1.fmw Agplcl fa ecnL 1 fmw Agplcl fa ecnL

2. LR eae ecnL LR eae ecnL 3. VVPAT kV LR ec iVNqZ Lc EVM-Hl pqkN k qph hhqa qa flz HC k hhqll gm iVl ayl cJu iV eSl fRcl fb fm Le a HLV R Screen-Hl jdj kQC Lll pkN fhez Voters' Verifiable Paper Audit Trail (VVPAT) (Order No. 3/1/2013/VVPAT/SDR dated 15/10/2013) VVPAT kV LR ec iVNqZ Lc EVM-Hl pqkN k qph hhqa qa flz HC k hhqll gm iVl ayl cJu iV eSl fRcl fb fm Le a HLV R Screen-Hl jdj kQC Lll pkN fhez 4. EVM jne fVl hhql Ll Recorded Vote kQC Lll Se ECI-Hl 14/08/2013-l Notification l The Conduct of Election Rules-1961-H LR fljSe Ll quRz HLCih 17-C Form-H iV NqZ Lc iVl qph al Ll J NZel Se The Conduct of Election Rules 1961-H LR fljSe Ll quRz VVPAT hhqll gm ec flhae : EVM jne fVl hhql Ll Recorded Vote kQC Lll Se ECI-Hl 14/08/2013-l Notification l The Conduct of Election Rules-1961-H LR fljSe Ll quRz HLCih 17-C Form-H iV NqZ Lc iVl qph al Ll J NZel Se The Conduct of Election Rules 1961-H LR fljSe Ll quRz 5. VVPAT k hhql qL h e qL, fljSa 17-C Form-V pLm iV NqZ LcC hhqa qhz (ECI Letter No. 3/1/2013/VVPAT/SDR dated 15/10/2013) VVPAT hhqll gm ec flhae : VVPAT k hhql qL h e qL, fljSa 17-C Form-V pLm iV NqZ LcC hhqa qhz (ECI Letter No. 3/1/2013/VVPAT/SDR dated 15/10/2013) 6. Representation of People's Act-1951-Hl fljSel gm Rule 41(2), 41(3) Hhw 49-0 l f pkN Bl bLR ez Rule 49-0 l f pkNl hcm kc Le iVl 17-A Register-H pq Lll fl iV ce hla bLa Qe pr Remarks Column-H Left without Voting Abh Refused to Vote LbV mMa qh Hhw 17-C Form-Hl Part-l-Hl Item ew 3 a ayl EM Lla qhz iVll cJu Test Vote-V ec Candidate-Hl fr 17- C-Hl Part-1-H Item-5-H EMa qhz NOTA OPTION Hhw VVPAT Bpl gm Blfa flhae : Representation of People's Act-1951-Hl fljSel gm Rule 41(2), 41(3) Hhw 49-0 l f pkN Bl bLR ez Rule 49-0 l f pkNl hcm kc Le iVl 17-A Register-H pq Lll fl iV ce hla bLa Qe pr Remarks Column-H Left without Voting Abh Refused to Vote LbV mMa qh Hhw 17-C Form-Hl Part-l-Hl Item ew 3 a ayl EM Lla qhz iVll cJu Test Vote-V ec Candidate-Hl fr 17- C-Hl Part-1-H Item-5-H EMa qhz 7. hmV ffl "None of the above" Option-V ejmMa lf fcna qh : "None of the above" nm, k iVl amLl iou Candidate-Hl ej mM BR pC HLC iou Ballot Paper-Hl Efl Print Ll bLhz NOTA OPTION-H cJu iV Valid Vote qph fkS qh e, AaHh HC Vote Le fbl SjeakN Ab glv cJul r hhQa qh ez NOTA OPTION Bpl gm Blfa flhae : hmV ffl "None of the above" Option-V ejmMa lf fcna qh : "None of the above" nm, k iVl amLl iou Candidate-Hl ej mM BR pC HLC iou Ballot Paper-Hl Efl Print Ll bLhz NOTA OPTION-H cJu iV Valid Vote qph fkS qh e, AaHh HC Vote Le fbl SjeakN Ab glv cJul r hhQa qh ez 8. iV NqZl fhl ce (P-1 day) 88 iV NqZl fhl ce (P-1 day) 9. iV NqZl fhl ce hm 8Vl jd ec XVhEne LEVl Efa qu Aepe Lcl pqk XLXw mV bL Bfel fmw fVl Se iVNqZ Lcl el J ej pecih Se eez 9 iV NqZl fhl ce hm 8Vl jd ec XVhEne LEVl Efa qu Aepe Lcl pqk XLXw mV bL Bfel fmw fVl Se iVNqZ Lcl el J ej pecih Se eez 10. Bfel cm je lMhe, HLSe fpCXw Agpl Hhw aeSe fmw Agpl RsJ, HLSe Ljl BdLlL J jC AhSlil Bfel cuaf iVNqZ Lcl Se ec bLa fle z 10 Bfel cm je lMhe, HLSe fpCXw Agpl Hhw aeSe fmw Agpl RsJ, HLSe Ljl BdLlL J jC AhSlil Bfel cuaf iVNqZ Lcl Se ec bLa fle z 11. Bfel jhCm el lSne Lle e LEVl bLz 11 Bfel jhCm el lSne Lle e LEVl bLz 12. Aaxfl E iVNqZ Lcl Se ec LEVl bL pLm iVNqZ pjN pwNq Lle z LEVl bL fc amLl p jmu cM ee k, amLu EMa pLm iVNqZ pjN kbkb pwMu fuRe Le z 12 Aaxfl E iVNqZ Lcl Se ec LEVl bL pLm iVNqZ pjN pwNq Lle z LEVl bL fc amLl p jmu cM ee k, amLu EMa pLm iVNqZ pjN kbkb pwMu fuRe Le z 13. EMkN iVNqZ pjNpjq 1313 EMkN iVNqZ pjNpjq 14. ehQL amL :- faV hb iVNqZl Se ehQL amLl HLV Marked Copy J cV Working Copy cJu qh z kQC Ll cM ee k, fc ehQL amLm pwn iVNqZ Lcl Le Hhw phLV Lf h Aelf Le z 14 ehQL amL :- faV hb iVNqZl Se ehQL amLl HLV Marked Copy J cV Working Copy cJu qh z kQC Ll cM ee k, fc ehQL amLm pwn iVNqZ Lcl Le Hhw phLV Lf h Aelf Le z 15. ehQL amLl Efl mNe Check Slip Aeku jV f kbkb pwMu Hhw pWL j BR Le cM ee z 15 ehQL amLl jm Awn (Mother Roll) J pwkSa pfjV ml fV ew Aelf Le z 16. je lMhe k, faV jLX Lfa, Supplement- pwndel Se Mother Roll- ehQLl ejl jL pwMl hycL mm Lma lhl Vf cu # Qq Ll bLh k A.R.O-l rl Hhw pm l faua Ll bLh z 16 je lMhe k, faV jLX Lfa, Supplement- pwndel Se Mother Roll- ehQLl ejl jL pwMl hycL mm Lma lhl Vf cu # Qq Ll bLh k A.R.O-l rl Hhw pm l faua Ll bLh z 17. Aelf, Supplement-H Ai huSel r Mother Copy-a pwn iVll ejl Mf LeLeih (DELETED) LbV Rubber Stamp-Hl pqk LeLeih Rf cJu bLh k A.R.O-l rl Hhw pm l faua Ll bLh z 17 Aelf, Supplement-H Ai huSel r Mother Copy-a pwn iVll ejl Mf LeLeih (DELETED) LbV Rubber Stamp-Hl pqk LeLeih Rf cJu bLh k A.R.O-l rl Hhw pm l faua Ll bLh z 18. HRs, k pLm iVLjL acl Bhcel ia Postal Ballot or Election Duty Certificate issue Ll quR, ehQL amLu acl ejl ec Mf P.B. or E.D.C. LbV ARO-l pm J pq l faua bLhz 18 HRs, k pLm iVLjL acl Bhcel ia Postal Ballot or Election Duty Certificate issue Ll quR, ehQL amLu acl ejl ec Mf P.B. or E.D.C. LbV ARO-l pm J pq l faua bLhz 19. lglm CjS pV :- Qs ehQL amL fLna qJul fl EPIC Correction-Hl Se Rh amRe Hje iVll Rhpq amLL lglm CjS nV hm quz HC amLV ehQL amLl p pwkSa bLaJ fl kc HClLj iVl Le hb bLe z HC lglm CjS nV pwn iVll ej, hup, Rh, pfLa hl ej Hhw al p iVll pfL Cac abm bLh z 19 lglm CjS pV :- Qs ehQL amL fLna qJul fl EPIC Correction-Hl Se Rh amRe Hje iVll Rhpq amLL lglm CjS nV hm quz HC amLV ehQL amLl p pwkSa bLaJ fl kc HClLj iVl Le hb bLe z HC lglm CjS nV pwn iVll ej, hup, Rh, pfLa hl ej Hhw al p iVll pfL Cac abm bLh z 20. ANNEXURE XVI ANNEXURE XVI SAMPLE OF REFERRAL IMAGE SHEET JGL0001567 20 21. AXnem Cegljne pV (A.I.S.) :- k pLm iVll ej Postal Ballot Issue Ll quR, lVlew Agpll rl pma acl ejl HLV fbL amL Additional Information Sheet qph ehQL amLl no pwkSa bLh z 21 AXnem Cegljne pV (A.I.S.) :- k pLm iVll ej Postal Ballot Issue Ll quR, lVlew Agpll rl pma acl ejl HLV fbL amL Additional Information Sheet qph ehQL amLl no pwkSa bLh z 22. iVw jne (Ballot Unit & Control Unit) 22 iVw jne (Ballot Unit & Control Unit) 23. Display Section Candidate Set Section Power on Lamp (Green) Busy Lamp (Red) 1)LVm CEeV 23 Candidate Set Section Result Section Ballot