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Unique Doc. Relerence SUBIN,KAKAKSFCLOB9358232288861 OR Purchased bY SUDARSHANA M Description of Document Article 4 Atfidavit Descnplion AFFIDAVIT z Consideration Price (Rs ) 0 lzercl First Party SUDARSHANA M Second Party NA Slamp Duty Paid BY SUDARSHANA M Stamp 0uty Amount(Bs ) 50 (Fifty only) .i Prea3e$€lRlvtpqtrow this rine ty (See rule 4A) t{ AFF'IDAVIT t TO BE FILED BY THf, CANDIDATE ALONG WITH NOMINA TION PAPER BEFORE THE RETURNTNG OFFICER FOR ELECTION OUSE OF PEOPLE (NAME OF TIIE HOUSE) FROM 17 DAKSHINA KANNADA (CENE CONSTITUENCY (NAME OF TttE CO|.iSTTTUBNCY) rcTloN tlcr li rRrron!i tnsfi !.. *'.,\g4 a PART A SIIDATTSIIANA son Of RAMESH t( N,VASA.N.; .sHAN'rr.r il;l; a candidare"fl'^Iili{i,1il;:ffiil"lii;l,l;.i?}ll ar rhe abo\e :T;n"j:;::l,:*.' "adress). etecrion. do herebt soternnty arrlrm and srare on (j) I am a candidate set up by BHARATIYA JANATA pARTy (** Dame ofthe political party) / **** am contesting as an lndependent candidate. (* *strike out whichever is nol appticabte) (2) My name is enrolled in 2 '.i*;;;"i#ff l"ll"1?',;"T..."?,",ffi T".f,:Tff "J,"::,Tffi lli.": (3) M) coltact telephone [umbefls] i ,o (ir "ua,,,,,",''ooi'1.",j*;1','."#:;J1""il''::i:::::1,;il,;;,JLl,' any) is (i) twitte.@sudarshamoodabidri (ii) facebook page https://wwhfacebook.com/sudarshanmoodabidri (iii) lnstagram-sudarshanmoddabidri (iv) Facebook_sudarshanmoodabidri (4) Details ofperrnanent Account Nlumber (pAN) and retunri status offiling oflncome tax Ine rtnancial year for ruLar which Income showl in lncome the last Income Ketum (in tax return .l&\ Rupees) for the has been filed ta.t fu. nnun.iai l"uri completed {as on J l', March) AMBPM2I25M 20t3-20t4 2,4t,626.00 2014-2015 2015-2016 l,cz,gst.n q,lq,eza.o6 2016-2017 2017-2018 +,+e,lss.o0 s,st,o:+.oo AGIPHT3O6Q 20t3-20t4 HEMAVATHT z,lq,zts.oo (wrFE) 2014-2015 2,87,91t.00 20t 5-20t6 2016-20)7 2,93,',708.00 20 t7-2018 3,08, t25.00 HUF (ifcandidiGi Nor Applicable Not Applicable Not Applicabte Not Applicabte NotApplicable Not Applicable (D Not Applicable 4.