Ninth Schedule, The Public Elections Act, 2012

(Section (98 (1)) NATIONAL ELECTORAL COMMISSION FORM OF NOMINATION PAPER FOR PARAMOUNT CHIEF MEMBER OF PARLIAMENT To: THE ELECTORAL COMMISSION Through the : DISTRICT RETURNING OFFICER…………………………………. DISTRICT: We the undersigned being members of the Chiefdom Council of the …………………………………District do hereby nominate Paramount Chief of the Chiefdom as a fit and proper candidate for election as a Paramount Chief member; (1) Name………………………………………………………….......………………. Address:…………………………………………………......…………………… Chiefdom Council……………………………………….....…………………….. ……………………………………………………….............…………Chiefdom …………………………………… (2) Name………………………………………………………….......………………. Address:…………………………………………………......…………………… Chiefdom Council……………………………………….....…………………….. ……………………………………………………….............…………Chiefdom …………………………………… (3) Name………………………………………………………….......………………. Address:…………………………………………………......…………………… Chiefdom Council……………………………………….....…………………….. ……………………………………………………….............…………Chiefdom …………………………………… I ………………………………………….....of…………………………………. being Paramount Chief of the …………………………………………………. ……………… Chiefdom of the ……………….District do hereby certify that I am willing to stand for election by the Chiefdom Council of………………in the …………………..District, and in doing so, I hereby declare that I am qualified and not disqualified for membership in accordance with the requirements of sections 75 and 76 of the Constitution. Date:…………………………………. This nomination paper was completed and signed in the presence of (1) Name of……………………………………. of …………….......………………. ………………....……………….. (2) Name of:……………………………………of……………….......……………… …………………..……………… Signature of-……………............………. Witness (1)…………………...........…… Witness (2)…………............…………… Received by me at …………….o’clock………………………………………on the ……………………………………day of……………….......…….20…………………… Signed……………………………. District Returning Officer for Electoral Commission. ……………......................…………District