Section 24. Inter Connecting Cable 2) hmV CEeV 24 Inter Connecting Cable Cable Connector 25. Address Tag -H EMa iVNqZ Lcl ew J ej cM kQC Ll ee k pV Bfel iVNqZ Lcl Se ec Le z HRs Address Tag -H EMa jne ew Hhw Current I.D. ell p jnel Nu mNe phS lPl Adhesive Sticker -H EMa jne ew Hhw Current I.D ew jmR Le a flr Ll eez 25 Address Tag -H EMa iVNqZ Lcl ew J ej cM kQC Ll ee k pV Bfel iVNqZ Lcl Se ec Le z HRs Address Tag -H EMa jne ew Hhw Current I.D. ell p jnel Nu mNe phS lPl Adhesive Sticker -H EMa jne ew Hhw Current I.D ew jmR Le a flr Ll eez 26. LVm CEeV -Hl LpV pLne Hhw hmV CEeVl c- f kbkbih Returning Officer -Hl pml pqk pmLl BR Le a flr Ll ee z 26 LVm CEeV -Hl LpV pLne Hhw hmV CEeVl c- f kbkbih Returning Officer -Hl pml pqk pmLl BR Le a flr Ll ee z pCX pCQV HL el e BR Le cM ee (kc HLV j hmV CEeV hhql Ll qu)z 27. Ready Lamp Green Slide Switch window Candidates Button 27 Inter connecting Cable Candidates Button Candidates Lamp Ballot Paper Screen 28. Hlfl LVm CEeV Hhw hmV CEeVl jd pwkN fe Ll Hhw fJul pCQ Ae Ll cM ee k jneV WLja pQm Le, Aa:fl pCQV je Ll Ag Llez 28 Hlfl LVm CEeV Hhw hmV CEeVl jd pwkN fe Ll Hhw fJul pCQ Ae Ll cM ee k jneV WLja pQm Le, Aa:fl pCQV je Ll Ag Llez 29. eLm hmV CEeV (Dummy Ballot Unit) :- hmV CEeVl HLV h falf, k fQhXl Efl mNu eLm hmV CEeV qph iVNqZ Lc hhqa qh z Sp h Aepe iVlL hmV CEeVl jdj iV fcel fa hTel Se Presiding Officer HV hhql Llhez 29 eLm hmV CEeV (Dummy Ballot Unit) :- hmV CEeVl HLV h falf, k fQhXl Efl mNu eLm hmV CEeV qph iVNqZ Lc hhqa qh z Sp h Aepe iVlL hmV CEeVl jdj iV fcel fa hTel Se Presiding Officer HV hhql Llhez 30. HRs fpCXw Agpll Xul fpCXw Agpll XLlne Ne fflpm Vfpm fnm VN AXp VN Vl hmV ffl hCm hmV ffl iVl lSVl (17A), AjQeu Lm Al njL, XVwCnw jL Form 7A- H fa fbcl amL ASD/CSV list pLm fbl J al HSVcl eje rl CacJ flM Ll eJu clLl 30 HRs fpCXw Agpll Xul fpCXw Agpll XLlne Ne fflpm Vfpm fnm VN AXp VN Vl hmV ffl hCm hmV ffl iVl lSVl (17A), AjQeu Lm Al njL, XVwCnw jL Form 7A- H fa fbcl amL ASD/CSV list pLm fbl J al HSVcl eje rl CacJ flM Ll eJu clLl 31. Aaxfl lV QV Aeku ec Nsa Ll Police Escort pqLl iVNqZ Lc fyRez 31 Aaxfl lV QV Aeku ec Nsa Ll Police Escort pqLl iVNqZ Lc fyRez 32. iVNqZ Lc fR LlZu houpjq :- iVNqZ Lc fyR Bm J Sml hh flr Ll ee, fuSe JuVl Llull pqk ee z HRs iVNqZ Lcl 100 jVll jd Le lSeaL cml cJum mMe bLm a jR gml Se pl pl Agpl p kNkN Lle z iVNqZ Lcl 200 jVll jd Le lSeaL cml Au hb / Lf Ll kh e Hhw E HmL iVNqZ Lc euSa fmnl euZ bLh z 32 iVNqZ Lc fR LlZu houpjq :- iVNqZ Lc fyR Bm J Sml hh flr Ll ee, fuSe JuVl Llull pqk ee z HRs iVNqZ Lcl 100 jVll jd Le lSeaL cml cJum mMe bLm a jR gml Se pl pl Agpl p kNkN Lle z iVNqZ Lcl 200 jVll jd Le lSeaL cml Au hb / Lf Ll kh e Hhw E HmL iVNqZ Lc euSa fmnl euZ bLh z 33. iVl ce Ns QmQml hfl ecnL : fa fb fR aeV Ns hhql Lll Aeja cJu kh - HLV fbl eSl hhqll Se, HLV ayl Election Agent-l Se Hhw fahde pirl Se HLV ayl cml Ljcl hhqll Sez LeVC XCil pq fyQSel hn jeo hqe Lla flh ez DEO/RO cJu Permit Nsl Windscreen-H fcne Lla qhz iVlcl hqe Lll Se Le fb Le Ns hhql Lla flhe ez iVl eSl Ns eu iVNqZ Lcl 200 jVll hCl Ahd Bpa flz 33 fa fb fR aeV Ns hhql Lll Aeja cJu kh - HLV fbl eSl hhqll Se, HLV ayl Election Agent-l Se Hhw fahde pirl Se HLV ayl cml Ljcl hhqll Sez LeVC XCil pq fyQSel hn jeo hqe Lla flh ez DEO/RO cJu Permit Nsl Windscreen-H fcne Lla qhz iVlcl hqe Lll Se Le fb Le Ns hhql Lla flhe ez iVl eSl Ns eu iVNqZ Lcl 200 jVll hCl Ahd Bpa flz 34. iV NqZ Lc A eu fhnl r Blfa hd eod : Election Duty-a bL Authorised Security Personnel Rs Ae LEL iVNqZ Lcl 100 jVll jd A eu kJu h fcnZ Ll bL hla bLa qhz kc Le Z-Plus Security f hl Security Personnel ayl pb iV NqZ Lc Bpe pr ayL pc fnL A Nfe lM Bpa qhz Le j / M.P. / M.L.A. ke Le Security Cover fe, ae Election / Polling / Counting Agent qa flhe e, HjeL kc ayl Security ae ea ALl Lle, ahJ ez 34 Election Duty-a bL Authorised Security Personnel Rs Ae LEL iVNqZ Lcl 100 jVll jd A eu kJu h fcnZ Ll bL hla bLa qhz kc Le Z-Plus Security f hl Security Personnel ayl pb iV NqZ Lc Bpe pr ayL pc fnL A Nfe lM Bpa qhz Le j / M.P. / M.L.A. ke Le Security Cover fe, ae Election / Polling / Counting Agent qa flhe e, HjeL kc ayl Security ae ea ALl Lle, ahJ ez 35. iVl BNl ce la k k houm mr Ll lM clLl :- hCl bL LlJ cMl pkN eC, Oll Hje SuNu 23" X 23" X 23" fljfhn fQhX cu iVce Lr al Lle Hhw fbcl fmw HSV J fmw Agplcl hpl Se fuSeu Qul, Vhm pSu lMez 35 iVl BNl ce la k k houm mr Ll lM clLl :- hCl bL LlJ cMl pkN eC, Oll Hje SuNu 23" X 23" X 23" fljfhn fQhX cu iVce Lr al Lle Hhw fbcl fmw HSV J fmw Agplcl hpl Se fuSeu Qul, Vhm pSu lMez 36. POLLING AGENT POLLING AGENT 37 POLLING AGENT 37. fmw HSVcl ke eScl hpl e bL iVlL plpl cMl pkN bL z E.V.M jnel pqk jLfm Ll psNs qu ee, ah jLfm qu kJul fl Nqa iVl pj ab jR cu LVm CEeVl pCQV je Ll Ag Lle z 38 fmw HSVcl ke eScl hpl e bL iVlL plpl cMl pkN bL z E.V.M jnel pqk jLfm Ll psNs qu ee, ah jLfm qu kJul fl Nqa iVl pj ab jR cu LVm CEeVl pCQV je Ll Ag Lle z 38. iVNqZ Lrl hCl L L mNhe :- 1) iVNqZ Lcl HmL pma eVn 2) fa fbcl amL (Form 7A) 3) clSl fn fhn J hql pma fbecnL z 252 199A 39 iVNqZ Lrl hCl L L mNhe :- 1) iVNqZ Lcl HmL pma eVn 2) fa fbcl amL (Form 7A) 3) clSl fn fhn J hql pma fbecnL z 39. iV NqZl ce (P day) 4040 iV NqZl ce (P day) 40. iV NqZl ce iV l qJul 1 OV fh iVNqZ Lc fajmL LSm l Ll ca qhz 41 iV NqZl ce iV l qJul 1 OV fh iVNqZ Lc fajmL LSm l Ll ca qhz 41. Polling Agent ( fmw HSV ) :- faL fb HLSe fmw HSV Hhw cCSe lmg HSV euN Lla flez faL fbl fmw HSVL pwn iVNqZ Lcl HmLl (k I ehQerl Ai) iVl qa qh z 42 Polling Agent ( fmw HSV ) :- faL fb HLSe fmw HSV Hhw cCSe lmg HSV euN Lla flez faL fbl fmw HSVL pwn iVNqZ Lcl HmLl (k I ehQerl Ai) iVl qa qh z 42. faL fmw HSVL al EPIC h Le plLl pw bL Cp qJu Photo k flQuf hdajmL -ih p lMa qh z Lc h lSll Le j, ke plLl elf fe ae fmw HSV / LEVw HSV / Election Agent qa flhe e z 43 faL fmw HSVL al EPIC h Le plLl pw bL Cp qJu Photo k flQuf hdajmL -ih p lMa qh z Lc h lSll Le j, ke plLl elf fe ae fmw HSV / LEVw HSV / Election Agent qa flhe e z 43. Le fmw HSV 10 ew gj euNfpq Efa qm, fpCXw Agpl euNf fb / ehQe HSVl rll p al hN cJu fb / ehQe HSVl Specimen rl jmu ehe, p qm Efa fmw HSVL 