aEqol Lrn{lofl a..r75 QOo 90 S0937110 (Receipt Book) 6,6 q.. 000q° ¨Z性ヽ…ル榊 R年 勲プ¨ qlxl ofr 0................................................66t 6"u! 6QOl I oGP-(FORMS)CTP-30'-E0,0008k3--'l 5-12-201 7 FORM 2B '1"-[i)"ry;* (See″ le 4) NOMINAT10N PAPER Eleclonto the Leg s atve Assembly of oDISHA State STRIKE OFF PART1 0R PART‖ BELOW VVHICHEヽにR IS NOTAPPLiCABLE PART : (TO be used by candidate set up by recognised po‖ tical party) l nominate as a candidate fOr Election tO the Legis:atve Assembly f「 Om the 29‐ Bangriposi(sT)Assembly constnuency Candidates name SuDAM MARND:IFathers/mOthers′ husband s name]LAXMAN MARND: His pOstal address AT‐ B!」 AYRAMCHANDRAPUR, PO _ BHANJPUR, PS―BARIPADA,D:ST‐ MAYURBHAN」 H s name is entered at sl No 496in Part No 33 of the electoral ro‖ for 33-BARIPADA(ST)Assembly consltuency My name is RAM CHANDRA MURMu and l is entered at sL No 381 in Part No 24 ofthe electoralro‖ forthe 29-BANGR!POS,(sT)Assembly cons“ tuency R"%‐ M・ … ' Date o8 04 2019 (Signature or proposer) PART :: (To be used b| NOT set up by recOgnised po‖ tical party) We hereby nominate as candidate for el'; the Legislative Assembly from the Assembly Constituency. Fatheas / mother's / husband's name ― postal Hs name His name is entered at Sl. No........ ....... .... "" "rn addreSS for Part No _ Of the ctoral roll AssemblY ConstituencY- We deClare that we are eleCtOrs Of thiS AsSembly Constituency and Our names are entered in the eleCtOral ro1l fOr thiS Assembly ConStituency aS indicated below and We append Our signatures beloW in tOken of SubsCribing to thiS nOminatiOn:_ the ir signatules' Particulars ol the proposers and Date ,Proposei Fu‖ Name Signature SI No Ee 01 NO 。 Part No Of｀ S NO inthat ElectOral RO‖ part 5 6 6 1 2 1 ＼ 2 ＼ 3 ＼ 4 ＼ く υ | 6 ＼ | 7 ＼ 8 ＼ 9 ヘ ＼ 10 of constituency as proposers' N.B.: There should be ten electors PART III t.thecandidatementionedinPariUP,rt|l(Strikeoutwhichisnotapplicable)assent declare that - to this nomination and hereby State ; not ac4uired the citizenship of any foreign (a) I am a citizen of lndia and have years (b) that I have completed 52 ofage; BELow wHIcHEVER ls NoT APPLIoABLEI lsTRlKE OUT b(i) oR b(ii) party' Y"/hich is recognised (c) (D that I am set up at this election by the BUU JANATA DAL for the above party tLt enal+arty/Stater'Party in this State and that the symbol reserved be allotted to me. which is a (ii) that I am s at thiS eleclion by the...............................party, election as an independent registered-unrecognised politicl /that I am contesting this symbols I have chosen, in order candidate (Strike out which is that the of preference, are:- t\t NA (r). ............ i .(iD.. been correctly spelt out (d) that my name and my fathe/s/mother's/husband's name have above in ENGLISH (name ol the language) qualified and not also disqualified Ior (e) that to the best of my knowledge and belief, I am of this State being chosen to fill the seat in the Legislative Assembly which is a scheduled 'l further declare that I am a member of the SANTAL "Caste/tribe (area) in that State' "'caste/tribe of the State of ODISHA in relation to MAYURBHANJ as a candidate at the I also declare that I have not been, and shall not be, "**nominated Legislative present general election /the bye-elections being held simultaneously' to the Assembly of ODISHA (State) from more than two Assembly Constituencies' <*).6...,-^- \.*-\i Date:08042019 (Signature of Candidate) 'Score out this paragraph, it not applicable' "Score out the Words not applicable. party recognised bY the Election N.B.- A "recognised political party" means a political Order, '1968 Commission under the Election Symbols (Reservation and Allotment) in the State concerned. PART III A (To be filled bY the candidate) Wheiher the Candidate - (i) has been convicied - (1); or (a) of any ofience(s) under sub-sedion n ofanylaWSpened h sub Sedon12). (り fOr~° *" of the People Act' 1951 of seclion 8 of the Representation I (430f1951)10r nVided fOr any other offence(SlfOr WhiCh he has been 〔D haS been∞ sentenced to implsOnmentfOr"VO years or mOre NOT APPLICABLE shall furnish the following information: lf the answer is "Yes", the candidate Nos NOT APPLICASLE 0 Case/First information report No Distrid(s) "State(s) "M " "" (ii) Police station (s) . M" " """.'M " offence(s) forwtich he Asl(s) and brief description ol the (iii) Sedion(s) of the concemed " has been convicted . " " ' "" 'M " (iv) Date(s) of corNilion(s) . " l.lA. .' ""M" """ ' (v) Corn(s) whidr convided the candidate ' quantum of period of imprisonment(s) and/or (vi) Punishment(s) imposed [ind'cate J渉NA …………… 1ぼSll… ………………… … ∞n …… NA lvu)Date(s)。 