Form M-4 - Form of Nomination Paper
Election to the.......................... Co-operative Society Ltd..................... Tahsil ............................... ,District................................ (To be filled by the Proposer)
I hereby nominate Shri/Smt................................................ as a candidate for election from the .......................................................... constituency.
1. Name of the constituency
2. Name of candidate (father's/husband's name)
3. Age
4. Full postal address of the candidate
5. Name of the constituency: -
(i) In a constituency having a reserved seat, state the particulars of the caste or tribe or the weaker section to which the candidate belongs.
(ii) The name of the constituency in which the name of the candidate Is entered as a voter in the list of voters.
(iii) Serial Number of the candidate in the list of voters of the constituency aforementioned in which his name is entered as a voter.
(iv) Name of the proposer
(v) Serial Number of the proposer in the list of voters of the constituency.
Signature of the proposer
Name of the seconder Shri/Smt,.......................................... serial number of the seconder in the list of voters of the constituency ....................................
Signature of the seconder
Declaration by candidate
I hereby signify my willingness to serve as a member of the committee of the society, if I am elected.
Date :
Signature of the candidate
Declaration to be made by the Scheduled Caste, Scheduled Tribe or weaker section candidate
I hereby declare that I am a member of the ........................................... Caste/Tribewhich is a Scheduled Caste/Tribe in relation to the State of Maharashtra or a weaker section, within the meaning of Section 73-B of the said Act.
Signature of the candidate.
Declaration as to choice of symbol
I do hereby declare that the symbols which I have chosen for my election are shown below in the order of my preference :-
(1) …………………………………………
(2)..........................................
(3) ……………………………………………..
Signature of candidate
Serial number of nomination papaer ................................................ This nomination was delivered to me at my office at...................................... (hour) on .................................................................................................. (date) by the Candidate/Proposer of the Candidate.
Date :
Signature of Returning Officer
Decision of Returning Officer accepting or rejecting the nomination paper
I have examined this nomination paper in accordance with Rule 58-A(27) of the Maharashtra Specified Co-operative Societies Election to Committee's Rules and decide as follows :-
Date :
Signature of Returning Officer
Receipt for Nomination paper and notice of scrutiny
(To be handed over to the persons presenting the nomination paper) Serial number of Nomination paper .....................................The nomination paper of .......................................................................... a candidate for election from the .............................................................. constituency of ...................................................................................... Co-operative Society Ltd., was delivered to me at my office at................... (hour) on... ...................................................................................... (date) by…….
Candidate/Proposer of candidate.
All nomination papers will be taken up for scrutiny at........................ (hour) on ......................(date) at......................
Place :
Date :
Signature of Returning Officer