FORM N-31

Application for refund of deposit made under Section 144 of Kerala Panchayat RajAct, 1994/201 of Kerala Municipality Act, 1994

.(By a Candidate)

From

Name....................................................................................

Address..............................................................................

.................................................................................

ToThe Returning Officer,

.......................................................................Constituency/Ward.

Sub:— Return of deposit under section 144 of Kerala Panchayat Raj Act, 1994/201 of Kerala MunicipalityAct, 1994.

Sir,

1. I was a Candidate for election to the..................................................................................................................

from the ................................................................................................................................Constituency/Ward.

2. I made a deposit of Rs. ................................................ for that election in the ..................................................

Treasury/Authorized Officer under receipt No. ......................................... on .................................................

.

3. My nomination paper was accepted/rejected by the Returning Officer.

4. I withdrew/did not withdraw my candidature in time.

5. I was /was not elected and secured more than one sixth of the total number of valid votes

polled in the election.

6. I request that the deposit referred to in paragraph 2 may be returned to me.

7. I hereby declare that all the statements made in this application are true to my knowledge.

Yours faithfully,

Place........................................

Date......................................... Signature of Candidate.

Strike off the words not applicable in your case.