I

004
,1,

w \\

etre
\ RUPEES

Rs.5 I
;1

IND!A
I \ \\
rq56 O q
:rrf eeoSlpd6'**, sil,K6 HRA PRAD rsn90 I
'favnanfu Sinhadrli D /o, Nagesurr&[qo si rntcd bi, V dq
Fo
(

I
t
FORM 26
I
(See rule 4A)

3
i

,/
E

AFFI DAVIT TO BE FITED BY THE CANDIDATE AIONG WITH NOMINATIOI{ PAPER BEFORE THE RETURNIITG OFFICER
FOR EUCIIOI.I TO ANDHRA PRAOESH ASSEMBTY CONSNTUENC'T fROM 3& KAXINADA RURAT ASSEMBTY
cof{ SIITUENCY.

I TAMANNA SIMHADRI SOII/DAUGHTERAATIIE OF NACESWARAO SIMHADRI AGED 40 YEARS, RESIDENT

OF 40.T7.162, DAKEER GUDEM, NEAR GREEN I.ANOS HOTET, TABBIPET VUAYAWAOA (URBAN),
VEN(NTESWARAPURAM, VI.IAYAWADA (URBAN), KRISHNA, ANDHRA PRADESH - 520010., CANDIDATE
AT THE ABOVE EI.ECTION, DO HEREBY SOLEMNLY AFFIRM AND STATE OATH AS UNDER
H

(1) candidate set up by BHARATHA CHAITANYA YUVAJANA PARTY (*name of the political party)
I am a
@
2l [
/ (*strike out whichever is not applicable)
My name is enrolled in Electoral Roll of),
(NAME OF THE CONST|TIiENCY AND the State: 81- VITAYAWADA EAST, ASSEMBLY CONSTITUENCY,
ANDHRA PRADESH.
SERIAL NO 4O2, AT PART Or 103,

3Secz S& 77,

lN EPIC NO: AG23201506
5
{ io
glt 4
l{l.u."lrSi'I'}jr-,
arxffifi,ffili
I
4i7a2-4
ESH
1-*4 -A-sr-

ld B.Com,, l.L Gts,so'

Adyocate, ilotflrv zl2-lr)- I

agrat=:-ac-,, fr!!ap44i..an En.dt 0Iill57.ifi ene-lll?CX3

Date;27-10-2022
 2

id (if any) is
3l My contact telephone number(s) islate77o24 40498 and my email
tamannasimhadri@gmail.com
and my social media account(s) (if any) is/are
(i) Facebook: tamannasimhadri
(ii) lnstagram: tamannasimhadri
(iii) Youtube : TammuTalks
(4) Details of Permanent Account Number PAN) and status of filing
of lncome Tax return:
THE
FINANCIAL
YEAR FOR TOTAL INCOME SHOWN IN

NAMES PAN WHICH THE INcOME-TAX RETURN [lN Rupees

SL
LAST FOR THE LAST FIVE FINANCIAL
NO
INCOME. YEARS [AS ON 31ST MARCH]
TAX RETURN
HAS BEEN
FILED

SELF
(i) NrL
1
(ii) NrL
TAMANNA SIMHADRI DGFPS29llL NIL - (iii NIL
NOT FILED (iv) NIL
{v} NIL
(i) Not icable
2 Spouse (ii Not Applicable
NOT NOT
iii) Not licable
APPLICABTE APPLICABLE
(iv) Not Applicable
(v) Not Applicable

HUF
(i) Not Applicable
3 IIF CANDIDATE IS KARTHA / (ii Not Ap icable
coPARC€NERI NOT NOT
(iii) Not Applicable
APPLICABI.E APPLICABLE
(iv Not icable
v) Not Ap licable
i) Not licable
DEPENDENT.l (ii) Not A plicable
NOT NOT
4 SON (iii) Not Applicable
APPLICABLE APPLICABLE
(iv Not Applicable
v) Not licable
DEPEND ENT-2
(i) Not icable
5
(ii) Not Applicable
NOT NOT
(iii Not Ap licable
APPTICABLE APPLICABLE
(iv) Not Applicable
(v) Not Applicable

DEPENDENT-3
(i Not Ap icable
6
(ii) Not Applicable
NOT NOT
iii) Not licable
APPLICABLE APPLICABLE
(iv) Not Applicable
( Not Applicable

--.-.
"-^S.t > k [vlu"-.1
,.
TATAVARTHISU RESH t?a * -
B.Com., B.L
Advocate, Notary
Agrahararn, Pitlupuram
 3

Note: lt is mandatory for pAN holder to mention PAN and in case of no PAN,
it should be clearly stated

"No PAN allotted".

