Nomination - Form - Psda Pranav Singh
Nomination - Form - Psda Pranav Singh
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 .....................................
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 .....................................
Date .....................................
PARTY NAME –
PARTY SYMBOL –
DATE -