Nominating petitions shall be in substantially the following form and the information thereon shall be verified by the county election commission:
We, the undersigned registered voters of the state of Tennessee and members of the (respective) party, hereby nominate (candidate's name), (address) of County, as a candidate for delegate to the national convention of the (respective) party to be voted in the presidential preference primary election to be held on the day of March. We request that the above nominee's name be printed on the official ballot as a candidate for delegate (at large) or (from the congressional district).