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Compiled by: Ranjan M


(www.ranjanm.com)

  
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Compiled by: Ranjan M


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Compiled by: Ranjan M
(www.ranjanm.com)

  
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Compiled by: Ranjan M


(www.ranjanm.com)

  
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Compiled by: Ranjan M


(www.ranjanm.com)

  
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Compiled by: Ranjan M
(www.ranjanm.com)

  
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shall not (except for some purpose authorized by or under any
law) communicate to any person any information calculated to
violate such secrecy.
(2) Any person who contravenes any of the provisions of
subsection (1) shall be punishable with imprisonment for a term
which may extend to three months or with fine or with both.

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Compiled by: Ranjan M
(www.ranjanm.com)

  
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Compiled by: Ranjan M
(www.ranjanm.com)

  
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Compiled by: Ranjan M


(www.ranjanm.com)

  
 - 
Use of Different Numbered Items
Item

Sl No / No

Use

Paper seals
a.
b.
c.
d.
e.
f.

Ballot Boxes
a. GP
b. PS
c. ZP
d. .

Ballot Papers
GP (White)

Received
Violated
Refused to Sign
Returned
Spoiled
Tendered
Received
Violated
Refused to Sign
Returned
Spoiled
Tendered
Received
Violated
Refused to Sign
Returned
Spoiled
Tendered

Cancelled
Tendered
PS (Pink)
Cancelled
Tendered
ZP (Yellow)
Cancelled
Tendered

VOTER TURN OUT REPORT


Time
08:00 am
09:00 am
10:00 am
11:00 am
12:00 Noon
01:00 pm
02:00 pm
03:00 pm
04:00 pm
05:00 pm
End

Total Polled

Male

Female

EPIC

Non-EPIC

Compiled by: Ranjan M


(www.ranjanm.com)

  
 - 

 # 9
*  
BIG COVERS 7 (A to G)
A. SPECIAL COVER
1. Cover Ballot Paper Account
2. Cover Paper Seal Account
3. Cover Declaration of Poll Start
4. Cover Declaration of 2nd Box
5. Cover Declaration of Poll End
6. Cover Presiding Officers Diary

x3 (tier) x2 (S & US) = 6 (+ Agents Copy)


x2 (Godrej Box) x1 (S)
x1 (US)
x1 (US)
x1 (US)
x2 (S & US)
S = Sealed, US = Unsealed

B D. STATUTORY COVER x 3 (tiers) Respective tiers only


1. Cover Marked copy of electoral roll
2. Cover USED Counterfoils only (vote & tender vote)
3. Cover UNUSED Signed ballot bundle (with Counterfoils)
4. Cover UNUSED Unsigned ballot bundle (with Counterfoils)
5. Cover USED Tender ballots + Form 17 (list of tendered votes)
6. Cover CANCELLED ballots (Refused to sign, Violated, Returned, Spoiled, Defect)
E. NON-STATUTORY COVER
1. Cover Other copy of electoral roll
2. Cover Appointment letters of agents in Form 10
3. Cover List of Challenged Voters in Form 15
4. Cover List of Blind & Infirm Voters in Form 16 & Annexure X
5. Cover Form for Age Declaration (Annexure III) & list
6. Cover Receipt Book & Cash if any for Challenged votes
7. Cover Unused & damaged paper seals
8. Cover Unused Voters slips.
F. 3RD PACKET
1. Handbook of Presiding Officer
2. Indelible Ink set & Cup
3. Pusher & Metal scale
4. Stamp Pads
5. Metal seal for Presiding Officer
6. Arrow Cross Mark Stamps
7. Distinguishing Mark Stamp
G. 4TH PACKET
1. Used voters slip (preserved by 3rd PO)
2. Remaining Items if any

OTHER ITEMS WITHOUT COVERS


1. Used & Unused BALLOT BOXES
2. Lantern & Voting Compartment Materials
3. Polythene or Gunny Bag supplied for carrying materials
4. Waste Paper Basket
Compiled by: Ranjan M
(www.ranjanm.com)

  
 - 
PANCHAYAT FORMS
Form -A

Order.