(5) Pending criminal cases'

/ 1 i 1 t aeclare that there is no pending criminal case against me'

(Tick this alternative if there ls no criminal case pending against the candidate and
write NoT
APPLIcABLE against alternative (ii) below)

OR

pending criminal cases against the

ii. The fellewing €riminal €ases are pending against me; (lf there are
give details of all pending
candidate, then tick this alternative and score off alternative (i) above, and
cases in the Table below)
NOT APPIICABIE

Table

NOT NOT
with name and
F.l.R. No: NOT APPLICABLE NOT APPLICABLE
APPLICABLE APPLICABLE
a address of police station
concern-ed

NOT NOT
Case number with name ofthe NOT APPLICABLE
NOT APPLICABLE
court APPLICABLE APPLICABLE

b
Section NOT NOT
[s] of concerned acts / codes NOT APPLICABLE NOT APPLICABLE
APPLICABLE APPLICABLE
involved.
lcive no. of the section, eg.
c Section of l.P.c, etcl
NOT NOT
NOT APPLICABLE NOT APPLICABLE
d Brief description of offence APPLICABLE APPLICABLE

NOT NOT
Whether charges have been NOT APPLICABLE NOT APPLICABLE
APPLICABLE APPLICABLE
framed
Imention
or no]
NOT NOT
lf answer against (e] above is Yes,
NOT APPLICABLE NOT APPLICABLE
then give the date on which
f APPLICABLE APPLICASLE
charges were framed

NOT NOT
whether any appeal/ aPPlication
NOT APPLICABLE NOT APPLICABLE
for revision has been filed against APPLICABLE APPLICABLE
the proceedings. Imention Yes or
nol

Al"TEliI't--'r
-- \- C,-.^^^- z-q [1 l:"r-y -."1-'
TATAVARTHI SURESH l---;"
-
advocaleldolat
B.Com.. B.L
fgr&-a.P!tnd1.
 4

(5) Cases of conviction : NIL

y' (i) I declare that I have not been convicted for any criminal offence.

(Tick this alternative, if the candidate has not been convicted and write NOT APPLICABLE against
alternative (ii) below)

OR

(ii) I have been eenvieted fer the effenees mentiened belew: NIL

(lf the candidate has been convicted, then tick this alternative and score off alternative (1) above, and
give details in the Table below)

TABTE

a Case Number NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

Name ofthe court NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

b
Section(s) of acts/ codes
involved [give No: of the NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE
c section. Eg. section........of
LP.C., etc.
d Brief description of offence NOT APPLICABLE
NOT APPLICABLE NOT APPLICABLE
for which convicted
Dates of orders of NOT APPLICABLE
NOT APPLICABLE NOT APPLICABLE
e conviction

Punishment imposed NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE

f
Whether any appeal has
been filed against NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE
conviction order
[mention yes or no
h lf answer to (g) above is yes,
give details and present NOT APPLICABLE
NOT APPLICABLE NOT APPLICABLE
status of a ppeal.

(6A) I have given full and up-do-date information to my political party about all pending criminal

cases against me and about all cases of conviction as given in paragraphs (5) and (6)'

lN VIEW OF
[Candidates to whom this item is not applicable should clearly write NOT APPLICABLE
ENTRIES rN s (l) AND 6 (l) ABOVEI

Al*l-.Ui5'.[r.]"
1-.Sr.*..,- ,+lql ni14 I _....--
IATAVARTHI SURESH
B.Com., B.L
Advocate, Notarv
Agra haram, plthapularn
Note: 1. Details should be entered clearly and legibly in BOLD letters
2. Details to be given separately for each case under different columns against each item
3. Details should be given in reverse chronological order i e the latest case to be
mentioned first and backwards in the order of dates for the other cases'
4. Additional sheet may be added if required.
5.candidateisresponsibleforsupplyingallinformationincomplianceofHon,ble,
Supreme Court's judgement in W P. [Cl N o. 536 of 2011'

