Return details (if deposit not forfeited) Cheque to be made payable Address for to: posting: Entered on Final check Tick Comments Task system (date) (date) Nomination form Candidate’s surname Candidate’s other names in full Commonly used (optional) Description blank or ‘Independent’ Home address provided in full Signed and dated by the candidate Witness signed the form and provided name and address Candidate’s consent to nomination Date of birth (must be 18 years of age or over on date of submission) in writing by the candidate within one month of the deadline for delivery Witnessed (attested by another person) Notification of election agent
Return details (if deposit not forfeited) Cheque to be made payable to: Address for posting: Task Tick Comments Entered on system (date) Final check (date) Nomination form Candidate’s surname Candidate’s other names in full Commonly used (optional) Description blank or ‘Independent’ Home address provided in full Signed and dated by the candidate Witness signed the form and provided name and address Candidate’s consent to nomination Date of birth (must be 18 years of age or over on date of submission) in writing by the candidate within one month of the deadline for delivery Witnessed (attested by another person) Notification of election agent