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FORM 26

(See rule 4A of the Conduct of Elections Rules, 1961)

AFFIDAVIT TO BE FURNISHED BY THE CANDIDATE BEFORE THE RETURNING OFFICER

For Election to the Council of States by the elected Members of the Tamil Nadu Legislative Assembly

I, KANIMOZHI, daughter of M. Karunanidhi, aged 39 years, resident of 14,

.~

First Main Road, C.I.T. Colony, Mylapore, Chennai - 600 004, candidate at the

~

above el8~tfl

2

1. I 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 I have been framed by the Court(s) of competent jurisdiction.

If the deponent is accused of any such offence(s) she shall furnish the following information:

1

Case I First information report No.lNos.

Not Applicable

i. Police 8tation(s), (District(s), 8tate(s) Not Applicable

ii. 8ection(s) of the concerned Act(s) and short description of the offence(s)

for which the candidate has been charged

Not Applicable

iii.

Court(s) which framed the charge(s)

Not Applicable

iv.

Oate(s) on which the charge(s) was I were framed

Not Applicable

v. Whether all or any of the proceedings(s) have been stayed by any

Court(s) of competent jurisdiction

Not Applicable

2. I have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951) and sentenced to imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, she shall furnish the following information:

i.

Case I First information report No. I Nos.

Not Applicable

ii.

Court(s) which punished

Not Applicable

iii.

Police 8tation(s), District(s), 8tate(s)