(71 That l give herein below the details of the assets (movable and immovable etc.)
of myself, my
spouse and all dePendents'

A. Details of movable assets

have to be given'
Note: 1. Assets in joint name indicating the extent of joint ownership will also

Note: 2. ln case of Deposit / lnvestment, the details including serial Number, Amount, Date of
given
deposit, the scheme, Name of the Bank/lnstitutlon and Branch are to be

Note:3.ValUeofBonds/ShareDebenturesaspercurrentmarketvalueinStockexchangein
respectoflistedcompaniesandasperbooksincaseofnon-listedcompaniesshouldbegiven'
,Dependent, means parents, son(s), daughter(s) of the candidate or spouse and any other
Note: 4'
means of
person related to be candldate whether by blood or marriage' who have no separate
income and who are dependent on the candidate for their livelihood'

of each lnvestment
Note: 5. Details including amount is to be given separately in respect

Note:6.Detailsshouldincludetheinterestinorownershipofoffshoreassets'
includes details of ll deposits
Explanation - For the purpose of this form, the expression "offshore assets"
a

orinvestmentsinforeignbanksandanyotherbodyorinstitutionabroad,anddetailsofall
assets and liabilities in foreign countries

DEPEN
DEPEND
SL DENT-
SPOUSE HUF DEPENDE ENT.3
N DESCRIPTION SE LF
2
NT-1
o
N.A N.A N.A N.A
I CASH IN HAND Rs. 2, 00, 000/- N.A

1I N.A N.A N.A N.A N.A

DETAILS OF UNION BANK OF
DEPOSIT IN INDIA,
BANK TABBIPET BRANCH
ll ACCOUNTS. Ac. No:
IFDRS, TERM 034312120000082
DEPOSITS AND SAVIN6S ACCOUNT
ALL OTHER
ETECTION ACCOUNT
TYPES OF
BAIANcE: 100 /-
. DEPOSITS
,tt
.---^
TA\AVARTHI su
B.c om.,8.L
Advocate' NotarY
Agrrhardn,Pit@PUrarF
u I >-r-&
SH
a1
 6

INCLUDING
SAVING 2l
ACCOUNTS.I STATE BANK OF
DEPOSITS INDIA
WITH LABBIPET N,A N.A N.A N.A N.A
FINANCIAL BRANCH
INSTITUTIONS, Ac. No:
NON-BANKING 38341988397
FINANCIAL SAVINGS ACCOUNT
COMPANIES BALANCE:
AND CO- Rs. 152,773 / -
OPERATIVE
SOCIETIES AND
THE AMOUNT
IN EACH SUCH
DEPOSITS
t DETAILS OF
INVESTMENTS
IN BONDS,
DEBENCHERs /
SHARES N.A N.A N.A
N.A
AND UNITS IN N.A
NIL
COMPANIES /
MUTUAL
FUNDS AND
OTHERS AND
THE AMOUNT,
DETAILS OF
INVESTMENTS
IN NSS, POSTAL
SAVINGS,
INSURANCE
POLICIES AND
NIL N.A N.A N.A
INVESTMENTS N.A N.A
IN FINANCIAL
INSTRUMENTS
IN POST OFFICE
OR INSURANCE
COMPANY AND
THE AMOUNT.
PERSONAL LOANS
/ ADVANCE GIVEN
TO ANY PERSON
OR ENTITY
INCLUDING FIRM/
COMPANY,TRUST NIL N.A N.A N.A
N.A N.A
ETC AND OTHER
RECEIVABLES
FROM DEBTORS
AND THE
AMOU NT.

:-T=
il{ lqlr-o+
1----a
Advocate, Notary
Agraharam, PithaPurarr
 7

MOTOR
VEH ICLES / AIR
CRAFTS,
YATCHES/
SHIPS IDETAILS
OF MAKE N.A N.A N.A N.A N.A
NIL
REGISTRATION
NUM BER ETC,
YEAR OF
PURCHASE
AND
AMOU NT.]

