Particulars of the proposers and their signatures
| Sl. No. |
Full name |
Whether member of the House of the People/Council States |
State/Union territory from which |
Signature |
Date |
| 1 |
2 |
3 |
4 |
5 |
6 |
| 1. |
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| 2. |
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| 3. |
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| 4. |
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| 5. |
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| 6. |
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| 7. |
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| 8. |
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| 9. |
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| 10. |
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| *etc. |
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*[There should be at least fifty electors as proposers.]1
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