[See Rule 22 (1) ]
Appointment of Election Agent
Election of Councillors to the City Municipal Council/Town Municipal
Council/Town Panchayat of the City/Town of
.. from the
...*ward
To:
The Returning Officer,
..
..
..
I,
.
. a candidate at the above election do hereby
appoint Sri
.
(Name and Address) as my Election Agent
from this day at the above election.
| Place |
: |
|
| Date |
: |
Signature of the Candidate
|
I accept the above appointment
| Place |
: |
|
| Date |
: |
Signature of Election Agent
|
* Appropriate particulars of the election to be inserted here
