भारतीय जनसंचार Indian Institute of

Mass Communication
सं थान भूतपूव Alumni Association
छा संघ (IIMCAA)
www.iimcaa.org

Nomination Form for IIMCAA Elections 2021

2021

To,
Prof. Govind Singh
Election Commissioner
IIMC Alumni Association Elections, 2021

Dear Sir,

I am leading a panel to contest IIMCAA Elections 2021 as Presidential

Candidate. My panel comprise ……. (Total no of panel members,
minimum 11, maximum 55) Members listed in voters list 2021.

Full list of panel and their designation, if elected to the central

committee, is enclosed separately.

My membership details are as follows.

Name-
Dept-
Campus-
Batch-
Membership No (As per voters list 2021) -
Email-
Mobile-

Signature of President Candidate with Date

Registered Address- A 415, LGF, Defence Colony, New Delhi- 110024

Correspondence Address: c/o Prof. Vijay Parmar, IIMC, Aruna Asif Ali Road, New Delhi 110067
Email: alumni.iimc@gmail.com | contact@iimcaa.org