NOMINATION FORM-I (See rule 3) ELELCTION TO THE GENERAL SEATS
Election to the constituency NA— I A.-o of *National Assembly/
.1-askovineitti-Aosonsi* of (Name of the Province)
(To be filled in by the proposer) (1) I M biArArl.bP CN-NIPX-P! TeAkr" (name of the proposer)
having National Identity Card No 36 201 -• It4t kii45%- registered as an elector at riotes(4 serial number 310 in the electoral roll for t ROAD .electoral area
in LO"40114.4. C "lehsil/Taluka in 1.. A rtc)ge, .District/Political Agency do
hereby propose the name of HUMANMkt4AZ. S 1.% I.0 whose address is 5%Potow••■ FARM, TAT t LIPARCW. CAIN. SIP.PrPf. tket Ike...as a candid:Ito for election to general seat from
tQo constituency.
(2) I hereby certify that I have not subscribed to any other nomination paper ither as proposer or seconder. rn..-40■••• Date tle)Ocs• S Siena ure of Proposer
(To be filled in oy the seconder)
(1) 1 8 L*14" 1)1 11"1".1) (name of the seconder) having National Identity Card
No S.14. 24441- s .registered as an elector at serial number 14 IA in La 1 v40■041 R44457 the electoral roll tAr*‘"1-- for electoral area in Lil.kkietike % Tehsilfraluka in
L. elt viCALE District/Political Agency do hereby second the nomination of Sirtamirl CiNco4, LAMR,Ft WAPIMIAftP AlAlk?" S"Platte whose address is.R.6.11 uall`ar) %DR Di .. 1-* ..Nto..ive . as a candidate for election to general seat from N %a e> Constituency.
(2) I hereby certify that 1 have not subscribed to any other nomination paper either as proposer or seconder.
1."
Date $‘ I 63/ Ze='% Signature ot \onder