State of Tamilnadu- Act
Tamil Nadu Farmers' Management of Irrigation Systems Election Rules, 2003
TAMILNADU
India
India
Tamil Nadu Farmers' Management of Irrigation Systems Election Rules, 2003
Rule TAMIL-NADU-FARMERS-MANAGEMENT-OF-IRRIGATION-SYSTEMS-ELECTION-RULES-2003 of 2003
- Published on 12 January 2004
- Commenced on 12 January 2004
- [This is the version of this document from 12 January 2004.]
- [Note: The original publication document is not available and this content could not be verified.]
Chapter 1
Preliminary
1. Short title.
2. Definitions.
- In these rules, unless the context otherwise requires, -Chapter 2
Administrative Machinery
3. Returning Officer.
4. Assistant Returning Officer.
5. Presiding Officers and Polling Officers.
6. Polling stations.
Chapter 3
Electoral Roll For Water Users Association
7. Electoral roll of Water Users Association.
- The electoral roll for Water Users Association shall be the voters list prepared under rule 4 of the Tamil Nadu Farmers' Management of Irrigation Systems Rules, 2002.8. Language of the roll.
- The roll shall be prepared in Tamil. The roll may also be prepared in such other language or languages considering the necessity therefor.9. Preparation of copies of rolls.
10. Sale of electoral rolls and custody of rolls.
Chapter 4
Election To The Offices of Members of Territorial Constituencies and Presidents of Water Users Associations
11. Notification of programme of election.
12. Election schedule.
- The following shall be the schedule for conducting election to the offices of the members of the Territorial Constituencies and Presidents of Water Users Associations.Schedule
| Events | Date and Time |
| Receipt ofnominations and publication of final list of contestingcandidates(a) Receipt of nominations from the contestingcandidates for members of Territorial Constituencies andPresidents of Water Users Associations. | Date:9.00 am to 4.00 pm |
| (b) Scrutiny of nominations and publication oflist of valid nominations | Date:9.00 am to 4.00 pm |
| (c) Withdrawal of candidature | 2.00 pm to 4.00 pm |
| (d) Finalization of list of contestants andallotment of the election symbols | From 4.00 pm onwards till completion of the workon the same day |
| Polling andannouncing Results(e) Polling to elect the members of TerritorialConstituencies and Presidents of Water Users Association | Date:7.00 am to 2.00 pm |
| (f) Counting of votes and declaration of results | 4.00 pm onwards. |
13. Notice of election.
14. Presentation of nomination paper.
15. List of nominations received.
- Immediately after expiry of the time specified for receipt of the nomination forms on the date fixed for that purpose, a list of nominations received shall be arranged to be published at the office of the Returning Officer in Form-7 (Territorial Constituency-wise) with a notice that the nomination papers will be taken up for scrutiny at the specified place, the date and the time.16. Scrutiny of nominations.
17. Withdrawal of candidature.
18. Publication of final list of contesting candidates and assignment of symbols.
19. Procedure where there is only one validly nominated candidate.
- If there is only one validly nominated candidate in an election, he shall be declared to have been elected for the office of member of Territorial Constituency or President of Water Users Association, as the case may be, in Form-24. A certificate of election in Form-26 shall be issued to him.20. Effect of death of candidate before poll.
- If a contesting candidate dies and a report of his death is received before commencement of the poll, the Collector shall, after being satisfied of the fact of the death of the candidate, countermand the poll and election proceedings shall be started afresh in all respects as if it is a new election:Provided that no fresh nomination shall be necessary in the case of a candidate who stood validly nominated at the time of countermanding of the poll.Poll21. Arrangements at polling stations.
22. Preparation of ballot boxes.
23. Marked copy of electoral roll.
24. Facilities to women electors.
25. Challenging of identity.
26. Identification of electors.
27. Safeguards against impersonation.
28. Ballot paper.
29. Manner of voting.
- At every election where a poll is taken, votes shall be given by ballot and all electors voting at an election shall do so in person at the polling station and no votes shall be received by proxy.30. Issue of ballot papers.