]EWELLERY,
Gold Ornaments:
BULLION AND
Weight :
VALUABLE
60 Grams N.A N.A N.A N.A N.A
rHrNG [s]
[GIVE DETAILS Value:
OF WEIGHT
Rs. 3,96,900/-
AND VALUE,

v l ANY OTHER
ASSETS SUCH
N.A N.A N.A N.A N.A
AS VALUE OF NIL
CLAIMS /
INTEREST.

tx GROSS TOTAT N.A N.A N.A N.A

Rs. 7,49,77! l- N.A
VAIUE.

B. Details of immovable assets :

NOTE: 1. Properties in joint ownership indicating

the extent of joint ownership will

also have to be indicated

NOTE: 2 Each|andorbuildingorapartmentshouldbementionedseparatelyin

this format
assets'
NOTE: 3 details should include the interest in or ownership of offshore

ATTESTEJ,
--i---q,'r*-^*-
>-*, I ., /,r"r-,r
IATAVARTHI SIIT{.ESH
/
A.Ccnr., g.l^
AArocate. N{-.tarv
lg&u"Fi&apoiran' l.--*
 8

DEPEND DEPEN DA
SPOUSE HUF DEPENDA ANT.2 NT-3
SL DESCRIPTION SE LF

NO NT-1
AGRICUTTURA NIL N.A N.A N.A N.A N.A
il L LAND
LOCATTONSISI
SURVEY
N UM BERS
AREA NIL N.A N.A N.A N.A N.A

[TOTAL
MEASUREMEN
T5 IN ACRES]
NIL N,A N.A N.A N.A N.A
WHETHER
INHERITED
PROPERTY IYES
oR Nol
DATE OF Ntt N.A N.A N.A N.A N.A
PURCHASE IN
CASE OF SELF
ACQU IRED
PROP ERTY
COST OF IAND NIL N.A N.A N.A N.A N.A

lrN cAsE oF
PURCHASE] AT
THE TIME OF
PURCHASE

ANY NIL N.A N.A N.A N.A N.A

INVESTMENT
ON THE LAND
BY WAY OF
DEVELOPM ENT,
CONSTRUCTIO
N ETC,
APPROXIMATE NIL N.A N.A N.A N.A N.A
CURRENT
MARKET VALUE

N.A N.A N.A

iil NON- NIL N.A N.A
AGRICUTTURA
L LAND
LOCATTONISI
SURVEY
NUMBERS
AREA [TOTAL NIL N.A N.A N.A N.A N.A
MEASUREMEN
TS IN SQ. FT,]

A'mI}S?EI,,
-.--{-
ffiftffim,kfflil,i'e
B.Com., B,L
l----a
Advocate, Notary
Agraharam, Pitiapuram
 9

NIL N.A N.A N.A N.A N.A

WHETHER
INHERITED
PROPERTY IYES
oR NOI
NIL N.A N.A N.A N.A N.A

DATE OF
PURCHASE IN
CASE OF SELF
ACQUIRED
PROPERTY
NIL N,A N.A N.A N.A N.A

COST OF LAND
lrN cASE OF
PURCHASE] AT
THE TIME OF
PURCHASE
NIL N.A N.A N.A N.A N.A

INVESTMENT
ON THE LAND
BY WAY OF
DEVELOPMENT

CONSTRUCTIO
NS ETC,

N.A N.A N.A N.A N.A

APPROXIMATE NtL
CURRENT
MARKET
VALUE
N.A N.A N.A N.A N.A
iiil COMMERCIAL NIL
BUILDINGS
IINCLUDING
APARTMENTS,
LOCATlONlsl,
SURVEY
N UM BERS

N.A N.A N.A N.A

AREA [TOTAL Ntt N.A
MEASUREMEN
TS rN SQ. FT.l

N.A N.A N.A N.A N.A

BUILT UP Nrt
AREA,[TOTAL
MEASUREMEN
T5 IN Sq. FT]
N.A N.A N.A N.A N.A
WHETHER NIL
INHERITED
PROPERTY IYES
oR NOI

lt,l*l'ljSttirr,
:-\:-S..!'.t^.-- 'r-'4r iq ibey
'' z4-
IATAVARTHI SURESI{ l,_---2,
B.Com., B.L
Ailmee*te, hlotary
d&dhatart, ;Bi&apirrarp
 10