Form - A1

Order.

Form - B

Order.

Form - B1

Order.

Form - 1

Notice of Election.

Form- 2

Nomination paper.

Form 3

Notice of nomination.

Form 4

List of Validly Nominated candidates.

Form 5

Notice of withdrawal by the candidate.

Form 6

Notice of withdrawal by the candidature.

Form 7

List of Contesting Candidates.

Form 7A

Candidate's Identity card.

Form 8

Appointment of Election Agent.

Form 9

Revocation of appointment of Election Agent.

Form 10

Appointment of polling/counting agent.

Form 11

Revocation of appointment of polling/counting agent.

Form 12

Declaration of election when seat is uncontested.

Form 13(1)

Ballot paper (GP level, 1 column)

Form 13(2)

Ballot paper. (GP level, 2 Column)

Form 13A

Ballot paper. (PS Level)

Form 13B

Ballot paper. (ZP level)

Form 14

Application for casting vote by person on election duty.

Form 15

List of challenged votes.

Form 16

List of blind and infirm voters.

Form 17

List of Tendered votes.

Form 17A

Register of voters.

Form 18

Ballot paper account.

Form 18A

Ballot paper account for EVM

Form 19

Counting sheet for election duty votes

Form 19A

Counting sheet

Form 20

Counting sheet

Form 21

Result sheet

Form 23

Declaration of result

Form 24

Certificate of election

Compiled by: Ranjan M


(www.ranjanm.com)

  
 - 
  / %*    
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Sl
1
2
3
4
5
6
7
8
9
10
11

Paper/Form
Address Tags
Passes for Polling Agents & Form 10
Presiding Officers Diary
Declaration of Commencement by PrO (Anx IV)
Declaration for Sub. Ballot box (Anx IVA)
Declaration at End of Poll (Anx V, Part I)
Declaration after Ballot Box sealing (Anx V, Part II)
Form for Companion for B & I Voters (Anx X)
List of Challenged Votes (Form 15)
List of Tendered votes (Form 17)
List of Blind & Infirm Voters (Form 16)

12 Ballot paper Account (Form 18)


13 Paper Seal Account (Form)
14 Age Declaration by elector (Anx III)
15 List of elector voted after age declaration

GP
3

PS
ZP
In Total
3
3
9
Max = Cand x 3 tier x 3
2 (S+US)
1 (US)
If any
1 (US)
1 (US)
1 / Voter
1 / Voter
1 / Voter
1 / Voter
Max = Agent + 2
(S + US)
2 (S+US)
1 / Voter
1 / Voter

S = Sealed, US = Unsealed



 '
Sl
A
1
2
3
4
B
5
6
7
8
9
10
C-E
11
12
13
14
15
16
17
18
F
G

To Put in
SPECIAL BIG COVER
Ballot Paper Account
Paper Seal Account
Declaration by Presiding
Presiding Officers Diary
STATUTORY COVER BIG
Marked Copy of Electoral Roll
Counter foils for Used incl. tendered
Signed but unused ballot paper with Counterfoils
Unsigned unused ballot papers with Counterfoils
Used Tendered Ballot Papers & Form 17
Cancelled Ballot Papers
NON-STATUTORY COVER BIG
Other Copy (unmarked) of Electoral Roll
Appointment letters of Polling Agent i.e., Form 10
List of Challenged Voters i.e., Form 15
List of Blind & Infirm i.e., Form 16 & Companions declaration
Declaration of Age (Annexure III)
Receipt books & Cash
Unused & damaged paper seal
Unused Voters Slip (from 1st PO)
3RD PACKET
4TH PACKET

No(s)
1
6
2
1/4
2
1
3/1/4
3/1
3/1
3/1
3/1
3/1
3
1
1
1
1
1
1
1
1
1
1
45 / 10 / 4
Compiled by: Ranjan M
(www.ranjanm.com)

  
 - 
5rk / * ' 
  



's 5rk / * ' 

#,-

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 d EPIC o Non-EPIC 

n ' h / * ,



 
Compiled by: Ranjan M
(www.ranjanm.com)