FORM - III
Nomination form for elections of Board of Directors
[See paragraph 3 (a) of the Schedule]
[See paragraph 3 (a) of the Schedule]
| 1. | Name of the Multi-State Cooperative Society and Address | ||
| 2. | 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 | : | |
| 3. | Serial no. in the register of members | ||
| 4. | Father’s or husband’s name (in case of individual member) | ||
| 5. | Address | ||
| 6. | 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 | ||
| 7. | Serial no. of the proposer in the Register of members | ||
| 8. | Signature of the proposer | ||
| 9. | Name of the seconder when the seconder is an individual member and name of the society | ||
| 10. | Serial no. of the seconder in the register of members | ||
| 11. | Signature of the seconder |
CANDIDATES DECLARATION
(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 ____________
Date ____________
Signature of Returning Officer Or person authorized by him
