NOMINATION PAPER
Election to the House of the People
NOMINATION PAPER
Election to the House of the People
STRIKE OFF PART I OR PART II BELOW WHICHEVER IS NOT APPLICABLE
PART I
(To be used by candidate set up by recognised political party)
I nominate as a candidate for election to the House of the People from
the………………………Parliamentary constituency.
Candidate’s name ……………………………………………..
Father’s/mother’s/husband’s name ……………………His postal
address…………………………………..His name is entered at
S. No……………………in Part No………………………
of the electoral roll for …………………………………….
*(Assembly constituency comprised within)……………..
Parliamentary constituency.
My name is…………………..and it is entered at
S.No………………………….in Part No………………..of
the electoral roll for ………………..*(Assembly constituency
comprised within)…………………….Parliamentary constituency.
Date ………………. (Signature of Proposer)
_________________________________________________________________
1. Subs. by Notifn. No. S.O. 558 [E], dated the 9th August, 1996,
for Forms 2A to 2C.
______________________________________________________________________
PART II
(To be used by candidate NOT set up by recognised political party)
We hereby nominate as candidate for election to the House of the
People from the………………………………………..
Parliamentary Constituency.
Candidate’s name………………………………..Father’s/
mother’s/husband’s name…………………….. His postal
address……………………………..
His name is entered at S.No………………… in Part
No…………………………….of the electoral roll for
………………….*(Assembly constituency comprised within)
……………………….Parliamentary constituency.
We declare that we are electors of the above Parliamentary
Constituency and our names are entered in the electoral roll for that
Parliamentary Constituency as indicated below and we append our
signatures below in token of subscribing to this nomination:-
Particulars of the proposers and their signatures
______________________________________________________________________
Sl. Name of Component Elector roll No. of proposer
No. Assembly Constituency —————————-
Part No. of S. No. in
Electoral that Part
Roll
______________________________________________________________________
1 2 3 4
______________________________________________________________________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
———————————————————————-
———————————————————————-
Full Name Signature Date
———————————————————————
5 6 7
———————————————————————-
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
———————————————————————-
N.B.:-There should be ten electors of the constituency as proposers.
———————————————————————-
1. Subs. by Notifn. No. S.O.558(E) dated the 9th August, 1996 for
Forms 2A to 2C.
______________________________________________________________________
PART III
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;
[STRIKE OUT b(i) or b(ii) BELOW WHICHEVER IS NOT APPLICABLE]
(b) (i) that I am set up this election by the………….party,
which is recognised National Party/State Party in this State and that
the symbol reserved for the above party be allotted to me.
OR
(b) (ii) that I am set up at this election by the
……………………party, which is a registered-unrecognised
political party/that I am contesting this election as an independent
candidate. (Strike out which is not applicable) and that the symbols
I have chosen, in order of preference, are:-
(i)…………………………
(ii)……………………………
(iii)………………………………
(c) that my name and my father’s/mother’s/husband’s name have been
correctly spelt out above in………………………… (name of
the language);
(d) 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 House
of the People.
*I further declare that I am a member of the……………………..
**Caste/tribe which is a scheduled
***caste/tribe of the State of……………..in relation
to………………(area) in that State.
I also declare that I have not been, and shall not be.
****nominated as a candidate at the present general election/the
bye-elections being held simultaneously, to the House of the People
from more than two Parliamentary Constituencies.
Date………………. (Signature of Candidate)
____________________________________________________________________
*Score out the words “assembly constituency comprised within” in the
case of Jammu and Kashmir, Andaman and Nicobar Islands, Chandigarh,
Dadra and Nagar Haveli, Daman and Diu and Lakshadweep.
**Score out this paragraph, if not applicable.
***Score out the words not applicable.
****Not applicable in the case of Jammu and Kashmir, Andaman and
Nicobar Islands, Chandigarh, Dadra and Nagar Haveli, Daman and Diu and
Lakshadweep.
N.B.-A “recognised political party” means a political party recognised
by the Election Commission under the Election Symbols (Reservation and
Allotment) Order, 1968 in the State concerned.
______________________________________________________________________
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……………. Returning Officer
*Score out the word not applicable.
———————————————————————–
PART V
Decision of Returning Officer Accepting or Rejecting the
Nomination Paper
I have examined this nomination paper in accordance with section 36 of
the Representation of the People Act, 1951 and decide as follows:-
Date……………. Returning Officer
(Perforation)……………………………………………….
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 the…………………………………………..
Parliamentary constituency was delivered to me at my office
at……………….. (hour) on…………………..(date) by the
*candidate/proposer. All nomination papers will be taken up for
scrutiny at…………… (hour) on……………(date)
at…………………….(Place).
Date……………….. Returning Officer