f re膊 ase frOm印 ヵЫOnlS)n ed aganstabOve cOnMCbOn(sl No ●1)Wa‐ ere any appealsyぃ 癒onlSlfOrreusbn med_Ⅲ ……… o)Date and pattcubrs OfappedlSlrapplα On ned lo Name ofthe∞ urt(Sl beforeNA WhiCh _高the appeaKS)/apliCatOn ls)fOr revに … … dttosed d∝ appicaton ξ:11:ξlM:ぶ O VVhetherthe sald appeal(Sl′ … … s7are pending _ NA… …=高 … oI - rovision hasihave been dispos€d (xii) lf the sall appeal(syapplication(s)Ior (a) Date(s) ol disposa' * . passed ." ' (b) Nature ol orde(s) ' 'M 2,whetherthecandidateisholdinganyofficeofprofltundertheGovernmentollndiaor ( Yes/No) State Government ? No held : NOT APPLICABLE lf yes, details of the otfice by any Court ? No ( Yes/No) been declared insolvent 3. Vvhether the candidate has from insolvency : NOT APPLICABLE ft yes, tras tre Oeen discharged 4,whetherthecandidateiSunderallegianceoradherencetoanyforeigncountry?No ( Yes/No) : NOT APPLICABLE ll Yes, give details 5.WhetherthecandidatehasbeendisqualifiedUndersectionsAolthesaidActbyan ( Yes/ No) order ol the President ? No disqualified : NOT APPLICABLE ff y"., tt p",ioO to' *hich disloyalty while holding office " dismissed for conuption or for 6. Whether the candidate was any State ? No ( Yes/No ) lndia or the Government of under the Government of of such dismissal : NOT APPLICABLE ll yes, the date either in contract(s) with the Government the candidate has any subsisting 7. Whether has a share for or partnership in which the candidate individual capacity or by trust works undertaken by that Government or for execution ol supply of any goods to that Government ? No ( Yes/No) NOT APPLIdABLE and details of subsisting contract(s) lf Yes, with which Government S,Vvhetherthecandidateisamanagingagent,ormanagerorsecretaryofanycompanyorthe central / society ) in the capital of which Corporation ( other than " "ooolt"'t'" percent share ? No has not less than twenty five Government ol State Government (Yes/No) APPLICABLE and the detaits there ol NOT ll Yes, with which Government under section 10A of been disqualified by the Commission 9. Whether the candidate has ll:1.il:1:[l11:1)ilcation iNOTAPPLiCABLE ぃよ PlaCe l BARlPADA c_m_ヽ (S19nature Ofthe cand date) Date:08042019 seraNoOfnOmnatonpari事 め 顆 I:xitt・ II.濡 H励 pヮ 。n…111lt'11… (darel by the'canddde′ Date d`k,11… t詢● ~式 蔦1。.