Particulars of the proposers and their signatures
| SI. No. | Full name | Whether elected member of the house of the people/Council of States/Legislative Assembly | State/Union territory (in the case of member elected to the House of the People or Council of States from a Union territory) in/ from which elected | Signature | Date |
| 1 | 2 | 3 | 4 | 5 | 6 |
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| *etc. |
*[There should be at least fifty electors as proposers.]1
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