(Candidate/Chief Election Agent/Authorized Representative) Note.—Extra nominations may be made by attaching a separate sheet containing the same particulars and complying with same procedures as are here required of the minimum number of nominees. DECLARATION BY OR ON BEHALF OF CANDIDATE ...................................................................................................................................................... of (full name of candidate, in block letters) .......................................................................................................................................................... (address of candidate date, in block letters) Candidate’s telephone No. ................................................................................................................. I certify that: 1. The candidate is enrolled as a voter in the ........................................................................... constituency. 2. The candidate has been ordinarily resident in Zimbabwe for a period of not less than five years during the period of twenty years immediately preceding the date of this nomination-paper. 3. The candidate is not disqualified for election in terms of paragraph 2 of Schedule 3 to the Constitution. 4. Each of the persons nominating the candidate signed this nomination paper in the presence of the candidate or his or her chief election agent or his or her authorized representative. 5. The candidate accepts the nomination as a candidate for election to Parliament. Date ............................................................. Signature ................................................................... Candidate/Candidate’s Chief Election Agent (FINAL PAGE) DISTINCTIVE SYMBOL AND PARTY NAME AND ABBREVIATION (This part is to be completed if the candidate wishes a distinctive symbol and/or Party identification to appear on the ballot) 1. Distinctive Symbol The candidate wishes the following symbol to appear on the ballot paper in conjunction with his/her name: (Show drawing of symbol here) Short description of symbol: ...................................................................................................... .................................................................................................................................................. 2. Party Identification The candidate will be standing for or be sponsored by the following party .................................................................................................................................................. .................................................................................................................................................. - 26 -