4

FORM.2A|sertrl.t|

, Nohinrtlon PrtErElction !o dr I egislarive Asembly ofJddu and Kahnir

STRIKE OFF PART T OR PAIT] II BELOW WHICIIEVER TS NOT APPLICABLE

PART I(To bc 6edh),if.lnhk rr upb) @916d por't€lp.nt,

I mmim a r csJ|didar lor el(uur ru rh. t4'slan vc Asbly tron dr. ?? LllAs*mhr\ i ,n:rirncncy. C.Idi&e\ Nan. flAY tExAR

F.th€itLdlF. tH..6$d s IM( Shd!4SEp^t slrEnclE&Jhl€!,Iler Itb,- His naDE n .nkEd ar s. No. !!1 in Pd No. Ilr of

thc eldtodl rcll ror_ZlX4L \s.D,bly Consaru.rcy. My ndc i3 rlrcltp.lsli.ld iris cnl€Ed.t S. No. t]l nrranNo, litt of rk€tetonl Dlt! for?'$rh AsmbrycoNtrrre'r . v (x (Dak 2?-Ir-2014 *'4J '

Hir posEl addRsVish.r.

(SigIa@ of|he Poporr).

!l.t

ccoenied po|nical pany)

the Assmbly Consriuency fron the7? rrln Asmbly Cotrnrlcnc\

cddid,ale! nme VIJAY |l,IA8 __ r'steas/rJ.r!..3ss.rrdH e^l q E{ ispoial'ddBs VtU. sh.p Cht(Jhtt!} T.h. J||Er

His roe is.nr€Ed d S- N. flta

Pri ll(To bc lsed b! caDdnhE n.r sel upby

wc hceby noninat. as cdrdidfl. lor elec on lo

S. No Ll.cloEl Roll No. olPN|a)scr

lh€ cldroEl rcll for ?7lalh sscmbl) co.slit@cy.W€ dcle lhor Nc are eleclors ol thq.bovc A$edblt Consriluency and our mmcs @ ente@d

io lhe clFronl oll for rhc Asnbl! ( ,n\riruenc\ !s indic.led below aId we atpend our sisnstwsb.low in tot€n of $bsribins to lhis nofrltrdri{'n:

P.rtrcll.F of lb. pmDoreB.nd th.irristr.turcr

l.2

3.

t992

u73alt541

2011?ot12n!aolvrnd.! siqh

3.

5,

1,

E.

t0,

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25,l.:rI

131

g5ta58254I3@307

Lrt. D.vf, ^tU@.\ 2A!1N..r.r D.vt /Ir?t! 2ot1

6

s3tUry tu!.t JdaJ-tlj.rL 2oLR.ohP.l gltrgh Y+- \^ 2Or4HGb.e. br

"Lloak^ &! zor<KrB!. J.rl \<rJo Osvt 2ore

ta2t9 Ral.cf xr!.r fq4 o zottsubrrtlr. D.vl /$p9!- 2or.

N.E,: Thee should bc rn eleu, . r r*iorerirmy x, p-p"rn,

PART NT

L UE @didar. Mdoned in l,rn t/ft'd /Srikc our which i, rci.ppti@btc, e ro oismnina on and l@by ddlsrc :-rl4

G) rhar I havecomplfl.d +==6 -Lr^ )mAoraee.ISTRIKE OUT bli) OR bl i I ll[ Low wHlcHEvER ls NoT APPL|CABLEI

,b) (') rhar.r m er up d ,r ..r.c!,,tr h' ,hcAll" r8K KtssANdiRf,F& ie{iJ!"i*aNdro@t fan) /skr. ti

' \ n, r),i: sEk,nd rhdr de symbot E*ped tor lhc abov. u.w

be allon.d ro m€.

