NOMINATION FORM-I (See rule 3) ELELCTION TO THE GENERAL SEATS
Election to the constituency /577 .of *National Assembly/
Provincial Assembly of (Name of the Province)
(To be filled in by the proposer)
(1) I (name of the proposer)
having National Identity Card No II 210 1 r b VSS'oh registered as an elector at
serial number in the electoral roll for electoral area
in faluka in Districalelit-itai-Agency do
hereby propose the name of ...554//47p6~ whose address is
• ._(/.97.- ga 2 /9/1"/ ,9&(a1 -7(;47candidate for election .general seat from Lfit9/41A/- 8/&J/f. constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder.
Date.2 LCOel ignature of Proposer
(To be filled in by the seconder)
(1) I 1‘1' /24)(062 )441141\/ (name of the seconder) having National Identity Card
No 1-(2.N/‘1) 1 - l CSS-4 34 — I registered as an elector at serial number t 1~ in
the electoral roll . „ ...... for electoral area in Li7.-1 kk 020% Tehsil/Taluka in
District/Pehtleal—Agency do hereby second the nomination of
/e7f/7 ;.49Pi- //-/7749.././Z.viihose address is /?/0--A.?,,/7,./.
a candidate for election to general seat from Constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder.
Date 2..44A_OrV00 D