Assam University: Silchar

SCHEDULE – II
NOMINATION FORM
1) Name of candidate in full : ___________________________________________
2) Father’s name : ___________________________________________
3) Name of the constituency : ___________________________________________
4) Serial No. in the Electoral Roll : ___________________________________________
5) Present Address : ___________________________________________
6)
7)
a. Name of proposer in full : _____________________________________
b. Serial No. of the proposer in the Electoral Roll : ___________________
a. Name of the seconder in full : _____________________________________
b. Serial no. of seconder in the Electoral Roll : _________________________
I, ________________________________________________Elector No. ___________
do hereby nominate ______________________________________Elector No. __________
as a candidate for the election under the provision of the Assam University Act as amended
up to date.
______________________
___________________________
Date : Signature of proposer
Place : ___________________College
I, ______________________________________________ Elector No. ____________
do hereby second the proposal of ________________________________Elector No. _____
Nominating _________________________________________Elector No. ______________
for election under the provision of statutes of the Assam University Act as amended up to
date.
______________________
___________________________
Date : Signature of Seconder