ELECTORAL (NOMINATION OF CANDIDATES) REGULATIONS, 2013 PART A DECLARATION BY OFFICE-BEARER DESIGNATED BY POLITICAL PARTY Full names of designated party office bearer: National Identity number of designated party officer bearer: Full address of designated party office bearer: Name of political party: I, …………………………………………………(Name of designated party office bearer) do hereby certify: 1. I am authorized by my political party to make this sworn declaration; 2. I have carefully checked all the particulars of the party-list candidates listed above and I declare that, to the best of my knowledge and belief, the particulars are true and that all candidates are registered as voters on the voters roll in a ward within the Province in which they are standing as party list candidates and are qualified to stand as candidates and are not disqualified under the electoral law from standing as candidates. 3. I further declare that the persons listed above do not appear on any other party list for our political party and that none of these persons is standing for election as a constituency member of the National Assembly or for election as a councillor for a local authority. Signature……………………………………………………………………….Date……………………. ______________________________________________________________________________________ 74