BVI Elections Commission

To the Supervisor of Elections, BVI Elections Commission,

We hereby nominate First_Name
Last_Name each of the persons in this party list to be a candidate for the General
Election to be held on 17 September 2015 for our Party. We enclose a Deposit of
$5000 per candidate nominated by the party.

Name of Leader: .

Signature:

Name of Secretary

Signature: FOE Official Date & Time Received

Accepted/Re

DECLARATION BY PARTY CANDIDATE I,

First_Name Last_Name, consent to be a candidate for the

Election to be held on 17 September 2015. I declare that to the best of my
knowledge and belief I am qualified under the Constitution and the Electoral Decree
2015 to be elected as a member of Parliament in the election to which this
nomination relates; and I have not and do not intend to be nominated as an
independent candidate or as a party candidate for any other political party in the
election to which this nomination relates. I confirm that the nomination is
accompanied by a Deposit of $5000. I am Contesting Constituency representing
Party_Acronymn.
BVI Elections Commission