(See Rule 4)
Nomination Paper Election to the office of the vice-president of India.
We, the undersigned Members of the electoral college referred to in article 66 of the Constitution being Members of Parliament hereby nominate...............(full name and address of candidate) as a candidate for election to the office of the Vice-President of India.
We have verified, and do hereby declare, that the said candidate has completed the age of 35 years and is registered in the electoral roll for the Parliamentary constituency of ...........in the State of ...............
A certified copy of the entry in that electoral roll relating to the said candidate is attached. We furnish our full particulars as indicated hereunder and append our signatures below in token of subscribing to this nomination.