31. Voting procedure.
32. Blind and infirm electors.
33. Spoilt and returned ballot papers.
34. Tendered votes.
35. Adjournment of poll in emergencies.
36. Continuation poll after adjournment.
37. Fresh poll after adjournment.
- Where an order is passed under clause (b) of sub-rule (3) under rule 35 for holding a fresh poll, the Returning Officer shall arrange to proceed afresh and a fresh poll shall be held at the polling station concerned in accordance with the provisions of these rules in all respects as if, it is being held at such polling station for the first time and there shall be no fresh nominations in this case.38. Fresh poll in the case of destruction, etc., of ballot boxes.
39. Poll persons influencing voting.
40. Removal of ballot papers from polling station.
41. Misconduct at the polling station.
- Any person, who during the hours fixed for the poll at any polling station, misconducts himself or fails to obey the lawful directions, as the case may be, may be removed from the polling station, by any police personnel on duty for being dealt with in accordance with law.42. Disorderly conduct in or near polling station.
43. Cancelled ballot papers.
44. Sealing of used ballot papers.
- The valid ballot papers of each candidate and the rejected ballot papers shall, thereafter, be bundled separately and the several bundles made up into a separate packet which shall be sealed and of such of the candidates, as may desire to affix their seals thereon, and on the packets so sealed shall be recorded the following particulars superscribed, namely:-45. Closing of poll.
46. Admission to the place of counting.
47. Scrutiny and opening of ballot boxes and counting of valid votes.
48. Destruction or loss of ballot papers at the time of counting of votes.
49. Rejection of ballot papers.
50. Counting to be continuous.
- The Returning Officer shall cause to proceed continuously with the counting of votes, and shall, during any necessary intervals, during which the counting has to be suspended, place ballot papers, packets and other documents relating to the election under his seal and seals of such candidates as may desire to affix them and shall cause adequate precautions to be taken for their safe custody.51. Recounting of votes.
52. Equality of votes.
- If, after the counting of the votes is completed, an equality of votes is found to exist among any of the candidates and the addition of one vote will lead to any of those candidates being declared elected, it shall be forthwith decided among those candidates by lot, and proceed as if the candidate on whom the lot falls had received the additional vote.53. Declaration of results of election.
54. Disposal of ballot papers.
55. Publication of names of elected candidates.
- In case of election to the offices of the members of the Territorial Constituencies and Presidents of Water Users Associations as soon as the result of election has been declared, the Returning Officer shall arrange to display on the Notice Board at his office and in the office of the Water Users Association concerned a notification signed by him, indicating the names of the candidates duly elected in Form-25 for information to the public. The Returning Officer shall arrange to publish the names of elected candidates in the concerned District Gazette.56. Issue of certificate of election.
- After declaration of results of elected candidates in Territorial Constituencies and the results of Presidents of Water Users Associations, certificate of election shall be issued to each of such elected candidate in Form-26 on the same day and the acknowledgement obtained.Chapter 5
Election To The Offices of The Presidents and Members of The Distributory Committees General
57. Holding of elections.
58. Notification by the Collector.
59. Election schedule.
Schedule 2
| Events | Date and Time |
| (a) Receipt of nominations for the office ofPresident | Date:.............. |
| 8.30 am to 9.30 am | |
| (b) Scrutiny of nominations and publication oflist of contesting candidates | 9.30 am to 10.00 am |
| (c) Withdrawal of candidature | 10.00 am to 10.30 am |
| (d) Publication of final list of candidates | 10.45 am |
| (e) Election in the event of contest | 11.30 am to 12.15 pm |
| (f) Counting and declaration of results | Immediately after poll |
| Events | Date and Time |
| (a) Receipt of nominations for the office ofmembers | Date:.............. |
| 1.30 pm to 2.30 pm | |
| (b) Scrutiny of nominations and publication oflist of contesting candidates | 2.30 pm to 3.00 pm |
| (c) Withdrawal of candidature | 3.00 pm to 3.30 pm |
| (d) Publication of final list of candidates | 3.45 am |
| (e) Election in the event of contest | 4.30 pm to 5.15 pm |
| (f) Counting and declaration of results | Immediately after poll |
60. Nomination of candidates.
61. List of nominations received.
- The list of candidates who have filed their nominations for the office of President or members shall be announced to all the members present in the meeting and recorded in Form-7.62. Scrutiny of nominations.