DATE OF NIL N.A N.A N.A N.A N,A

PURCHASE IN
CASE OF SELF
ACQUIRED
PRO PE RTY
cosT oF NIL N.A N.A N.A N.A N.A
PROPERW IIN
CASE
OF PURCHASE]
AT THE
TIME OF
PURCHASE

ANY NIL N.A N.A N.A N.A N.A

INVESTMENT
ON THE LAND
BY
WAY OF
DEVELOPMENT

CONSTRUCTIO
NS ETC.
APPROXIMATE NIL N.A N.A N.A N.A N.A
CURRENT
MARKET
VALUE

ivl RESIDENTIAT NIL N.A N.A N.A N.A N.A

BUILDINGS
(INCLUDING
APARTMENTS.)
- LOCAToN(s)
- SURVEY
N UM BER S

AREA (TOTAL NIL N.A N.A N.A N.A N.A

MEASUREMEN
T IN SQ. FT
BUILT UP NIL N.A N.A N,A N.A N.A
AREA (TOTAL
MEASUREMEN
T IN SQ. FT.)
WH ETHER NIL N.A N.A N.A N.A N.A
INHERITED
PROPERTY
(YES OR NO)
DATE OF NIL N.A N.A N.A N.A N.A
PURCHASE IN
CASE OF SELF
ACQUIRED
PROPERTY

t!;.t t
.'{-
:--:-l\\\uL9/, I-"".'/,
I SURESH
B.Com., t.L
Advocate, Notary
Agraharam, Pi$upuran'
 D

11

cosT oF NIL N.A N.A N.A N.A N.A

PROPERTY (IN
CASE
OF PURCHASE)
AT THE
TIME OF
PURCHASE
ANY NIL N.A N.A N.A N.A N.A
INVESTMENT
ON THE LAND
BY
WAY OF
DEVELOPMENT

CONSTRUCTIO
N ETC.
NIL N.A N.A N.A N.A N.A
APPROXIMATE
CURRENT
MARKET
VALUE.
OTHERS NIL N.A N.A N.A N.A N.A
[SUCH AS
INTEREST IN
PROPERTY ]
TOTAL OF NIL N.A N.A N.A N.A N.A
CURRENT
MARKET
VALUE OF
lil to [v]
ABOVE.

t8l lgive herein below the details of liabilities/dues to public financial institutions and government-

Note : Please give separate details of name of Bank, lnstitution, entity, or individual and amount
before each item

5L DEPENDAN DEPEND DEPEN

NO DESCRIPTION SELF SPOUSE HUF T-1 ANT.2 DANT.
3
(i) LOAN OR
DUES TO BANK /
TINANCIAT
rNsTrTUroNlsl
NAME OF THE
BANK OF N.A N.A N.A N.A N.A
NIL
FINANCIAL
INSTITUTION
AMOU NT
OUTSTANDING,
NATURE OF LOAN
An*t'i...,"."
--f-:Q*.-,* r-ro I r, I r- >U
/ -.'f-
TATAVARTH I SURESH
B.Com., B.L
l"-'4-
Advocate, t{otary
lgraltazt'4=Pf,'ry,wan
 t2

LOAN OR
DUES TO ANY
ANOTHER
tNDrvlDUALS /
ENTITY OR N.A N.A N.A N,A N,A
NIL
OTHER THAN
MENTIONED ABOVE
NAME[S], AMOUNT
OUT STANDING,
NATURE OF LOAN

N.A N.A N.A N.A N.A

ANY
Ntt
OTHER LIABILITY

N.A N.A N.A N.A N.A

GRAND TOTAL OF NIL
LIABIIITIES
(ii) al has the deponent been in occupation of
GOVERNMENT accommodation Provided bY
DUES:
the government at any time during the last ten years
DUES TO THE before the date of
DEPARTMENTS notification of the current election? -NO
DEALING WITH
bl lf answer A to above is yes, the following declaration
GOVERNMENT
may be furnished
ACCOMMODATIONS
namely :- YEs/NO
il The address of the government accommodation'
NIL (Pl.tick the
iil there is no dues payable in respect of above appropriate
government accommodation towards:- alternative)

al Rent : No
bl electricitY charges : NO
cl water charges : NO

dl telephone charges : NO
as on date.
[The date should be the last date of the third month
prior to the month in whlch the electlon is notlfied or
anY date thereafter.I

