| ELECTIONS
(CONDUCT OF ELECTIONS)
REGULATIONS 1981
FORM
6A
[
Regulation 9 ]
NOTICE
OF WITHDRAWAL OF NOMINATION AS A CANDIDATE FOR ELECTION AS A MEMBER
OF LEGISLATIVE ASSEMBLY
OF THE STATE OF .................................................................................................
To
The returning Officer,
Constituency
of .............................................................................
I, the undersigned,
give notice that I withdraw my nomination as a candidate at the
election of a member of the Legislative Assembly of the State of
.............................................. for the Constituency
of ........................................................
Dated the ...............................................
20 ..............
| Name:
..................................................................
I.C.
No.: ..............................................................
Address:
.............................................................. |
| ...........................................................
Signature of Candidate
Signed
in the presence of
...........................................................
Signature of Witness
..........................................................
( Name of Witness )
I.C.
No.: ............................................
Address: ..................................................
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