| ELECTIONS
(CONDUCT OF ELECTIONS)
REGULATIONS 1981
FORM
6
[
Regulation 9 ]
NOTICE
OF WITHDRAWAL OF NOMINATION AS A CANDIDATE FOR
ELECTION AS A MEMBER OF DEWAN RAKYAT
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 Dewan Rakyat 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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