Form 2

[See Rule 15(1)]

Nomination Paper
Election to the Municipal Corporation of Delhi
(Strike off Part I or Part II below whichever is not applicable)
Part I
(To be used be Candidate set u8p by recognized Political Party)
I nominate as a candidate for election to the Municipal Corporation of Delhi
from
the
__________________________________MCD
Ward
no.
___________________________
Candidate
Name
___________________________________________________________________
Father's/Mother's/Husband's
Name
____________________________________________________
His
postal
address
_________________________________________________________________ His name is
entered at Sl. No. _______________ in Part No. ____________________of the electoral roll for
the _______________________MCD Ward comprised within _________________ Assembly
Constituency.
My
Name
is
_______________________________
and
it
is
entered
at
S.No.___________________ in Part No. _________________________________ of the
electoral
roll
for
the
_________________
MCD
Ward
comprised
within
__________________________________________________Assembly Constituency.

Date _____________

(Signature of the proposer)

PART II
(To be filled by the Candidate)
We hereby nominate as candidate for election to the Municipal Corporation of Delhi
from the ________________________________________________________________MCD
Ward.
Candidate's
_________________________________________________________________

Name

Father's
/
Mother'
/
___________________________________________________

Name

Husband's

His
Postal
_________________________________________________________________

address

_____________________________________________________________________________
____
_____________________________________________________________________________
____
His name is entered at Sl. No. ___________________________________ Part No.
______________ of the Electoral roll for the _________________________________________
MCD
Ward
comprised
within
_________________________________________________Assembly Constituency.
We declare that we are electors of this MCD Ward and our names are entered in the
electoral roll for this ward as indicated below and we append our signatures below in token of
subscribing to this nomination.
PARTICULARS OF THE PROPOSERS AND THEIR SIGNATURES
Sl.
No.

Electoral Roll No. of

Proposer Part No. of
electoral roll in MCD Ward
comprised within ______
Assembly Constituency

S.No. in that
part

Full Name

Signature

Date

2
3
4
5
6
7
8
9
10

N.B. There should be ten electors of the ward as proposer.

I, the candidate, mentioned in Part I / Part II (strike out which is not applicable) assent to this
nomination and hereby declare :a)

that I have completed ________________________________ of age

aa)

that I am Male / Female

a)

*(i) that I am set up at this election by the ______________________________

party, which is recognized National Party / State part in this State and that the
symbol reserved for the above party be allotted to me.

b)

*(ii) that I am contesting this election as an independent candidate and that the
symbols I have chosen, in order of preference, are :(i)
______________________(ii)_____________________(iii)_________________
_

c)

that my name and my father's /mother's / husband's name have been correctly
spelt out above in _________________________________ (Name of the
language)

d)

that to the best of my knowledge and belief, I am qualified and not also
disqualified for being chosen to fill the seat in the Municipal Corporation of Delhi.
I
further
declare
that
I
am
a
member
of
the
_______________________________ case which is a Scheduled Caste of the
National Capital Territory of Delhi.

Date ________________
(Signature of Candidate)
* Score out this paragraph, if not applicable

PART III
(To be filled by the Returning Officer)
Serial
No.
of
nomination
_____________________________________________________

paper

This
Nomination
was
delivered
to
me
at
my
officer
at
_______________________________(hour) on ________________________________ (date)
by the *candidate / proposer.
* Score out the word not applicable
Officer

Returning
PART IV

Decision of Returning Officer / Secutinising Officer

Accepting or Rejecting the Nomination Paper
I have examined this nomination paper is accordance with the 18 of the Delhi Municipal
Corporation (Election of Councillors) Rules, 1970, and decide as follows :Date ______________
Returning Officer / Scrutinising Officer

PART V
Receipt for Nomination Paper and Notice of Scrutiny
(To be handed over to the person presenting the nomination paper)
Serial No. of nomination paper ____________________________________.
The nomination paper of __________________________________ a candidate for election from
the
________________________ M.C.D. Ward was delivered to me at my office at
___________(hours) on ____________________ (date) by the *candidate / proposer. All
nomination papers will be taken up for scrutiny at _____________________________(hour) on
_______________________(date) at _______________________________________________
(place).
Date ________________
* Score out the word not applicable

Returning Officer