State of Tamilnadu- Act
Tamil Nadu Panchayats (Elections) Rules, 1995
TAMILNADU
India
India
Tamil Nadu Panchayats (Elections) Rules, 1995
Rule TAMIL-NADU-PANCHAYATS-ELECTIONS-RULES-1995 of 1995
- Published on 7 August 1995
- Commenced on 7 August 1995
- [This is the version of this document from 7 August 1995.]
- [Note: The original publication document is not available and this content could not be verified.]
Part I – Preliminary
1. Short title and commencement.
- These Rules may be called the Tamil Nadu Panchayats (Elections) Rules, 1995.2. Definitions.
3. Conduct of more than one election simultaneously.
- A notified polling station can be used for the purpose of conducting elections either for a Member of Village Panchayat or President of a Village Panchayat or a Member of a Panchayat Union Council or a District Panchayat either individually or simultaneously. The Presiding Officers, Polling Officers and such other officers appointed for the purposes of conducting one election shall be deemed to have been appointed for the purposes of holding all other elections so held simultaneously at that polling station. Unless otherwise directed by the State Election Commission, the polling materials like ballot boxes, rubber stamps, distinguishing marks, etc., as well as records like marked copy of the electoral roll, covers, etc., used for one election may also be used for other such elections.4. Signing of an instrument.
- For the purposes of these rules, a person who is unable to write his name shall, unless otherwise expressly provided for in these rules, be deemed to have signed an instrument or other paper if -Part II – Election Machinery
5. Powers and functions of the State Election Commission.
6. State Election Officer and District Election Officer.
6A. [ Observers. [Inserted by G. O, Ms. No. 86 RD & PR, dated the 27th July 2006.]
7. Panchayat Electoral Registration Officer.
- The Panchayat Union Commissioner shall be the Panchayat Electoral Registration Officer under sub-section (2) of section 30 of the Act for the purposes of preparing and publishing Panchayat Electoral Rolls in respect of the Wards of the Panchayats in his jurisdiction.8. Returning Officer.
9. General duties of the Returning Officer.
- Subject to the superintendence, direction and control of the State Election Commission and under the supervision and guidance of the District Election Officer, the Returning Officer shall be responsible for the proper conduct of the elections in the manner provided in the Act, the rules thereunder and any other orders issued by the State Election Commission, from time to time.10. Assistant Returning Officer.
11. [ Provision of Polling Stations. [Substituted by G.O. Ms. No. 151, Rural Development (C1), dated the 2nd June 2001.]
- The Returning Officer shall, with the approval of the District Election Officer, provide sufficient number of Polling Stations for every Panchayat, in such manner as the State Election Commission may direct and shall, publish at such place or places and in such manner as the State Election Commission may direct, a list, in the language or languages in which the electoral roll of the area is prepared, showing the names of Polling Stations so provided and the polling area or areas or group of voters for which they have, respectively, been provided.]12. Appointment of Presiding Officers and Polling Officers.
- The Returning Officer shall appoint a Presiding Officer and Polling Officers in accordance with the scale prescribed by the State Election Commission for each polling station:Provided that [only officers and servants of the Government,] [Substituted by G.O. Ms. No. 175, Rural Development (PE), dated the 28th August 1997.] Local Authorities, Co-operative Institutions or undertakings owned by the State or Central Government or aided schools may be appointed for this purpose.13. General duties of the Presiding Officer and Polling Officers.
Part III – Preparation and Publication of Panchayat Electoral Roll
14. Preparation of Panchayat Electoral Roll.
15. Electoral roll of a Village Panchayat.
- For the purpose of election of President of Village Panchayat, the rolls of all Wards in the Panchayat Village prepared under rule 14 and put together shall form the electoral roll of that Panchayat Village.16. Electoral roll of a Ward of a Panchayat Union.
- For the purpose of election of member of a Panchayat Union Council, the rolls of the Wards of Panchayat Villages comprising the Ward of the Panchayat Union, prepared under rule 14 and put together shall form the electoral roll of that Ward of the Panchayat Union.17. Electoral roll of a Ward of a District Panchayat.
