NOMINATION FORM (See rule 3) ELELCTION TO THE GENERAL SEATS Election to the constituency NA -133 of *National Asse Preerineitewolo.ly of (Name of the Province)
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\‘'`'.,t 13 (To be filled in by the proposer) t.2...... _...... !1 ' .\.' , . .
(1) I. ri4.1A ...lacsa07. .7Ager 1119 NI (name of the proposer) having National Identity Card No..35.I017: ...... registered as an elector at serial number 326 in the electoral roll for NA— 133 electoral area Mehatitol, in ..1..-146.41..0010A.Tehsil/Taluka in S1 1 ei IR kka.fi).4 rot ..... District/Political Agency do 'hereby propose the name of Taveot 1—ctelif whose address is S101 frttAlf.1..itomfae, .14fibiki..ett0113 .....as a candidate for election to general seat from N!'"' -. k 33 constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder.
Date 30 — 04 — 013 Signature of Proposer
(To be filled in by the seconder) A Naar S.66441 .A61.04A VAIAOrt name of the seconder) having National Identity Card . 22.13.6.B.6.7.4.....re. gistered as an elector at serial number 212$1 in the electoral roll ....NA.7.13.3 for electoral area in 14090.13. Ci.61 Cody. e'eTtsil/Taluka in
.S.1elk.11.4pmr4 District/Political Agency do hereby second the nomination of