ELECTORAL ACT ____________________________________________________________________________________ and wishes the following abbreviation of the party’s name to appear on the ballot paper in conjunction with his name: ............................................................................................................................................ (Block letters) Signature ......................................................................................................... Candidate*/Candidate’s Election Agent* 3. Party authorization (to be completed by at least two designated political party officebearers if the candidate has indicated that he/she wishes the abbreviation of a party’s name to appear on the ballot paper in conjunction with his/her name) We, ............................................................................................................................................ ............................................................................................................................................ (full names) being the ............................................................................................................................. (state office held) on the ................................................................................................................................. (full name of political party) and, as such, duly authorized in terms of the constitution of the party, certify that the candidate to whom this nomination paper relates will stand for, or be sponsored by, the party. Date ............................................ Signature *Delete whichever does not apply Note: This form must be accompanied by a passport-sized photograph of the candidate. NOMINATION FORM FOR NATIONAL ASSEMBLY CONSTITUENCY CANDIDATES ELECTORAL ACT [CHAPTER 2:13] (Section 46(1)) _______________ NOMINATION FORM: MEMBER OF NATIONAL ASSEMBLY _______________ NOTE: Aspiring candidate should produce: 1. a birth certificate together with National Registration Identity Card. Please attach photocopies of the said documents. 2. a passport-size photograph. _______________ We, the undersigned voters registered in the ........... ………………………………………… constituency, hereby nominate: .................................................................................................... I/D No. ............................. (full names in block letters) of……………… ......................................................................................................................... (full address in block letters) as a candidate for election to represent the said constituency in the National Assembly. 186