Candidate Oath GanjuCANDIDATE OATH,
NONPARTISAN OFFICE
l
03-03-23A 11 :34 RC VD �
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a
write-in candidate:
❑ write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, Deepak Ganju ,
(Print name above as you wish it to appear on the ballot. if your last name consists of two or more names but has no
hyphen, check box ❑ (see page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of Miami Shores Village council ,
(Office) (District #)
;I am a qualified elector of Miami -Dade County, Florida;
(Circuit #) (Group or Seat #)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office
I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number (located on your voter information card): 109920690
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write-in candidates.]
dee pak ganju
�X
�e(786) 210-3547 dganju@earthlink.net
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Signature of Candi&te Telephone Number Email Address
10400 NE 5th Ave Miami Shores L 33138
Address City State ZIP Code
/I
STATE OF FLORIDA _,Zv
Signatu7Notary
{� �
COUNTY OF �� Ulin — 1)131, Print, Typmissio ed Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence Ysabely Rodriguez
this day of i 20tO. Comm.: 3�68.
v m
3Expires: November 3U, 3036
Personally Known ❑ OR Produced Identification I� Public • state flt Fla
Type of Identification Produced: XIVY 1 Cease
DS-DE 302NP (Rev. 0812021) Rule 1S-2.0001, F.A.C.