|
ELECTIONS
(CONDUCT OF ELECTIONS)
REGULATIONS 1981
FORM
5A
[
Regulation 4 (7) ]
STATUTORY
DECLARATION OF A PERSON NOMINATED AS A CANDIDATE
FOR ELECTION AS A MEMBER OF THE LEGISLATIVE ASSEMBLY
OF THE STATE OF ....................................................
I ...............................................................................................................................
.................................................................................................................................
do solemnly and sincerely declare that:
-
I
am duly qualified to be elected as a member
of the Legislative Assembly of the State of
................................................
in accordance of with the provisions of the
Constitution of the State of .............................................................................
-
I
am not disqualified by any of the provisions
of the said Constitution or any other written
law for election as a member of the Legislative
Assemblyof the State of ...............................................................................
I
make this solemn declaration conscientiously
believing the same to be true and by virtue
of the Statutory Declaration Act 1960.
Subscribed
and solemnly declared by the abovenamed
.................................................................................
at .............................................................................
in the Federal Territory/State of ...................................
this ...................... day of .....................
20 ...............
Before me, |
.........................................
Signature of Candidate |
................................................................................................................................
(Signature of Sessions Court Judge, Magistrate,
Commissioner for Oaths, State Elections Officer
for the State in which the Constituency for which
the person seeks election is situated, or the returning
officer for such Constituncy)
|
