| Election to the Gujarat Medical Council , Ahmedabad . |
|
( To be filled in the proposer )
I hereby nominated ____________ as a Candidate for the forthcoming election to the Gujarat Medical Council.
1. Full name of candidate ______________
2. Full postal address of the candidate ___________.
3. Serial number of candidate in the ___________ electoral roll.
4. Full name of proposer ____________
5. Full postal address of proposer ____________
6. Serial number of proposer in the __________ electoral roll.
|
|
Date : ________
|
____________________
Signature of proposer.
|
|
( To be filled in by the seconder. )
I. Second the above nomination-
1. Full name of seconder _______________
2. Full postal address of seconder ______________
3. Serial number of seconder in the _____________
electoral roll .
|
|
Date : _________
|
____________________
Signature of Seconder .
|
|
( To be filled in by the candidate.)
I hereby signify my willingness to serve if I am elected .
|
|
Date ___________
|
_____________________
Signature of Candidate .
|
|
( To be filled in by the Returning Officer .)
|
|
Serial No. of nomination paper ________________
This nomination paper was delivered to me at my officer at ____ (hour) ________ (Date) on
Date :__________
_________________
Returning Officer .
Decision of Returning Officer accepting or rejecting the Nomanation
Paper .
I have examinaed this nomination paper in accordance with the provisions of the Gujarat Medical Council Rules , 1969 , and decided as follows ;
|
|
Date :__________
|
__________________
Recturning Officer .
|
