ELECTORAL (NOMINATION OF CANDIDATES) REGULATIONS, 2013 PART B PARTY-LIST CANDIDATES NAME OF PROVINCE……………………………………………………………. Full names of date candi- National Ward and Telephone Identity Province Number which in number Email ad- Physical dress dress regis- ad- Date birth of Gender Signature of candidate accepting nomi- tered as voter nation 1. 2. 3. 4. 5. 6. 7. 74