State of Gujarat - Act
Gujarat Elementary Education Rules, 2010
GUJARAT
India
India
Gujarat Elementary Education Rules, 2010
Rule GUJARAT-ELEMENTARY-EDUCATION-RULES-2010 of 2010
- Published on 1 January 2010
- Commenced on 1 January 2010
- [This is the version of this document from 1 January 2010.]
- [Note: The original publication document is not available and this content could not be verified.]
1. Short title, extent and commencement.
2. Definitions.
3.
4. Special Training.
5. Admission of children belonging to weaker section and disadvantaged group in unaided schools.
6. Reimbursement of per-child expenditure by the State Government for the purposes of section 11(2).
7. Leaving/Transfer certificate.
- Children leaving the school shall be provided forthwith School Leaving/Transfer Certificate by the Head Teacher/Master of the School.8. Penal Action.
- Any complaint received in contravention of section 12 (1) of the Act, the Director shall make necessary inquiry and if there is substance in the complaint, he shall issue a notice to the concerned school management. After giving an opportunity to the school management to make written and oral representation, he shall pass an appropriate order within 60 days, as per the provision of section 12(2) of the Act.Chapter - III Duties of State Government, Local Authority9. Recognition of schools.
10. Withdrawal of recognition to schools.
11. Norms and Standards for School.
12. Maintaining Pupil-Teacher Ratio in each school.
13. Minimum Qualifications for Appointment and Terms and Condition of Vidhyasahayaks or Teachers.
- The minimum qualifications laid down by the academic authority shall be applicable for every school referred to in sub-section (18) of section 2.14. Relaxation of minimum qualifications.
15. Acquiring minimum qualifications.
16. Salary and allowances and conditions of service of Vidhyasahayaks or teachers.
17. Opening of new Elementary Schools or take over a private school.
18. Duties of State Government and Local Authority.
- (i) A child attending a school of the State Government or local authority referred to in clause19. Maintenance of records of children by local authority.
- (i) The Local Authority shall maintain a record of all children, in its jurisdiction, in such format as prescribed by the Director through a household survey, from their birth till they attain 14 years.20. Composition and functions of the School Management Committee.
21. Preparation of School Development Plan.
22. Duties to be performed by Vidhyasahayaks or teachers.
23. Academic Authority to lay down the curriculum and evaluation procedure.
24. The curriculum and the evaluation procedure.
- GCERT, while laying down the curriculum and the evaluation procedure under subsection (4) of section 22, shall take into consideration the following :-25. Set up of mechanisms for periodic training and regular assessment.
- GCERT will set up mechanisms for periodic training and regular assessment of the performance of CRCs and BRCs.26. Periodic external evaluation of the in-service teacher training programmes.
- The GCERT will arrange for periodic external evaluation of the in-service teacher training programmes, and will use input from such evaluation studies to update these programmes.27. Periodic assessments of the quality of education and produce a report.
- (i) The Government will also set up an independent organization/ wing, to undertake periodic assessments of the quality of education and produce a report about the "School Education Quality Status in Gujarat Schools"28. Mechanism to regularly monitor.
- The Government shall set up a mechanism to regularly monitor the quality of pre-service teacher training, and ensure closing down of such teacher training institutions which do not conform to norms and standards prescribed by NCTE.29. To introduce a common test for teacher eligibility.
- The Government would evolve mechanism to ensure minimum standards of pre-service teacher education, and may introduce a common eligibility test for teacher recruitment.30. Award of certificate of completion of elementary education.
- The certificate of completion of elementary education shall be issued to children at the school/ block/ district level within one month of completion of elementary education. The certificate shall: Certify that the child has completed all courses of study prescribed under Section -28 of the Act.Chapter - VI Protection of Right of Children31. Constitution and Functions of the State Advisory Council.
32. Constitution of Municipal Education Committee.
33. Names of elected members to be reported.
- Immediately after the result of an election is declared under rule 16 of Schedule C the President of the municipality shall communicate to the Collector of the District, the District Education Officer, and the Director the names of the persons elected as members of the Education Committee together with information in the form prescribed in Annex-V to these rules.34. Publication of names of Members of an Education Committee.
- The names of all the members of an Education Committee elected and appointed or nominated by the State Government shall be published in the official Gazette by Government.35. Filling up of a casual vacancy of a member of an Education Committee.