(ii) rh,t r m*t !p.r rrri: crcou. or,,n. e Js @ SF*BISX "Rsrstercd unrc(!' i d p.tirr(ot pa,ry.'h.4.ll4sqcalrirt&ltrjsdrrll!-F.r-all-

roetlE4sar 'r.ir rlr,.r( nur which i5 nor appticabtc, md rhdr lhe rtE-srmb.k Ih4ve choen. h ordo or Dret.reoc.. de j_(i)a!!_El!$!r (ii)-aut atlhu (iiD a|t. alt.h

thalny@emdmyaarhc' r Dorhavhusbsnd snmch.v.b.encomrtyspelro ;bovcIn Engr.rb (hn'.o' the t.neuas€)i

rhr' to rhe bcsr otn) r'., .. . !( ,rd btrief. I m qdalfi€d dd nor rts d,squlificd to,ernacnoen b I ri(.. | | tr | .,!i:torr c Assmbt! ot$isSr.le

I I funherd€clarc rtEl r nd, frnhur ot.ttrcschcdlled Csr ofrhe Slolc o .ir Dr, trod rilstnnir

lfr:,^j:1TJ_.1::ll:y:! 'r r . . , r\nrJ herd imur,m-,,rr. . ,r,. r.""r,,i," ,r*.riiI also d€clare thal I hnvc n,iL b.rd. rnd shalt not be nominalcd as a candidare rt rhe

of idmu md Kshfrn fom mo,!rt r rr,.\s;nrbly consliluency

"U\fil"\'e*-Dde_f1-u-20r4 -lS.nm our rhe $ords nor annt,crht.N,B.:,A_Rcoan'*dpohliutni,. 1.(...,..,F,ti(itplnr Rolnudundcrrhel lcrr'on\)'nbot\rRL*,, .,,,.u,,r itt,n_"ni,o'.0.. r,rr,A in

br UE Eldion Connission

I

PARI IV(To b. f ll.it by lhc *didde)

Wh.rh.r thc Cadid.te :-(i) h6 bejlonvict d-

(a) or sy or;ice(t und.r 3ob,ecrionRlptwnLtion of tE Doplc A.r t957

(b) fd @ntlrntion of.ny lo +.ciri.d in pnvi$ ro slLsiioo (2), of *d6 24 of llc,!mu.nd Krshmn R.p@ni.rid of rh. Folt.Acr. |9s7 (tv of 1957).nd hr.tu d to

or rh. Jmnu rnd K$hmir

ihpri$mdn fo. @l l* lh{ 3ix mire ; o.

(ii) Police stlrionc) ti

(ii) ha b.6 @nvicred ror oy olhd offcMG) for which he hls been sr.nc.d lo inpriemdrN.A

If thq sswr is "Yd" , the candidare sbau fumish rh€ followine informalion I

(t Cs./Fi6t in0omation Epon No/N6.

(iii) serio(t_of rhc @ncm.d Ac(t ed hicf d.$dpron of tlE ofGm(, for enich h. hs

(iv)

(v)

(vD

(viD

(viii)

(x)

Coun(s) *,hich @nvicr€d rhe c.rdidlrc

Punishh.nl(t impos.d Iindicarc p.riod of inprisonnen(s) and/or quanrun of

Dat(s) of rle6e r,om p.,en

warreE ey apFalc)/Evhion(t ,il.d againd above convicrionc)

Dll€ and p.niculs ofappeal(syapplia onG) for Evision fil€d

(xD $hctlr.r lhe eid .pp6(s)/appti@rion G) for rcvnion h{r/have b€.n dispo$d ofor iJ@p.ndrn8 rt]r

i"ffjTjlj|1't* which th€ appear{s)/apprication(s) ror revision

(\ii) lf rhceidappeJ\t/appticalontt for cvision has4ale ben dhpoed of-l.a(n) Ddte(s)ofdisposal

lb) NatuE of orde(9

DaE: 27-rt 2AU .**.N-,"d.dk*,

PART Yr(Authorizrtion of .9.n0

I vIJ Y I{JrOA a cindidde.t th. above clelion hcrcby lulhdiz.sh.PABA.III_eDL {nm.) llll.q!Ilg!!!4l tFull

Pctal AddK I ro d.li\ er this nominrrion pap.r. {a' s.&r!r' Jallr )Pf&: Jrrl \,Ia/lD.r. 27- | r-2.,i. _ Sisnduxlofclfrlldl|?l

/6dA/'(SigMtuE ol rh€ .u0'oriad r8dt)

I agi€e !o Ec1 6 such erhoriz€d a8ent.

