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[Section 15]
[Entire Act]
State of Madhya Pradesh - Subsection
Section 15(2) in The M.P. State Veterinary Council Rules, 1993
| Name (in block letters) | :......................................... |
| Address | :......................................... |
| Academic qualifications | :......................................... |
| Designation and official address if any | :......................................... |
| Grounds for the claim (with proof, if any) | :......................................... |
| 1. | Name of the person (in block letters) the entry of whose namein the draft electoral roll is objected to | :................................. |
| 2. | Particulars of entry objected to | :................................. |
| 3. | Grounds of objection to the entry | :................................. |
| 1. | Name of the candidate | :........................................ |
| 2. | Father's Name | :........................................ |
| 3. | Age and date of birth | :........................................ |
| 4. | Nature of Qualification | :........................................ |
| 5. | Registered Number (in the State Veterinary Register) | :........................................ |
| 6. | Page No. in the State Veterinary Register or its supplement(mentioning the year) in which the name appears | :........................................ |
| 7. | Serial No. in the roll | :........................................ |
| 8. | Address : House No. | :........................................ |
| Block Street No. | :........................................ | |
| Village/Town | :........................................ | |
| Post Office | :........................................ | |
| Pin Code | :........................................ | |
| 9. | Name of the proposer | :........................................ |
| 10. | Signature of the proposer | :........................................ |
| 11. | Registered No of proposer in the State Veterinary Registerand the page No. in the said Register or its supplement(mentioning the year) in which the name appears | :........................................ |
| 12. | S. No. in the roll | :........................................ |
| 13. | Name of Seconder | :........................................ |
| 14. | Signature of Seconder | :........................................ |
| 15. | Registered No. of Seconder in the State Veterinary Registerand the page No. in the said Register or its supplement(mentioning the year) in which the name appears | :........................................ |
| 16. | S. No. in the roll | :........................................ |
| S. No. | Name and Address of candidates duly nominated | Votes |
| (1) | (2) | (3) |
| 1.2.3.4.6.7. |