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

Terms Used In North Dakota Code 16.1-11-09

    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                             election to be held on                             of this year.

Dated this                         day of                 .

at the forthcoming primary (signature of state or district chairman)