- For the purpose of election of member of a District Panchayat, the rolls of all wards of Panchayat Village comprising the Ward of the District Panchayat prepared under rule 14 and put together shall form the roll of that Ward of the District Panchayat.Explanation. - The electoral rolls for a Panchayat Village or Ward of a Panchayat Union or of a Ward of a District Panchayat, as the case may be, need not be prepared or amended separately when once the electoral rolls of all the constituent Wards of Panchayat Villages have been prepared or amended in accordance with these rules.18. Form and language of the roll.
19. Order of names.
20. Publication of copies of rolls.
| (a) | at his office. | One copy of all parts of the roll relating tothe Wards of Village Panchayats falling within his jurisdiction. |
| (b) | at the office of the Village Panchayatconcerned. | One copy of all parts of the roll relating toall the Wards of the Village Panchayat, arranged VillagePanchayat Ward-wise. |
| (c) | at the office of the Panchayat Union concerned. | One copy of all parts of the roll relating toall Wards of the Village Panchayats comprising the DistrictPanchayat Union arranged District Panchayat Ward-wise. |
| (d) | at the office of the District Panchayat. | One copy of all parts of the roll relating toall Wards of the Village Panchayats comprising the DistrictPanchayat arranged District Panchayat Ward-wise. |
21. Procedure for lodging claims and objections.
- All omissions of names in any part of the roll or objections to any entry in the roll, at any point of time after its publication under rule 20 shall be settled by first getting amended suitably the relevant portion of the electoral roll of the Tamil Nadu Legislative Assembly Constituency based on which the Panchayat roll was prepared. Anybody wishing to raise a claim for inclusion of any name in the roll or any objection in respect of any entry in the roll so published, shall submit a proper claim or objection under the provisions of the Registration of Electors Rules, 1960 to the Electoral Registration Officer of the concerned Legislative Assembly Constituency. Subject to the provisions in section 30 of the Act and based on the orders of the Electoral Registration Officer of the Assembly Constituency on such claims and objections, the Panchayat Electoral Registration Officer shall amend the relevant portion of the Panchayat Electoral Roll, incorporating the changes by issuing an amendment to the relevant part of the Panchayat Electoral Roll. In case of any clerical or printing error or both and when the entries deviate from the particulars of Assembly Roll, the Panchayat Electoral Registration Officer may cause such errors, omissions and commissions rectified so as to bring it in conformity with the particulars of the Assembly Roll concerned. In other words, the Panchayat Electoral Registration Officer will not resort to suo motu revision of the rolls byway of deletions or additions or modifications.22. Special provision for preparation of rolls on changes in jurisdiction and on consequential re-delimitation of Wards.
23. Sale of Electoral Rolls and custody of Rolls.
Part IV – Notification of Election and Nomination of Candidates
24. Notification of programme of election.
25. Notice of election.
26. Presentation of nomination paper.
27. Deposits.
| (a) [ [Substituted by G.O. Ms. No. 175, Rural Development (PE), dated the 28th August 1997.] | for election of member of Village Panchayat | Rs. 200.00 |
| (b) | for election of President of Village Panchayat | Rs. 600.00 |
| (c) | for election of Member of a Panchayat Union | Rs. 600.00 |
| (d) | for election of Member of a District Panchayat | Rs. 1,000.00 |
| Where the candidate is member of a ScheduledCaste or Scheduled Tribe | ||
| (a) | for election of Member of Village Panchayat | Rs. 100.00 |
| (b) | for election of President of Village Panchayat | Rs. 300.00 |
| (c) | for election of Member of a Panchayat Union | Rs. 300.00 |
| (d) | for election of Member of a District Panchayat | Rs. 500.00]: |
28. Notice of nominations and the time and place for their scrutiny.
29. Scrutiny of nomination.
30. Prohibition on contesting more than one seat and withdrawal of candidature.
31. Preparation of list of contesting candidates.
32. Procedure in contested and un-contested election.
- The Returning Officer shall, immediately after the preparation of the list of contesting candidates referred to in rule 31 of these rules, adopt the procedure specified hereunder and determine the seat or seats in respect of which a poll is necessary and the candidate among whom the said seat or seats have to be filled.33. Recognition of political parties.