63. Withdrawal of candidature.
64. Final list of contesting candidates.
- All the names of the candidates left in the contest after withdrawal, shall be recorded in alphabetical order in Form-11 and announced in the meeting.65. Result of election where there is only one validly nominated candidate.
66. Voting procedure.
67. Counting of votes.
- At the end of the poll, the votes shall be counted and the results recorded in Form-23 and the ballot paper account is prepared in Form-22. If equality of votes exist, the procedure outlined in rule 52 shall be followed.68. Declaration of results.
69. Election of members.
70. Publication of names of elected candidates.
- The Returning Officer shall arrange to display on the Notice Board at his office and in the office of the Distributory Committee concerned, a notification signed by him indicating the names of the duly elected "candidates in Form-25. The Returning Officer shall arrange to publish the names of elected candidates in the District Gazette.Chapter 6
Election To The Offices of The Chairman and Members of The Project Committees General
71. Holding of elections.
72. Notification by the Collector.
73. Election schedule.
Schedule 3
| Events | Date and Time |
| (a) Receipt of nominations for the office ofPresident | Date:.............. |
| 8.30 am to 9.30 am | |
| (b) Scrutiny of nominations and publication oflist of contesting candidates | 9.30 am to 10.00 am |
| (c) Withdrawal of candidature | 10.00 am to 10.30 am |
| (d) Publication of final list of candidates | 10.45 am |
| (e) Election in the event of contest | 11.30 am to 12.15 pm |
| (f) Counting and declaration of results | Immediately after poll |
| Events | Date and Time |
| (a) Receipt of nominations for the office ofmembers | Date:.............. |
| 1.30 pm to 2.30 pm | |
| (b) Scrutiny of nominations and publication oflist of contesting candidates | 2.30 pm to 3.00 pm |
| (c) Withdrawal of candidature | 3.00 pm to 3.30 pm |
| (d) Publication of final list of candidates | 3.45 am |
| (e) Election in the event of contest | 4.30 pm to 5.15 pm |
| (f) Counting and declaration of results | Immediately after poll |
74. Nomination of candidates.
75. List of nominations received.
- The list of candidates who have filed their nominations for the office of Chairman or members shall be announced to all the members present in the meeting and recorded in Form-7.76. Scrutiny of nominations.
77. Withdrawal of candidature.
78. Final list of contesting candidates.
- All the names of the candidates left in the contest after withdrawal, shall be recorded in alphabetical order in Form-II and announced in the meeting.79. Result of election where there is only one validly nominated candidate.
80. Voting procedure.
81. Counting of votes.
- At the end of the poll, the votes shall be counted and the results recorded in Form-23 and the ballot paper account is prepared in Form-22. If equality of votes exist, the procedure outlined in rule 52 shall be followed.82. Declaration of results
83. Election procedure.
84. Publication of names of elected candidates.
- The Returning Officer shall arrange to display on the Notice Board at his office and in the office of the Project Committee concerned, a notification signed by him indicating the names of the duly elected candidates in Form-25. The Returning Officer shall arrange to publish the names of elected candidates in the District Gazette.AppendixForm 1[See rule 11(1)]Government of Tamil Nadu Public Works DepartmentWater Resources OrganisationNotification of Programme of Election To The Offices of Members of Territorial Constituencies and Presidents of Water Users AssociationsIt is hereby notified that the election to fill the offices of Members of Territorial Constituencies and Presidents of Water Users Associations in ...........district shall be conducted as per the schedule given below: -The notice of election shall be issued on.....The names of Water Users Associations and the Territorial Constituencies shall be published at the time of issue of notice of election.of Election
Schedule 5
| Events | Date and Time |
| Receipt of nominations and publication of finallist of contesting candidates | Date:............ |
| (a) Receipt of nominations from the contestingcandidates for members of Territorial Constituencies andPresidents of Water Users Associations. | 9.00 am to 4.00 pm |
| (b) Scrutiny of nominations and publication oflist of valid nominations | Date:9.00 am to 4.00 pm |
| (c) Withdrawal of candidature | 2.00 pm to 4.00 pm |
| (d) Finalization of list of contestants andallotment of the election symbols | from 4.00 pm onwards till completion of the work on the sameday |
| Polling andannouncing Results(e) Polling to elect the members of TerritorialConstituencies and Presidents of Water Users Associations | Date:............7.00 am to 2.00 pm |
| (f) Counting of votes and declaration of results | 4.00 pm onwards |
| Station: | Signature................ |
| Date: | Full Name................ |
| (Collector) |
1. It is hereby notified that the election to fill the offices of Members of Territorial Constituencies and Presidents of Water Users Association as detailed in the annexure shall be conducted as per the schedule given below.