Note:- 'No Dues certificate' from the agencies

concerned in respect of rent, electricity charges, water
charges and telephone charges for
the above
Government accommodation should be submitted'

(iii) DUES TO
DEPARTMENT
DEALING WITH
GOVERNMENT N.A N.A N.A N.A N.A
TRANSPORT, NIL
IINCLUDING AIR
CRAFTS AND
HELICOPTERS.]

z-*lu / :.r.q ---t'-

RTHI SURES H/ t*--6
B.Com.,8"1
Advocate, Notary
Agnhlran,Pi&apurar'
 13

N.A N.A N.A N.A N.A

NIL
(iv) INCOME TAX DUES
N.A N.A N.A N.A N,A
NIL
(v) GSTDUES
N.A N.A N.A N.A N.A
(vi) MUNICIPAL
NIL
PROPERTY TAX DUES
N.A N.A N.A N.A N,A
(vii) ANY OTHER
NIL
DUES
(viii) GRAND TOTAL OF N.A N.A N.A N.A N.A
ALL GOVERNMENT NIL
DU ES
(ix) WHETHER ANY
OTHER LIABILITIES
ARE IN DISPUTE, IF
SO, MENTION THE N.A N.A N.A N,A N.A
AMOUNT INVOLVED NIL
AND THE
AUTHORITY ABOVE
WHICH IT IS
PENDING.

lsl Details of profession or occupation

al self : ARTIST

bl Spouse: NOT APPTICABLE

[9AI Details of source[s] of income:

al Self- : ARTIST

b) Spouse: NOT APPIICABLE

c) Sources of income, if any, of dependents: NOT APPIICABLE

[sB] coNTRAcTsWITHAPPRoPRIATEGoVERNMENTANDANYPUBtIcCoMPANYoRCoMPANIES

(a) Details of contracts entered by the candidate : NIL

(b) Details of contracts entered into by spouse : NOT APPLICABTE

(c) Details of contracts entered into by dependents : NoT APPLICABLE

(d) Details of contracts entered into by Hindu

Undivided Family or trust in which the candidate
or spouse or dependents have interest : NOT APPLICABIE

(e) Details of contracts, entered into by Partnership

Firms in which candidate or spouse or dependents
NIL
are Partners i

agffs'rui',
>-ql ulr"z!
TATAVARTHI SUR"ESH | ----Zt
B,Com,r l.L
Advocate, Notary
Agraharam, Pith4urarn
 L4

into by private
(f) Details of contracts entered

or spouse or
Companies in which candidate
NIL
dependents have share

as under
tl0l My educational qualilication is

INTERMEDIATE (PUC),

BOARD OF INTERMEDIATE
EDUCATION' ANDHRA PRADESH

(AVANIGADDA JUNIoR COLLEGE)

- 2006'

Givedetailsofhighestschooloruniversityeducationmentioningthefullformofthe in
college / university and the Year
or aiptoma o' a'"gree course' name of the school /
certificate
which the course was comPleted'

.-f-
lu-*.O

A1'TESTED
Jq l-zy
l suREStt
B.Com., B'L
Advocate, NctarY
Agraharar, PithaPuram
 15

PART.B

aBsrRACr OF THE DETAIL5 GIVEN lN (1) TO (10) OF PART-A:

7 Name of the candidate TAMANNA SIMHADRI

40-L7 -L62,

2 Full postal address DAKEER GUDEM, NEAR GREEN TANDS HOTEL,

LABBIPET,
VUAYAWADA (URBAN),
VENKATESWARAPURAM,
KRISHNA, ANDHRA PRADESH - 52OO1O

- PITHAPURAM CONSTITUENCY, ANDHRA PRADESH.