10 ew gjl amu rl Lla hmhe Hhw rl qu Nm 10 ew gjV ec Mj YLu lMhe Hhw E fmw HSVL HLV Entry Pass Cp Llhez 44 Le fmw HSV 10 ew gj euNfpq Efa qm, fpCXw Agpl euNf fb / ehQe HSVl rll p al hN cJu fb / ehQe HSVl Specimen rl jmu ehe, p qm Efa fmw HSVL 10 ew gjl amu rl Lla hmhe Hhw rl qu Nm 10 ew gjV ec Mj YLu lMhe Hhw E fmw HSVL HLV Entry Pass Cp Llhez 44. HLSe fbl phjV aeSe fmw HSV bLmJ HLSel hn fmw HSV LMeC HLp hb bLhe e z Le fmw HSVl euN, Form-11-Hl jdj Le fb / al ehQe HSV ham Lla fle z iV nol cOV BN Le fmw HSV flhae Ll kh e z k iVl amLV fmw HSV Marking-Hl LS hhql Lle pV LMeC hCl eu kJu kh e z 45 HLSe fbl phjV aeSe fmw HSV bLmJ HLSel hn fmw HSV LMeC HLp hb bLhe e z Le fmw HSVl euN, Form-11-Hl jdj Le fb / al ehQe HSV ham Lla fle z iV nol cOV BN Le fmw HSV flhae Ll kh e z k iVl amLV fmw HSV Marking-Hl LS hhql Lle pV LMeC hCl eu kJu kh e z 45. Presiding Officer HC Entry Pass -Hl HLV Efk Stock ec gja maintain Llhez fmw HSVcl hpl r La Sau fV, La lS fV, E ehQe r pwlra faLf Aee lSl La lS fV, ALa L lSVX fV Hhw ecm- HC j AeplZ Lla qh z 46 Presiding Officer HC Entry Pass -Hl HLV Efk Stock ec gja maintain Llhez fmw HSVcl hpl r La Sau fV, La lS fV, E ehQe r pwlra faLf Aee lSl La lS fV, ALa L lSVX fV Hhw ecm- HC j AeplZ Lla qh z 46. E.V.M Identification Slip : - iV NqZl ce Mock Poll l Lll BN Returning Officer -Hl rl pma Hhw LVm CEeV J hmV CEeVl elpq E.V.M Identification Slip faL fbl HSVL ql Lla qh z Efa fmw HSVcl k houm cMu ca qh :- 47 E.V.M Identification Slip : - iV NqZl ce Mock Poll l Lll BN Returning Officer -Hl rl pma Hhw LVm CEeV J hmV CEeVl elpq E.V.M Identification Slip faL fbl HSVL ql Lla qh z 47. Electronic Voting Machine Identification Slip 48 48. pdlZih Presiding Officer iVl ce pLm iV NqZ ll 1 OV BN jqs iV h Mock Poll l Llhez Mock Poll Hl laC Efa HSVcl pwM cM ea qh, kc Le HSV JC pjul jd Efa e qe h HLdL fa fbl HSV kc Efa e qe aqm Presiding Officer BlJ 1 jeV Afr Lla flez 15 jeV fl Le fbl HSVl Efal Afr e LlC Presiding Officer Mock Poll l Llhe Hhw Sector Officer-L al Mhl chez jqs iV (Mock Poll) :- 49 pdlZih Presiding Officer iVl ce pLm iV NqZ ll 1 OV BN jqs iV h Mock Poll l Llhez Mock Poll Hl laC Efa HSVcl pwM cM ea qh, kc Le HSV JC pjul jd Efa e qe h HLdL fa fbl HSV kc Efa e qe aqm Presiding Officer BlJ 1 jeV Afr Lla flez 15 jeV fl Le fbl HSVl Efal Afr e LlC Presiding Officer Mock Poll l Llhe Hhw Sector Officer-L al Mhl chez 49. Mock Poll Ballot Unit - Voting Compartment- Control Unit- Presiding Officer / Polling Officer- Table- Polling Officer, Mock Poll Polling Agent- Voting Compartment- Polling Officer, Ballot Unit- Polling Agent- Mock Poll 50 faV haj Aa aeV iV ca qh (eV pq) jqs iV (Mock Poll) :- 50 Mock Poll Ballot Unit - Voting Compartment- Control Unit- Presiding Officer / Polling Officer- Table- Polling Officer, Mock Poll Polling Agent- Voting Compartment- Polling Officer, Ballot Unit- Polling Agent- Mock Poll 50 faV haj Aa aeV iV ca qh (eV pq) 50. Mock Poll- Ballot Unit- Control Unit- , Presiding Officer- Mock Poll- Data, Machine CLEAR Delete jqs iV (Mock Poll) :- 51 Mock Poll- Ballot Unit- Control Unit- , Presiding Officer- Mock Poll- Data, Machine CLEAR Delete 51. BALLOT EVM Mock Poll - Sequence Close Clear Ensure that almost equal number of votes are polled for all candidates 52 Switch OFF & SEAL Result Clear Menu Important 52. jqs iVNqZ fu pf qJul p p Presiding Officer, Mockpoll Certificate al Llhe Hhw HC Certificate-Hl amu Efa HSVcl rl ehe h Le HSV Efa e bLm a EM Llhez HRs jLfm Lll Rh XSVm Ljl BdLlLl jdj (kc bL) am lMhez jqs iV pf qJul fl 15 jeVl jd al Report, Sector Officer-Hl LR hdajmLih fWa qh Hhw HC Report Election Commission fk khz je lMhe cV jL-fm certificate Lla qh J HSVcl rl ea qh z Control Unit-V green paper seal, special tag, address tag, J strip seal cu pm Lla qh z 53 jqs iVNqZ fu pf qJul p p Presiding Officer, Mockpoll Certificate al Llhe Hhw HC Certificate-Hl amu Efa HSVcl rl ehe h Le HSV Efa e bLm a EM Llhez HRs jLfm Lll Rh XSVm Ljl BdLlLl jdj (kc bL) am lMhez jqs iV pf qJul fl 15 jeVl jd al Report, Sector Officer-Hl LR hdajmLih fWa qh Hhw HC Report Election Commission fk khz je lMhe cV jL-fm certificate Lla qh J HSVcl rl ea qh z Control Unit-V green paper seal, special tag, address tag, J strip seal cu pm Lla qh z 53. Hlfl hmV CEeVVL Voting Compartment-H Hhw LVm CEeVVL aau fmw Agpll Vhm lM Aee fajmL LSm pf Lla qh z hmV CEeVVL Hjeih fe Lla qh, ka iVl Nfeua hSu lMJ hmV CEeVl p k Inter connecting cable -V pfZih fmw HSVcl hpl e bL fauje qu z 54 Hlfl hmV CEeVVL Voting Compartment-H Hhw LVm CEeVVL aau fmw Agpll Vhm lM Aee fajmL LSm pf Lla qh z hmV CEeVVL Hjeih fe Lla qh, ka iVl Nfeua hSu lMJ hmV CEeVl p k Inter connecting cable -V pfZih fmw HSVcl hpl e bL fauje qu z 54. Hlfl Efa HSVcl cMa qh k Register of voter (Form 17A) H Le jLw eCz VlX hmV ffl, Ne ffl pm, Vf pm Hhw fnm VNl el Efa fmw HSVcl mM ea hme z iVl Nfeua hSu lMl Se Representation of the People Act, 1951 Hl Section 128 fW Ll neez 55 Hlfl Efa HSVcl cMa qh k Register of voter (Form 17A) H Le jLw eCz VlX hmV ffl, Ne ffl pm, Vf pm Hhw fnm VNl el Efa fmw HSVcl mM ea hme z iVl Nfeua hSu lMl Se Representation of the People Act, 1951 Hl Section 128 fW Ll neez 55. Presiding Officer's declaration Annexure- VII-Hl Part-I flZ Ll rl Lle J fmw HSVcl rl eez pWL pju iVNqZ l Lle Hhw iV ll lfV pl Agp fWe z je lMhe, pWL pjul jd AhnC iV l Lla qh z 56 Presiding Officer's declaration Annexure- VII-Hl Part-I flZ Ll rl Lle J fmw HSVcl rl eez pWL pju iVNqZ l Lle Hhw iV ll lfV pl Agp fWe z je lMhe, pWL pjul jd AhnC iV l Lla qh z 56. fmw Agplcl LlZu houpjq :- 57 fmw Agplcl LlZu houpjq :- 57. fpCXw AgplfpCXw Agpl 58. fpCXw Agpl pjNLih E iVNqZ Lcl iV flQmel cua bLhe Hhw k Le Ea pjpu p p qrf Llhez HLV ehQL amLl Lf J ASD List al LR bLhz 59 fpCXw Agpl pjNLih E iVNqZ Lcl iV flQmel cua bLhe Hhw k Le Ea pjpu p p qrf Llhez HLV ehQL amLl Lf J ASD List al LR bLhz 59. fa cC OV Al Al jV La iV fsm Hhw jqm J flo iV La, a 17A Register J Control Unit-Hl TOTAL haj Vf jmu lfV pl fWe Aa lafZ z fpCXw Agpl LMeC iV QmLme iVNqZ Lrl ial YLhe e z 60 fa cC OV Al Al jV La iV fsm Hhw jqm