2. Name of the Returning Officer and address.......(Place where Nomination Forms are issued)
of Election
| S.No.(1) | Events(2) | Date and time(3) |
| Receipt of nominations and publication of final list ofcontesting candidates | ||
| (a) | Receipt of nominations from the contestingcandidates for members of Territorial Constituencies andPresidents for Water Users Associations. | Date:............9.00 am to 4.00 pm |
| (b) | Scrutiny of nominations and publication of listof valid nominations | Date:................9.00 am to 2.00 pm |
| (c) | Withdrawal of candidature | 2.00 pm to 4.00 pm |
| (d) | Finalization of list of contestants andallotment of the election symbols. | from 4.00 pm onwards till completion on the sameday. |
| Polling and announcing Results | ||
| (e) | Polling to elect the members of TerritorialConstituencies and Presidents of Water Users Associations. | Date:7.00 am to 2.00 pm |
| (f) | Counting of votes and declaration of results. | 4.00 pm onwards |
| Station: | Signature........... |
| Date: | Full Name........... |
| (in Capitals) | |
| (Collector) |
| SI. No. | Description of the TC/WUA | District/Taluk/Village | Place for receiving nomination Form | Officer receiving nomination Form | Name of Polling Station | Place of counting of votes | Remarks |
1. The date of election........
2. Name of the Returning Officer and address..........
(Place where nomination Forms are issued)of Election
| SI. No. | Events | Date and time |
| (1) | (2) | (3) |
| 1. | Receipt of nominations for the office of President | Date:............... |
| 8.30 am - 9.30 a.m. | ||
| 2. | Scrutiny of nominations and publication of list of contestingcandidates | 9.30 a.m. -10.00 a.m. |
| 3. | Withdrawal of candidature | 10.00 a.m.-10.30 a.m. |
| 4. | Publication of final list of candidates | 10.45 a.m. |
| 5. | Election in the event of contest | 11.30 a.m.-12.15 p.m. |
| 6. | Counting and declaration of results | Immediately after poll |
| S.No. | Events | Date and time |
| (1) | (2) | (3) |
| 1. | Receipt of nominations for the office of membersof Contributory Committee | Date:...............1.30 p.m. - 2.30 p.m. |
| 2. | Scrutiny of nominations and publication of listof contesting candidates | 2.30 p.m. - 3.00 p.m. |
| 3. | Withdrawal of candidature | 3.00 p.m. - 3.30 p.m. |
| 4. | Publication of final list of candidates | 3.45 p.m. |
| 5. | Election in the event of contest | 4.30 p.m. - 5.15 p.m. |
| 6. | Counting and declaration of results | Immediately after poll |
| Station: | Signature............ |
| Date: | Full Name.............. |
| (in Capitals) | |
| (Collector) |
| SI. No. | Description of the DC | Taluk | Place for receiving nomination Form | Officer receiving nomination Form | Place of election | Place of counting of | Remarks |
1. It is hereby notified that the election to fill the Offices of Chairman and Members of Project Committee as detailed in the annexure shall be conducted as per the schedule given below: -