!o:.o-,le 2?-UJOtais6rc er rhr, p|nsdpr' ifmt apdiclbh

PARI VIflo be frll.d by the Retuming Oflicer)

omination p.Fl DlThk ndtoination ws delivercd lo n. d my omcear l- K Pv t"h*,t

'carl'ttdada[horiadagc pmpow

Dd. aA - \\ - r.b\q

- PART VIIof Retumi.g Otl|er Acprirg or R.jcrir! rhc Nooan.iior PrFrlhis noninetion pap€r in ecoiddce wi$ seclion 47 oflh€ Jamnn md K6hnnP@Dlc Acl. 1957 srd deide s follows :

PARTVITIRe.iot forNonln.tion Prp€rr NoriceofSq hy

(lb b€ handgd ove. to rhe peretr p€*.rans rbe Non nslion Paper)

senalNo. of nom,n.son DaEr i5 \ ku.7rn. nom,M,idn pap€r or_lauAlkrAx-. a ondidak ror .t*ror fmh n. YT ft*( b+

Assenhry.onq,rucncr wa\ dcr'\e;ed ro nf ar mr .m* "' _ly{t{I+__rl-,h.,, -- lLznq da; ',b)

fi. .-ndidaF "urhonrei asdr p,opo$r l.Lmni;;;pdpes "ixbe EI€n up .o' si,riny ar t=\!P!_r hou r o; q-r r'- t! rd;rer or

AN 28

ifii'r$r..r,rer ro,,alrrUcii IO

4roto A

3.nA!f 0F CANDIATT N{I]E&DTil; RlluitltMi OFi:lCdn ItR

n€rll€ni of Vill.lo sh.o.Jrtr! (JdJ<)t . r.nlld.l.rfalrE lnl jt.Lo on o.tb

(r)

Sht nA*lPAl SIlr-It Ag€ 43+ y..!sOh.t(Jh!!l), l.hsil .nl )tsLrt:r.r th. .)o!E .l.ction, d6 h.r6by

I\-tlt

I .h . c.n.lid.t. ret up by AlL JsK ssAr nAa,D)t pAsty/.o cont,cattnq .5 .n rnd.pEn3ent c.ndid*.a.

(2) fiy n!8. 1s onlotlol tn J3& A53@bIy ?.rt ..to. I t|.rh, J.@! -6 of Jrofl .oJ (.rhqt! St.r€ .! soli.lNor 544 P.!! .io: I3.t.

(3) My Conrrct IJ]e.hono itor l. - 94I9I1I353 .nl &ye.o.lI itot lo lp3.!vice a 3m.u..obr .nl ,y so:1.1o.cl. ..cNnt tnrl)

(4) J€|tlr3 of poln.n€nr, Ac:ouhr, @ob€! (pAi) .nl !!rrucoi fillnE oi l@!o Idr !stu!o.

9A\ Not lho finrncl.l lotrl tnrooe showye.! fo! whlch ln Io:oe+Trrl. st, tn.oe*ttx r.lu!n!oLurn h.s b.!n (in !ur.-s )flted

"'p/2

.:l

'| SeIf-z-

AA!.lc6381? 2-r- 20taAt4 286i92

k 57327/-

2.spouss.!. r<penlent -l -4. Jependant -2 -5. I rm r! rccusel oi.ny ofienc.(.) auolsil.bI€.rtth tDplLsorn.nt

ror,!{o ,: !s or Dle ln J.nll19 c.sl(sl in -llco :nrrJu( )Jorrt {s / or :ohtgt<n! tu!rrrlr.Llan.Ii th. acrus€l d.pau.nt ts or .rry 3uch otfon.q(s), he.h.11fu.nl3h th€ folldld, inlorn tion.

