HANDBOOKS


HANDBOOK FOR PRESIDING OFFICERS

-PRESIDING OFFICER’S DIARY
ANNEXURE XV
(CHAPTER XXI)

1. Name of the constituency

---(in block letters):

2. Date of poll :

3. Number of the polling station :

---Whether located in-

---(i) Government or quasi-government building;

---(ii) Private building;

---(iii) Temporary structure;

4. Number of polling officers recruited locally, if any :

5. Appointment of polling officer made in the absence of duly

---appointed polling officer, if any, and the reasons for such appointment :

6. Number of ballot boxes used :

7. Number of paper seals used :

8. Number of polling agents and the number who arrived late :

9. Number of candidates who had appointed polling agents at the polling stations :

*10. (i) Number of assembly ballot papers issued according to

-------marked copy of the electoral roll :

------†Number of ballot papers actually issued at the polling station :

-----*(ii) Number of parliamentary ballot papers issued according

------to marked copy of the electoral roll :

-----†Number of ballot papers actually issued at the polling station :

Signature of first Polling Officer ----------------------------------------------------------------------------Signature of Polling Officer

in-charge of ballot papers

11. Number of electors who voted-

-----Men............................

-----Women .........................

-----Total .........................

12. Challenged vote-

------Number allowed ................

------Number rejected ...............

-----Amount forfeited Rs. ...........



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