Nomination Form Rural (E)
Nomination Form Rural (E)
Nomination Form Rural (E)
Election of
FORM 3
NOMINATION PAPER
[See rule 26 (1) and (2) and 30]
Member to Ward No............................... of the ...............................................
Village Panchayat/Panchayat Union Council/District Panchayat.
President to the ...........................................Village Panchayat
56
THE TAMIL NADU PANCHAYAT S (ELECTIONS) RULES, 1995
(v) Under Section 10 of the Tamil Nadu Panchayats Act, 1994, no person shall be
eligible to be elected as a member of more than one Village Panchayat.
(d) that I am a member of the ........................................... caste/ tribe which is a Scheduled
Caste/Tribe *** of the State of Tamil Nadu in relation to................................................. (area).
Date:....................................
Signature of the Candidate.
Note:
item (b) need not be filled in by candidates for election of member of a Village Panchayat.
item (d) needs to be made only by a SC/ST/ BC candidate.
****item (e) that I am not employed as Village Administrative Officer or Village Servant or an
Officer or Servant of the State or Central Government or of a Village Panchayat, Panchayat Union
Council, District Panchayat, Municipal Council or Municipal Corporation or of any Industrial
Township or of Contonment or of any body Corporate, owned or controlled by the State or Central
Government.
***(The words and Backward Classes omitted as per amendment issued in G.O.Ms.No.163,
Rual Development Department, Dated 7.8.1996)
****(This item added in G.O.(Ms.)No.164, Rural Development (C4) Dept. dated 27.10.2004
(To be filled by the Returning Officer)
Serial number of nomination paper:
The nomination was delivered to me at my office at ........................... (hour) on ...........................
(date) by the candidate/proposer.
Date:
Returning Officer.