The Registrar shall put a note of decent on the decision taken by the Council and send it to the State Government for decision, if he/she feels that the decision taken by the Council is contrary to the financial rules and provisions of the Act and prevailing laws or against the interest of the Council.
FORM-A Nomination Paper (See rule 7)
1. Name of proposer (in full as registered) ……………….
2. Father’s Name ………………………………………
3. Age ……………………………………….
4. Registration number ………………………
5. Residence Address …………………………
6. Office Address ……………………………..
7. Name of the Candidate Proposed ………………………………..
I ………………………………… (Name in full) registered Ayurved Nursing Professional in Rajasthan with registration number …………………. Propose the above named candidate for election as member of the Rajasthan Ayurved Nursing Council *from registered Ayurved Nursing professionals/teachers of the recognized institutions.
Date ……………………………….. Signature (in full) of proposer Passport Size Colour Photo (Self attested) Hkkx 4 ¼x½ jktLFkku jkt&i=] tqykbZ 9] 2019 27 (FIRST)
1. Name of proposer (in full as registered) ……………………
2. Father’s Name ………………………………………
3. Age ……………………………………….
4. Registration number ………………………
5. Residence Address …………………………
6. Office Address ……………………………..
7. Name of the Candidate Proposed ………………………………..
I ………………………………… (Name in full) registered Ayurved Nursing Professional in Rajasthan with registration number …………………. Propose the above named candidate for election as member of the Rajasthan Ayurved Nursing Council *from registered Ayurved Nursing professionals/teachers of the recognized institutions.
Date ……………………………….. Signature (in full) of proposer (SECOND) *Score out the words not applicable.
Declaration by the candidate nominated I, ……………………….. hereby declare that I agree to this nomination. I am a registered Ayurved Nursing Professional in Rajasthan with registration number …………………….
And that my address is – Residence ………………………………………….
Office …………………………………………………… Date ……………………………………………………….
Signature (in full) of the candidate Name (in full) of the candidate RECEIPT FOR NOMINAION PAPER AND NOTICE OF SCRUTINY (To be handed over to the person presenting the Nomination Paper) Serial No. of nomination paper……………… The nomination paper of …………………………….. a candidate for election was delivered to me at my office At………………………………….. (Hour) on ………………………………… (Date) by the candidate/proposer.
All nomination papers will be taken up for scrutiny at ………………… (Hour) On …………………………………. (Date) at ………………………..
Signature of Returning Office Passport Size Colour Photo (Self attested) Passport Size Colour Photo (Self attested) 28 jktLFkku jkt&i=] tqykbZ 9] 2019 Hkkx 4 ¼x½ FORM-B BALLOT PAPER [See rule 11 (4)] Serial No………………… S. No. Name and Registration no, of contesting candidate Mark by Voter 1 Directions for voters: -
1. Every voter should put a cross mark (X) in ink in column 3 against the name of each person, the voter wants to votes for. No other mark, writing or signature, shall be put on ballot paper.
2. Every voter can record vote to a maximum number of ………………. Contesting candidates. If you record vote more than ………………….. Contesting candidates your vote will be rejected.
3. Every voter can vote for less than …………. Candidates, if he so wishes.
4. The ballot paper thus marked with cross mark should be put the identification envelop and envelop with the ballot paper shall then be returned to the Returning Officer either by post, or hand over it to the Returning Officer personally. Ballot paper sent otherwise shall not be accepted. It shall be reached to the Returning Officer on or before the …………. (time) …………………………….. (date).
5. The information on the back of the identification envelope shall be filled up in all particulars mentioned in the form printed thereon Identification envelopes not so filled up, the ballot papers contained therein shall be rejected;
FORM-C Information on the back of identification envelop [See rule 11 (4)] Number …………………………………… (As stamped on the ballot paper).
I …………………………………………. (Name in full of the Undersigned and the person to whom the enclosed ballot paper was addressed), affirm that my name is included in the register of registered Ayurved Nursing Professional in the Rajasthan Ayurved Nursing Council with registration number………………………………..; and that I have not marked any other ballot paper of this electorate for this election.
Address ………………………… Signature (in full) Date …………………………………..
Hkkx 4 ¼x½ jktLFkku jkt&i=] tqykbZ 9] 2019 29 FORM-D RESULT SHEET [See rule 12(1) (a)] Result sheet of election as member of the Rajasthan Ayurved Nursing Council *from registered Ayurved Nursing professional/teachers of the recognized institutions.
*(Score out the words not applicable) S. No. Name of CANDIDATE WITH REGISTRATION NO.
NUMBER OF VALID VOTES RECORDED IN FAVOUR OF THE CANDIDATE 1
1. Total no of identification envelops received ……… ………… ……...
2. Total no if identification envelops not opened due to non filling up the particulars on the back side of it…………………………………..
3. Total no of identification envelops opened but ballot papers not found in it …………………….
4. Total number of valid votes …………………
5. Total number of rejected votes ……………… I declare that – 1 ……………………………(Name) …………………….. (Registration no) 2…………………………… (Name)……………………………………..(Registration no.)
3……………………………(Name)………………………(Registration no.)
4……………………………(Name)………......…………..(Registration no.)
5……………………………(Name)………………..……..(Registration no.)
6……………………………(Name)……………………....(Registration no.)
Have been duly elected as the member of the Rajasthan Ayurved Nursing Council.
(Signature) Returning Officer Date……………………..
FORM-E CERTIFICATE OF ELECTION [See rule 12(1) (c)] This is to certified that the Mr./Mrs./Ms………………………………………………………… (Name) S/O, W/o, D/o……………………………………………………… (Address) bearing registration…………………………………….................has been duly elected as Member of the Rajasthan Ayurved Nursing Council under clause (i) clause (iii) of section 4 of the Act on …………………………………… ……….(date).
Signature (Full Name) Returning Officer 30 jktLFkku jkt&i=] tqykbZ 9] 2019 Hkkx 4 ¼x½ FORM-F FORM OF OATH OF AFFIRMATION [See rule 12(1) (d)] I …………………………………………………………having been elected as Member of the Rajasthan Ayurved Nursing Council do swear in the name of the God/Solemnly affirm that I will bear true faith and allegiance to the constitution of India as by law established and that I will uphold the sovereignty and integrity of India and will bear all the responsibilities given by law as member of the Rajasthan Ayurved Nursing Council.
Signature and name of the Member Sworn in the name of God/Solemnly affirmed by Mr./Mrs./Ms……………………………. At ………………………………………….. (Place) at ……………………….. (hour) this the …………………………… day of ……..20 ………….. before me.
Signature of Returning Officer Name and Seal [No.F.25(11)Ayu/2017] By Order of the Governor, H.M.Dhaka, Joint Secretary to the Government.
Government Central Press, Jaipur.