FORM 8

[See rule 18 (1)]

Notice of Withdrawal

Election to the * …………….Grama ** / Taluk / Zilla Panchayat from the * …………………Constituency / constituency reserved for Scheduled Castes ** / Scheduled Tribes / Backward Classes / Women.

To:

 
The Returning Officer,

 
I, …………………...a candidate validly nominated at the above election do hereby give notice that I withdraw my candidature.

 
Place : 

This notice was delivered to me at my office at .............................. (hour) on ...........(date) by............................(Name)

Place : 

Receipt of Notice of Withdrawal

(To be handed over to the person delivering the notice)

The notice of withdrawal of candidature by ……………a validity nominated candidate at the election to the *………………was delivered to me by the + ……………….at my office………….(hour) on…………….(date).

* Appropriate particulars of the election to be inserted here

** Strike off the inappropriate alternative.

+ Here insert one of the following alternatives as may be appropriate.

(1) Candidate

(2) Candidate’s proposer who has been authorised in writing by the candidate to deliver it.

(3) Candidate’s election agent who has been authorised in writing by the Candidate to deliver it.