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Nomination Form For Election-ARTEE: I Am The Member of The ARTEE For The Last One Year

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Address:

RAJESH KUMAR
Self Attested Photograph of Returning Officer,
the candidate ARTEE Election 2017-19
(Passport/ Stamp size) Room No. 133, 1st Floor,,
Nomination Form for Election-ARTEE Doordarshan Kendra, Phase-II
(2017-2019) Doordarshan Bhawan,
Mandi House ,
(All Entries in Capital Letters please)
Copernicus Marg,
New Delhi – 110 001

I ______________________________________ propose the name of Sh./Smt./Ms. _________________________ of


_____________________________________________________ (Name of Kendra/ Station), Designation
______________________ for the post of ___________________________________ in Association of Radio and
Television Engineering Employees. I am the member of the ARTEE for the last one year and my date of Retirement
is ( dd/mm/yyyy) ….../…../…….

Date:
Unit: Signature of Proposer
Designation
I _________________________________ second the name of Sh./Smt./Ms. ______________________ for the
above-mentioned post. I am the member of the ARTEE for the last one year.

Date Signature of Seconder


Unit: Designation
Declaration by the Candidate
I, solemnly affirm that I have read the constitution of the Association (ARTEE) and rules & regulations (bye-laws) for
conducting the elections and shall abide by the same. I am the member of the ARTEE for the last two years. I also
declare that I am not a member of any other cadre based sister association/ Joint platform where ARTEE is not a
constituent in AIR & Doordarshan. I am also aware that in case any of information furnished by me found incorrect
RO has a right to reject my Nomination. I undertake that in case of any grievance, I will abide with Clause 44 of
bylaws and Clause 22 of Election bylaws. I am contesting for the post of ___________________.My date of
retirement is_________________.

I am herewith attaching DD No. _______________ dated ______________ Bank & Branch __________________
Place…………………Payable at New Delhi for Rs 500/-
(In case Contesting for more than One Post)
Date: Signature
Residential Address: Name
Designation:
Kendra/Station:
Phone No.if any:
E-mail if any:

Certificate by the Unit Secretary

It is certified that the Proposer, Seconder and the Candidate are not in arrears of subscription of the Association as
mentioned above.
Date:
Unit: Signature of Unit Secretary
Residential Address: Name
Designation:
Note:

Pl. Read Rules Regulations and election bylaws carefully for eligibility and various aspects before filing
Nomination.

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