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ॢबहर गजट

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18 फरवर

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फरवर 201

201

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2019

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ॢबहर गजट [सधरण 18

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फरवर 2019

019

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019

FORM 1 - Nomination Paper

(Sec Rules - 6)

(Counter foil)

Serial No.

Serial No.

Nomination Paper

Nomination Paper

[Election under section 3(2)(d) of the Bihar

Nurses Registration Act, 1935]

Serial No. of elector applying for

1. Name of Candidate ……………………..

Nomination Paper ………………

……………………………………………...

…………………………………..

……………………………………………...

Number of elector on elector roll.

2. Number of candidate on electoral roll

………………………………….

……………………………………………..

Number of dispatch ……………

3. Name of proposor ……………………..

4. Number of proposor on electoral roll ….

5. Name of seconder ………………………

6. Number of seconder on electoral roll …..

Name of Despatching Officer

We certify that we have satisfied ourselves that

……………………………….

tha said candidate is willing to stand for election.

Signature of proposer ……………………...

Signature of seconder ……………………...

————

[ध¡क स०चवलय म१णलय

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