FORM 6

[See Rule 20(3)]

Notice of withdrawal of Candidature


Election of Councillors to the City Municipal Council/Town Municipal Council/Town Panchayat of the City/Town of ……………………….. from the…………..……… *ward reserved for Backward Classes (A) or (B) ** /Scheduled Castes/Scheduled Tribes/Women.

Notice is hereby given that the following candidate/candidates at the above election withdrew his/her candidature/ their candidatures** today:

Serial Number
Name of the Candidate
Address of the Candidate
Remarks
1
2
3
4

1.

2.

3.

4.

Place :  
Date :
  Returning Officer

* Appropriate particulars of the election to be inserted.
** Strike off the inappropriate alternative.