Kerala LSG Election..Check list for nomination..can be used AS FACE SHEET FOR EACH NOMINATION

1. cDoocrild€qca .Jgl'le cruIoo'ldo(d, qprodlo o-n'lccraoo:cn - ooJ€o" gncsf
cnroccncdoril cruod.kilq .-,:gilooqos
t." ()36)9Co)36TD
3.
6.
cD r € cDf, s & o orn-ooxlo>1l o ot cru mo'l cn cDocD J € 6rDl ?
o6)6QQo s-{oE
(GIa6)CD /
4.
cn:accncdamll <ord€colocrlmodoocgs cllo<fl Glag3oCIDcrD" go*J
gorn"
cralololcojli€6rnl ?
cnooco'lt'de gca .lgilocord cmoccnccdorilqu, mcocnlcdeqcnocno ^ ^^^.
cn:ldeqcn'loooqJs cruoelenolad e4.f eool.o.U$<lrorlcoiltre6rB3 ? o6113
cmoccncdcoxiloco ffD" 6rucnr:1 o1 oilcroasncd eclcacd,l$oq;rocd
.""-
ooro> ccncoojl€cD3 ?
cncocnlcdeqcnocoocco'l cn>arcm:1-q oilcroarncrd ecrca<
.r$oqroccojl orm ccocooj'lecoc ?
" GIao()
cncocnldeqcnocrE cnroccocdoril ocrdm>o'loo:cro
G.lag
pg
sg
clag
GIag
, ecrcgd.,:$ooryos cru3eqog;.t 1-
cruoocDcdcaril .,ocmocoejlcoi3eernc t
Grdo(o / (3lag
(.LlffD6(CDGOCro
po].i sg
pgecrLcad,r$oqrers cru3681lorugorolo @cru€(1)c3ao ^_.
B. cncocr:lldegcraocrd .rocsocoofloilgeoni"c ?
g*
cmnccocdco:n'l 0o83(]] cdl c colo soo em-o goro'l o or
crumo'l clccooocnc cojlo' l d6r oq)o, <oooil g o olo e crLc gcd.'-r$ oqro s
crD3esJocggoolco €cd5'x cruod.p[loiSolgoocoeelcd €o-of,oo
e. "Ocrd-r "Jcol,ill.oj
mndoloofltreornc z Grocol<>'lcri <acruloi
crcaarflco5ltre6rrc ? I sl ocrulo' m:ocnldegcra .,lgilo€aDcosog" g618"
c-o-rdcno" oo.el6rD")
cmoccnctdaao'l
lo. oojqilSeorac t
cn oleJ(,lp6r()€cD3, gcus@<>'lp6ro€*a
g*n
lt.
cruo56l<>beio,, gcw@Joleoo ootogil$gcotcoleejlad €o-03oo
^-,
.,Ocrd-z mttilejl ocrulcl' clcanflcoitreernct fs1 ,acrulo'
Qffi
m'oocnlde qua otqilo€co>3osorH" c-o-tdoro' oo,B] 6rDo)
cru<464>1p6yt>o 7 gcusq.rcil SoornasJl<rd
<GrdkJ&3<a"
Qffi
oorqilgorerr<cro" ocerolloeicrn crud$"nloop" cn:nccocdoriloo"
m<ilelloofl3e6rtr ?
pg
@g
/@g
t2.
/pg

2. o(()Go6rol(Dsckl oolo.Jq 66rD66lOC/d Cru"6rxcn'lo'
t3. " oldglcrrdeqcnq., c,_t$eoary" cmo:coct"daxiloo" mcrdejlcox>'lcri porn" / Pg
ecnfl<l' crca, flo13e6rn3 ?
mcacn'lcdegcn "-l@1o crunoefu<iloo{ ocrulo',
cr!.S"lc1€ua3q)cD cDsgpcrn cruoslo, olcoxo'l o6yrrncl pcn" / pg
t4'
ocordloo:cm emcglcru" cnrmcncdaon'16o" cDdojl€cD3 ?
.a]i..* aaracoclcfloorrn olcoxo',lq;" cruoolq. ago-ilq{€6lcrDu e6rc" / pg
15. ecncalcn:' cmoccoccdaldloo" cncdojl€cD3 ?
cn:occocdcmll cn'leo,e,,l @6 oo$oclo;1tr€6rrc 7 <ooorgaeil<rd
e6 tc'nsqo1oof, ocn:lal' <roaJo<lo> cncoco'lcdeqrd P6rB" / gg.
l6
.lqiloecollos3il",rocmoloojlcoileern: i
cn'lco,e..-l Qe> " w43-l2l-94-,llerotcco'roro>1.l€al€6loo cnrncmccdcoroi'l
tl. o€rr$ cJefrD cn'lcoe.,-t"' oOCrD ooocul" acoo" <sraoorerrflod enocO / GIag
Gro€6rD3 talasdSooo' u
,l$omco'l / a)$ocldc4 oilc;:cn<IoJl<ilor.il5
cnro:cncd<m'lcoooorna=ilcrd oo$clE;crn poco5lad @scx"
lB. s.rcc'l€6lcrD<llcotootcco'l oocrd c.t$omco1 7 .l31ocltdc4 Oonr" / Pg
ojleccnoo'lardorqg5coce3o6rD$D" cloorncur'locta'loco>
€ 6rmoloqJgcro'lcoiSeornc z
oi*., cncocn''lcdegcn .lqiiocoilry qrommrd, cru-floo'lq
19. ^
.-__-r__ ._:^ -_ _ " pmn / Ag
crDocD"
"6cro1cl
eoorroq3gcx>1eoc ?
N.B cn:oomcdano'l cn:o5q1oleorc>Tgcusq;<dleoro cnoocnlcdegcn
"tqllo cruocd.p[loelcro cn;oo>oro"
orotqfl$gctoflo'looocgr" <sroCID((D' oorq>ornoocrocoi cnxalcn-r:1gi €6:3eo rr <d agon"${lgee .
emc5lcrg cnrodo,ocgr. o-otq;flgee m>c"crotc6crlo1<rd cqog"t<a'lec/dlocr&1" aao cflcrLcn> qodo"-roilqy
crucir5qloleeloTgo-rsq;o'leoro oo-rq>3clood cnrocmcdoxil 6orlar5cruocD3dD".