2. The date of election...... 20 .......
3. Name of the Returning Officer and address.........
(Place where nomination Forms are issued)of Election
| S.No. | Events | Date and time |
| (1) | (2) | (3) |
| 1. | Receipt of nominations for the office of Chairman | Date:...............8.30 a.m. - 9.30 a.m. |
| 2. | Scrutiny of nominations and publication of list of contestingcandidates | 9.30 a.m. -10.00 a.m. |
| 3. | Withdrawal of candidature | 10.00 a.m.- 10.30.a.m. |
| 4. | Publication of final list of candidates | 10.45 a.m. |
| 5. | Election in the event of contest | 11.30 a.m. -12.15 p.m. |
| 6. | Counting and declaration of results | Immediately after poll |
| S.No. | Events | Date and time |
| (1) | (2) | (3) |
| 1. | Receipt of nominations for the office of membersof Project Committee | Date:...............1.30 p.m.-2.30 p.m. |
| 2. | Scrutiny of nominations and publication of listof contesting candidates | 2. 30 p.m. -3.00 p.m. |
| 3. | Withdrawal of candidature | 3.00 p.m. - 3.30 p.m. |
| 4. | Publication of final list of candidates | 3.45 p.m. |
| 5. | Election in the event of contest | 4.30 p.m. - 5.15 p.m. |
| 6. | Counting and declaration of results | Immediately after poll |
4. The Presidents of..........Distributary Committees are requested to attend the meeting along with original certificates of election at the venue mentioned above without fail for electing the Chairmen and members of. ..........Project Committees.
| Station: | Signature............ |
| Date: | Full Name.............. |
| (in Capitals) | |
| (Collector) |
| SI. No. | Description of the DC | Taluk | Place for receiving nomination Form | Officer receiving nomination Form | Place of election | Place of counting of | Remarks |
1. Name of the WUA/DC/PC as per records.
2. Name of the irrigation system e.g: major/medium/minor irrigation.
3. Name of the WUA/DC/PC as per records.
1. Personal Particulars
| (a) | Full name: Thiru/Tmt./Selvi | .................(surname) | ...............(full name) |
| (b) | Father/Husband name: Thiru | ...............(surname) | .................(full name) |
| (c) | Serial No. in the voters list........................................... | (contestingcandidate) | |
| (d) | Age ............ Years | ||
| (e) | Gender Male/Female (Please put tick (True) mark) | ||
| (f) | Total extent of land (i) Owned | ….............. ha | (ii) Leased......... ha |
| (g) | Occupation ....................... | ....................... | (i) Educational Qualification |
| (h) | Address of contesting candidate: | ||
| House No .............. | Street................................. | ||
| Town/village ................... | Taluk............................. | District..................... |
2. Details of the Proposer
| (a) | Full name: Thiru/Tmt./Selvi | ..................................... |
| (b) | Father/Husband name: Thiru | ........................................ |
| (c) | Serial No. in the voters list ..........................(proposer) | |
| signature | ….................. (proposer) |
3. Declaration
(By the contesting candidate)I Solemnly affirm and state as follows:| Station: | Signature................ |
| Date:......20............ | (contesting candidate) |
| Witness 1 | Witness2 |
| Signature................ | Signature............... |
| Full name................ | Full name.............. |
| Address.................. | Address................. |
| For Office use |
4. Scrutiny of Nominations
1. This nomination form is presented to me by Thiru/Tmt./Selvi..........(name of the contesting candidate/proposer) *candidate/*proposer in person on this day of..../..../20 ...... at ...... (AM/PM) ........ dd mm yy
2. I have scrutinised this nomination form in accordance with the election rules and the nomination is
(Decision to be written as Accepted/Rejected in the box)3. The nomination is rejected for the following reasons (if rejected)
......................................................................................................| |- | Station: | Signature ............... |
| Date:.......20..... | Full name .............. | |
| (Returning Officer) |
| Station: | Signature................... |
| Date:........ 20 .......... | Full name.................. |
| (Returning Officer) |
| S.No.(1) | Details ofcandidate(2) | Remarks(3) |
| Name: Thiru/Tmt./Selvi............Age.......yrsson/ wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... | ||