- Every political party recognised by the Election Commission of India as a National party or as a State party in the State of Tamil Nadu under Election Symbols (Reservation and Allotment) Order, 1968 shall be a recognised political party for the purpose of election to Panchayat Bodies.34. Publication of a list of recognised parties and symbols.
- For the purpose of these rules, the State Election Commission shall publish, by notification, a list of recognised political parties and their symbols and a list of free symbols.35. Assignment of symbols and publication of list of contesting candidates.
36. [ Death of candidate before poll. [Substituted by G O. Ms. No. 151, Rural Development (Cl), dated the 2nd June 2001.]
- If a candidate, set up by a recognised political party -Part V – Poll
37. Polling personnel to be appointed before poll.
38. Appointment of election agents.
- A candidate at an election may appoint any one person to be his election agent. Such an appointment may be made by the candidate by giving notice in Form 10 by forwarding the same in duplicate to the Returning Officer, who shall return one copy thereof after affixing thereon his seal and signature in token of his approval of the appointment.39. Functions of election agent.
- An election agent may perform such functions in connection with the election as are authorised by or under these rules to be performed by an election agent.40. Appointment of polling agents.
41. Arrangements at polling station.
42. Preparation of ballot boxes for poll.
43. Marked copy of electoral roll.
44. Facilities for women electors.
45. Challenging of identity.
46. Identification of electors.
47. Safeguards against personation.
48. Right to vote.
48A. [ Special procedure for preventing personation of electors. [Inserted by G.O. Ms. No. 151, Rural Development (Cl), dated the 2nd June 2001.]
- With a view to prevent personation of electors and facilitating their identification at the time of poll, every elector shall produce documentary evidence establishing his identity as may be specified and in the manner directed by the State Election Commission in this behalf, from time to time.]49. Ballot papers.
50. Manner of voting.
- At every election where a poll is taken, votes shall be given by ballot and all voters voting at an election shall do so in person at the polling station and no votes shall be received by proxy.51. Issue of ballot papers and voting procedure.
52. Voting procedure for electors on election duty.
53. Recording the votes of blind and infirm electors.
54. Spoilt and returned ballot papers.
55. Tendered votes.
56. [ Adjournment of poll in emergencies. [Substituted by G.O. Ms. No. 151, Rural Development (CI), dated the 2nd June 2001.]
57. Fresh poll in the case of destruction, etc., of ballot boxes.
58. Closing of poll.
59. Transmission of ballot boxes, etc., to the Returning Officer.
- The Presiding Officer shall, then, deliver or cause to be delivered to the Returning Officer at such place as the Returning Officer may direct -Part VI – Counting of Votes
60. Admission to the place fixed for counting.
- The counting of votes shall take place on the day at the place and hour appointed in that behalf. The votes shall be counted by or under the supervision and direction of the Returning Officer. Each contesting candidate, his election agent and such number of his counting agents as may be specified by the State Election Commission, shall have a right to be present at the time of counting. The counting agent shall be appointed [in writing by the candidate or his election agent in Form 21] [Substituted by G.O. Ms. No. 175, Rural Development (PE), dated the 28th August 1997.]. No other person shall be allowed to be present, except -61. Counting of postal ballot papers and scrutiny and opening of ballot boxes.
62. Destruction or loss of ballot papers at the time of counting.
63. Rejection of ballot papers.
64. Counting of valid votes.
65. Counting to be continuous.
- The Returning Officer shall, as far as practicable, proceed continuously with the counting and shall during any interval when the counting has to be suspended, keep the ballot papers, packets and all other papers relating to elections sealed with his own seal and the seals of such candidates or election agents as may desire to affix their seals and take sufficient precaution for their safe custody during such interval.66. Re-count of votes.
67. Declaration of result of election.
68. Disposal of ballot papers.
69. Publication of the names of successful candidates.
70. Fixing other dates of election for special reason.
- Notwithstanding anything contained in the foregoing rules, the State Election Commission may, for special reasons, empower the District Election Officer to fix dates and periods other than those notified earlier under these rules, for all or any of the stages of any election under the Act.70A. [ Oath or Affirmation by the President/Member. [Substituted by G.O. Ms. No. 241, Rural Development (PE), dated the 24th September 2001.]
