NOMINATION F RM-I ' • (See rule3) ELELCTION TO THE GENERAL SEATS
jieci ion to the constituency A/ • A 02 I N of *National Assembly/ P-“w:141444-Agsembly of S /,AI 151 /4 (Name of the Province)
(To be filled in by the proposer)
(1.) .8 D4 R/4.54q#1, ...... .(name of the proposer) having National Identity Card No. 2 6 3.0.3 - 44 7.2 7-3,777. /....segistered as an elector at
serial number 01c2- in the electoral roll for-Fitt/WA x3.4)3 .electoral area
in ei l'-'70/? Telq.sil/Taluka in "It.1.14.519.4.H.K0 itegoZg- .District/RolitigaLAgspest do
hereby propose the name of .....whose address is 374 ro-Z L n 521?2?-r as a candidate for election general seat from
Al , „22 hi constituency.
(2) I hereby certify that I have not subscribed to airy other nomination paper either as proposer or seconder.
Signa ure of Proposer
(To be filled in by the seconder)
( 1 ) I . XeN1/.5.0 )('4' (name of the seconder) having National Identity Card 'No I/4-3 °3 01/11$-,ca..'- 3 registered as an elector at serial number /1/5
ihe electoral ro11391.0A.42P.4 for electoral area in.. /10/7 Peirtil/Taluka in
/VA 3/1,4 0 r‘1 '2E District/Pe ey do hereby second the nomination of •
/146 e#41-1,"1 r1 gr"., 2 xl /(NCI N . whose address is. leza././ /4 as 7;4 ;Far a en:1(141 ate for election to general seat from ...... • (2) I hereby certify that I have not subscribed to any other nomination paper either as proposer or seconder. S OtA/V21-r. Date '‘ • • 1-1" Signature of Seconder
Wok': Please fill in the Form in capital letters. *Strike off the words not applicable
Price : 2
DECLARATION AND OATH BY THE PERSON NOMINATED
I . I, the above mentioned candidate, hereby declare on oath that,—
(i) I have consented to the above nomination and that I fulfill the qualifications specified in Article 62. of the Constitution and I am not subject to any of the dis-qualifications specified in Article 63 of the Constitution or any other law for the time being in force for being elected as . a member of the National Assembly/Provincial Assembly.
k N.P.C?) *(ii) I belong to 0010 14AL P8'0 PLEs ept and a certificate' from (Name of political party) • that.political party showing that I 'am a party candidate from the above said constituency is attached. a
OR
I do not belong to any political party.
2. I, the above mentioned candidate, solemnly swear that,—
I believe in the absolute and unqualified finality of the Prophethood of Muhammad (Peace be upon him), the last of the prophets and that I am not the follower of any one who claims to be a Prophet in any sense of the word or of any description whatsoever after Prophet Muhammad (Peace be upon him), and that I do not recognize such a claimant to be Prophet or a religious reformer, nor do I belong to the Qadiani group or the Lahori group or call myself an Ahmadi.
(ii) I will be faithful to the declaration made by the Founder of Pakistan Quaid-e-Azam Muhammad Ali Jinnah, that Pakistan would be a democratic state based on Islamic principles of social justice. I will ber true faith and allegiance to Pakistan and uphold the sovereignty and integrity of Pakistan and that I will strive to preserve the Islamic Ideology which is the basis for the creation of Pakistan.
3. • I hereby solemnly declare to the best of my knowledge and belief that,—
(i) no loan for an amount of two million rupees or, more obtained from any bank, financial institution, cooperative society or corporate body in my own name or in the name of my spouse or any of my dependents, or any business concern mainly owned by me or the aforesaid, stands unpaid for more than one year from the due date, or has got such loan written off; and
(ii) 1, my spouse or airy of my dependents or a business concern mainly owned by me or the aforesaid, is not in default in payment of government due4„ or utility charges, including telephone, electricity, gas and water charges of an amount in excess of ten thousand rupees, for over six months, at the time of filing of nomination paper.
•Note: *Strike off the words not applicable. "For Muslim candidates only. 3
hereby solemnly affirm that,---
(i) The list containing the names of my spouse(s) and dependents is correct and no name has been left out. (List attached) Pai-P, cH et (ii) Neither I nor my spouse(s) nor any of my dePendents mainly owns any company except the following:
0•3
Explanation.— For the purpose of these declarations, the expression— (i) "loan" shall mean any loan, advance, credit or finance obtained or written off on or after the 31st day of December, 1985, but shall not include the loan the recovery of which has been stayed or suspended by any order of a court or tribunal, including the High Court and the Supreme Court; "mainly owned" shall mean holding or controlling a majority interest in a business concern;
(iii) "taxes" include all taxes levied by Federal Government, Provincial Government or a Local Government, but shall not include taxes the recovery of which has been stayed or suspended by any order of a court or tribunal;
(iv) "government dues and utility charges" shall, inter alia, include rent, charges of rest houses or lodges owned by the Fedefal Government, Provincial Governments, local governments or corporations, established or controlled by such governments, but shall not include the government dues and utilities charges the recovery of which has been stayed or suspended by any order of a court or tribunal. the above mentioned candidate hereby declare on oath that,—
(I) I haye opened Account NoDY 9..17/0051-0-with n • is, • L 1.4 C. W 0 I . (Name anBranch of scheduled bank) and have deposited therein an amount of Rs. 0 019 (amount in words) O E Ti 0 Lk (7.,.:%‘74 0441./ for the purpose of election expenses.
(ii) I shall make all election expenditures out of the money deposited in the aforesaid,account.
(iii) I shall not make any transaction towards the election expenses through an account other than the above account.
''6. I hereby declare on oath that no case of criminal offences was against me, six months prior to filing of this nomination. OR I hereby declare on oath that following cases of criminal offences were pending against me, six . months prior to filing olthis nomination: