COMMUNITY COUNCIL ELECTIONS 4 OCTOBER 2012

NOMINATION PAPER
Election of a Community Councillor for
Ward No ..
...Community Council
Surname Other Names ...
Address
Daytime Telephone Number
E-mail......................................................................................................................................
*At least one condition must be met. Delete where inapplicable
*(a)

My name appears in the register of electors in respect of the following address

.
and my electoral number is

*(b)

I have, during the whole of the twelve months preceding the day of nomination, occupied
as owner or tenant, land or premises at the following address(es)
.

*(c)

I have during the twelve months preceding the day of my nomination had my principal or
only place of work at the following address(es)
.

*(d)

I have during the whole of the twelve months preceding my nomination resided at the
following address(es)
.

I confirm that I am sixteen or over, consent to this nomination and will accept office if elected.
Signature of Candidate Date
Signature of Witness . Date ..
To Candidates signature
Address.........................................................................................................................................

CANDIDATES DESCRIPTION
Please provide below, at least a paragraph of information about yourself, which will help
voters to make their choices, in the event of a contest.

FOR OFFICE USE

DATE RECEIVED
TIME RECEIVED
This nomination paper should be lodged with the Returning Officer at John Muir House,
Haddington or any Local Administration Office by not later than 4 pm on Thursday 13
September 2012.
Forms for withdrawal of nominations are available from the Returning Officer, John Muir House,
Haddington, any Local Administration Office, or East Lothian Council website
www.eastlothian.gov.uk These should be returned by not later than 4 pm on Thursday 13
September 2012.
Local Administration Offices:
Haddington
John Muir House
Dunbar
Bleachingfield Centre
North Berwick
Quality Street
Tranent
Sandersons Wynd
Prestonpans
Aldhammer House, High Street
Musselburgh
Brunton Hall

01620 827827
01368 863434
01620 893957
01875 610278
01875 810232
0131 653 5221

Returning Officer contact details:

Elections Officer:
Lilian Pryde 01620 820183
Elections Officer:
Alison Smith 01620 820184
Elections Officer
Hazel Boak 01620 820185
E-mail elections@eastlothian.gov.uk