Part VII – Election of Chairmen and Vice-Chairmen of District Panchayat and Panchayat Union Councils
71. Place of election of Chairmen of District Panchayats and Panchayat Union Councils.
- Elections of Chairmen of the District Panchayats or the Panchayat Union Councils shall be held at a meeting convened by the Returning Officer in the manner prescribed in these rules in the offices of the respective Panchayats.72. Electors.
- Members elected to the Territorial Wards of the District Panchayat or Wards of a Panchayat Union Council shall be voters for electing the Chairman of the District Panchayat or Panchayat Union Council, as the case may be.73. Convening of the meeting for election.
74. Qualification of candidates for election of Chairman.
75. Presentation of nomination.
76. Reading out the names of candidates.
- The names of all the candidates who have been proposed and seconded and whose nominations have been accepted under rule 75 shall be read out by the Returning Officer to the hearing of the Ward members present at the meeting.77. Declaration of result of election when there is no contest.
78. Procedure of election when there is contest.
- If the number of candidates is more than one, the votes of the Ward members present at the meeting shall be taken by ballot in the manner laid down in these rules.79. Arrangement of voting compartment.
- The Returning Officer shall provide in the place where the meeting is held, a voting compartment in which the Ward members present at the meeting can record their votes screened from observation of all others.80. Ballot box.
- The Returning Officer shall also place a ballot box for the receipt of ballot papers in the view of the Ward members present at the meeting. The ballot box shall be so constructed that the ballot papers can be inserted therein, but cannot be withdrawn there from without the box being unlocked or opened.81. Preparation of ballot box.
- The Returning Officer shall immediately before the votes are taken, demonstrate to such Ward members as may be present that the ballot box is empty, lock it up, and place a seal upon it in such a manner as to prevent its being without breaking the seal.82. Preparation and issue of ballot papers.
83. Voting procedure.
- The Ward member shall, on receiving the ballot paper, proceed to the voting compartment for the purpose of recording his vote and put a mark on it with the help of the instrument provided for this purpose by the Returning Officer on the ballot paper against the name of the candidate for whom he wishes to vote. He shall, before quitting the voting compartment, fold up the ballot paper so as to conceal the mark and put the ballot paper so folded up into the ballot box in the presence of the Returning Officer.84. Arrangements to ensure secrecy of ballot.
- The Returning Officer shall cause such arrangements to be made as will ensure the secrecy of the ballot and prevent the Ward members who have already voted, from voting for the second time and also from having access to the Ward members who are yet to vote.85. Recording of votes of illiterate/blind/infirm voters.
86. Counting of votes.
- After the voting by the Ward members is over, the Returning Officer shall open the ballot box in the presence of the Ward members present, take out the ballot papers therefrom and record the number of votes obtained by each candidate in a statement.87. Invalid ballot papers.
- A ballot paper shall be invalid on which -88. Declaration of result of election.
89. Duties of the Returning Officer after completion of voting.
- Immediately after the meeting, the Returning Officer shall -90. Packing and sealing of ballot papers.
91. Election of Vice-Chairman of District Panchayat or Panchayat Union Council.
92. Powers to postpone or advance the election.
- Notwithstanding anything contained in the foregoing rules, the State Election Commission may, for sufficient reasons, direct, from time to time, the postponement of the meeting of the election of Chairman, or Vice-Chairman of a District Panchayat or a Panchayat Union Council, as the case may be, the advancement or further postponement of the date so postponed and the Returning Officer shall give effect to such direction.Part VIII – Election of Vice-President of Village Panchayats
93. Holding of the meeting for election.
- The election of the Vice-President shall be held in the office of the concerned Village Panchayat at a meeting specially convened for the purpose.94. Convening and presiding over the meeting.
95. Election procedure.
- The provisions of rules 75 to 88 shall apply to the election of Vice-Presidents as they apply in relation to the election of Chairmen of District Panchayats or Panchayat Union Councils.96. Declaration of result of election.