(1) c.selFtr5t lnfo!;,atton dsro.t. Nolrbstoqetho! wlLh. onJl.te det.!ls of .:onc.rn.l PoI ice 5t.tlovJl3t.t.t/

(b) sc.llDn{3) oi tho conc.tnodA.r(s)an3 short :l.s,rr:, Li,i o. :,irrlf.4c.(.) for ihlch ch.!qed.

(c) N.D. oa th. aourt,' C.3€ ltoi .nddatr o' orl€r taklnl ..qnlu.rc..

(r) court(s) slcn tt..!.J the

(s) r.!.ts) on hr:h lhe:h.!go(5)i.s/,.!. trElli

{

(f) dn!rrc! .lr oL .r'y o! !no r!oc.crln9(50by rn/ joullt5) of

roDpetrn! Jurl!ri.ct!onr r) Tri fol.lodi,IJ crs€\r) l3la! r roniinl ,s.!nsL no

1n x',i:n iorn!2.n:c h.t buEn f'/ thq i^rrL(other tha. tho c.5os mentlcn€l i. !ts(l) .trvo.

{d) rlahe oi th.:o!!t c..o no, .n-i r,L! oro!3e! takinq:oJi!u!n.i. ii.A

l| (o)

I

I

I

I

I

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Ij

I

-3-(b) Ih. lJ!.115 oi ..srs x.!!" tne

:oJrr- h.s rrken:olnizrn.e s:: t1.n (s )oi the Aclii) .n.l los:!lJtioo of thuc,f !n:e{s) fo. !hl:h.olnizan.. iakerL

(cJ Jeta!1s of Apr..I(5) nr,1:i,Lion(s)fo. r.vislon( rt rny) i!iel aJaihsl:th€ ar.v. orlr!\s)

Al.l 286991

r h.v_j-no- 5s..1 .o,,vt:..r or any.ff.E.r.l (.tt . th.n.ry .ir.rE.t., !.t.ta:r r. rn $E.-tl.n(t) .! .FrGtt.n(2.r c.r.r.d t! rb-...tt.it.) .f ..ctt..2ut.f trr. J|D.nd K..blr R.p!.-at.tl.n .t t5. Pirl. A.t. 1937 (tv .f1957) .nd 3.t*.nc.C t !?!t..trdti f.r .n. y..r.! r!..If th.-d.q.n-rt 1,. c.arLt.d .nd Nnr.b..t .. rf.!..rtd.h. .hrlt tqrol.h t|i. f.li..lrt Inf.fit tt n -In th. f.lLrlr' r....,1 h.v. !.$ c.nrtct,.d rrd r.r!.rc.dtl unrt!.tbnct !'. a.urt.f tr,(.) Th. d.t.ll. .f o.......ctl.n(r) .f th.

c.nc.rn.<l &t(.) .nd d..crr.rtl.n.t th..tf.n6.(.) f.! rilc! c.nvlct.d.

(b) N... .f th. c.rn(.) clt. N...d d.r.(.) .l orc.r(.)(c) rr.!h.t .nr .rp..I r..,rb.. flr.d.r.l,nrl tl. c.lilctl.n .rC.!.lf x. d.t.U. rn.l ti. o!...nt.t.$a.r l!..re.rl . N.A

illr! I glv. h.!.{,n !r.l- ti. d.t.rlr ol !h. ....t.rlra.v. d,..n.l lEv.bl..tr, of .t..lf, ry !po.. rrxl .ll d6.!.t.r|tr ta. J.t,.!I..f Dv.bl.....tr ,rao!.r l.a!..t. ta J.r-|rt n... lndtc.ttttr i,h. .!t.n! .f

J.tn .-.r.lit rut .r.o h.v. t. b. slv.a.2.ln c... .f d.p..tt^d..t!.n! , rb. d.!.11.rEtu.|lng ..tl.t N|.!.!, .rdrDt , da!. .f rtao_lttn. .ch-.r.n.. .l th. B.nvlnnltsrr.n rna fieain.r. r. b qlr.nr

