ANDHRA PRADESH. to.~>

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. ANNEXURE - I

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FORM NO. 26. SEE RUL P rl~J· 1.1~t

Before The Returning Officer for Election to Assem

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Constituenc

y-~ I, RADVA DEVAIAH son of MALLAIAH, aged 42 years, Resident of Kuchanpally,

Mandai & Dist. Medak, I candidate at the above election, do hereby solemnly affirm and

late on oath as under;

I am not the accused of any offences purnishable with imprisonment for a period

o two years or more than in a pending case in which a charge has not been framed by

ti e court of competent jurisdiction.

m If the deponent is accused of any such offence he shall furnish the following

if'iformation.

Case/FIR No. -- N.A.

Police Station . -- N.A.

Sections of the concerned act and short description of the offence for which the candidate has been charged

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Court which framed the Charge -- N.A.

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Date(s) on which the charges (s) -- N.A.

(. 'V~ -'\.~\, Whether all or any or the proceedings (s) have been stayed by any

K. SH1VA C

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M.A; LL.M.

ADVOCATE & NOTARY SIDDIPET.502103 (A.P.) Phone: 222275. Cell: 9849341518. 1~. 2).

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•• Court(s) of Compentent Jurisdiction .... N.A.

~2. I have been/have not been convicted of an offences (other than any offences)

. referred to in sub-section (2) or convered in sub-sectionm (3) of section 8 of the representation of People Act, 1951 (43 of 1951) and sentenced to imprisonment for

i one year or more.

~If the deponent is convicted and punished as aforesaid, he shall furnish the following information.

_1. Case/FIR No. . N.A.

2. Court(s) which punished N.A.

3. Police Station N.A.

4. Sections of the concerned act and short description of the offence for which the candidate has been charged N.A.

5. On which the sentences was pronounced N.A.

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6. Whether the sentence have been stayed by any

r=-::~~~~ court(s) of competent Jurisdiction .... N.A.

ce : Yellareddy

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K. S""VA CHARAN ADVOCATE &

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LL.M. SIDDIPET-502 103~~~) Phone: 222275 .. Cell: 9849341518 The Deponent ,

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this affidavit are true and correct to the best of my knowledge and belief, no part of it is false and nothing material has been concealed there from.

Verified at Siddipet this the

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ANNEXURE - I

AFFIDAVIT

EFORE THE RETURNING OFFICER FOR ELECTION TO THE ANDHRA PRADESH

ASSEMBLY FROM 015 YELLAREDDY CONSTITUENCY

1. RADVA DEVAIAH son of MALLAIAH, aged 42 years, Residing of Kuchanpally,

t1andal & Dist. Medak, candidate at the above election, do hereby solemnly affirm and

tate on oath as under;

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NOTARY SIDDIPET.502103, (A.P.' Phone: 222275, Cell: 9849341518 Contd. 2nd ,

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the following cases are pending against me in which congnzance taken

Section of the Act & description of the offence for

which congnizance taken Nill

The Court which has taken congnizance Nill

Case No. Nill

Date of Order of the Court taking congnizance Nill

Detail of appeal(s)japplication(s) for revision, etc., if any filed against above order taking congnizance. Nill

That I give herein below the details of the assets (immovable, movable bank balance, etc.,) of spouse my deponents and my self.

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ADVOCJ>.TE & NOTARY

SIDDIPET.502103. (A.P.) Phone: 222275.

Cell: 9849341518

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Page 3

A. DETAILS OF MOVABLE ASSETS

(Assets in joint name indicating the extent of joint ownership will also have to be

given) S.

