PROFORMA OF APPLICATION FOR REGISTRATION AS A POLITICAL PARTY AS PER THE PROVISIONS OF SYMBOL ORDER ISSUED BY STATE ELECTION COMMISSION, AP. To The Secretary, State Election Commission, Andhra Pradesh, 3rd Floor, Buddha Bhavan, M.G.Road, Secunderabad - 500 003. Sir, It is requested that __________________________________________________ (name of the party) may be registered as a political party under the Registration of Political Parties and Allotment of Symbol Order, 2001. The particulars and documents required to be produced are furnished as under: 1. Particulars required : a) the Name of the Association or Body: b) location of its head office. : c) the address to which letters and other : communications meant for it should be sent. d) the names of its President, Secretary : Treasurer and other office-bearers e) the numerical strength of its number, : and if there are categories of its members, the numerical strength in each category. f) whether it has only local units; if yes,: at what levels. g) whether it has already registered : itself as a political party with the Election Commission of India, and if so, Whether it is recognized as a National Party or a State Party h) whether it is represented by any member : or members in either House of Parliament or of any State Legislature; if so, the number of such member or members. i) whether it is represented by any officebearers or members in any of the local bodies in the State; if so, their number and particulars relating to the office they are holding and the local body concerned. j) Date of formation of the Association or Body. : k) Particulars of Bank Accounts in the name of the party. : 2. Following documents/particulars are enclosed herewith : (i) A demand draft of RS. 5,000/-(Rupees five thousand only) on account of processing fee, drawn in favour of the Secretary, State Election Commission. (ii) A copy of the memorandum/rules and regulations/conditions of ___________ _________________________________________ (name of the party). A specific provision as required under sub-clause (ii) of clause (as of subparagraph(4) of paragraph 3 of the Symbol Order that the party shall bear true faith and allegiance to the Constitution of India as by law established and to the principles or socialism, secularism and democracy and would uphold the sovereignty, until and integrity of India is contained in para/rule/clause ____________________________________________________ thereof. (iii) Certified extracts from the latest electoral rolls in respect of atleast 25 members of the organization (including all office-bearing/members of main decision making organs like Executive Committees / Executive Council) to show that they are registered electors. (iv) An affidavit duly signed by the President/General Secretary of the party and sworn before a Ist class Magistrate/Notary Public to the effect that no member of the organization is a member of any other political party registered with the Commission (v) Individual affidavits from atleast 25 members of the party to the effect that the said member is a registered elector and that he has not a member of any other political party registered with the Commission, duly sworn before a Ist class Magistrate/Notary Public. (vi) A declaration to the effect that the applicant has read and understood the provisions of this Order and that the political party sought to be registered by him shall abide by the provisions of this Order. Yours faithfully, Date: General Secretary/Chairman President of the Party