J flo iV La, a 17A Register J Control Unit-Hl TOTAL haj Vf jmu lfV pl fWe Aa lafZ z fpCXw Agpl LMeC iV QmLme iVNqZ Lrl ial YLhe e z 60. fuSe pfr, iVl e bL Ahu ae Efa fmw HSVcl p eu hmV CEeV flr Ll cMa fle z Le iVl iVce fu pfL Sea QCm Xj hmV CEeVl pqk iVce fa hTu che, L LMeC aL p eu iVce Lr Nu faV hTel Se pQ qhe e z 61 fuSe pfr, iVl e bL Ahu ae Efa fmw HSVcl p eu hmV CEeV flr Ll cMa fle z Le iVl iVce fu pfL Sea QCm Xj hmV CEeVl pqk iVce fa hTu che, L LMeC aL p eu iVce Lr Nu faV hTel Se pQ qhe e z 61. Observer, Sector Officer h Le fdLlf plLl BdLlL Hm aL visit sheet- che jh mMl Sez iV nol pju hCll mCe iVl bLm no iVl bL l Ll iVl pf Cp Llhez 6262 Observer, Sector Officer h Le fdLlf plLl BdLlL Hm aL visit sheet- che jh mMl Sez iV nol pju hCll mCe iVl bLm no iVl bL l Ll iVl pf Cp Llhez 62. iV no qm LVm CEeV-Hl Close haj Vf iVNqZ fh pj Llhez 63 iV no qm LVm CEeV-Hl Close haj Vf iVNqZ fh pj Llhez 63. fbj fmw Agpl 64 fbj fmw Agpl 64. fbj fmw Agpl Hl LR bLh Marked Copy of Electoral Roll Hhw ae iVl peLlZl cua bLhez E.C.I LaL fc h Le lSeaL cml Au hb bL Cp Ll pf dj iVll ej J jL el EM Ll bLh, pC pf cM ae ehQL amL bL iVlL Qqa Llhe Hhw al ej Sll p EQlZ Llhe z 65 fbj fmw Agpl Hl LR bLh Marked Copy of Electoral Roll Hhw ae iVl peLlZl cua bLhez E.C.I LaL fc h Le lSeaL cml Au hb bL Cp Ll pf dj iVll ej J jL el EM Ll bLh, pC pf cM ae ehQL amL bL iVlL Qqa Llhe Hhw al ej Sll p EQlZ Llhe z 65. EPIC h Ae Le Identification Document Hl pqk (ECI-Hl ecn pfr fkS) pwn iVll peLlZl fl fbj fmw Agpl al ej J jLel Sll p EQlZ Llhez fmw HSVl Le Bf e Sem ae ehQL amLl jLX Lfa I iVll ejl Mf mm Lma HLV LeLe cN Vehe Hhw jqm iVl qm I LeLe mm cN Vel fnfn jLelVa mm Lma Nm Ll chez jqm J flo Eiu fLll iVll Se cV Tally Sheet-H iVll j Aeku 1..2..3 Cac mMhe 66 EPIC h Ae Le Identification Document Hl pqk (ECI-Hl ecn pfr fkS) pwn iVll peLlZl fl fbj fmw Agpl al ej J jLel Sll p EQlZ Llhez fmw HSVl Le Bf e Sem ae ehQL amLl jLX Lfa I iVll ejl Mf mm Lma HLV LeLe cN Vehe Hhw jqm iVl qm I LeLe mm cN Vel fnfn jLelVa mm Lma Nm Ll chez jqm J flo Eiu fLll iVll Se cV Tally Sheet-H iVll j Aeku 1..2..3 Cac mMhe 66. 67 67. 68 68. au fmw Agpl 69 au fmw Agpl 69. ae iVll hj qal aSea AjQeu Lm mNe, iVl lSVl flZ Ll Hhw iVl pf Cp Lll cua bLhe z 70 ae iVll hj qal aSea AjQeu Lm mNe, iVl lSVl flZ Ll Hhw iVl pf Cp Lll cua bLhe z 70. iVll hy qal aSe e bLm, hy qal fll BPm Abv jdju Lm mNa qhz hyqa kc Le BPm e bL ah Xe qal aSea Lm ca qhz 71 hyqa kc Le BPm e bL ah Xe qal aSea Lm ca qhz 71. aSe e bLm alfl bL l Ll k Le HLV BPm Lm ca qhz c-qaC Le BPm e bLm - Xe qa Abh hy qal no f Lm ca qhz 72 c-qaC Le BPm e bLm - Xe qa Abh hy qal no f Lm ca qhz 72. Application of Indelible Ink 73 73. AjQeu Lm mNel fl iVl lSVl (17A)- l Ql el Lmj pwn iVll rl / VfpC ea qh Hhw iVl lSVll (17A) - ae el Lmj EPIC -Hl no Ql pwM mM lMhe h Ae Le Aejca Document eu iV ca Hm al ej no Ql pwM mM lMhez AjQeu Lm mNel fl iVl lSVl (17A)- l Ql el Lmj pwn iVll rl / VfpC ea qh Hhw iVl lSVll (17A) - ae el Lmj EPIC -Hl no Ql pwM mM lMhe h Ae Le Aejca Document eu iV ca Hm al ej no Ql pwM mM lMhez 74 74. fpa EM, Anra iVll r hl VfpC Rs Ae Le Bml VfpC eJu kh ez HC VfpC Presiding Officer h AeLe fmw Agpl l faua Lll fuSe eC z 75 Ballot Unit- 75. iVl lSVl ( 17-A ) pwn iVll rl / VfpC eJul fl au fmw Agpl aL HLV Voter Slip Cp Llhez 76 iVl lSVl ( 17-A ) pwn iVll rl / VfpC eJul fl au fmw Agpl aL HLV Voter Slip Cp Llhez Voter Register - 17A 76. Voter Slip -Hl eje 77 77. ASD List (Absentee, Shifted, Duplicate List) ehQe cll alg bL HLV Absentee, Shifted, Duplicate iVl-Hl m cJu bLhz HC ml jd bL LE iV ca Hm al EPIC Card h Election Commission La Aee Alternative Document cM al flQu pfL Mh im Ll eQa qa qhz HC lLj iVll ab Bmc Ll Presiding Officer -L al Report H Sea qhz ASD List (Absentee, Shifted, Duplicate List) ehQe cll alg bL HLV Absentee, Shifted, Duplicate iVl-Hl m cJu bLhz HC ml jd bL LE iV ca Hm al EPIC Card h Election Commission La Aee Alternative Document cM al flQu pfL Mh im Ll eQa qa qhz HC lLj iVll ab Bmc Ll Presiding Officer -L al Report H Sea qhz 78. ASD List (Absentee, Shifted, Duplicate List) 17A Register- ( ) Record Maintain ASD List (Absentee, Shifted, Duplicate List) 17A Register- ( ) Record Maintain 79. aau fmw Agpl 80 aau fmw Agpl 80. iVw jnel LVm CEeVl cua bLhez ae iVll hj qal aSea AjQeu Lml Qq flr Ll ayl LR bL iVl pfV pwNq Llhe Hhw LVm CEeVl BALLOT hajV Vf kVL iV NqZl Se fa Llhe Hhw iVlL iV NqZ Lr Nu iV ca Aeld Llhe z 81 iVw jnel LVm CEeVl cua bLhez ae iVll hj qal aSea AjQeu Lml Qq flr Ll ayl LR bL iVl pfV pwNq Llhe Hhw LVm CEeVl BALLOT hajV Vf kVL iV NqZl Se fa Llhe Hhw iVlL iV NqZ Lr Nu iV ca Aeld Llhe z 81. ae Ballot Unit Hl BEEP Sound h quR J Control Unit Hl RED Busy Lamp ei NR cM eQa qu flh iVlL iVce Lr ka chez 82 ae Ballot Unit Hl BEEP Sound h quR J Control Unit Hl RED Busy Lamp ei NR cM eQa qu flh iVlL iVce Lr ka chez 82. Ljl BdLlL 83 Ljl BdLlL 83. Ljl BdLlL ejmMa OVeml Rh am lMhe :- iVNqZ QmLme k pj iVl pQ flQuf hc Ae Le XLjV h eb cMu iV cuRe al Rh - gj 17H a ejl jeplz fmw HSVcl Efaa jqs iV h jLfm NqZl Hhw C.i.Hj jne fa Lll pjul Rh z iV ll pju fbj HLhl Hhw fl faL OVu iV NqZ Lc fmw HSVcl Efal Rh z hi LZ bL am iVLrl hi Ahel Rhz 84 Ljl BdLlL ejmMa OVeml Rh am lMhe :- iVNqZ QmLme k pj iVl pQ flQuf hc Ae Le XLjV h eb cMu iV cuRe al Rh - gj 17H a ejl jeplz fmw HSVcl Efaa jqs iV h jLfm NqZl Hhw C.i.Hj jne fa Lll pjul Rh z iV ll pju fbj HLhl Hhw fl faL OVu iV NqZ Lc fmw HSVcl Efal Rh z hi LZ bL am iVLrl hi Ahel Rhz 84. iV no qhl ec pjul Abv WL hLm fyQVl pju iVll mCel Rh Hhw mCe cse noaj iVll Rhz Le hno OVe kje EVM Replacement Cacz iV Nqe Qml pju Sector Officer, Observer, h Aee fdLl f hhNl Visit Hl Rhz mNhL Rhl amL lMa qh z 85 iV no qhl ec pjul Abv WL hLm fyQVl pju iVll mCel Rh Hhw mCe cse noaj iVll Rhz Le hno OVe kje EVM Replacement Cacz iV Nqe Qml pju Sector Officer, Observer, h Aee fdLl f hhNl Visit Hl Rhz mNhL Rhl amL lMa qh z 85. iV Nqe nol fl, Rh aml cua bL BdLlL HC jj HLV nwpf che k - I have Captured Photographs of all Non- EPIC Electors who voted at Polling Station No. _____ on date _______ .Total number of Photographs in the Camera is __________ . 