- The candidate who obtains the largest number of votes shall be declared to have been duly elected. In the event of there being an equality of votes between any two or more candidates and the addition of one vote to any one of such candidates will entitle him to be declared duly elected, the Returning Officer shall draw lot in the presence of the members, and the candidate whose name is first drawn shall be deemed to have secured an additional vote and shall be declared to have been duly elected.97. Reporting of the result of the election.
- Immediately after the meeting, the Returning Officer shall -98. Packing and sealing of ballot papers and other records.
99. Power to postpone or advance the date of election.
- Notwithstanding anything contained in the foregoing rules, the District Election Officer subject to the control of the State Election Commission, may, for sufficient reasons, direct, from time to time, the postponement of the date of the election of Vice-President of a Village Panchayat, the advancement or further postponement of the date so postponed and the Returning Officer shall give effect to such direction.Part IX – [Rules 100 to 119-Omitted] [Omitted by G. O. Ms. No. 282, Rural Development (C4), dated the 30th October 2000.]
Part X – Election Expenses
120. Election expenses.
121. Maximum election expenses.
- [(1) The total of the expenditure of which an account is to be kept under sub-rule (1) of rule 120 and which is incurred or authorized in connection with an election shall not exceed the amount mentioned in the Table below: -| SI. No. | Nature of Election | Expenditure Rs. |
| (1) | (2) | (3) |
| 1. | For Election as Ward Member of a DistrictPanchayat | 1,70,000/ - |
| 2. | For Election as Ward Member of a Panchayat Union | 85,000/ - |
| 3. | For Election as President of a Village Panchayat | 34,000/ - |
| 4. | For Election as Ward Member of a VillagePanchayat | 9,000/ -.] |
Part XI – Adjudication of Election Disputes
122. Election petitions.
- Save as otherwise provided, no election held under the Act shall be called in question except by an election petition presented in accordance with section 258 of the Act or the rules, to the District Judge under whose jurisdiction the Panchayat or the District Planning Committee or other statutory Committees fall, by any candidate or elector against the candidate who has been declared to have been duly elected.Explanation. - In this rule "elector" means a person who was entitled to vote at the election to which the election petition relates, whether he has voted at such election, or not.123. Time-limit for presenting election petitions.
124. Grounds for presenting an-election petition.
- An election petition shall be presented on one or more grounds specified in section 259 of the Act.125. Contents of an election petition.
- An election petition shall contain a statement in a concise form, the material facts on which the petitioner relies. It shall set forth full particulars of any corrupt practice as specified in section 260 of the Act which he alleges, and shall, wherever necessary, be divided into paragraphs and numbered consecutively. The petition as well as its annexures or appendices, if any, shall be signed by the petitioner or by his counsel and verified in the manner as laid down in the Code of Civil Procedure, 1908 (Central Act V of 1908) for the verification of pleadings.126. Parties to the petition.
- A petitioner shall join as respondents to his petition -127. Relief that may be claimed by the petitioner.
- A petitioner may, in addition to claiming a declaration that the election of all or any of the returned candidates is void, claim a further declaration that he himself or any other candidate has been duly elected.128. Security for costs.
129. Serving of copies.
- The District Judge (hereinafter referred to as the Election Court) shall, as soon as may be cause a copy of the petition be served on such respondents and on the Secretary or Commissioner or Chief Executive Officer, as the case maybe, of the Panchayat concerned and the State Election Commission. Any candidate not already a respondent shall, upon application made by him to the Election Court within fourteen days from the date of commencement of the trial and subject to any order as to security for costs which may be made by the Election Court, be entitled to be joined as a respondent.130. Trial of election petition.
131. Withdrawal of election petition.
132. Abatement of election petitions.
- An election petition shall abate only on the death of a sole petitioner or of the survivor of several petitioners, and such abatement shall be communicated by the Election Court to the Secretary or the Commissioner or the Chief Executive Officer, as the case may be, of the Panchayat concerned and the State Election Commission.133. Recrimination when seat claimed.
- When in an inquiry into an election petition, any candidate other than a returned candidate, claims the seat for himself, the returned candidate or any other party to the proceedings may give evidence to prove that the election of such claimant would have been void if he had been a returned candidate and a petition had been presented calling in question his election:Provided that the returned candidate or such other party, as aforesaid, shall not be entitled to give such evidence unless he had within fourteen days from the date of commencement of the trial, given notice to the Election Court of his intention to do so and has also given the security referred to in rule 128.134. Decision of the Election Court.
