF NA NIL NIL NIL (d ) Dependents BGYPN6638J BGLPN2393F NIL NIL BGLPN2395D NIL NIL

assets) in Rupees 8. Details of Assets and Liabitities (including offshore Depen Self Spouse ucPE Description ndent ndent dent- -l -2 3 Rs. Rs. Rs. Assets 64,E00/ 123_8St A. Moveable Rs.19,74,316/- Rs. 12,76,2011 NIL 65,000/- (Total Value) B. I Purchase price of self- NIL acquired Rs.30,69,500/- NIL NIL immovable

ll Development / construction cost of NIL immovable NIL NIL NIL NIL NIL property after purchase (if

lll Approximate NIL NIL NIL NIL Current market Rs.37,50'000/- Rs.121'40,000/- ffi "/ N cru-Jl^**; m e$sxig l1 Ip l8

(a) self acquired .) Rs.37,50,000/- (a) Rs. 121,40,0001- assets (Total value) NIL NIL NIL NIL (b) inherited r) NIL (b) NrL assets (Total value) 9 Liabilities I Govemment dues NIL NIL NIL (Total) NIL NIL NIL ll Loans from Bank, Financial Rs. 22,95,483 /- Rs.44,92,774 l- NIL NIL NIL NIL Institutions and others (Total) Liabilities that are under dispute lo I Government dues NIL (Total) NIL NIL NIL NIL NIL il Loans from Bank, Financial NIL NIL NIL NIL NIL NIL Institutions and others (Total) I l. I Highest educational qualifications:- I Il- l0th Class in the vear 1981 from R.L.S.Z.P.H. School. Akividu. | (Give details of highest School/University education mentioning the full form of the certificate/ diploma/ I d"gree course, name of the School/College/ University and the year in which the course was completed.)

VERFICATION

I, the deponent, above named, do hereby 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 l0 of Part B above.

verified at iJ.lg.&l$t$A0ft'. this the..A.\C. day of ..|.!.1RCS.40.\3...

"/ N-cr\=^-Jho^^- ,5 ff?Brur4a/4 DEPONE,NT

REGD. No: Lr. No: NR/2828/2016 SISTI^A MADHUSUDATT MY COMMISSION VALID B.Com.'B.L ATVOCATE & NOTARY UP Ta : 10-04-2023 ME O{ Muleum Road, GovernorPet rcUUNLYAffIRITA}{D $GNED BEFoRE VIJAYAWAOA.520 OO2 Andhra Pradesh rHE-2*3.rcl.DAY OF l9

Note:-1. Affidavit should be filed latest by 3.00 PM on the last day of filing Nominations. Note:2. Affidavit should be swom before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. Note:3. All column 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. Note:4. The Affidavit should be either typed or written legibly and neatly." Note:5. Each page of the aflidavit should be signed by the deponent and the Allidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the affidavit is sworn.

(Ministry of Law & Justice Notification No. H 11019 (4)/201S-Leg.II, dated 1Oth October, 2018 and Notification No. H-l1}lgl13/2016-Leg. II, dated 266 February, 2019) / )).m^Jf",i r* * /.t,

le1l1