VIKRAM VIHAR (AWHO) RESIDENT WELFARE ASSOCIATION,

SECT-27, PANCHKULA -134116 (HARYANA)

NOMINATION: ELECTION AS A MEMBER OF MANAGING COMMITTEE

TO BE HELD ON____________

Name of Nominee___________________________ Flat No___________

For the Post of ____________________________

Proposed by Seconded by

Signature Signature
(Name in block letter) (Name in block letter)
Flat No ______ Flat No ______
Date ______ Date ______

DECLARATION BY NOMINEE

1. I ____________________ agree to stand for election to Managing Committee (MC).

2. I further declare that if elected

(a) I shall devote reasonable amount of the time to towards activities of Vikram Vihar (AWHO)

(b) I am not holding any office in Vikram Vihar (AWHO) of profit under Vikram Vihar
(AWHO), or have business dealings singly or jointly with Vikram Vihar (AWHO), its employees
or vender, or have a relative as an relative as an employee of Vikram Vihar (AWHO).

(c) I am personally residing in Flat No ____ Vikram Vihar (AWHO Sector -27 Panchkula)

(d) I have cleared all dues to Vikram Vihar (AWHO) till_____.

(e) My election to the Managing Committee will be treated as null and void if statements made by
me in (a), (b), (c) and (d) are found to be incorrect or are violated by me during tenure as member of
the managing committee.

Signature
(Name in block letter)
Date ______