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FORM No.26

(See Rule 4A of the Conduct of Elections Rule 1961)

AFFIDAVIT TO BE FURNISHED BY THE CANDIDATE BEFORE THERETURNING OFFICER

Election to the Tamil Nadu Legislative Assembly from theUthiramerur Constituency.

I,B ARUNAKARAN Son of R . Loganath n, aged about 47 years, residing

at No . 13/.. Ek mbar na liar Sannathi Street Kancheeouram3 , candidate at

the abo3e election, do hereby solemnly affirm /state on oath as under:-

1. I am pot 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)pf competent jurisdiction.

Ifil the deponent is accused of any such offence ( s) he shall furnish the

following information:

(i) Case?First Information report No ./Nos. NIL

(ii) Police Station ( s) @L -KAN^I District(s) KANCHEEPU RAM State(s) T^7IL

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(iii) Section ( s) of the concerned Act(s) and short description of the offence(s) forwhich the candidate has been charged : NO CASE PENDING(iv) Court( s) which framed the charge (s): N_QT APPLICABLE,

(v) Date ( s) on which the charge ( s) was/were framed : NOT APPLICABLE.(vi) Whether all or any of the proceedings ( s) have been stayed by any Court(s) ofcompetent jurisdiction : NOT APPLICABLE.

2. 1 have not been convicted of an offence(s) [other than any offence(s) referredto in sub-section (1) or sub-section (2), or covered in sub-section ( 3), of section8 of the Representation of the People Act, 1951 (43 of 1951)] and sentenced toimprisonment for any year or more.

If the deponent is convicted and punished as aforesaid , he shall furnish thefollowing information:

(i) Case/First information report No./Nos. NIL.(ii) Court(s) which punished : NOT APPLICABLE.(iii) Police Station(s) SIVA KANCHI District(s) KANCHEEPURAM State(s) TAMILNA .(iv) Section (s) of the concerned Act(s ) and short description of the offence(s) forwhich the candidate has ever been charged : NOT APPLICABI E.(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 competentjurisdiction : NOT APPLICABLE.

Place : KancheepuramDate : 24.03.2011

Signature of beponent

I, L.KARUNAKARAN deponent , do hereby verify and declare that thecontents of this affidavit are true and correct to the best of my knowledge andbelief, no part of it is false and nothing material has been concealed therein.

Verified at Kancheepuram this 24 0 day of March 2011

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11111111GI&I SLW.ANCNI Ke" 1501

Signature of Deponent

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