| Name: Thiru/Tmt./Selvi............Age.......yrsson/wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... | ||
| Name: Thiru/Tmt./Selvi............Age.......yrsson/wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... |
| S.No.(1) | Details ofcandidate(2) | Remarks(3) |
| Name: Thiru/Tmt./Selvi............Age.......yrsson/ wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... | ||
| Name: Thiru/Tmt./Selvi............Age.......yrsson/wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... | ||
| Name: Thiru/Tmt./Selvi............Age.......yrsson/wife/ daughter ofSri...........................................Occupation..............S. No. in electoral roll...........Address.................................................Proposer: Thiru/Tmt./Selvi.........S. No. in electoralroll........... |
| (By the contesting candidate) | ||
| 1,............................................................................................................................................................................................. | ||
| (surname) | (full name) | |
| a candidate validly nominated for the election for the officeof.......................................................................................... | ||
| (nameof the office contested) | ||
| do hereby wilfully withdraw my candidature. | ||
| Station: | Signature................ | |
| Date: | (contesting candidate) | |
| Remarks | For office use | |
| The above withdrawal is accepted and entered in the Form 10displayed on the notice board. | ||
| Signature............... | ||
| Full name.............. | ||
| (Returning Officer) |
| Village ................ | Taluk................... |
| District ............... | Irrigation system............... |
| [(name of the irrigation system)] [Name of the Irrigation System-Major/Medium/Minor Irrigation Systems.] |
| SI. No. | Name of Candidate | Father/Husband name | Address | Remarks |
| Signature................... | |
| Full name.................. | |
| (Returning Officer) |
| SI. No. | Name of the contesting candidate andfather's/husband's name in the order of Tamil alphabet | Name of election symbol allotted (whereverapplicable) |
| (1) | (2) | (3) |
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. | ||
| 6. | ||
| 7. | ||
| 8. | ||
| 9. |
| Abstract of Nominations | |
| No. of nominations received ................................withdrawn ............................ Balance................... | |
| Signature.................. | |
| Polling date 20.... | Full name................. |
| (Returning Officer) |
| SI. No.(1) | Name of thecandidate in Tamil alphabetical order(3) | Symbol allotted(Figure)(2) |
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. | ||
| 6. | ||
| 7. | ||
| 8. | ||
| 9. | ||
| 10. |
| SI. No. | Symbol allotted(Figure) |
| (1) | (2) |
| 1. | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| 7. | |
| 8. | |
| 9. | |
| 10. |
| SI. No. | Name of the candidate in Tamil alphabeticalorder | Put (√) mark against one name only in the boxspace provided |
| (1) | (2) | (3) |
| 1. | Name | |
| 2. | Name | |
| 3. | Name | |
| 4. | Name | |
| 5. | Name | |
| 6. | Name |
| SI. No. | Name of the candidate in Tamil alphabeticalorder | Put (√) mark against as many candidates as thenumber of offices in the Managing Committee in the box spaceprovided |
| (1) | (2) | (3) |
| 1. | Name | |
| 2. | Name | |
| 3. | Name | |
| 4. | Name | |
| 5. | Name | |
| 6. | Name |
| SI. No. | Name of the candidate in Tamil alphabeticalorder | Put (√) markagainst one nameonly in the box space provided |
| (1) | (2) | (3) |
| 1. | Name | |
| 2. | Name | |
| 3. | Name | |
| 4. | Name | |
| 5. | Name | |
| 6. | Name |
| SI. No. | Name of the candidate in Tamil alphabeticalorder | Put (√) markagainst as many candidates as the number of offices in theManaging Committee in the box space provided |
| (1) | (2) | (3) |
| 1. | Name | |
| 2. | Name | |
| 3. | Name | |
| 4. | Name | |
| 5. | Name | |
| 6. | Name |
| SI. No. | Signature of candidates | Name of candidates |
| (1) | (2) | (3) |
| SI. No. | Name of the voter | S. No. in electoral roll | Ballot paper number | Signature/Thumb impression of the elector | Number of Ballot paper issued to the personalready voted |
| (1) | (2) | (3) | (4) | (5) | (6) |
