Third Schedule, The Public Elections Act, 2012

PUBLIC ELECTIONS ACT, 2012 (Section 45(1) NOMINATION PAPER OF PRESIDENTIAL CANDIDATE Date of Presidential Election: 1. I, the undersigned, am the Presidential Candidate to whom this nomination paper relates and I hereby certify that I am willing to stand for election to the office of President of the Republic of Sierra Leone. 2. I also hereby state that I am qualified and not disqualified for election to the office of President of the Republic of Sierra Leone in accordance with the statutory declaration attached hereto as Annexure 1. 3. My designated candidate for the office of Vice-President of the Republic of Sierra Leone :……………....................................…………………………………. ……………………………….....................................................…………………. who has subscribed his signature hereunder to indicate his consent to his being so designated. He has also made the statutory declaration attached hereto as Annexure II. Full name of presidential candidate:……................................………………………….. ………………………………………………………………………………………………… Occupation........................................................................................................................... Date:………………………........………………………………………………………….. ………………..........……………………… Signature of Presidential Candidate ………………..........……………………… Signature of Designated Vice-President We the undersigned, are the three executive members of the……........…................. ……………………………………………………………………………………………… (State name of political party nominating candidate) which has nominated the above presidential candidate. Full name………………………………………………....................................................... Address:…………………………………............................................................................. Occupation:……………………………......................................................……………… Office held in above political party………………………………………………………. Date………………………….......…………………………………………………………… Signature 106 107 Full name………………………………………………....................................................... Address:…………………………………............................................................................. Occupation:……………………………......................................................……………… Office held in above political party………………………………………………………. Date………………………….......…………………………………………………………… Signature Full name………………………………………………....................................................... Address:…………………………………............................................................................. Occupation:……………………………......................................................……………… Office held in above political party………………………………………………………. Date………………………….......…………………………………………………………… Signature This nomination paper was completed and signed in our presence. (1) Name:………………………......…..Address………………..…………………… (2) Name:………………………......…..Address……..……………………………… Signature of witness (1) Signature of witness(2) (2) ………………………………………..............................................……………….. Received by me at.........o’clock on the………day of ………………….20……….. (Signed):……………………………… Returning Officer Note:– The Presidential Candidate and his nominators must all sign in the presence of the two witnesses who must be of full age and who must sign in the place indicated.