86 iV Nqe nol fl, Rh aml cua bL BdLlL HC jj HLV nwpf che k - I have Captured Photographs of all Non- EPIC Electors who voted at Polling Station No. _____ on date _______ .Total number of Photographs in the Camera is __________ . 86. iV NqZ Lc fhnl AdLl 87 iV NqZ Lc fhnl AdLl 87. pwn iVNqZ Lcl iVl Rs ejmMa hl iV QmLme iVNqZ Lcl ial fhn Lla fle - 1) fmw AgplNZ 2) faL fb, al ehQe HSV Hhw HLC pju faL fbl HLSe fmw HSV 3) Ljne LaL fdLlf hhN 4) ehQe pw Lah ek plLl LjQl 5) Ljne LaL ek fkhrLNZ 6) Le ehQLl p Bp Lml n 7) A h An iVll p 88 pwn iVNqZ Lcl iVl Rs ejmMa hl iV QmLme iVNqZ Lcl ial fhn Lla fle - 1) fmw AgplNZ 2) faL fb, al ehQe HSV Hhw HLC pju faL fbl HLSe fmw HSV 3) Ljne LaL fdLlf hhN 4) ehQe pw Lah ek plLl LjQl 5) Ljne LaL ek fkhrLNZ 6) Le ehQLl p Bp Lml n 7) A h An iVll p 88. pwhcL h gVNgll hCl bL iVlcl mCel Rh ama fle, L Leih Ljnel Aeja haa iVNqZ Lc fhnl Aeja fhe ez CmLne Ljne Ag Cu h E.C.I-Hl hno Aeja f Rs pwhc jdjl Le faed iVNqZ Lrl Rh ama flhe e L Aeja f bLmJ iVcela Ahl Le iVll Rh ama flhe ez 89 pwhcL h gVNgll hCl bL iVlcl mCel Rh ama fle, L Leih Ljnel Aeja haa iVNqZ Lc fhnl Aeja fhe ez CmLne Ljne Ag Cu h E.C.I-Hl hno Aeja f Rs pwhc jdjl Le faed iVNqZ Lrl Rh ama flhe e L Aeja f bLmJ iVcela Ahl Le iVll Rh ama flhe ez 89. flo J jqm iVll Se fbL mCe bL heuz fa cSe jqm iVl fR HLSe flo iVlL iV NqZ Lc fhn Lla qhz f h An hcl r h Lml n eu Bp jucl iVcel r hno ANdLl ca qh z 90 flo J jqm iVll Se fbL mCe bL heuz fa cSe jqm iVl fR HLSe flo iVlL iV NqZ Lc fhn Lla qhz f h An hcl r h Lml n eu Bp jucl iVcel r hno ANdLl ca qh z 90. fmw HSVcl Nahdl Efl Blfa hdeod :- iV QmLme Le fmw HSV / Relief Agent ehQL amLl Working Copy (ka ae jLw LlRme) eu hCl ka flhe e h hL bL iVlcl jL pwM pfl jdj hCl fWa flhe e z iVNqZl no cC OVu Le fmw HSV flhae Ll kh e z Le fmw HSV jhCm ge eu iVNqZ Lc fhn Lla flhe ez 91 fmw HSVcl Nahdl Efl Blfa hdeod :- iV QmLme Le fmw HSV / Relief Agent ehQL amLl Working Copy (ka ae jLw LlRme) eu hCl ka flhe e h hL bL iVlcl jL pwM pfl jdj hCl fWa flhe e z iVNqZl no cC OVu Le fmw HSV flhae Ll kh e z Le fmw HSV jhCm ge eu iVNqZ Lc fhn Lla flhe ez 91. iVNqe Lcl 100 jVll jd Le fmw HSV Le lSeaL eaal Rh, cml gN h faL mNe hS mNu Ola flh ez kc al je Ll ah d j k fbl ae HSV pC fbl ej mM HLV RV hS mNa flhez 92 iVNqe Lcl 100 jVll jd Le fmw HSV Le lSeaL eaal Rh, cml gN h faL mNe hS mNu Ola flh ez kc al je Ll ah d j k fbl ae HSV pC fbl ej mM HLV RV hS mNa flhez 92. -: hno rpjq :- 93 -: hno rpjq :- 93. iVw jnel flhae (Replacement of E.V.M.) iV QmLme Le LVm CEeV h hmV CEeV Mlf qm pl Agpl lSi bL eae LVmLVm CECEeVeV JJ hmVhmV CECEeVeV iVNqZ Lc fWa qh, pr fle LVm CEeVVL Close Ll pm Ll lMa qh Hhw eae LVm CEeV J hmV CEeV HSVl Efaa jLfm Ll Mock Poll Certificate al Ll HSVcl rlpq Sector Office-H fWa qh J Presiding Officer-Hl Declaration Part-II fle Llhe z 94 iVw jnel flhae (Replacement of E.V.M.) iV QmLme Le LVm CEeV h hmV CEeV Mlf qm pl Agpl lSi bL eae LVmLVm CECEeVeV JJ hmVhmV CECEeVeV iVNqZ Lc fWa qh, pr fle LVm CEeVVL Close Ll pm Ll lMa qh Hhw eae LVm CEeV J hmV CEeV HSVl Efaa jLfm Ll Mock Poll Certificate al Ll HSVcl rlpq Sector Office-H fWa qh J Presiding Officer-Hl Declaration Part-II fle Llhe z 94. Ballot Unit Control Unit , BU CU- Set Mock Poll Mock Poll- Candidate J eVl Se - Mock Poll Certificate Original Mock Poll Certificate- Control Unit Replacement Note 95 Ballot Unit Control Unit , BU CU- Set Mock Poll Mock Poll- Candidate J eVl Se - Mock Poll Certificate Original Mock Poll Certificate- Control Unit Replacement Note 95. VlX iV :- kc Le iVll ej fhC LE iV cu Nu bLe Hhw flha iVll BCXVV hou fpCXw Agpl eQa qe ah aL Tendered Vote - Hl Se Aeja che z al fh iVl lSVll (17A) k jL pwMu I ejl fhha iVlL ebh Ll quRm pC pwMV pwNq Ll gj 17B - Hl 4 ew Lmj mMa qh Hhw 5 ew Lmj VlX iVll rl ea qh z Aaxfl iVNqZ Lcl Se plhlq Ll hmV fflml HLcj no hmV ffll fRe Hhw LEVl gum Tendered Ballot Paper LbV mM Pr.O - rl Llhe Hhw iVlL hmV pq Al n jL plhlq Llhe z iVcel fl pwn iVll LR bL hmV fflV pwNq Ll Form- 17B -Hl pb HLV ec Mjl ial lM ca qh z96 VlX iV :- kc Le iVll ej fhC LE iV cu Nu bLe Hhw flha iVll BCXVV hou fpCXw Agpl eQa qe ah aL Tendered Vote - Hl Se Aeja che z al fh iVl lSVll (17A) k jL pwMu I ejl fhha iVlL ebh Ll quRm pC pwMV pwNq Ll gj 17B - Hl 4 ew Lmj mMa qh Hhw 5 ew Lmj VlX iVll rl ea qh z Aaxfl iVNqZ Lcl Se plhlq Ll hmV fflml HLcj no hmV ffll fRe Hhw LEVl gum Tendered Ballot Paper LbV mM Pr.O - rl Llhe Hhw iVlL hmV pq Al n jL plhlq Llhe z iVcel fl pwn iVll LR bL hmV fflV pwNq Ll Form- 17B -Hl pb HLV ec Mjl ial lM ca qh z 96. -: iVl Nfeuaa i qm :- (Rule- 49M of the Conduct of Election Rules, 1961) kc Le iVlL paL Lll flJ ae iVl Nfeua i Lle, ah fpCXw Agpl aL iV ca Aeja che ez kc iVlL iVl pf cJu qu Nu bL, aqm pf glv ea qh J ham Lla qh z Hr 17 A Register- H ej mM qu bLm jh Lmj Not allowed to vote- Voting procedure violated mM fpCXw Agpl rl Llhez 97 -: iVl Nfeuaa i qm :- (Rule- 49M of the Conduct of Election Rules, 1961) kc Le iVlL paL Lll flJ ae iVl Nfeua i Lle, ah fpCXw Agpl aL iV ca Aeja che ez kc iVlL iVl pf cJu qu Nu bL, aqm pf glv ea qh J ham Lla qh z Hr 17 A Register- H ej mM qu bLm jh Lmj Not allowed to vote- Voting procedure violated mM fpCXw Agpl rl Llhez 97. 