4.
Signed in the presence of ...........................................................................................................
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address.................................................................................................................... .
National Registration No. ..........................................................................................................
5.
Signature .................................... Date.....................................................................................
Signed in the presence of ...........................................................................................................
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address. ....................................................................................................................
National Registration No. ..........................................................................................................
Signature .................................... Date.....................................................................................
Signed in the presence of ...........................................................................................................
6.
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address.................................................................................................................... .
National Registration No. ..........................................................................................................
7.
Signature .................................... Date.....................................................................................
Signed in the presence of ...........................................................................................................
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address.................................................................................................................... .
National Registration No. ..........................................................................................................
Signature .................................... Date.....................................................................................
8.
Signed in the presence of ...........................................................................................................
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address. ....................................................................................................................
National Registration No. ..........................................................................................................
9.
Signature .................................... Date.....................................................................................
Signed in the presence of ...........................................................................................................
(Candidate/Election Agent/Authorized Representative)
Full names ................................................................................................................................
(Block letters)
Residential address.....................................................................................................................
National Registration No. ..........................................................................................................
Signature .................................... Date.....................................................................................
Signed in the presence of ...........................................................................................................
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