FORM V
[See sub-paragraph (3) of paragraph 7 of the Schedule]
Nomination form for election of office bearers
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Name of the Multi-State Cooperative Society and Address |
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Office for which contesting |
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Name of the candidate in case of an Individual member or name of the delegate and the member cooperative Society or multi-state cooperative society which he is representing |
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Serial no. in the register of members |
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Father’s or husband’s name (in case of individual member) |
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Address |
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Name of the proposer in case the proposer is an individual member and the name of the society and The delegate in the case proposer Is a delegate of a society |
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Serial no. of the proposer in the Register of members |
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Signature of the proposer |
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| 10. |
Name of the seconder when the seconder is an individual member and name of the society and the delegate in case the seconder is a delegate of a society |
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| 11. |
Serial no. of the seconder in the register of members |
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| 12. |
Signature of the seconder |
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CANDIDATES DECLARATION
I declare that I am willing to stand for election of office of the President/Chairperson/Vice-President/ Vice-Chairperson (specify for any other office) and that, to the best of my knowledge and belief I have not incurred any disqualification for membership of the board of ___________________ multi-state cooperative society in terms of the Act, the rules and the bye-laws of the multi-state cooperative society..
(Signature of the candidate)
ENDORSEMENT BY THE RETURNING OFFICER
This nomination paper was presented to me in person by ___________/ received by registered post on _____ at _____ hrs.
Place _________
Date _________
Signature of Returning Officer Or person authorized by him