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[Section 78]
[Entire Act]
State of Madhya Pradesh - Subsection
Section 78(11) in Madhya Pradesh Farmers' Organisation Election Rules, 1999
| SI. No. of Nomination Paper | Name of the Candidate | Father's Name | Age |
| (1) | (2) | (3) | (4) |
| Occupation & Address | Voters List No. of Candidate | Name of the proposer | Voters List No. of proposer |
| (5) | (6) | (7) | (8) |
| SI. No. allotted | Name of the candidate | Address of the candidate |
| (1) | (2) | (3) |
| 1. | ||
| 2. | ||
| etc. |
| Sl.No. | Name of the Candidate | Symbol Allotted |
| (1) | (2) | (3) |
| 1. | ||
| 2. | ||
| etc. |
| Sl.No. | Name of the Candidate | Symbol Allotted/Assigned |
| (1) | (2) | (3) |
| 1. | ||
| 2. | ||
| etc. |
| Name of the Counting Agent | Address of the Counting Agent |
| (1) | (2) |
| 1. | |
| 2. | |
| 3 |
| Sl.No. | Name of the Elector | No. in the Voters List/Section No. Name of WUA |
| (1) | (2) | (3) |
| Serial No. of Tendered Ballot Paper | Signature of Elector or thumb impression ofperson tendering vote | Serial No. of Ballot Paper issued to the personwho has already voted |
| (4) | (5) | (6) |
| Sl.No. | No. in the Voters List/Section No. Name of WUA | Name of the Elector | Signature or thumb impression of the personchallenged and his address |
| (1) | (2) | (3) | (4) |
| Name of challenger | Signature and thumb impression of identifier ifany | Order of Polling Officer | Signature of challenger on receiving refund ofdeposit |
| (5) | (6) | (7) | (8) |
| Territ. Const. No.......... | |
| No. & Name of the Polling Station | WUA........................ |
| S.Nos............Total No.......... | |
| From.....................To........ |
| (1) Ballot papers received | |
| (2) Ballot papers unused | |
| (i.e.,not issued to voters) | |
| (a) withthe signature of Polling Officer | |
| (b) withoutthe signature of Polling Officer Total'(A + B) | |
| (3) *Ballot Papers used at the Polling Station (1-2 = 3) | |
| (4) Ballot papers used at the Polling Stations but notinserted into the Ballot Box. | |
| (a) Ballotpapers cancelled for violation of voting procedure under Rule 20. | |
| (b) Ballotpapers cancelled for other reasons. | |
| (c) Ballotpapers used as tendered ballot papers. | |
| *Total (A +B + C) | |
| (5) *Ballot papers to be found in the ballot box (3-4 = 5) |