North Dakota Code § 16.1-11-09

Form of certificate of endorsement
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A certificate of endorsement filed with the proper officer as provided in this chapter must be 
in substantially the following form:

CERTIFICATE OF ENDORSEMENT
I, ______________, do certify that I am the state (district) chairman of the 
______________ political party of the ______________ legislative district (if appropriate) of 
the state of North Dakota and that ______________ (insert name of endorsee), residing at 
____________, whose nongovernment issued electronic mail address is ______________, 
was duly endorsed for nomination to the office of ______________ on the 
______________ day of __________, by the ______________ political party of the 
______________ legislative district (if appropriate), duly convened and organized in 
accordance with the bylaws of the ______________ political party and the laws of this 
state, and do hereby request ______________ name be printed upon the ballot as a 
candidate for nomination to the office of ______________ at the forthcoming primary 
election to be held on ______________ of this year.
Dated this ____________ day of _________.
_________________________________________
(signature of state or district chairman)

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