- At the conclusion of the trial of an election petition, the Election Court shall make an order -135. Other orders to be made by the Election Court.
- At the time of making an order under rule 134, the Election Court shall also make an order -136. Grounds for declaring election to be void.
- If the Election Court is of opinion -137. Grounds on which a candidate other than the returned candidate may be declared to have been elected.
- If any person who has lodged a petition has, in addition to calling in question the election of the returned candidate, claimed a declaration that he himself or any other candidate has been duly elected and the Election Court is of opinion -138. Procedure in case of an equality of votes.
- In cases, where there is an equality of votes between any candidates at the election and that the addition of a vote would entitle any of those candidates to be declared elected, then, that question may be determined by lot and shall be proceeded as if the one, on whom the lot falls had received an additional vote.139. Communication of orders of the Election Court.
- The Election Court shall, as soon as may be after the conclusion of the trial of an election petition, intimate the substance of the decision to the Secretary or Commissioner or Chief Executive Officer, as the case may be, of the Panchayat concerned and to the State Election Commission and as soon as may be thereafter, shall send to the State Election Commission an authenticated copy of the decision.140. Transmission of order to the appropriate authority, etc., and its publication.
- As soon as may be after the receipt of any order made by the Election Court under rule 134 or 135, the State Election Commission shall forward copies of the order to the appropriate authority who shall cause the order to be published in the office of the Panchayat concerned.141. Effect of orders of the Election Court.
Part XII – Miscellaneous
142. Interpretation of these rules by Government.
- If any question arises as to the interpretation of these rules, otherwise than in connection with an inquiry held under the rules for the decision of disputes as to the validity of an election, the question shall be referred to the Government who, after consulting the State Election Commission, shall communicate their decision, which shall be final.143. Removal of difficulties, if any, by State Election Commission.
144. Savings.
- All orders, directions, etc., issued by the Government, State Election Commission or District Election Officer, for the preparation of electoral rolls and for the conduct of elections under these rules shall, unless repugnant to these rules, be deemed to have been issued or made under these rules.Form 1Notice of Publication of Electoral Roll[See rule 20(1)]Notice is hereby given that Panchayat Electoral Roll has been prepared in accordance with the Tamil Nadu Panchayats (Elections) Rules, 1995 by adopting the existing entries in the relevant part of the electoral roll of the Tamil Nadu Legislative Assembly............Constituency. A copy thereof relating to the........Ward of the.........Panchayat Village/Panchayat Union/District Panchayat has been published for inspection at my office and at the offices of the Panchayat Village, Panchayat Union and District Panchayat.Any person who wishes to lodge any claim for including his/her name in the roll or any objection to the inclusion of a name or any objection to the particulars in any entry in the said roll, shall first get such claim or objection settled with reference to the corresponding entry in the Assembly Roll by lodging suitable claim or objection under the provisions of the Representation of the People Act, 1950 (Central Act 43 of 1950) and the Registration of Electors Rules, 1960 before the Electoral Registration Officer of the said Assembly Constituency.All orders of inclusion, deletion or corrections issued on the basis of these claims and objections by the Assembly Electoral Registration Officer till the last date fixed for making nomination for election in the Wards of the Panchayat will be duly incorporated in the Panchayat Electoral Rolls.Panchayat Electoral Registration Officer,.....Panchayat.Form 2-ANotice of Election[See rule 25(1)]Election of Members of........................Panchayat Union Council/district Panchayat.Notice is hereby given that -| Reserved | |||||||||
