woilisS% aT Fey ANDHRA PRADESH 7OAA 255913 sim G6 poe 0 A184 Bele phos BALLA BHASKAK = Si med A aaah NA s/o EI O\oUfh sone ox zt 24 Pe Wt eo L&Blry Bist og Galt O7OtaTSe? “FORM 26 (SEE RULA 4A) : 4 i i Affidavit to be filed by the candidate along with nomination Rape Baipening Officer for Election to MEMBER OF LEGISLATIVE ASSEMBL) Hotise) from SIDDIPET ~ 33 CONSTITUENCY (Name of the Constituency), 5 PART. é 1, THANEER HARISH RAO Son of SATYANARAYANA RAO, aged about: 42 Years, resident of H.No.11.1.59/12, Bharathnagar, Siddipet Town & Mandal, Medak District(mentioned full postal address), candidate at the above election, do hereby soldinnly affirm and state on oath as under?1. Tama Candidate set up by Telangana Rashtra Samithi (**name of the party) ** am contesting as «an Independent candidate (** strike out whichever is not applicable. 2, My name is enrolled in SIDDIPET Assembly Constituency, Andhra Pradesh State (Name of the Constituency and the State), at Serial No. 623 in Part No.95 83. My contact telephone number(s) is 98661-99999 and my e-mail id (if any) is harishraol116@gmail.com (4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return: Si. Names PAN ‘The financial Total No. year income for which shown in the last Income- tax T,_| Harish Rao-Self [ABPPT7I92N [2012-2013 filed |6,44.349/- 2,_| Smt.T-Sreenitha-Wife IABPPT7I9SM____2012-2013filed [10,54,300- 3,_| Master T.Archisman-Son _[-NIL- [NIL NIL- 4,_| Kum.T, Vaishnavi-Daughter [NIL- [NIL ‘NIL ) Lam /am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a charge (s) has/have been framed by the court(s) of competent jurisdiction, If the deponent is accused of any such offence(s) he shall furnish the following information:= (j) The following case(s) is /are pending against me in which charges have been framed by the court for an offence punishable with imprisonment for two years or more := (| Case/First Information Report No/ | 1. FIRNo.79/2010, D1.28.05.2010, UIS 147, 148, 352, Nos. together with complete 307 9 FC oie Son, Mab, ‘i 5 arangol Dist. details of concerned Police) >. FIR No, 18622010, Dt, 01.11.2010, U's ‘Station/ District Stale 147,148,427, 448, 149 IPC. Police Staton, Maredpally, Hyderabad Dist. 3. FIR No201/2011, Dt 08.10.2011, U/S 143, 188 Police Station, Banswada, Nizamabad Dist. 4, FIR No. 191/201 1, Bi.15.10.201 1, US 120(B), 117, 4353, 188, 109 IPC, 150 & 151 of Indian Railway Act 1980, Section 3 of PPP Act. Police Station, Ramyampet, Medak Dist. 5, FIR No.1 15/2011, D.02,06.2011, U/S 188, 153(A) IPC 125 of RP Act, Police Station, Geesugonda, Warangal Dist Po wWirAs0) Section(s) of the concerned Act(s) and short description of the offence(s) for which charged WS 147, 148, 332, 307 Fw 149 IPC unfawial assembled and assault attempt murder US 147,148,427, 448 ,149 IPC unlawful assembly assault damaged trespass mischievous U/S 143, 188 disobedience to order duly promulgated by public servant duties, UIS 120(B), 117, 353, 188, 109 IPC.150 & [51 of Indian Railway Act. 1989, Section 3 of PDPP Act. Criminal Conspiracies, Obstructed duties of police and sat on the railway track and damaged of the public property UNS 188, 153(A) IPC, 125 of RP Act disobedience obstructed duties and using of defamatory words. proceedings(s) have been stayed by any Court(s) of competent jurisdiction 1 TaRCMIARABUBABAD=Notaker (©) [Name of the Court, Case No. and | 7° iiouer SECUNDERADAD. Not aken date of order taking cognizance: 3. MFC, BANSWADA.NIZAMABAD, CC NO 263201, Drattiaotr 4 MFC, MEDAK —Nottaken 5. IMEMM COURT, WARANOAL, CCNO3I12002, Di21.082012 (®_ | Cours) which framed the |) MFC MANIABUBABAD, US, 198 SBS07 RAV TTC Not charged charge(s) 2, MM COURT, SECUNDERABAD, U/S 147, 148, 427,448 SI, TH9IPC~ Notshrged 2. JMFC, BANSWADA, NIZAMABAD, US 143, 1881C~ Chass 4, IMF, MEDAK, U/S 1208), 117353, 18,109 PC, 150 51 INDIAN RAILWAYS ACT. 1989.8 10F PDPP-ACT.- Not charged 5, _TIEMM COURT, WARANGAL, IBR1S3/A.IPC 125 RP Act = Charge © | Date(s) on which the charges) Tn between 2010 to 2013 wwas/were framed © [Whether all or any of the “NO- by the court fother than the eases mentic (i) The following case(s) is /are pending against me in which cognizance has been taken joned in item (i) above]:~ (a) Name of the Court, Case No. and date of order taking cognizance: “NIL- (b) The details of cases where the court has taken cognizance, section(s) of the Act(s) and description of the offence(s) for which cognizance taken -NIL- () Details oF Appeal(s)/Application(s) for revision (if any) filed against the above order(s) -NIL- more. have beewhave not been convicted, of an offence(s) (other than any offence (S) sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 entation of the People Act, 1951 (43 of 1951)] and sentenced to imprisonment powina