17A lSVl rll fl iVl iVce ALa qm 17AlSVll Remarks Column -H Refused to Vote or Left Without Voting LbV mM fpCXw Agpl rl Llhe Hhw Hr iVll rl hdajmLz Electors Deciding not to Vote 17A lSVl rll fl iVl iVce ALa qm 17AlSVll Remarks Column -H Refused to Vote or Left Without Voting LbV mM fpCXw Agpl rl Llhe Hhw Hr iVll rl hdajmLz 98 98. -: A h An iVl :- Le A h An iVll infirmity pfL eQa qm fpCXw Agpl al p qph HLSeL iV ca Aeja Llhe, ah pC pL AhnC 18 hRl hup qa qh Hhw ae HLdL hl p qa flhe e z A h An iVll r Form - 14A flZ Llhe, E pl rl ehe Hhw al LR bL Annexure -XII - H XLlne ehe z AjQeu Lm iVll aSea mNa qh z 99 -: A h An iVl :- Le A h An iVll infirmity pfL eQa qm fpCXw Agpl al p qph HLSeL iV ca Aeja Llhe, ah pC pL AhnC 18 hRl hup qa qh Hhw ae HLdL hl p qa flhe e z A h An iVll r Form - 14A flZ Llhe, E pl rl ehe Hhw al LR bL Annexure -XII - H XLlne ehe z AjQeu Lm iVll aSea mNa qh z 99. cqe iVlcl phdb Hhl EVM-H hCm pCeS-Hl hh lM quRz 100 Brail 100. -: QmX iV :- Le iVll BCXeVV pfL Qm Sea qm 2 VL Qm g qph Sj ca qhz Hr Pr.O pwr CeLull jdj iVll BCXeVV pfL p ehe z Qm iVl r Form-14flZ qhz 101 -: QmX iV :- Le iVll BCXeVV pfL Qm Sea qm 2 VL Qm g qph Sj ca qhz Hr Pr.O pwr CeLull jdj iVll BCXeVV pfL p ehe z Qm iVl r Form-14flZ qhz 101. kc Le iVlL cM 18 hRl hup quR Le pcq qu, L ayl cJu Identity Document l AelLj fjea qu, pr ayl LR bL ayl hup pfLa HLV Declaration HLV ec Form-H ea qh Hhw im ab chl n pfL ayL paL Lla qhz HC dlel Declaration cacl HLV amL hea qh h kc LE HC jj Declaration ca ALl Lle alJ amL hea qh J Eiu rC HLV Bmc Mj a lMa qhz Le iVll hup pfL pwnuSea Lle eJu Declaration : kc Le iVlL cM 18 hRl hup quR Le pcq qu, L ayl cJu Identity Document l AelLj fjea qu, pr ayl LR bL ayl hup pfLa HLV Declaration HLV ec Form-H ea qh Hhw im ab chl n pfL ayL paL Lla qhz HC dlel Declaration cacl HLV amL hea qh h kc LE HC jj Declaration ca ALl Lle alJ amL hea qh J Eiu rC HLV Bmc Mj a lMa qhz 102. Form 12-B--a EDC qhz EDC cMe iVlL al Efl pC Lla qhz EDC cJu iVll ej Hhw Electoral Roll-Hl pwn Part-Hl Serial No. Marked Copy of Electoral Role-Hl no Entry Lla qhz pdlZ Voter-Hl ja EDC eu Bp Voter-LJ EVM-H iV ca Aeja cJu qhz HC dlel iVll r 17-A Register-H column-2 -a E.D.C holder-Hl Serial No./part No./Ac No. mMa qhz Column-5-H EDC iVl mMa qhz EDC Vote : Form 12-B--a EDC qhz EDC cMe iVlL al Efl pC Lla qhz EDC cJu iVll ej Hhw Electoral Roll-Hl pwn Part-Hl Serial No. Marked Copy of Electoral Role-Hl no Entry Lla qhz pdlZ Voter-Hl ja EDC eu Bp Voter-LJ EVM-H iV ca Aeja cJu qhz HC dlel iVll r 17-A Register-H column-2 -a E.D.C holder-Hl Serial No./part No./Ac No. mMa qhz Column-5-H EDC iVl mMa qhz 103. k ph CSV (Classified Service Voter) aycl qu Vote chl Se Proxy euN LlRe al amL Electoral Roll-Hl Marked Copy-l no Attached Ll bLhz Proxy, CSV-l qu HLSe pdlZ iVll jaC iV chez Proxy-l hj qal jdja Lm mNa qhz Proxy Voter : k ph CSV (Classified Service Voter) aycl qu Vote chl Se Proxy euN LlRe al amL Electoral Roll-Hl Marked Copy-l no Attached Ll bLhz Proxy, CSV-l qu HLSe pdlZ iVll jaC iV chez Proxy-l hj qal jdja Lm mNa qhz 104. Proxy kc JC hbl iVl qu, pr eSl iVl pb CSV-l Proxy qphJ BlJ HLV iV ca flhez Proxy-l r Electoral Roll-Hl pb Attached bL Sub List bL CSV-l Serial No. 17-A Register-H Record Lla qhz Proxy Vote -L Bmc Lll Se 17-A Register-H HC pfLa Entry-l fn P.V. nV 2ew Colomn-H mMa qhz Proxy Voter : Proxy kc JC hbl iVl qu, pr eSl iVl pb CSV-l Proxy qphJ BlJ HLV iV ca flhez Proxy-l r Electoral Roll-Hl pb Attached bL Sub List bL CSV-l Serial No. 17-A Register-H Record Lla qhz Proxy Vote -L Bmc Lll Se 17-A Register-H HC pfLa Entry-l fn P.V. nV 2ew Colomn-H mMa qhz 105. -: iVNqZl no ja :- iVNqZl nol pju mCe cyse no mLVl fRe iVNqZ Lcl cua bL HLSe fmnLj cys Lle Hhw mCe kl flQuf eu csu BR acl jd no hL 1 ew pf cu fbj h fk flfl pf plhlq Lle z hLm 6Vl fl d pfpq iVllC iV ca flhez 106 -: iVNqZl no ja :- iVNqZl nol pju mCe cyse no mLVl fRe iVNqZ Lcl cua bL HLSe fmnLj cys Lle Hhw mCe kl flQuf eu csu BR acl jd no hL 1 ew pf cu fbj h fk flfl pf plhlq Lle z hLm 6Vl fl d pfpq iVllC iV ca flhez 106. 107 107. iVll fl fa cC OV Al La iV fsR al jd jqm J flo iVl La pC lfV pl Agp fWa qh, Aelf iVl pj lfVJ pl Agp Sea qh z 108 iVll fl fa cC OV Al La iV fsR al jd jqm J flo iVl La pC lfV pl Agp fWa qh, Aelf iVl pj lfVJ pl Agp Sea qh z 108. iVNqZ fh pjl fl LlZu LS :- noaj iVl iV cJul fl fpCXw Agpl fmw HSVcl Efaa LVm CEeVl Close haj Vf iVw jne h Llhez Total hajV Vf jV iVl pwM fmw HSVcl mM ea che Hhw 17C Form - Hl ec Column -H mfh Llhe z Aa:fl pCQ h Ll LVm CEeVV hmV CEeV bL hR Llhez 109 iVNqZ fh pjl fl LlZu LS :- noaj iVl iV cJul fl fpCXw Agpl fmw HSVcl Efaa LVm CEeVl Close haj Vf iVw jne h Llhez Total hajV Vf jV iVl pwM fmw HSVcl mM ea che Hhw 17C Form - Hl ec Column -H mfh Llhe z Aa:fl pCQ h Ll LVm CEeVV hmV CEeV bL hR Llhez 109. iVNqZ fh pjl fl LlZu LS :- 17A lSVl noaj iVll mMel (entry) eQ HLV cN cu mMhe The serial number of last entry in Form 17A is.. Hhw al eQ eS rl Llhe J fmw HSVcl rl ehez 110 iVNqZ fh pjl fl LlZu LS :- 17A lSVl noaj iVll mMel (entry) eQ HLV cN cu mMhe The serial number of last entry in Form 17A is.. Hhw al eQ eS rl Llhe J fmw HSVcl rl ehez 110. -: iVNqZ Lcl elfl hou pjq :- iVNqZ Lcl plrl Se Hhw iVNqZ QmLme ka nfZ Ah hSu bL pC En ehQe Ljne iVNqZ LcL Ol HLV ae l LXel ecn cuRez iVNqZ Lrl 5-10 gV cla bL iVlcl mCe l qhz hbl 100 jVll jd lSeaL cml cJum mMe/ faL/ fVl Cac bLh ez hbl 200 jVll ial Le lSeaL cml hb bLh ez 111 -: iVNqZ Lcl elfl hou pjq :- iVNqZ Lcl plrl Se Hhw iVNqZ QmLme ka nfZ Ah hSu bL pC En ehQe Ljne iVNqZ LcL Ol HLV ae l LXel ecn cuRez iVNqZ Lrl 5-10 gV cla bL iVlcl mCe l qhz hbl 100 jVll jd lSeaL cml cJum mMe/ faL/ fVl Cac bLh ez hbl 200 jVll ial Le lSeaL cml hb bLh ez 111. -: lSeaL cml Au hb :- iVNqZ Lcl 200 jVll ial Le lSeaL cml Au hb bLh e, ah iVlcl pqkNal Se 200 jVll hCl HLV Au hb al Ll khz HC hb HLV Vhm J cV Qul bLa flz 112 -: lSeaL cml Au hb :- iVNqZ Lcl 200 jVll ial Le lSeaL cml Au hb bLh e, ah iVlcl pqkNal Se 200 jVll hCl HLV Au hb al Ll khz HC hb HLV Vhm J cV Qul bLa flz 112. HC pLm hb bL pLm iVlcl ej J fV el EMpq HLV Identity slip issue Ll qh z k Identity Slip -H Le lSeaL cml fQl bLh ez HC pLm hb bL Le iVlL fiha Lll Q Ll qm houV la cu kQC Ll clLl z HC pLm hb kl cua bLhe, acl EPIC h AeLe La flQuf bLh z 113 HC pLm hb bL pLm iVlcl ej J fV el EMpq HLV Identity slip issue Ll qh z k Identity Slip -H Le lSeaL cml fQl bLh ez HC pLm hb bL Le iVlL fiha Lll Q Ll qm houV la cu kQC Ll clLl z HC pLm hb kl cua bLhe, acl EPIC h AeLe La flQuf bLh z 113. -: Voter Assistance Booth :- k pLm fmw Premises -H ae h al hn iVNqZ Lc BR pMe iVlcl phdb Voter Assistance Booth al Lla qh, kcl LR E Premises -Hl pLm fmw Vnel ehQL amL Alphabetical order -H bLh, ka Le iVlL al ec fmw Vne MyS cu pqk Ll ku z k pLm iVNqZ Lc HLV / cV fmw Vne BR pMe Le Voter Assitance Booth Nsl fuSe eC, flha Presiding Officer -Hl LR al ec Working copy -l fnfn Alphabetical Order Aeku ehQL amL bLh z 114 -: Voter Assistance Booth :- k pLm fmw Premises -H ae h