§ § 16.1-11-10Applicant's name placed upon ballot - Affidavit to accompany petition.

Upon receipt by the secretary of state of the petition or certificate of endorsement provided
for in section 16.1-11-06 accompanied by the following affidavit, the secretary of state shall
place the applicant's name upon the primary election ballot in the columns of the applicant's
party as provided or within the no-party office for which the applicant desires nomination. Upon
receipt by the county auditor of the petition provided for in section 16.1-11-11 accompanied by
the following affidavit, the county auditor shall place the applicant's name upon the primary
election ballot within the no-party office for which the applicant desires nomination. The affidavit
may be filed electronically, through the mail, or by personal delivery. However, the affidavit must
be in the possession of the appropriate filing officer before four p.m. on the sixty-fourth day
before the primary election. If the affidavit is filed electronically, the candidate shall retain the
original copy. The affidavit must be substantially as follows:
State of North Dakota )
) ss.
County of ________ )
I, ______________, being sworn, say that I reside at ________________, in the city of
_______________, in the county of ______________ of North Dakota; and zip code of
________________; that I am a candidate for nomination to the office of _____________ to
be chosen at the primary election to be held on _____________, ______, and I request that
my name be printed upon the primary election ballot as provided by law, as a candidate of
the ______________ party for said office. I am requesting that my name be listed on the
ballot as I have identified my ballot name below. I understand that nicknames are allowed
as part of my ballot name, but titles and campaign slogans are not permissible. I have
reviewed the requirements to hold office and I certify that I am qualified to serve if elected.
_______________________________________
Ballot name requested
_______________________________________
Candidate's signature
Subscribed and sworn to before me on ______________, _____.
________________________________________
Notary Public
NOTARY SEAL My Commission Expires ____________________