36. Calling of a meeting for the election of Chairman.
- The first meeting of an Education Committee shall be convened for the purpose of the election of a Chairman. Such meeting shall be convened by the President of the municipality, as soon as convenient, but not later than twenty-one days after the publication of the names of the members of the Education Committee in the official Gazette and a copy of the notice of such a meeting shall be sent to the District Education Officer provided that where no meeting for the purpose of such election has been convened within the time specified above, the District Education Officer may exercise the powers of the President for the purpose of calling such meeting.37. Procedure at the first meeting.
38. Manner of election of a Chairman.
- The Chairman shall be elected in the manner prescribed is Annex-IV. Provided that an officer of the State Government appointed as a member of the Education Committee shall not be elected as Chairman.39. Chairman to continue to perform duties after expiry of the term of Education Committee.
- On the expiry of the term of office of an Education Committee, the Chairman shall continue to perform the current administrative duties of their offices until such time but not more than 60 days or whichever is earlier, as a new Chairman shall have been duly elected and have taken charge of their duties.40. Filling up of casual vacancy of Chairman.
41. Calling of Meetings.
42. Notice for calling a meeting.
43. Quorum.
- One third of the members of the Education Committee present in person shall form a quorum which shall not be necessary in respect of any adjourned meeting.44. Chairman to preside.
- Every meeting of the Education Committee shall be presided over by the Chairman, if the Chairman is, for any reason, unable to attend it, by such one of the members present as may be chosen by the meeting to be Chairman for the occasion.45. Adjournment of the meeting.
46. Elementary Education Officer to give his remarks on the various items of business.
- It shall be the duty of the Elementary Education Officer to offer in writing his remarks on each item of business or proposition entered in the notice. Before proceeding to the consideration of each item the remarks of the Elementary Education Officer shall be circulated to every member of the Education Committee present at the meeting.47. Presence of District Education officer.
- The Education Committee may invite the District Education Officer to attend a meeting, for which atleast 3 days notice has been given. The District Education officer or his representative shall have the right of taking part in the discussion but shall not vote.48. Business to be transacted at meeting.
49. Cancellation of a resolution.
- No resolution of an Education Committee shall be modified or cancelled within four months after the passing thereof, except by a resolution supported by one half of the whole number of members and passed at an ordinary meeting whereof notice shall have been given fulfilling the requirements of rule 42 and setting forth fully the resolution which it is proposed to modify or cancel at such meeting and the motion or proposition for the modification or cancellation of such resolution.50. Vacancy not to affect proceedings.
- During any vacancy in an Education Committee, the continuing members may act as if no vacancy had occurred.51. Circulation of written propositions.
52. All matters before the Committee to be decided by majority.
53. Meeting to be open to the Public.
- Every meeting of the Education Committee shall be open to the public unless the presiding authority deems any enquiry or deliberation pending before the Committee, such as should be held in private: Provided that the said authority may at any time cause any person to be removed who interrupts the proceedings or whose presence, in his opinion, is undesirable.54. Minutes of the meeting.
55. Acts of the Education Committee not to be invalided by informalities.
- No action of an Education Committee or of any person acting as a Chairman or member of the Committee shall be deemed to be invalid by reason only of some clerical or technical error.56. Traveling Allowance to the members of Municipal Education Committee.
- The members of Municipal Education Committee other than the Government officers appointed under sub-section (2) of section 34 may receive payment for the expenses incurred by them in traveling for attending the meetings of the Committee or for doing such business of the Committee as may be entrusted to them by the Committee. Such payment shall be made in accordance with the rules as may be prescribed by the State Government from time to time.57. Duties and functions of the Chairman.
- Subject to the provisions of the Act and these rules the Chairman of an Education Committee.58. Emergency Duties of the Chairman.
- The Chairman of the education committee may, in case of emergency, perform such acts as may appear to him to be necessary provided that any of the provisions of the Act or these rules are not thereby contravened and provided further that he shall report at the next ordinary meeting of the Education Committee the action taken and reasons therefore to the Education Committee.Chapter - VIII Powers, Duties And Functions Of District Education Committee And Municipal Education Committee59. Duties of the education committee.
60. Duties and responsibilities of the School Teachers, Head Teachers, and other academic, administrative and technical (engineering) staff.
- Duties and responsibilities of the School Teachers, Head Teachers, and other academic, administrative and technical (engineering) staff, maintained by District/Municipal Education Committee shall be prescribed by the Director from time to time.61. Duties, functions and responsibilities of the Elementary Education Officer.
62. Constitution and Power of the Staff Selection Committee.
- The Constitution, Powers and Duties of the Staff Selection Committee for the recruitment of Elementary School Teachers and such other staff in connection with the elementary education shall be such as may be prescribed by the State Government from time to time.63. Grievance Redressal mechanism for Vidhyasahayaks or teachers.
