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Nomination - Form - Psda Pranav Singh

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Pranav Singh
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0% found this document useful (0 votes)
17 views

Nomination - Form - Psda Pranav Singh

Uploaded by

Pranav Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Nomination Paper

Parliamentary elections of Vivekananda School of Law and Legal


Studies.

PART-I
I nominate as a candidate for Election to the Parliamentary
Constituency from the 1- E Assembly Constituency.
PRANAV SINGH
Candidate’s name...................…...............................
[Father ’s/mother ’s/husband’s name]
RANJEET SINGH
.........................
……………………………………………………………………...
His/her postal address...................
I-6/49,ground floor, Rohini Sector-16,Delhi-110089
……………………………………………………………
20/10/2024
Date .....................................

Signature of the Proposer


PART
-II
I, the candidate mentioned in Part-I assent to this nomination and
hereby declare–
18
(a).................................................................... that I have completed
.................................................................... years of age;
(b)(I) that I am set up at this election by the
party, which is recognized National
Party/State Party in this State and that the symbol reserved for
the above party be allotted to me.
(c)that my name and my father’s/mother’s/husband’s name
have been correctly spelt out above
(d)that to the best of my knowledge and belief, I am qualified
and not also disqualified for being chosen to fill the seat in the
Parliamentary Elections.

Name of the Party: SHASHWAT SAMAY SETU SANGH

Symbol of the Party:


(add picture if required)

20/10/2024
Date .....................................

Pranav Singh
Signature of the Candidate
PART
Whether the Candidate –
-III
(i)has been convicted –
(a) of any offence(s) under sub-section (1); or
(b)For contravention of any law
specified in Sub-Section (2), of
Section 8 of the Representation of
the People Act, 1951 (43
of 1951); or YES/NO
(ii)has been convicted for any other offence(s) for
which he has been sentenced to imprisonment
for two years or more.

If the answer is “Yes”, the candidate shall furnish the following information:
(i)Case/First information report No./Nos
……………………………..
(ii) a) Police station (s)
……………………………..

b) District(s)
……………………………..

c) State(s)
…………………………….
d) Section(s) of the concerned Act(s) and
brief description of the offence(s) for
which he has
been convicted
………………………………
e) Date(s) of conviction(s)
……………………………..
f) Court(s) which convicted the candidate
……………………………..
g) Punishment(s) imposed [indicate period of
imprisonment(s) and/or quantum of find(s)]
……………………………..
h) Date(s) of release from prison
……………………………..
i) Was/were any appeal(s)/revision(s) filed against
YES/NO
above conviction(s)
j) Date and particulars of appeal(s)/application(s)
for revision filed
……………………………..
k) Name of the court(s) before which the appeal(s)
/Application (s) for revision
……………………………..
l) Filed
……………………………..
m) Whether the said appeal(s) / application
(s) for revision has/have been disposed
of or is/are
pending
……………………………..
n) If the said appeal(s)/application(s) for
revision has/have been disposed of
……………………………..
I) Date(s) of disposal
……………………………..
II) Nature of order(s) passed
……………………………..

Place
Date

Signature of Candidate
PART
IV
(To be filled by the Returning Officer)
Serial No. of nomination paper......................................................................
This nomination was
delivered to me at my office at................(hour)
on...................(date) by the
candidate/proposer.

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

Signature of Returning Officer


PART
V
Decision of Returning Officer Accepting or Rejecting the
Nomination Paper
I have examined this nomination paper in accordance with
section 36 of the Representation of
the People Act, 1951 and decide as follows:

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

Signature of Returning Officer


NAME OF CANDIDATES AND THEIR
PORTFOLIOS
NAME PORTFOLIO

PARTY NAME –
PARTY SYMBOL –
DATE -

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