al hn iVNqZ Lc BR pMe iVlcl phdb Voter Assistance Booth al Lla qh, kcl LR E Premises -Hl pLm fmw Vnel ehQL amL Alphabetical order -H bLh, ka Le iVlL al ec fmw Vne MyS cu pqk Ll ku z k pLm iVNqZ Lc HLV / cV fmw Vne BR pMe Le Voter Assitance Booth Nsl fuSe eC, flha Presiding Officer -Hl LR al ec Working copy -l fnfn Alphabetical Order Aeku ehQL amL bLh z 114. -: VideoGraphy :- iVNqZl ce Observer -Hl Aejce pfr LR edla fmw Vnel ial iVNqZl Nfeua i e Ll VideoGraphy Ll kh z -: Videographer Ll qhe :- 1) Election Commission l edla Videographer 2) Polling Party -Hl pb Bp Videographer 3) Observer -Hl p Bp Videographer 115 -: VideoGraphy :- iVNqZl ce Observer -Hl Aejce pfr LR edla fmw Vnel ial iVNqZl Nfeua i e Ll VideoGraphy Ll kh z -: Videographer Ll qhe :- 1) Election Commission l edla Videographer 2) Polling Party -Hl pb Bp Videographer 3) Observer -Hl p Bp Videographer 115. iV no qJul fl gj 17 p-Hl fbj iN Nqa iVl pwM (Accounts of Votes) ebh Lla qhz 17-A Register-Hl 1ew Lmjl no Serial No. bL kaSe iVl Vote cJu bL hla bLRe (17-A-l Remarks Column Aeku) Hhw kaSe iVlL iVl Nfeua il Se iV fce Ll bL hla Ll quR (17-A-Hl Remarks Column Aeku) HC pwM cV huSe Llm EVM Machine-H fc Total Vote jm kJu EQa (2-3-4 = 6)z 17C (Account of Votes ) faLlZ : iV no qJul fl gj 17 p-Hl fbj iN Nqa iVl pwM (Accounts of Votes) ebh Lla qhz 17-A Register-Hl 1ew Lmjl no Serial No. bL kaSe iVl Vote cJu bL hla bLRe (17-A-l Remarks Column Aeku) Hhw kaSe iVlL iVl Nfeua il Se iV fce Ll bL hla Ll quR (17-A-Hl Remarks Column Aeku) HC pwM cV huSe Llm EVM Machine-H fc Total Vote jm kJu EQa (2-3-4 = 6)z 116. -: 17C (Account of Votes ) faLlZ :- jV fa fbl Agent -Hl pwMl Qu Aal cC Lf 17 p fa Lla qh z Efa fmw HSVcl faLL HL Lf 17 p- plhlq Ll Agp Lfa acl f Ll Llu ea qh z iV no qJul fl fpCXw Agpll XLlnel Part - III flZ Ll fSCXw Agpl eS rl Llhe Hhw Efa fmw HSVcl rl ehe z 117 -: 17C (Account of Votes ) faLlZ :- jV fa fbl Agent -Hl pwMl Qu Aal cC Lf 17 p fa Lla qh z Efa fmw HSVcl faLL HL Lf 17 p- plhlq Ll Agp Lfa acl f Ll Llu ea qh z iV no qJul fl fpCXw Agpll XLlnel Part - III flZ Ll fSCXw Agpl eS rl Llhe Hhw Efa fmw HSVcl rl ehe z 117. Form 17C [ See rules 49S and 56C(2)] PART I. ACCOUNT OF VOTES RECORDED Election to House of the People/Legislative Assembly of the State/Union territory.fromConstituency. Number and Name of Polling Station : Identification Number of voting control unit Machine used at the Polling Station : balloting unit Printer (if used) 1. Total number of electors assigned to the Polling Station 2. Total number of voters as entered in the Register for Voters(Form 17A) 3. Number of voters deciding not to record votes/ refused to vote 4. Number of voters not allowed to vote under rule 49M 5. Test votes recorded under rule 49MA (d) required to be deducted (a) Total number of test votes to be deducted: Total No. Sl. No.(s) of elector(s) in Form 17A (b) Candidate for whom test vote(s) cast: Sl. No. Name of candidate No. of votes .. .. .. .. 6. Total number of votes recorded as per voting machine: Form 17C [ See rules 49S and 56C(2)] PART I. ACCOUNT OF VOTES RECORDED Election to House of the People/Legislative Assembly of the State/Union territory.fromConstituency. Number and Name of Polling Station : Identification Number of voting control unit Machine used at the Polling Station : balloting unit Printer (if used) 1. Total number of electors assigned to the Polling Station 2. Total number of voters as entered in the Register for Voters(Form 17A) 3. Number of voters deciding not to record votes/ refused to vote 4. Number of voters not allowed to vote under rule 49M 5. Test votes recorded under rule 49MA (d) required to be deducted (a) Total number of test votes to be deducted: Total No. Sl. No.(s) of elector(s) in Form 17A (b) Candidate for whom test vote(s) cast: Sl. No. Name of candidate No. of votes .. .. .. .. 6. Total number of votes recorded as per voting machine: 118. 7. Whether the total number of votes as shown against item 6 tallies with the total number of votes as shown against item 2 minus number of votes deciding not to record votes as against 3 minus number of voters as against item 4 (i.e. 2-3-4) or any discrepancy noticed : .. 8. Number of voters to whom tendered ballot papers were issued under rule 49P: .. 9. Number of tendered ballot papers. Sl. No. Total From To (a) Received for use _________________________________________________________________ (b) Issued to electors ________________________________________________________________ (c) Not used and returned ____________________________________________________________ 10. Account of papers seals Signature of polling agents. 1. Paper seals supplied for use : Total No. 1. __________________________ Sl. No. from .. to 2. Paper seals used : Total No. 2. __________________________ Sl. No.(s) from .. to 3. Unused paper seals returned to Total No. 3. __________________________ Returning Officer : Sl. No.(s) from .. to 4. Damaged paper seal, if any, Total No. 4. __________________________ Sl. No.(s) from .. to 5. ______________________ 6. ____________________ Date .. Signature of Presiding Officer Place Polling Station No. .. 7. Whether the total number of votes as shown against item 6 tallies with the total number of votes as shown against item 2 minus number of votes deciding not to record votes as against 3 minus number of voters as against item 4 (i.e. 2-3-4) or any discrepancy noticed : .. 8. Number of voters to whom tendered ballot papers were issued under rule 49P: .. 9. Number of tendered ballot papers. Sl. No. Total From To (a) Received for use _________________________________________________________________ (b) Issued to electors ________________________________________________________________ (c) Not used and returned ____________________________________________________________ 10. Account of papers seals Signature of polling agents. 1. Paper seals supplied for use : Total No. 1. __________________________ Sl. No. from .. to 2. Paper seals used : Total No. 2. __________________________ Sl. No.