ELECTORAL (NOMINATION OF CANDIDATES) REGULATIONS, 2014 Signature……………………………………………. Date…………………………………………….. ......... Signed in the presence of………………………………………………………………………………………… (Candidate/Chief Election Agent/Authorized Representative) 3. Full Name .................................................................................................................................................... (Block Letters) National Registration Number……………………………………… of Residential Address ........................................................................................................................................ ….. Signature……………………………………………. Date…………………………………………….. ......... Signed in the presence of………………………………………………………………………………………… (Candidate/Chief Election Agent/Authorized Representative) 4. Full Name .................................................................................................................................................... (Block Letters) National Registration Number……………………………………… of Residential Address ........................................................................................................................................ ….. Signature……………………………………………. Date…………………………………………….. ......... Signed in the presence of………………………………………………………………………………………… (Candidate/Chief Election Agent/Authorized Representative) 5. Full Name .................................................................................................................................................... (Block Letters) National Registration Number……………………………………… of Residential Address ........................................................................................................................................ ….. Signature……………………………………………. Date…………………………………………….. ......... Signed in the presence of………………………………………………………………………………………… (Candidate/Chief Election Agent/Authorized Representative) 6. Full Name .................................................................................................................................................... (Block Letters) National Registration Number……………………………………… of Residential Address ........................................................................................................................................ ….. Signature……………………………………………. Date…………………………………………….. ......... 45