3 Number and name of the constituency 37

and state

4 Name of the political party which set up

the candidate. [otherwise write BHARATHA CHAITANYA YUVAJANA PARTY
independentl

NIL
5 Total number of pending criminal cases

NIL
6 Total number of cases in which convicted

Year for which last

PAN OF income -tax return Total income shown
7 filed
DGFPS2911L NIL NIL
Candidate
NOT NOT APPLICABLE NOT APPLICABLE
Spouse
APPLICABLE
NOT NOT APPLICABLE NOT APPLICABLE
HUF
APPLICABLE
NOT NOT APPLICABLE NOT APPLICABLE
Dependent
APPLICABLE

Details of assets and liabilities [including offshore assetsl

in Rupees'
8

HU DEPENDE DEP

SPOUSE F DEPENDE NT.2 END

DESCRIPTION SELF
NT.1 ENT-
3

Movable assets ltotal N.A

N.A
A)
valuel Rs. 7 ,49,773 / N.A N,A N.A

....:\ P, -l*--r-
>tt lvlu14
RTHI su RESH.
B.Com., E,t
Advocate, Notarv
Agraharam, Pi&apnran
 16

B) lmmovable assets

purchase price of
N.A N.A N.A N.A
self-acqulred NIL N.A

r) immovable
rope rties

Development /
construction
cost of N.A N.A N.A N,A
NIL N.A
il)
immovable
property after
purchase
[if a lica blel

Approximate
current market
price
al self acquired N.A N.A N.A N.A
NIL N.A
ilr) assets
ltotal valuel
bl inherited
assets
total valuel

9 Liabilities

Government N.A N.A

NIL N,A N.A N,A
dues. [Total]
i)
Loans from banks,
financial N.A N.A N.A N.A
ii) Nlt N.A
institutions and
others to ta ll

10 Liabilities that are under dispute

i) Government du N.A N.A

NIL N.A N.A N.A
ltotall

Loans from banks

financial
ii) institutions an
NIL N.A N.A N.A N.A N.A
others
ltotall

\aLy
TATAVART !l
B Com., B.l
'f --"c
Advocate, Notary
Agraharan, Pitl,nPura rn
 17

HIGHEST EDUCATIONAL QUALIFICATION:

mentioning the full form of the certificate
iir"l"t.ift ot f,,gnest school/ university education
)i,0r"rn" ll"tr"" course, name of the ichool/ college/ / university and the year in which the
course was comPleted.l
11

INTERMEDIATE (PUC),
PRADESH
BOARD OF INTERMEDIATE EDUCATION, ANDHRA
(AVANIGAODA.lUNIOR COLLEGE)
2006.

VERIFICATION

l, the deponent, named above, do hereby verify and

declare that the contents of this affidavit are true
nothing material has
my knowledge and belief and no part of it is false and
and correct to the best of
been concealed therefrom.

I further declare that:-

is no case of conviction or pending case against

me other than those mentioned in
(a) There
items 5 and 6 of Part A and B above,
other than those
(b) l, my spouse, or my dependents do not have any asset or liability'
mentionedinitemsTandSofPartAanditemss,gandloofPartBabove.

m this the 24th d avof Aoril.2024

>_u lt., /fo z ./-T--

tr l------7
A rri RESH DEPONENT
B.Com., B.L
Advocate, Notary
ir|
filing nominations'
Note: 1, Affidavit should be filed latest by 3.oo PM on the last day of

Note:2. AffidavltshouldbeswornbeforeanoathcommissionerorMagistrateoftheFirstclass
or before a Notary Public.

All column should be filled up and no column to be

left blank' lf there is no information
Note:3. as the case may be'
to furnish in respect of any item, either "Nil" or "Not applicable"'
should be mentioned.
neatly'
Note:4. The Affidavit should be either typed or written leglbly and
Affidavit should bear
Note:5. Each page ofthe Affidavit should be signed by the deponent andthe
before whom
on tn" stamp ofthe Notary-or Oath Commissioner or Magistrate
the"".n-p.C"
Affidavit is sworn.

i a----a
C'
ATIESTEL,
.--r--' rrx-^,^1-& lq )nlv fr z1/94-ir.-
I
4iee",s86
TATAVAI ;i'l i :iUf,.E5hr
8.Com.. B.l
t ,{.Ai Thl3 attestation is only wlthrega,
Advocate, Notary 'o th0_ld€nflty of the SignatLry/LTM'in
lgrrhrrrn, Pitiapram b9ars. no resporsibiiity to t,,,
llt_d.
ccntents
'1.:'J whlch are ora:ly stated