Karnataka Chapter
Indian Association of Pathologists
and Microbiologists
KC-IAPM
Nomination Form for Election to Executive Posts
Vice President  ·  Joint Secretary  ·  Joint Treasurer
2026
10 May Announcement
31 May Nominations Close
23–27 Jun Voting Period
3 Jul Vote Counting
Aligned Election Timeline 2026
Announcement & Call for NominationsSunday, 10 May 2026
Last Date for Receipt of NominationsSunday, 31 May 2026
Scrutiny of NominationsBy Friday, 5 June 2026
Last Date for Withdrawal of NominationsWednesday, 10 June 2026
Finalization & Publication of Candidate ListFriday, 12 June 2026
Voting OpensMonday, 23 June 2026 — 9:00 AM
Voting ClosesFriday, 27 June 2026 — 5:00 PM
Counting of Votes (EC Meeting)Friday, 3 July 2026

Instructions to Candidates

  • Email submissions only. All applications must be submitted via email. No physical copies or in-person submissions will be accepted.
  • Send your completed nomination form to:
  • CC your Proposer and Seconder in the same email. Both must be copied — nominations without this will be considered incomplete.
  • The Proposer and Seconder must each send individual reply emails to secretary@kciapm.org confirming their proposal and seconding of the nomination respectively. Nominations without confirmed replies from both will not be considered valid.
  • All fields are mandatory. Incomplete forms will be rejected.
  • Candidates must meet all eligibility criteria as outlined in the KC-IAPM Election SOP, aligned with national IAPM bylaws.
  • Attach a biodata not exceeding one A4 page — qualifications, contributions to pathology/microbiology, and KC-IAPM/IAPM activities.
  • Digital signatures are accepted. Candidates, Proposers, and Seconders may affix digital signatures on this form before emailing.
  • Deadline: 31 May 2026. Late submissions will not be considered under any circumstances.
Important — Email Confirmation Process:
After sending your nomination email (with Proposer & Seconder CC'd), the Returning Officer will acknowledge receipt within 24 hours. Your Proposer and Seconder must reply to that email thread individually — one reply each — explicitly confirming their role. A nomination is only deemed complete once both confirmation replies are received before the deadline.
1
Details of the Candidate

* Joint Secretary and Joint Treasurer for the 2026–27 term will serve 1 year, thereafter 3 years as per revised election process.

2
Eligibility Criteria — Tick All That Apply

Tick each criterion you confirm satisfying. All applicable criteria for your chosen post must be ticked. False declarations will result in disqualification.

A. Common Criteria — Applicable to ALL Posts Every candidate must tick all criteria in this section regardless of post applied for.
B. Vice President — Additional Criteria Complete this section only if applying for Vice President. Tenure: 1 year from 1 January 2027.
C. Joint Secretary — Additional Criteria Complete this section only if applying for Joint Secretary. Must be based in Bangalore or nearby area.
D. Joint Treasurer — Additional Criteria Complete this section only if applying for Joint Treasurer.
3
Candidate Declaration & Signature
I, , hereby confirm my willingness to stand for election to the position of in KC-IAPM. I declare that:

▸  All information provided in this form is true, accurate, and complete to the best of my knowledge.
▸  I meet all eligibility criteria as per the KC-IAPM Election SOP and national IAPM bylaws.
▸  I agree to abide by the KC-IAPM Election SOP, the results of the election, and the national IAPM bylaws.
▸  I understand that any false declaration will render my nomination void and may lead to disciplinary action.
▸  I will not be overseas for more than 3 months during my tenure if elected.
Candidate Signature *
Candidate signature
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Upload a photo or scan of your handwritten signature. Transparent PNG works best.

4
Details of Proposer

The Proposer must be a KC-IAPM Life Member with at least 5 years of uninterrupted membership and no outstanding dues. Must not be related to the candidate. The Proposer must be CC'd in the nomination email and must send an individual reply email confirming their proposal.

I confirm that I am a life member of KC-IAPM with no outstanding dues, and I hereby PROPOSE for the position of in the KC-IAPM 2026 elections. I will send an individual reply email to secretary@kciapm.org confirming this proposal.
Proposer Signature *
Proposer signature
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Upload a photo or scan of the Proposer's handwritten signature.


5
Details of Seconder

The Seconder must be a KC-IAPM Life Member with at least 5 years of uninterrupted membership and no outstanding dues. Must not be related to the candidate or Proposer. The Seconder must be CC'd in the nomination email and must send an individual reply email confirming their seconding.

I confirm that I am a life member of KC-IAPM with no outstanding dues, and I hereby SECOND the nomination of for the position of in the KC-IAPM 2026 elections. I will send an individual reply email to secretary@kciapm.org confirming this seconding.
Seconder Signature *
Seconder signature
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Upload a photo or scan of the Seconder's handwritten signature.

6
Submission Checklist

Tick each item to confirm it has been included/done before emailing your nomination.

For Office Use Only — Do Not Fill
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