(s) from .. to 3. Unused paper seals returned to Total No. 3. __________________________ Returning Officer : Sl. No.(s) from .. to 4. Damaged paper seal, if any, Total No. 4. __________________________ Sl. No.(s) from .. to 5. ______________________ 6. ____________________ Date .. Signature of Presiding Officer Place Polling Station No. .. 119. -: iVw jne pm Ll :- LVm CEeV J hmV CEeVL ec h YLe Hhw AXp VN mNu hm pm Lle Hhw AXp VNl fRel pc Awn rl Lle Hhw Efa fmw HSVcl rl ee z iVw jne pm Lll fl Presiding Officer- Hl Declaration-Hl Part-IV H Ooe f rl Lle Hhw k pj HSV acl pm cuRe acl ej mMe J rl eez fpCXw Agpll XCl J 16 cg lfV fa Ll gma qhz nojqa ha Hsel Se fpCXw Agpll XCl pju pju al Ll lMez 121 -: iVw jne pm Ll :- LVm CEeV J hmV CEeVL ec h YLe Hhw AXp VN mNu hm pm Lle Hhw AXp VNl fRel pc Awn rl Lle Hhw Efa fmw HSVcl rl ee z iVw jne pm Lll fl Presiding Officer- Hl Declaration-Hl Part-IV H Ooe f rl Lle Hhw k pj HSV acl pm cuRe acl ej mMe J rl eez fpCXw Agpll XCl J 16 cg lfV fa Ll gma qhz nojqa ha Hsel Se fpCXw Agpll XCl pju pju al Ll lMez 120. LNS f fa J pm Ll ejmMa 7V gj HL Lf Ll Bmc hC-Hl BLl HLpb bLh 1) gj 17C 2) fpCXw Agpll XLlne 3) fpCXw Agpll Xul 4) ipV nV 5) 16 fuV Ahpil lfVz 6) iVp Ve BEV lfV (PS05) 7) jLfm pVgLV 8) ASD Voter- Certificate 17C-l au Lf fpCXw Agpll XLlne Mj YLu Seal Ll LVm CEeVl qaml p hyd Ahu lpiw LEVl Sj cez (hxx- lpiw LEVl pj LNSf cMu eQa qm pm Lle Hhw Sj ce z) 2 Copies open 2 copy 122 LNS f fa J pm Ll ejmMa 7V gj HL Lf Ll Bmc hC-Hl BLl HLpb bLh 1) gj 17C 2) fpCXw Agpll XLlne 3) fpCXw Agpll Xul 4) ipV nV 5) 16 fuV Ahpil lfVz 6) iVp Ve BEV lfV (PS05) 7) jLfm pVgLV 8) ASD Voter- Certificate 17C-l au Lf fpCXw Agpll XLlne Mj YLu Seal Ll LVm CEeVl qaml p hyd Ahu lpiw LEVl Sj cez (hxx- lpiw LEVl pj LNSf cMu eQa qm pm Lle Hhw Sj ce z) 121. -: Statutory fLVl jd fyQV fbL pm Ll Mj bLh :- 1) iVl amLl jLX Lf (pe LlZl LS hhqa ) 2) lSVl Ag iVl (17A) 3) iVl pf 4) Ahhqa Vl hmV ffl 5) hhqa Vl hmV ffl Hhw 17h gj amL Mjl ial lMl ja Le Sep e bLm Mjl Efl Nil mMa qhz Statutory fLVV pm Ll Behe ez lpiw pVl fLVl ial ph Lil BR Le cM eJul fl pm Ll qhz (hxx- lpiw LEVl pj LNSf cMu eQa qm pm Lle Hhw Sj ce z) Statutory Form Hhw Lill lP phS qhz 123 -: Statutory fLVl jd fyQV fbL pm Ll Mj bLh :- 1) iVl amLl jLX Lf (pe LlZl LS hhqa ) 2) lSVl Ag iVl (17A) 3) iVl pf 4) Ahhqa Vl hmV ffl 5) hhqa Vl hmV ffl Hhw 17h gj amL Mjl ial lMl ja Le Sep e bLm Mjl Efl Nil mMa qhz Statutory fLVV pm Ll Behe ez lpiw pVl fLVl ial ph Lil BR Le cM eJul fl pm Ll qhz (hxx- lpiw LEVl pj LNSf cMu eQa qm pm Lle Hhw Sj ce z) Statutory Form Hhw Lill lP phS qhz 122. Non Statutory Lil ejmMa 12 V Sep Mj bLh 1) Qm iVl amL (gj 14) -pm Ll 2) g-l VL J VL Sj eJul lpV hL 3) fmw HSVcl euNf (gj-10) 4) A J An iVll amL (gj-14H) J pl Ooef 5) hupl Ooef cuRe Hje iVll amL J Ooef (in Annexure-X) 6) ehQL amLl Aee Lf 7) Ahhqa Hhw e qu kJu ffl pm 8) Ahhqa iVl pf 9) Ahhqa Hhw e qu kJu fnm VN 10) Ahhqa Hhw e qu kJu Vf pm 11) Election Duty Certificate (In Form 12B) 12) Dummy Ballot Sheet 124 Non Statutory Lil ejmMa 12 V Sep Mj bLh 1) Qm iVl amL (gj 14) -pm Ll 2) g-l VL J VL Sj eJul lpV hL 3) fmw HSVcl euNf (gj-10) 4) A J An iVll amL (gj-14H) J pl Ooef 5) hupl Ooef cuRe Hje iVll amL J Ooef (in Annexure-X) 6) ehQL amLl Aee Lf 7) Ahhqa Hhw e qu kJu ffl pm 8) Ahhqa iVl pf 9) Ahhqa Hhw e qu kJu fnm VN 10) Ahhqa Hhw e qu kJu Vf pm 11) Election Duty Certificate (In Form 12B) 12) Dummy Ballot Sheet Non- Statutory Form Hhw Lill lP qmc qhz 123. x aau HLV fLV bLh x 1) fpCXw Agpll qhLz 2) AjQeu Lml pV kV jj h Nm cu pm Lla qh ka Ahn Lm fs e kuz 3) Lml fX 4) fpCXw Agpll jVm pm 5) Tendered ballot Paper- H iV chl Arrow Cross Mark cJu Rubber Stamp 6) iVl Lm lMl f aau fLVl lP Mul qhz 125 x aau HLV fLV bLh x 1) fpCXw Agpll qhLz 2) AjQeu Lml pV kV jj h Nm cu pm Lla qh ka Ahn Lm fs e kuz 3) Lml fX 4) fpCXw Agpll jVm pm 5) Tendered ballot Paper- H iV chl Arrow Cross Mark cJu Rubber Stamp 6) iVl Lm lMl f aau fLVl lP Mul qhz 124. -: Aee pjN Ql el fLV lMa qh :- Ql el fLVl lP em qhz 126 -: Aee pjN Ql el fLV lMa qh :- Ql el fLVl lP em qhz 125. -: lpiw pVl L L Sj che :- 1) iVw jnel LVm CEeV J hmV CEeVz LVm CEeVl HL Lf pm Ll gj 17c Presiding Officer-Hl Declaration. 2) 8V lfV pma hC 3) 5 V Lil pma Statutory fLV 4) 12 V Lil pma Non Statutory fLV 5) AjQeu Lm Cac pma aau fLV 6) Aee pjN pma Qab fLV 127 -: lpiw pVl L L Sj che :- 1) iVw jnel LVm CEeV J hmV CEeVz LVm CEeVl HL Lf pm Ll gj 17c Presiding Officer-Hl Declaration. 2) 8V lfV pma hC 3) 5 V Lil pma Statutory fLV 4) 12 V Lil pma Non Statutory fLV 5) AjQeu Lm Cac pma aau fLV 6) Aee pjN pma Qab fLV 126. Receive the following Pr Os Diary -1 copy - unsealed Ballot paper A/C - 17C 2 copies - 1sealed & 1 unsealed PrOs declaration ( Annexure VII 1 copy sealed Receive the following PrOs declaration ( Annexure VII 1 copy sealed Visit sheet 1 copy sealed PS -05 A 1 copy unsealed 127. One copy sealed 17C and Declaration of Presiding Officer to be sent to the strong room tied with the CU of EVM . Send BU & CU to the strong room along with the Transit slip register Receiving Arrangements One copy sealed 17C and Declaration of Presiding Officer to be sent to the strong room tied with the CU of EVM . Send BU & CU to the strong room along with the Transit slip register 128. Remembe r PS 05A to be sent to the place as instructed by RO PrOs diary, 17C, visit slip, -- to be tied up separately & kept in the specified trunk Receiving Arrangements Remembe r Collect statutory covers containing : 1. Marked copy of E. Roll 2. Voter Register (17A) 3. Voters slip 4. Unused tendered ballot papers 5. Used tendered ballot papers 129. LR Special Counter Ll qa fl kc Le iV NqZ Lc JC PC / AC-a fs Ns iVl bL 15% Lj h hn iV fs bLz Le iV NqZ Lcl elM Le e AikN bLz Le iV NqZ Lc qwpaL LkLmf h EVM il Report bLz Le iV NqZ Lc EVM flhae qu bLz Reception Centre-H Special Counter : LR Special Counter Ll qa fl kc Le iV NqZ Lc JC PC / AC-a fs Ns iVl bL 15% Lj h hn iV fs bLz Le iV NqZ Lcl elM Le e AikN bLz Le iV NqZ Lc qwpaL LkLmf h EVM il Report bLz Le iV NqZ Lc EVM flhae qu bLz 130. 132