."+'\\rt.*{))'Df3': !$

-a

-+v.b. .f Bmd./shrr. d.b.itrr.. .. p.! cu!t# 28699d!.rt t, r.lu. b ncl .toh.r!. tn t.rP.ct 6 ll.!.dc-.ru.. .r||| .r o.r bo.Lr tn c... ol ,.Dll8l.dc.ir.l.. .d .. i.t bol. ln c... ot oon-Il.t.d c.T.nt...t ucc t gtv...o.'rd.ln i.t. b.. to rr. r.dlt|. r. .t.l!rd ln.rbrrdtLn{v) unr}t .... nl ol th.8.pr...rn.l1.n ctD.!ill! trcrDdtr{

-t't tt to D. gtt.a t.Pa.t. la

l) c.Cr ln h.nd r.o.o@/- 6?Fu) D.t.lt. cf d.Frlt' rn r.nt VcGDa.)

!.tr d.po3ltrnl d!.th.l tyt..C.oo.$r lmludlq..dq rcourll.D.oo.lt rlth lln Fclal Inttllutror'Non-b.n4q FI tPtrl Cooprd.. |nctF.$5'ti:1E3lr"'ln rrch c.90at!

t) D.t.l.I. of t u..trr!.t! Bond.'D+.nlur..' r|A/!trar.r. runlt.rrcoS.d../Iu!.t fund.

tl

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It) D.r.tI. ol lnl,..l|-tNSS,9o.!.1 S.vtng.InstrrE.,lollcl...rllIrw..!o.nt ln hY!t !El.l In t!ll.nl! r9- S-ln th. Ibat offtc. .tlndt.oc. Co+|'rt rd

P.d.r.l L.B^cv.no6 N/\ !agk.n to .iy pc.on.t -.nrlry tfElud!! f trlrItP'$sI5llt.;Ftt$.Bi!'r.r'c ..6br'..

'i!

{Av)

I{r) bt.! vdtlL/

Alt.a.ttrlY.oht./. !Fo./b.t.llr .!! I.L,i.gtatr|tron

dd.t .!o- Y..t .fI P!ci... .rl

lvtr) J.r.rrsyr!ullrmvrlu.bl. thl.E(.)

I G tr. ddr U. ofdllt rld $lu.

Ivltl) A.w oth.r ...ttr. a$h'.. rrb..l' ct.tr./rdt !..tIlrl sto.r trr.lI rau. !

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At{ 286995

IA-

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| 2.5 !.o. aO' 0OO/- Itl-aE-D_gr.^.^-*9..-3r'r'..-.*g*G..r..r.

.1lr .t l-v.bL lit t.l

. , L 9!o3tt.. tn J.tit .r|tt$lP lndlo.tug tb st.nl.f l.ld! --!.hlP rtll .lto h.v. t L lrdlat.d.

2. irch I.nd c! btrd&N.3 .P.!t .trl .h-Id !. r.ntl-.d..t.trt.Iy It| t|rl. t oG.

-i

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4

tsl r...!lotLn S.lf 9pout. o.P.nd.nt_J Ot9.nd.nI3:-----Lsd*.- --rE-'4-'r-lr) ellr"urt r". r.o

loc.tt n(.)

r AI..(Tot.l r.|r!-' !.rt ln .t.../^4.3I ,h.th.r lnh.ltt.dI oetr rt Eurch.6. tn. o....f -lJ' .ccrl!.d ptap.!t,

5s

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4crn of urd./ t rE.i. ot9&en...) .t th. !1-

anY l|tl..txrtt .n ti.rd'd by t.t of dd.foForApF.rblt. .utt.nl..rL!

Ar 285996

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t I )f.q.9troulurr.(r...l.ll.rt !srtr.y x.(.)

