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APPENDIX VII
(CHAPTER III, PARA 4.4)
FORM 2A
(See rule 4)
NOMINATION PAPER
Election to the House of the People

______________________________________________________________________
Strike Off Part I or part II below whichever is not applicable

--------------------------------------------------------Part I

(To be used by candidate set up by recognised political party)
I nominate as a candidate for election to the House of the People from .....................................................................................the Parliamentary Constituency.

Candidate's name............................................................................................

Father's/Mother's/husband's name..................................................................

His postal address..............................................................................
.............................................................................................................................

His name is entered at S. No. ................................. in Part No.......................

of the Electoral roll for................................ ....*(Assembly Constituency.comprised within) ................................................Parliamentary constituency.

My name is ......................... and it is entered at S.No......................................in part No. ...............................of the electoral roll for............................. *(Assembly constituency comprised within) ........ ..............................................Parliamentary Constituency.

Date ............................

(Signature of proposer)

Part II

(To be used by candidate NOT set up by recognised Political party)
We hereby nominate as candidate for election to House of the People from the
........................................................................ Parliamentary Constituency.

Candidate's Name.............................................................................................

Father's/mother's/husband's name ..................................................................

His postal address.............................................................................................. .......................................................................................................................

His name is entered at Sl. No. .............................. in Part No.............................. of the electoral roll for the .................... *(Assembly constituency comprised within) .............................. Parliamentary Constituency.

We declare that we are electors of the above parliamentary constituency and our names are entered in the electoral roll for that Parliamentary Constituency as indicated below and we append our signatures below in token of subscribing to this nomination :

Particulars of the proposer and their signatures.

SI.

No.

Electoral Roll No. of proposer

Name of component Assembly constituency

Part No. of electoral S. No. in that part Full name Signature Date
1            
2            
3            
4            
5            
6            
7            
8            
9            
10            
N.B.There should be ten electors of the constituency as proposers.


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