| Wards or Territorial Ward number | Un-reserved | for S.C. | for S.T. | [***] [Omitted by G. O. Ms. No. 163, Rural Development, dated the 7th August 1996.] | For women belonging to | Total | |||
| S.C. | S.T. | [***] [Omitted by G. O. Ms. No. 163, Rural Development, dated the 7th August 1996.] | Open | ||||||
| Total |
| Returning Officer, | |
| Place:Date: | ........District Panchayat..........PanchayatUnion Council. |
| Reserved | |||||||||
| Office | Total number of seats | for S.C. | for S.T. | [***] [Omitted by G. O. Ms. No. 163, Rural Development, dated the 7th August 1996.] | For women belonging to | Un- reserved | |||
| S.C. | S.T. | [***] [Omitted by G. O. Ms. No. 163, Rural Development, dated the 7th August 1996.] | Open | ||||||
| Total | One | ||||||||
| Member-Ward | |||||||||
| Ward 2 | |||||||||
| Total |
| Place:Date: | Returning Officer,.......... Village Panchayat |
| SI. No. | Name of | Name of father/ | Age of | Address | Sex | Caste/ Tribe Electoral (in case of roll S.C/S.T. | Electoral roll number of | Name of the | Electoral roll number |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) |
| SI. No. | Name of candidate | Father's / Husband's name | Community (Scheduled Caste/Scheduled Tribe[***] [Omitted by G.O. Ms. No. 163, Rural Development, dated the 7th August 1996: SRO A-73(b-2)/96.]or not) | Sex | Address |
| (1) | (2) | (3) | (4) | (5) | (6) |
| SI. No. | Name of candidate | Father's / Husband's name | Community (Scheduled Caste/Scheduled Tribe[***] [Omitted by G.O. Ms. No. 163, Rural Development, dated the 7th August 1996.]or not) | Sex | Address |
| (1) | (2) | (3) | (4) | (5) | (6) |
| Name of candidate | Address of candidate | Remarks |
| (1) | (2) | (3) |
| SI. No. | Name of candidate | Sex | Whether the candidate belongs to Scheduled Caste,Scheduled Tribe[***] [Omitted by G.O. Ms. No. 163, Rural Development, dated the 7th August 1996 - SRO A-73(b-2)/96.]or not) | Address of candidate | Distinctive symbol assigned to the candidate |
| (1) | (2) | (3) | (4) | (5) | (6) |
Part I – Declaration by The Presiding Officer Before The Commencement of Poll
Election of Member/Members to Ward No. ........... of...................Village Panchayat/Panchayat Union Council/District Panchayat.President to.........Village Panchayat.Number and Name of the polling station:Date of Poll:I hereby declare -1.
........(of candidate.........)2.
........(of candidate.........)3.
........(of candidate.........)4.
........(of candidate.........)5.
........(of candidate.........)6.
........(of candidate.........)7.
........(of candidate.........)8.
........(of candidate.........)9.
........(of candidate.........)The following agents declined to affix their signatures to this declaration: -1.
........(of candidate............)2.
........(of candidate............)3.
........(of candidate............)4.
........(of candidate............)Signature of Presiding Officer.Part II – Declaration At The End of Poll
I have furnished to the polling agents, who were present at the polling station at the close of the poll and whose signatures are affixed below, an attested copy each of the entries in the ballot paper account in Form No. 20.Place:Date:Signature of Presiding Officer.Received An Attested Copy of The Entries Made In The Ballot Paper AccountSignature of Polling Agents: -1.
...........(of candidate............)2.
...........(of candidate............)3.
...........(of candidate............)4.
...........(of candidate............)5.
...........(of candidate............)6.
...........(of candidate............)7.
...........(of candidate............)8.
...........(of candidate............)9.
...........(of candidate............)The following polling agents who were present at the close of the poll declined to receive an attested copy of the ballot paper account and to give a receipt therefor and so an attested copy of the ballot paper account was not supplied to them.1.
...........(of candidate............)2.
...........(of candidate............)3.
...........(of candidate............)5.
...........(of candidate............)6.
...........(of candidate............)7.
...........(of candidate............)8.
...........(of candidate............)9.