| SI. No | Territorial Constituency Number | SI. No. of elector in electoral roll | Full name of electoral | Full name of companion | Address of companion | Signature of companion |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| SI. No | Name of the voter | SI. No. of electoral roll | Address of voter and signature/Thumbimpression | Name of challenger | Signature/Thumb impression of identifier ifany | Orders of Collector |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Name of the Polling Station/Place.................. | |||
| Serial number of the polling station __________ | |||
| Serial number of ballot papers _____________ | From ___________ | To_________________ | |
| Territorial Constituency No. ________________ | |||
| (Wherever applicable) __________ |
| (A) Ballot papers used at the Polling Stations | (B) Ballot papers used at the polling station, but not put inballot box | |
| (1) Total ballot papers received | ||
| (2) Details of ballot paper unused (i.e) not issued to voters | ||
| (a) With signature of the Presiding Officer | ||
| (b) Without signature of the Presiding Officer | ||
| (c) Total ballot papers unused [(2a) + (2b)] | ||
| (3) [ Ballot papers used at the Polling Station (1) - (2c)] [Serial numbers need not be given, only total is required. Strike whichever is not applicable.] | ||
| (4) Ballot papers cancelled for violation of voting procedure | ||
| (5) Ballot papers cancelled for other reasons | ||
| (6) Ballot papers used on tendered votes | ||
| (7) Total ballot papers not inserted in voting box [(4)+ (5)+(6)] | ||
| (8) Ballot papers to be found in ballot box (3) - (7) |
| Station: | Signature ............ |
| Date ...... 20........ | Full Name........... |
| (Presiding Officer) |
| SI. No.(1) | Candidate's nameand father's/husband's name(2) | Number of valid votes cast | |
| Nos.(3) | In words(4) | ||
| Total valid votes cast |
| (A) [ The highest number of valid votes are polled in favour of the following candidate.] [(*) Strike out whichever is not applicable.] | ||
| Thiru/Tmt/Selvi | .................. | ................ |
| (full name) | (surname) | |
| son/wife/daughter of Thiru | .................. | ................. |
| (full name) | (surname) | |
| (B) [ For equality of votes, lots have been drawn and the lothas fallen in favoured of] [(*) Strike out whichever is not applicable.] | ||
| Thiru/Tmt/Selvi | .................. | ................. |
| (full name) | (surname) | |
| son/wife/daughter of Thiru | .................. | ................. |
| (full name) | (surname) |
| (1) Total number of ballot papers (as per ballotpapers account) | No. of rejected ballot papers | ||||
| (2) Total number of ballot papers actually foundin the box | Difference, if any (1) - (2) |
| Name ofcandidate Thiru/Tmt./Selvi | .................. | ................... |
| (surname) | (full name) | |
| son/wife/daughter of Thiru | .................. | .................. |
| (surname) | (full name) | |
| Age...............Years Gender: Male/Female | ||
| Extent ofland (i) owned.........ha (ii) leased..................ha | ||
| Occupation..................Termof office.................... years | ||
| ResidentialAddress: | ||
| House No......... | Street........................... | |
| Town/Village......... | Taluk.............................. | |
| District......... | Pin code........................... | |
| Signature............................ | ||
| Full name............................ | ||
| (Returning Officer) |
| Village............................ | Taluk …........................... |
| Date of Counting ........ 20 ............. | District............................. |
| S.No. | Name of the candidate elected | Office to which elected |
| (1) | (2) | (3) |
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. | ||
| 6. | ||
| 7. | ||
| 8. | ||
| 9. | ||
| 10. | ||
| 11. | ||
| 12. | ||
| 13. | ||
| 14. |
| S. No. | Territorial Constituency Number | Location of Polling Station | Serial Number of electors as per electoral roll | ||
| Place | Name of Building/Office | Village and Taluk | |||
| (1) | (2) | (3) | (4) | (5) | (6) |
| Station: | Signature............... |
| Date...........20............ | Full name.............. |
| (in capitals) (Collector) |
| S.No. | Territorial Constituency Number | Location of Polling Station | Serial Number of electors as per electoralroll | ||
| Place | Name ofBuilding/Office | Village and Taluk | |||
| (1) | (2) | (3) | (4) | (5) | (6) |