Not Applicable

~~~y

" ~ 0\ y:::xv\'

M. BALAKRISHNAN, M.A., s.i., Advocate &. Notary

No. 1/A17, Veldmrr.,.~! School Road Mogappair [..,st, (""1" -t . 600 037.

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3

iv. Section(s) of the concerned Act(s) and short description of the offence(s)

for which the candidate has ever been charged

Not Applicable

v. Date(s) on which the sentence(s) was / were pronounced Not Applicable

vi. Whether the sentence(s) has / have been stayed by any Court(s) of competent jurisdiction Not Applicable

Place: Chennai Date: 01.06.2007

Signature of deponent

VERIFICATION

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 therein.

Verified at Chennai this 1 st day of June 2007.

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Signature of deponent

M. BALAKRISHNAN, M.A., S.L AdVocate & Notary" No. l/A 17 Vel.'!,., ~- "I <':ch r'"

M' ,'-" "C!,., 00 ",-oad

ogappa,' I enr'Zli - 600 037

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'li.2Cl £

TAMIL NADU ~6\~ry

16AA 278241

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ANNEXURE -I

Affidavit to be furnished by candidate along with nomination paper Before the Returning Officer

For election to The Council of States

From TamBnadu, by the elected members of the Legislative Assembly

l. KANIMOZHI, dauqhter of M. Karunanidhi, aged 39 years, resident of 14,

oath as under:

2

1. The following case(s) is I are pending against me in which cognizance has been taken by the court:-

W-~~y

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M. BALAKRISHNAN, M,A •••. \..,

Ad-vocate & Notaf"V

No. l/A17, Vetammi'l School Roa,(j_,

M p .... ""j "f ·t~" r'h." J~ - 6000."'.

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C~H ; '14 44 ~" llJ t 1

i. Section of the Act and description of the offence for which cognizance taken

ii

The Court which has taken cognizance

iii .

Case No.

iv.

Date of order of the Court taking cognizance

v. Details of appeal(s) I application(s) for revision, etc, if any, filed against above order taking cognizance

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

3

2. That I give herein below the details of the assets (immovable, movable, bank balance, etc.) of myself, my spouse and dependents:

A. Details of movable assets

(Assets in joint name indicating the extent of joint ownership wi iii also have to be 9iven)

S. Spouse Name Dependent
Description Self Name
No. ARAVINTHAN.G AADIHIITHYAN.G
i. Cash RS.15000/- RS .. 10,OOO Nil
iii. Deposits in Banks, Financial F.D. with Indian Bank
Institutions and Non- Rs.6,40,OO,000/~
Banking Financial SB':TNMB-16,52,000/- Nil Nil
Companies SB-liCICI, Bank - 1.,96,230/-
iii. Bdonds,. Debentures and Shares in M/s.West Gate Nil Nil
Shares in companies Logistics: Rs.3,50,0001-
iv, Other Financial Instruments
NSS, Postal Savings, LlC, Nil Nil Nil
Policies, etc.
v .. Motor Vehicles (details of Toyota Camrey Nil Nil
make, etc.) Rs.18,70,666/-
vi. Jewellery (give details of Gold 360 gms and
weight and value) Diamond 10 carats Nil Nil
Rs.3,61,600/-
vii. Other assets, such as Nil Nil Nil
values of claims I interests Note: val'ue of Bonds I Shares I Debentures as per the latest market value in Stock Exchange in respect of listed companies and as per books in the case of non listed companies should be given.

*

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

M. BALAKRISHNAN, M.A., B.1.., Advocate & Notary

No. 1/Ai7, Velammal School Road, Mog.apf.:;~tr Ei.l~". rl,.:, !'.-:-! + 600037.

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4

B. Details of Immovable assets

(Note: Properties in joint ownership indicating the extent of joint ownership will also have to be indicated)

s. Spouse(s) Dependent-i1
No. Description Self Name(s) Name
ARAVINTHAN.G AADHITHYAN.G
i. Agricultural Land
- Location (s)
- Survey number (5) Nil Nil Nil
- Extent (Total measurement)
- current market value
Hi .. Non-Agricultural Land
- Location (s)
- Survey number (5) Nil Nil Nil
- Extent (Total measurement)
- current market value
iii. Buildings (commercial and
residential) Commercial
- Location (5) building at 271A
- Survey number (s) Annasalai, Nil Nil
Chennai-18
- Extent (Total measurement) Rs.1 ,61 ,47,.0401-
- current market value
iv. Houses I Apartments, etc.
1 acre House
- Location (s) site and house at I
- Survey number (s) Nil Athikottai Nil
- Extent (Total measurement) Pattukottai
RS.10 lacs
- current market value
v. ' Others
Nil Nil Nil
(such as interest in property) 5

3. give herein below the details of my liabilities I overdues to public financial

institutions and government dues:-

(Note: Please give separate details for each item

s.

No.

Description

iii. Government dues:

(a)(i). Loans from Banks

Name and Address

Nil

ii. Loans from financial institutions

(a) dues to departments dealing with Government accommodation

(b) dues to departments dealing with supply of water

Nil

Nil

Nil

Amount outstandin as on

Nil

Nil

Nil

Nil

6

(c) dues to departments dealing with supply of electricity

(d) dues to departments dealing with telephones

(e) dues to departments dealing with Government transport (including aircrafts and helicopters)

(f) Other dues, if any

Nil

Nil

Nil

Nil

C""I . _'

Nil

Nil

Nil

Nil

.,

•

7

(b) (i) Income Tax including surcharge (also
indicate the assessment year upto
which income tax return filed. Give
also permanent account number Nil
(PAN)
IT return filed upto Nil
AY 2006-07
PAN: AA BPK 3031 E
(H) Wealth Tax (also indicate the
assessment year upto which Wealth
Tax Return Field
Nil Nil
(iii) Sales Tax (only in case of proprietory
business)
Nil Nil 8

iv. Property Tax
Nil Nil (4) My educational qualifications are as under:

51. School/College Board / Course of Study Year of
No. University Passing
1. Sacred Heart Mat. Hr. Tamil Nadu Higher April 1985
Sec. School, Chennai. State Board Secondary
2. Ethiraj College for Madras M.A. September
Women, Chennai. University 1994 .~~--

DEPONENT

VERIFICATION

I, the deponent above named, 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 therefrom.

Verified at Chennai this the 1 st day of June 2007.

DEPONENT

~,~ ta:,~~

~. J

M. BAlAKR{S~ Advocate &. Notary

No. l/A17, Vel('lmmal School Road MogappC'lir Ea-;t. Chcn"ai - 600037.

Cei, • 94 .... 1: 1 ill.! 7