ELECTORAL ACT ____________________________________________________________________________________ 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: ............................................................................................................................................ ............................................................................................................................................ (full name of party in block letters) 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) 189