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NOMINATION FORM TO BE FILLED BY CANDIDATES FOR ELECTION TO BOARD OF

MANAGEMENT (BOM) MEMBERS, RWA GVGN FOR THE YEAR 2019-20

 Affix Latest
passport size
Photo
 To be signed by
candidate across

1. Rank/ Name. COL BIPIN CHANDRA PANDEY

2. Arm/service. SIGNALS

3. Date of Birth. 01 OCT 1954

4. Sex Male/ Female. MALE

5. AWHO Regn No as per Allotment Letter

6. DU No. 1E 305

7. Current Employment, if any. NOT APPLICABLE

 Employee Name -
 Appt/Desig -
 Since when -

8. Previous Experience in BOM GVGN. SECRETARY

9. Shop No in GVGN, if held. NOT APPLICABLE

10. Mobile No : 9717594157

11. Email : BIPINCP@YAHOO.COM

12. Aadhar Card No :

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I Declare That:-

1. To the best of my knowledge and belief the above information is correct in all respects.

2. I will ensure that there is no conflict of interest with the overall objective of RWA GVGN
while working as part of Board of Management of GVGN.

3. I will work as a Team with the Board of Management in the best interest of the RWA
GVGN as per Bye-Laws and UP Apartment Act 2010.

4. I will carry out my duties as an Office Bearer of the BOM as assigned to me with utmost
devotion and will ensure high level of moral integrity and conduct.

5. I will be available to the Board of Management, RWA GVGN as and when I am required
for any assignment/work.

6. I authorise the Election Committee to upload information related to my Profile on GVGN

website.

7. I have cleared all my dues towards the RWA and nothing is outstanding as on date.

Sponsored by (Two DU Owners)

Rank Name DU No Sign

1. Col M L SHARMA
2.

Observer for Voting and Counting (optional) (One DU Owner)

Rank Name DU No Sign

Date : May 19 Sign of Applicant

Rank & Name