North Dakota Century Code Title 16.1. Elections § 16.1-12-02.1. Applicant's name placed upon ballot--Affidavit to accompany petition

Upon receipt by the secretary of state of the certificate of nomination provided for in section 16.1-12-02 accompanied by the following affidavit, the secretary of state shall place the applicant's name upon the general election ballot.  The affidavit must be substantially as follows:

I, __________, being sworn, say that I reside at __________, in the city of __________, in the county of __________, state of North Dakota;  and zip code of __________;  that I am a candidate for nomination to the office of __________ to be chosen at the general election to be held on __________, __________, and I request that my name be printed upon the general election ballot as provided by law, as a candidate of __________ 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.