.......(of candidate................)Place:Date:Signature of Presiding Officer.Form 13List of Challenged Votes[See rule 45 (2) (c)]Election of Member/Members to Ward No ......... of the .... Village Panchayat/Panchayat Union Council/District Panchayat. President to ...........Village Panchayat.Number and Name of the Polling Station:.........Date of Poll:| SI. No. | Name of elector | SI. No. of part of roll | Elector's Name in that part | Signature or thumb impression of the personchallenged | Address of the person challenged | Name of identifier, if any | Name of challenger | Order of Presiding Officer | Signature of challenger on receiving refund ofdeposit |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) |
| District Panchayat/Panchayat Union | Ward No. | ||
| Name | Symbol | ||
| Name | Symbol | ||
| Name | Symbol | ||
| Name | Symbol | ||
| Name | Symbol | ||
| Name | Symbol | ||
| Symbol | ||
| Symbol | ||
| Symbol | ||
| Symbol | ||
| Symbol | ||
| Symbol |
Part No – ........
Ward No........Village Panchayat.......Certified also that by reason of being on election duty, he is unable to vote at the polling station, where he is entitled to vote and that he is, therefore, hereby authorised to vote through postal ballot paper in the manner laid down in rule 52.Place:Date:Signature of Returning Officer.Form 17Declaration By Elector[See rule 52(2)]Election of Member/Members to Ward No........of the............Village Panchayat/Panchayat Union Council/District Panchayat.President to ............Village Panchayat.I hereby declare that I am the elector to whom the postal ballot paper bearing Serial Number................has been issued at the above election. I declare that I have marked my vote myself on the ballot paper.Place:Date:Signature of elector.Address:..........................................Form 18List of Blind and Infirm Electors[See rule 53(2)]Election of Member/Members to Ward No..........of the............Village Panchayat/Panchayat Union Council/District Panchayat.President to.........Village PanchayatName of the Polling Station and Number:...........| Ward number and serial number of elector | Full name of elector | Full name of companion | Address of companion | Signature of companion |
| (1) | (2) | (3) | (4) | (5) |
| Serial number | Serial number, part number, ward number and nameof elector | Address of elector | Serial number of tendered ballot paper | Signature or thumb impression of person tenderingvote |
| (1) | (2) | (3) | (4) | (5) |
| Serial Numbers | Total Number | ||
| From | To | ||
| (1) | (2) | (3) | (4) |
| 1. Ballot papers received. | |||
| Ballot papers unused (i.e. not issued to voters- | |||
| (a) with the signature of Presiding Officer | |||
| (b) without the signature of Presiding Officer | |||
| Total: (a + b) | |||
| 3. *Ballot papers used at the polling station (1- 2=3) | |||
| 4. *Ballot papers used at the polling station,but Not Inserted Into The Ballot Box - | |||
| (a) Ballot papers cancelled for violation ofvoting procedure under Rule 54 | |||
| (b) Ballot papers cancelled for other reasons | |||
| (c) Ballot papers used as tendered ballot papers | |||
| Total: (a + b + c) | |||
| 5. *Ballot papers to be found in the ballot box(3 - 4=5) | |||
| (*Serial numbers need not be given) |
Part II – Result of Initial Counting
1. Total number of ballot papers that should be found in the ballot box(es) as shown in item 5 of Part I.
2. Total number of ballot papers actually found in the ballot box(es) as per initial counting.
3. Discrepancy, if any.
| Place:Date | Signature of Counting Supervisor.Signature of the Returning Officer. |
| S.No. | Name of the candidate | Votes secured through postal ballot | Votes secured at the polling stations | Total |
| 1 | ||||
| 2 | ||||
| 3 | ||||
| ... | ||||
| Total Number of Valid Votes Polled | ||||
| Rejected Votes | ||||
| Tendered Votes | ||||
| Total |
| SI.No. | Name of the candidate | Number of valid votes polled |
| (1) | (2) | (3) |
| 1 | ||
| 2 | ||
| 3 | ||
| Total Number of valid votes polled | ||
| Total Number of rejected votes |
| SI. No. | Name of the candidate | Number of valid votes polled |
| (1) | (2) | (3) |
| 1 | ||
| 2 | ||
| 3 | ||
| ... | ||
| Total Number of Valid Votes Polled | ||
| Total Number of Rejected Votes |
| Name of the elected candidate | Seat to which he is elected |
| (1) | (2) |
| Name of the elected candidate | Seat to which he is elected* |
| (1) | (2) |
| Place:Date: | SignatureReturning Officer, |