For the welfare of Promotee officers since 1933...
ITGOA KARNATAKA and GOA

Nomination & Withdrawal forms




Karnataka & Goa Unit, I floor, C.R.Bldg.Annex., Queen’s Rd., Bangalore – 560 001.
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GENERAL BODY ELECTIONS - 2013

NOMINATION FORM


1. Name of the Post                                                :
2. Name and designation of the Contestant               :
3. Name & designation of the Proposer                     :

4. Signature with date of the Proposer                     :

5. Name and designation of the Seconder                  :
6. Signature with date of Seconder                           :


7. Signature with date and station of the Contestant :
Date:
Place:




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       Karnataka & Goa Unit, I floor, C.R.Bldg.Annex., Queen’s Rd., Bangalore – 560 001.
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GENERAL BODY ELECTIONS - 2013


WITHDRAWAL FORM


  I,---------------------------------------------------------------, withdraw my nomination on my
free will  for the post of -------------------------------------------------------------.
(Post for which the contest wishes to withdraw)



Signature      :
Date             :
Station         :












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