ANNEXURE XV

(CHAPTER V, PARA 21.2)

FORM OF OATH OR AFFIRMATION

[ARTICLE 84(A) OF THE CONSTITUTION OF INDIA]
(To be made by a candidate for election to Parliament)

I ........................................................................................... having been nominated as a candidate to fill

a seat in the Council of States (*House of the People) do swear in the name of the God /Solemnly affirm
that I will bear true faith and allegiance to the constitution of India as by law established and that I will
uphold the sovereignty and integrity of India.

Signature and name in block letters

of the candidate

Sworn in the name of God/Solemnly affirmed by Shri/Shrimati ...........................................................................

at ................................................................. (Place) at .......................... (hour) this the .......................................
day of .......................... 200 ....................................... before me.

Signature of authorised person

Name Designation and Seal

(CERTIFICATE FOR RECEIPT OF OATH)

(To be handed over to the candidate by the authorised person)

Certified that ................................................................. (name) a candidate for election to the Council of

States (*or the House of the People) has made and subscribed the oath / affirmation as required by the
Constitution of India before me at my office at .......................... (hour) on .......................... (date).

............................................. Signature of authorised person

Date ..................................... Name, Designation and Seal

*Score out which is not applicable.

N.B.: This Form should be supplied to the candidates both in English and in the Official Language of
the State/Union Territory.

251
 FORM OF OATH OR AFFIRMATION
[ARTICLE 173 (A) OF THE CONSTITUTION OF INDIA]
(To be made by a candidate for election to the Legislature of a State)

I .............................................................................. having been nominated as a candidate to fill a seat in

the .............................................................................. Legislative Assembly (*or Legislative Council) do
swear in the name of the God /Solemnly affirm that I will bear true faith and allegiance to the constitution
of India as by law established and that I will uphold the sovereignty and integrity of India.

Signature and name in block letters

of the Candidate

Sworn in the name of God/Solemnly affirmed by Shri/Shrimati .......................................................................

at .................................................... (Place) at ................................... (hour) this the ............................................
day of .......................... 200 .......................... before me.

Signature of authorised person

Name Designation and Seal

(CERTIFICATE FOR RECEIPT OF OATH)

(To be handed over to the candidate by the authorised person)

Certified that .................................................... (name) a candidate for election to the ..........................

Legislative Assembly (*or Legislative Council) has made and subscribed the oath / affirmation as required
by the Constitution of India before me at my office at .......................... (hour) on .......................... (date).

............................................. Signature of authorised person

Date ..................................... Name, Designation and Seal

*Score out which is not applicable.

N.B.: This Form should be supplied to the candidates both in English and in the Official Language of
the State.

252
 FORM OF OATH OR AFFIRMATION
[SECTION 4 (A) OF THE GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF
DELHI ACT, 1991 (NO.1 OF 1992)]
(To be made by a candidate for election to the Legislative Assembly of the
National Capital Territory of Delhi)

I .................................................................................................... having been nominated as a candidate

to fill a seat in the Legislative Assembly do swear in the name of the God /Solemnly affirm that I will bear
true faith and allegiance to the constitution of India as by law established and that I will uphold the
sovereignty and integrity of India.

Signature and name in block letters

of the candidate

Sworn in the name of God/Solemnly affirmed by Shri/Shrimati ................................................................. at

............................................................................................. (Place) at ............................... (hour) this the
.............................................................. day of ............................... 200 ............................... before me.

Signature of authorised person

Name Designation and Seal

(CERTIFICATE FOR RECEIPT OF OATH)

(To be handed over to the candidate by the authorised person)

Certified that .............................................................................. (name) a candidate for election to the

Legislative Assembly of the National Capital Territory of Delhi has made and subscribed the oath /
affirmation as required by the Government of National Capital Territory of Delhi Act, 1991 before me at
my office at .......................... (hour) on .................................................... (date).

............................................. Signature of authorised person

Date ..................................... Name, Designation and Seal

N.B.: This Form should be supplied to the candidates both in English and in the Official Language of
the National Capital Territory of Delhi.

253
 FORM OF OATH OR AFFIRMATION
[SECTION 4 (A) OF THE GOVERNMENT OF
UNION TERRITORIES ACT, 1963 (NO.20 OF 1963)]
(To be made by a candidate for election to the Legislative Assembly of the
Union Territory of Pondicherry)

I .................................................................................................... having been nominated as a candidate

to fill a seat in the Legislative Assembly of Pondicherry do swear in the name of the God /Solemnly affirm
that I will bear true faith and allegiance to the constitution of India as by law established and that I will
uphold the sovereignty and integrity of India.

Signature and name in block letters

of the candidate

Sworn in the name of God/Solemnly affirmed by Shri/Shrimati ...........................................................................

at ................................................................................................................ (Place) at ......................... (hour)
this the .................................................. day of ......................... 200 ......................... before me.

Signature of authorised person

Name Designation and Seal

(CERTIFICATE FOR RECEIPT OF OATH)

(To be handed over to the candidate by the authorised person)

Certified that .................................................................................................... (name) a candidate for election

to the Legislative Assembly of Pondicherry has made and subscribed the oath / affirmation as required
by the Government of Union Territories Act, 1963 before me at my office at ......................... (hour) on
........................................................................... (date).

............................................. Signature of authorised person

Date ..................................... Name, Designation and Seal

N.B.: This Form should be supplied to the candidates both in English and in the Official Language of
the Union Territory.

254