Description Self Spouse Name Dependent 1 Deponent 2 Deponent 3

No. Name Name etc. Name

1 Cash Rs. 20,000/-

-

-Deposits in Banks, Financial

2 Institutions and SB A/c. in -Nil- -NiI- -Nil- -Nil-Non Banking APGVB Medak

Financial Companies Bonds,

3 Debentures and -Nil- -Nil- -Nil- -Nil-

-nu-Share in

Companies Other financial

4 instrument NSS, -Nil- -Nil- -Nil- -Nil- -Nil-Postal Saving LIC,

Policies etc., Motor Vehicles

5 (details of make, -NiI- -Nil- -Nil- -Nil- -Nil-etc., )

Jewellery (Give 20 grams

6 details of weight

-nu-

Gold Worth -Nil-

-nu-

-Nil-and value) of

Rs.38,OOO /-Other assets,

7 such as values of -Nil- -Nil-

-nu-

-nn-

-Nil-claims/interests

Note: Value of Bonds/Shares/Debentures as per the latest market value in stock Exchange in respect of listed companies and as per books in the cases of non listed companies should be given.

*Dependent here means and person substantially dependents on the income of the candidate.

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S D~'I;">ET 5021W. (A.P.) PI1Lne,222275.

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Contd. Page 4rd ...

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indicated) S.

Description Self Spouse Dependent 1 Deponent 2 Deponent 3

No. Name Name Name etc. Name

1 Agricultural land - Sy.No.142,

location - survey 144, 153,

number - extent 156

(Total Extent of

measurement) Ac.O-30

Current Market guntas,

Value situated at -Nil- -Nil- -Nil-

-nn-Kuchanpally And House worth of Rs.30,OOO/ -at Kuchanpally 2 Non-Agricultural Land - Location Survey Number

-Extent (Total

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-uu-

-nu-

-NiI-

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-Current Market

Value

3 Buildings

(Commercial and

residential

Location(s)

-Survey/Door

-NiI-

-nu-

-Nil- -Nil-

-nu-Number(s) Extent (Total Measurement) -Current Market Value 4 Houses/apartment, etc., location(s) -Survey/Door Number(s)

--Nil-

-nu-

-Nil- -Nil-

-nn

-extent (Total

Measurement)

-Current Market

Value

5 Others (such as

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interest in -Nil-

-nu-

-Nil-

-nu

-property)

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K. SHIVA

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M.A;LL.M.

ADVOCP.TE & NOTARY

SIDDIPET-S02103. (A.P.)

Phone: 222275.

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Page 5

3. L~ive herein below the details of my liabilities/overdue to public financial institutions and Government dues.

(Note: Please give separate details for each item)

S. Name and Address of Amount outstanding Description Bank/Financial

No.

institution (s)/Department( s) as on 30.03.2010

1 (i) Loans from Bank

-nu-

-Nil-(ii) Loans from Financial

-Nil- -Nil

-Institutions

(iii) Government Dues

-nu-

-nu-a) Dues to departments dealing with -NiI- -Nil-government accommodation b) dues to departments

-nn-

-Ni

l-dealinq with water c) Dues to departments

dealing with supply of -Nil- -Nil-water d) Dues to departments

-nu-

-nu-dealinq with telephone e) Dues to departments dealing with

government transport -Nil-

-Nil-(including aircrafts and helicopters

f) Other dues, if any

-

nu-

-Nil-(b) (i) Income Tax including Surcharges (also indicate the

assessment year upto

-Nil- -

Nil-which Income tax Return filed. Give also permanent Account Number (PAN) (ii) Wealth Tax (also

including the assessment

-Nil-

-Nil-year upto which Income Tax return filed)

(iii) Sales Tax (only in

case of proprietary -Nil- -Nil -Business)

(iv) Property Tax -Nil- -Nil

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MA: LLM. ADVOC,A TE 8.No-r MW SlDDIPETS02 103. (A.P.) Phone' 222275, Celt· 9F;49~4 1513 Contd. Page 6rd..

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4. My education qualifications are as under

(GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION)

1. No Study

(Name of School/University and the year in which the Course was completed should also be given)

DEPONENT

VERIFICATIONS

I, the above named deponent, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief, no part of it is false and nothing material has been concealed there from.