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APPENDIX -VIII
(CHAPTER III, PARA 4.4) Form 2B (See Rule 4)
NOMINATION PAPER
Election to the Legislative Assembly of .............. (State)

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 Legislative Assembly from the ..................................................... Assembly 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 the .........................................assembly Constituency.
My name is ........................................................ and it is entered at S. No....... in part No. ..................................... of the electoral roll for the ........................... Assembly constituency.

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

 (Signature of proposer)

Part II

We hereby nominate as candidate for election to Legislative Assembly from the .................................... Assembly 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.

We declare that we are electors of this Assembly Constituency and our names are entered in the electoral roll for this Assembly 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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