^l.r(ldt.l l..r!.!.r!

l1t lb.tha lnh.rlt.ccr.o.!tY ft.t/xo)Or!. .f N!ch... lncr3. ot ..Il ro(}lr.d

A|lY tnwrlr'lr! on t|i. Ldby r:t .r d.{araFlit

!!a!c !l

tl

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Nt-)t

. ^9pFrb.-t. (rrlr.tt { fA

.,J-c-4...'.-g!r) c.h.tctrL butldl4(itr ludlrle. !p.r!-tni !4 !^r rc.abn(.) surv.y

l{A NAr A!..(tot.l I n.. &r....r4

I

?$:$t scz

$

(rat.l |. .{3-.trltn.ft.)rh.thf tnhclt.dp!.patt(l../Io )

tn c.r. al .!ll..q'l!.d rltdtY

c.rt.f Fap-lt(!! ar, ot F|roi.x,

& lrwadraot ootha rt pdtt ryr., .lder.l.F-! c.!3!tn- Mcttan rlo.

n.rldd!,1.1blldlq! lalu(llq6c|li.n(.1

Ar..Fot.l ..t1E-!. ||A

(Totr I ln raul-ltl NAln ttt llb3!h.t lnh.rltd NAP!.octy ( Y.. /|.taDrt. at qrftha.. lnc.s. .f ..u rcqrl!.c rl^ttapdtt

(tn crr. of ?!lohri. .t iba!1- ot lchrx S

Ar 286997trs

TA

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l-9Arry lFr.rtin! on th.lrd V -y .f _ a.v.l.Fnt !|^ {

I App!..l..t. cut!.|rl Nl/{ N/{

AN 286998

I Drtl.t Y.lu.

VI ro!.t of cur!.ntI 6b. of (i).d (Y) NA. iwa. --t

N

l-----r---dd-r-' --+-{i--rtr--a) I slv. h.!.lnb.lt tlr C.t.llt .f L..ttllti../dr.. !o

I publrc flti.Dol.I lmtltuit.nt rrd G.v!.- (rbt. Pl.:3.9&. ..).!rt. d.t.ll! ot nro. .f brn t.I tn.tttutlon,.ctlty .! lndlvlo.t .nd .run! bd.!. .rch tr-)

s.lt SPdr.. J.Fl t.F2

l,|A!!AM

il^

" ,',,h4.!t Hifuftfti!{o, .rs

Yl ,f!.mt.t lnnttltton. \ . l-utl out.t.nurE tl.!ul.'l of lo.o

| . !o.n o! dr.l to rny r!h.!I I lntlvl&.t3l .nU!y oih.r\l thrn !.ntton .t rt r.' | (lr' (.) -.p.,rnt ou!3t.ntdlt|^

I rny o$r", !t.D{lltt.! l$I G!|nd toi.rl of ria

It.bl,llty

ItA llA

ll it^

ll) Gov.lrxn! &...Dur. t. D.Frt,.n!. !lr da.llrE illl GovB.r ..c.rdtttBnDu.t to d.trlr.ttd..lln4 tlth .uP?IY

Du.. !o i!. n-n!d..Itq rlth .r9plt.l .LaEtctty

Du.r to d.Frlrnld..llqt.!th IPPIYt.tehs../tsb(r- I--

Du.r to o.p.rLirl N.Ad..U[ tltn Govt.rrarr!.tt (lrEldl4.ttcliIt! .rd h.lloott.!.

I ttit 8r.:*d Et.I ot .rr irMhtth.! .nY o!h.!

Itrtaltli...r. lodl.!.rt.. tf .., ..tltotth.- rDtrtr! tr|voll.d .trl th..utblltY t fa!. rhloh .. .t. p.ndria ::j'

||c

AN 286999

-u.a

!r^ !.1 !rl^

Du.! to D.o.!tr.rt N.A N.A N.A N.A.f tnoo.. T.r.

N.A N.A T.A NJ..Ith tu <Drd

N.A r{,4 N.A ra'^S.ftlc. T.r dr..rrdclg.l/E.P.ttY N.A ll. N.A {.4tu !0..

|l.^N.^llA|l|]iad .th.! dura

!| ln

u* "/to

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2

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I

IrO) It .{.atbn qs.ll flctuon t. rr ulir.r r-

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