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OFFICE OF THE ELECTION COMMISSION

POUMAI NAGA TSIIDOUMAI ME, DELHI


Motto: “Liberation Through Education”
Dated …../……/……

Nomination Paper

We nominate as a candidate for election to the Executive Council of PNTM for the post
Of………………………………………………………………………………………………………………………………………………
Candidate’s name……………………………………………………………………………………………………………………….
Father’s/Mother’s name……………………………………………………………………………………………………………..
Village…………………………………………………………………………………………………………………………………………
Postal address…………………………………………………………………………………………………………………………….
Phone no…………………………………………………………………………………………………………………………………..
Proposer’s name…………………………………………………………………………………………………………………………..
Signature……………………………………………………………………………………………………………………………………..
Seconder’s name…………………………………………………………………………………………………………………………
Signature………………………………………………………………………………………………………………………………………

Date……………………
Place…………………...

[For Official use]


We hereby confirm the nomination of Mr/Ms.……………………
We hereby refuse to accept the nomination of this candidate for the following reason(s)
………………………………………………………………………………………………………………………………………………………
Election Commission
1……………………………………………………………………………………………………………………………………………………….
2……………………………………………………………………………………………………………………………………………………….
3……………………………………………………………………………………………………………………………………………………….

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