Form 5 Notice of Withdrawal [See Rule 19(1)] Election of the Delhi Municipal Corporation from Ward No.__________________ To The Returning Officer I__________________________________________ a candidate; nominated at the above election do hereby give notice that I withdraw my candidature. Signature of Candidate Place _____________ Date _____________ This notice was delivered to me at my office at ___________ (hours) on ____________(date) by _______________________(Name) the* Returning Officer Date _____________ Receipt for Notice of Withdrawal (to be handed over to the person delivering the notice) This notice of withdrawal of candidature by __________________________ a candidate at the election of the Delhi Municipal Corporation from Ward No.____________________ was delivered to me by* __________________________ at my office at ___________________________(hours) on _______________(date). Returning Officer * Here insert one of the following alternatives as may be appropriate : (a) Candidate : (b) Candidate's proposer.
