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Form - 2 (Nomination Paper)

This document is a nomination paper for election to a municipal corporation/municipality/notified area. It contains 6 parts: 1) Nomination of a candidate by a recognized political party. 2) Nomination of an independent candidate. 3) Declaration by the nominated candidate. 4) Details filled by the Municipal Returning Officer. 5) Decision to accept or reject the nomination. 6) Receipt for the nomination paper and notice of scrutiny. The paper collects key information about the candidate and proposers for verification by election officials.

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74 views4 pages

Form - 2 (Nomination Paper)

This document is a nomination paper for election to a municipal corporation/municipality/notified area. It contains 6 parts: 1) Nomination of a candidate by a recognized political party. 2) Nomination of an independent candidate. 3) Declaration by the nominated candidate. 4) Details filled by the Municipal Returning Officer. 5) Decision to accept or reject the nomination. 6) Receipt for the nomination paper and notice of scrutiny. The paper collects key information about the candidate and proposers for verification by election officials.

Uploaded by

Suvodip Etc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form – 2

(See rule – 4)
Nomination Paper

Election to the ____________________________ Municipal Corporation / Municipality/


Notified Area.

STRIKE OFF PART-I OR PART-II BELOW WHICH EVER IS NOT APPLICABLE

PART – I

(To be used for the candidate set up by recognised political party)

I nominate_____________________, particulars of whom are given below, as a


candidate for election to the _________________________ Municipal Corporation /
Municipality/ Notified Area from Ward No. ______ of the said Municipal Corporation /
Municipality/ Notified Area.

Candidate's Name :

Father/ Husband's Name :

Full Postal Address :

His name is entered at Sl. No. ________ in Part No. ________ of the electoral roll for the
________________________ Municipal Corporation / Municipality / Notified Area.

My name is ___________________________________ and it is entered at Sl. No. ________


in Part No. __________ of the electoral roll for the ________________________ Municipal
Corporation / Municipality / Notified Area.

Date : (Signature of Proposer)

I, the above mentioned candidate, as


sent to
PART – II
(To be used for the candidate not set up by recognized Political Party)

We hereby nominate_______________________________, particulars of whom are given


below, as candidate for election to the _______________________ Municipal Corporation /
Municipality/ Notified Area from the ________________(Ward) ( )

Candidate's name _______________________________________

Father's / Mother's/ Husband's name___________________________________________

Full Postal Address __________________________________________________


_____________________________________________________________________

His name is entered at Sl. No. __________ in Part No. __________ of the electoral roll for
the ___________________________ Municipal Corporation / Municipality/ Notified Area.

We declare that we are electors of Ward No.____ of the said Municipal Corporation /
Municipality/ Notified Area. And our names and our names are entered in the electoral roll of
Ward No.____ of the said Municipal Corporation / Municipality/ Notified Area as indicated
below and we append our signatures below in token of subscribing to this nomination ;
Particulars of the proposers and their signatures

Sl. No. Part No of electoral Sl. No. in Full name Signature Date
Roll Constituency that part

1 2 3 4 5 6

10

N.B. : There should be ten electors of the constituency (ward) of the Municipality as proposer.

\\MC4-PC\shared folder2\Munc Election 2015\Disqualification of cand.[6D-1-95(Pt.-II)]\Form -2 (Nomination Paper).doc


PART – III
(Declaration by the nominated candidate)

I, the candidate mentioned in Part-I/ Part-II (Strike out which is not applicable) assent to this
nomination and hereby declare _______________

a) that I have completed ______________ years of age,

*b) that I am set up at this election by the _________________________ Party,


c) that the symbols I have chosen are, in order of preference ;

i)_____________________ii)______________________ iii) __________________________

d) that my name and my father's / mother's/ husband's name have been correctly spelt out
above in ___________________________(name of the language)

e) 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 ________________________ Municipal Corporation /
Municipality/ Notified Area.

*I further declare that I am a member of the ______________________ caste/ tribe which is a


Scheduled Caste/ Tribe of the State of West Bengal.

Date : (Signature of Candidate)

* Score out the Ward (s) / paragraph, if not applicable

PART -IV

(To be filled by the Municipal Returning Officer)

Serial No. of nomination paper___________________________


This nomination was delivered to me at my office at ____________(hours) on
________________ (date) by the * candidate / proposer.

Date: Municipal Returning Officer

* Score out the word not applicable

\\MC4-PC\shared folder2\Munc Election 2015\Disqualification of cand.[6D-1-95(Pt.-II)]\Form -2 (Nomination Paper).doc


PART – V

Decision of Municipal Returning Officer Accepting or Rejecting the Nomination Paper

I have examined this nomination paper in accordance with Section 43 of the West
Bengal Municipal Elections Act, 1994, and decide as follows :

Date : Municipal Returning Officers

PART – VI

Receipt for Nomination Paper and Notice of Scrutiny

(To be handed over to the person presenting the nomination paper)

Serial No. of Nomination Paper __________________________

The nomination paper of _______________________ a candidate for election from Ward


No. ____________ of the ____________________________ * Municipal Corporation /
Municipality/ Notified Area was delivered to me at my office at _______________ (hours) on
___________________(date) by the ** candidate/ proposer. All nomination papers will be
taken up for scrutiny at _______________ (hours) on _____________________ (date) at
___________________________ (place)

* Strike out the word (s) not applicable


** Strike out the word not applicable

Municipal Returning Officer

\\MC4-PC\shared folder2\Munc Election 2015\Disqualification of cand.[6D-1-95(Pt.-II)]\Form -2 (Nomination Paper).doc

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