“ Ю・刺 :珊鵠I冊 … 面 一 ng the NominatiOn Paper DeciSiOn of Returning Orlcer ACCeptlng Or ReleC● 騰 in accpに ance Wth Semon 36 0f l have examined thに nominaton pape「 「 S Representanon ofthe Peopb Act,1951 and deOde aS f01¨ Retuming Offic€r Date … ………… PART VI and Noiice of Scrutiny Recelpt for Nomination Paper presenling the Nomination Papel) io be handed over to the person glunhett /t.0, *", * ;;;;;.r"*, lor etection ftom #;-* ;;' S*ln* mo"""di" 'a candidate G'l"i-lt" i""'.'r,, *::":f, # -flj3rr-' [""T il 11"* at....l:$ "'."' rff.,';]* Pm- . scnniny at......1.t.:1.9..0...q. '\.. All nominatpn.--::;"*i,*,"***", pal 'candidate/proP6ser' oftic(tetace t ,r-;- :6lr lralq (dare) at A0Ih Lk*') tt)4<^^1 . .r-!.!l-.r:.!1..... .. F3liij{H,ST{t.. o"," . BrngriPosl (S'T') : : 's'Assembly Conltliulncy .Score out the word not aPplicabl€'l ０ ０Ｚ∽＞∽３ ↓ヽ Ｐ ” ＞ Ｚ Ｏ ” ● ０ ¨ Ｊ ｏ ● ζ”ｒ К ＾ ﹈Ｚ ∽ ¨ ∽ Ｃ ∞ 』 口 ０ ↓ Ｏコ” ヨ ｏ ｏ 'P P'こ ｏ ｏ 『 0→ ∽ 『 ¨ 一 「 ζ ∽ Ｐ ↓ ↓ 一 ”最Ｐ， “〓こい＞Ｚ“¨ ● ∽↓ す ” →←¨合） ” ， ω００いＮ〇 Ｃｍ ２０К Ｃｏ●ｏヽ ヨ ● 一 ″ 弔 Ｏ ∽ 】 Ｆ 〓一 ∽ つ ｏ● 〇 一 ↓ Ｎ 〓 】 Ｏ ヨ ● ｏい ｏ 『「 「 ” ● 序″ ヨ ｏ●ヨ ｏ ｏ ０ ０ こ す， ¨ Ｏ ¨ マ ｏ ” 一 「 ヨ 貧 マ 〓 ｏ ｏ ´一 一 ● ´ ０ 〓． コ の ω 一 ● ａｃ ”コ 口 ｏ ●０ す ロ ヨ σ ∽ ∽ お ｏ 〓 ｏ ０ ０ ０ ｏ ヽす い ｏ ５て （ り 」 ¨ 一 〇 ３ ≡ Ｏ 一 〇 ｏ Ｏ ｏ 〓 「 一 ２ を Ｃ ヽ一 ｏヨ ヨ一ヨ一一 “ ∽ Ｏ σ も 『 〓 ● 黎棄”¨ ∽ 「 ∽ Ｃυ ” Ｚ ｏ ヨ ｏ ａＯ コ姜 ∽ 営 同 ● 一 一 一ｒ ¨ も ０ ゴ 温 層 ● 〓 ｏ コ ヨ ” う ０ ０ ” ＆ 〓 一ω ８ 発 『 ∽ ｏ 「 Ｃ 一 ¨ Ｃ ０ ， ∽ ０ ｏ ¨ ＞ ０ ∽ 「 ¨ ２ 辱 ０ い ０ ０ヽ ● く ” ３ ＾ ｏ ｍ 一 マ 一 ０ 一 ｏ ０ ¨ 一 ● 〓 一 「 ヨ ， ”「” ｏ ・ｏ ∽ ● ０ σ， ア 一 ● ８『 Ｏ∽０ ０お ヨ ∞ ０ ●す コ マ ０ ∽ ０ す ｏ 一 ” ¨ ０く 一 ０ ン ヽ ＞″ Ｚ）【 ｏ ｏ 『ｏユ コ ∞ ｏ ３ 辱 ｏ 「 ｏ 「” ♂ ” ＾ α 一 α 〓 一 ” 当 ８ す ● ●ｏ 一 ｏ １ ， ， ｏ ｏ ● 〓 」 ” 一 Ｏ ＾ 〓 〓 ● ｏ ｏ Ｓ 日 ｏ ｏ 一 ” Ｆ ∽ ∞ ¨ 静 Ｏ 一 ゴ み ざ 一 ｏ ａ”『 ●ヨ０ 口 Ｑ ら 日 ∽ 〓 Ｃ 】 ０ ε 【 〓ｒい ， ８ の Ｏ Ｆ ０ 『 ｏ ８ ０ 一す α Ｆ （ 一 「 ” ｏ 『 ｏ 姜 Ｏ ｏ ０ 「 げ 一 〓す ０ 『 一” 『 ｏ ５０暑 Ｆ ● ５ γ（ ぅ 一 σ ヽ ● ＞Ｘζ ０ ” ● ¨ Ｈ う ） ヨ ０く 一” く ５ ｏ 〓 『 ｏ ● 「 ｏ ” ｅ ●ヨ００” 『 ）ｐ ● ０ ●● Φ 『 ● 『 ｏ い ｏ ＾ ● ０ ¨ ０ す Ｌ ﹇ ∽ ｒ ＞目２” ヽ 嘔 ， 〓 す ０『∽ 一 ｏ 『う ‥ ０ ” ｏ ｏ ∽一 ｏ ３ ● ヨ ｏ ＞ 〓 コ ０ ” ゃ “ ■ ● 「 ” ｏ （ ＾ げ一 う ∽ 〓 ヽ 一〓 ″〓 ｏ ● ２ 一 Ｚ ” て や ｏ 「 ｏ 〓 〇 ００， ） ２ ● Ｈ 】 ・ ｏ 『 ｏ ヨ ● ゃ ０ ２ ０ 把 月 ０ 増Ｃ 一 一 ‘＞″ ＺＯ】 こ ２一 ” ● ｏ「ヽ ●● ∽ｏ ヨ 『 『 Ｏくの 〓 ヽ 翼 ｏ ｏ ０一 ω ＞ ＆ ３ 筐 一 ∽ ” 一 ５ｏ Ｏ す Ｆ ＞ 一 コ ｒ番ｂ ｏｏ ｏ コ ０ 日＞ ∽Ｈ ＯＺ＞ 〓日０「０ い ∽ 一ニ ■ ¨ ０ 目 ０ ヨ５ ∽（ ∽ ∽ ¨ ヽ ∽ い●５ 一 （ ０ ｏ， 本 Ｃ ヨロ∽（ ∽ ０ を い Ｂ ｏ 桐κ一 ｐｒ メ Ｃ ∽ ４ 「 ０ 〇 ０ 〇 ¨ ¨ ８】 ｏ 一 ¨ 「Ｏ Ｚ ＆ 鮮 ｏ ， す 一 ， ） 〓 一 ０ ５ ９ 「 ０ ｏ ”『” ｏ コ ω 一 ” Ｌｒ ・ ｏ¨ 、 ｏ ， 一 ■ ”〓 ■ 一 〇 （ ） マ ｏ 一 ０ ¨ 「 ” ∽ ま ” す ｏ（ Ｒ 『 ● ｍ〓 〓 言 Ｌ げ ） ‥‥‥ ） ５ ■ ｏ∽一 ｃ ュ （ ０ ｏ ● ｏ一 ● ↓ ¨”， ｏ く Ｏ υ ●や ↓ ∽や ０Ｏ ″●つ●こ＞κ″＞くの工 ＞ ” Ｃ ” ） 」 ● の ∽∽ の 『 く ” ｏ ∪ 】 σ ｏ Ｏ 一 。 ´ ８ ” 一 モ ∽ 一 洞 一 『 一 ■ ０ 一 ０ ∽ ‘ ｏ や 増 ∽ ” ヨ ｏ 〓 ´璧 一 一 ヽ ” ら ”＞”【” 〓 ＞ Ｚフ′υ＞↓０そジ一 ヽ ” Ｃ ” 〓 一 ｏ ■日 ｏ 日 （ ０ 一 一 ０ 一 Ｆ ∽ マ いσ つ や メ もｏ ” 目 『 呂 ′ ● σ ） マ¨ ＞κＣ”ω工＞Ｚヽ 一 ８ ¨ ¨ ヨ Ｘ