🗳️ Nomination Entry
West Bengal Legislative Assembly General Election – 2026
A. Identification of Nomination
Identification No. of Nomination Paper
Assembly Constituency for Nomination
Select AC
252 Bankura
254 Onda
Date
Time (HH:MM)
B. Candidate Details
Name of Candidate (ENGLISH)
প্রার্থীর নাম (বাংলা)
Relation (ENGLISH)
-- Select Relation --
FATHER
MOTHER
HUSBAND
OTHER
Name of Father / Mother / Husband (ENGLISH)
সম্পর্ক (বাংলা)
-- সম্পর্ক নির্বাচন করুন --
পিতা
মাতা
স্বামী
অন্যান্য
পিতা / মাতা / স্বামীর নাম (বাংলা)
Date of Birth
Age
Gender
-- Select Gender --
MALE
FEMALE
TRANSGENDER
C. Address
Address (ENGLISH)
ঠিকানা (বাংলা)
D. Contact & Identity
Mobile No.
Email ID
PAN
EPIC No.
E. Electoral & Party Details
Parliamentary Constituency (PC)
Select PC
Assembly Constituency (AC)
Select AC
Polling Station
Serial No.
Party Affiliation (English)
Select Party
পার্টির নাম (বাংলা)
F. Proposers (Electoral Roll Details)
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➕ Add 9 Proposers
#
Name of Proposer
AC
PS
Sl. No.
1
G. Oath & Ballot Paper Details
Oath ANN-13
Select
Yes
No
Name as demanded for Ballot Paper (English)
নির্বাচনী ব্যালটে নাম (বাংলা)
H. Symbol Preference
Choice of Symbol – 1
Choice of Symbol – 2
Choice of Symbol – 3
I. Form A / Form B Submission
Date of Submission of Form A
Time of Submission of Form A
Date of Submission of Form B
Time of Submission of Form B
Whether Main / Substitute
Select
Main
Substitute
J. Election Agent Details
Name of Election Agent
Mobile No. of Election Agent
Email of Election Agent
Address of Election Agent
K. Form-26 Scrutiny Checklist
Point 5 & 6 Status of Form-26
Select
Complete
Incomplete
Date of Form-26 Submission
Filled in Correct Format?
Select
YES
NO
All Columns Filled?
Select
YES
NO
If No, Blank Columns
Affidavit Sworn Properly?
Select
YES
NO
Each Page Signed?
Select
YES
NO
Notary / Oath Stamp?
Select
YES
NO
No Dues Certificate Produced?
Select
YES
NO
Whether C-8 Received?
Select
YES
NO
L. Decision After Scrutiny
Decision
Pending
Accepted
Rejected
Withdrawn
Date of Withdrawal (if any)
Time of Withdrawal
Final Symbol Allotted (English)
চূড়ান্ত প্রতীক (বাংলা)
Upload Final Symbol (JPEG)
M. C-1 Publication
C-1 Publication (Up to 13-05-2024)
YES
NO
C-1 Publication (14-05-2024 to 17-05-2024)
YES
NO
C-1 Publication (18-05-2024 to 23-05-2024)
YES
NO
N. Uploads
Candidate Photograph (JPEG)
Election Agent Photograph (JPEG)
Signature of Candidate (JPEG)
Signature of Election Agent (JPEG)
Affidavit (PDF)
O. GENERA REMARKS
Remarks
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