64. Framing of Annual Budget of the Education Committee.
- The Elementary Education Officer shall prepare the annual budget for the District / Municipal Education Committee for the ensuring financial year in such forms and in such manner as prescribed by the Director.65. Maintenance, Administration and Utilization of Elementary Education Fund.
66. Audit of Accounts.
- The accounts and receipts, and expenditure of the Elementary Education Fund shall be examined and audited annually before the close of August by the Auditors of the Local Audit Departments in accordance with the provisions of the Bombay Local Fund Audit Act, 1930 (BomXXV of 1930), and the rules made thereunder.Chapter - XI Control67. Powers Regarding School Inspection / Evaluation.
68. Admission Procedure.
- 1. No pre-school shall admit a child who has not completed 3 years of age as of June of the given year. Extended period of admission shall be six months from the date of commencement of the academic year of the school.2. Practices like taking donations for admission, interviewing of parents and / or testing children shall be prohibited.
69. Curriculum and Evaluation Procedure.
- 1. The state government shall identify an appropriate authority with experience in pre- school education and research for preparing the curriculum, evaluation procedure, and qualification for preschool teachers.2. The appropriate authority shall be responsible to prescribe the curriculum and assessment procedure for preschool children in consultation with experts in the field of early childhood development.
3. The appropriate authority should also prepare or get prepared prototype of learning materials for preschool education in consultation with experts.
4. While laying down the Curriculum and Assessment guidelines for Preschool children, the appropriate authority may take into consideration the following:
70. Training and Assessment of Preschool Teachers.
- 1. The appropriate authority should set up mechanism for periodic training and regular assessment of performance of pre-school centers.2. The appropriate authority should prescribe a curriculum for pre-service as well as in- service training of preschool training institutions.
Annex-I(See sub rule - (10) of rule 11)Norms for Learning Outcomes. - The vision of the RtE is to ensure quality to education to all children. If schools have the minimum infrastructural and teacher resources but students are not learning well (a problem observed today in many parts of the system as reflected by Gunotsav, NCERT, ASER, EI and other studies), the vision of the RtE would not be achieved.It is therefore important that Learning Outcome norms also be met by schools. For existing schools attainment of learning outcomes should be seen as the key goal, with infrastructure as a necessary but not sufficient condition. In situations where infrastructure norms cannot be met for any reason (eg. in a very crowded city area or due to where trained teachers are not available), focus on learning outcomes will help ensure that student learning does not suffer.| Sr. No. | Requirement in schools. | Description | Weightage |
| 1 | Student learning outcomes (absolute levels) | Using standardised tests, student learninglevels focussing on learning (not just rote) will be measuredthrough an independent assessment. | 30.00% |
| 2 | Student learning outcomes (improvement comparedto the school's past performance) | This component is introduced to ensure thatschools do not show a better result in (1) simply by notadmitting weak students. The effect of school performance lookinggood simply because of students coming from well-to-dobackgrounds is also automatically addressed by this measure. Onlyin the first year, this measure will not be available and theweightage should be distributed among the other parameters. | 40.00% |
| 3 | Inputs (including facilities, teacherqualifications) | The norms specified in Table A should be usedhere. | 15.00% |
| 4 | Student non-academic outcomes (co-curricular andsports, personality and values) and parent feedback sample of atleast 20 parents across classes and be compiled. | Student outcomes in non-academic areas as wellas feedback from a random sample of parents should be used todetermine this parameter. Standardised survey tools givingweightage to cultural activities, sports, art should bedeveloped. The parent feedback should cover a random | 15.00% |
| 100.00% |
| A. School Details | ||
| 1 | Name of School | |
| 2 | Academic Session | |
| 3 | District | |
| 4 | Postal Address | |
| 5 | Village/City | |
| 6 | Tahsil | |
| 7 | Pin Code: | |
| 8 | Phone No. with STD Code | |
| 9 | Fax No. | |
| 10 | E-mail address if any | |
| 11 | Nearest Police Station |
| B.General Information | ||||
| 1 | Year of Foundation | |||
| 2 | Date of First Opening of School | |||
| 3 | Name of Trust/Society/Managing Committee | |||
| 4 | Whether Trust/Society/Managing Committee isregistered | |||
| 5 | Period upto which Registration ofTrust/Society/Managing Committee is valid | |||
| 6 | Whether there is a proof of non-proprietarycharacter of the Trust/Society/Managing Committee supported bythe list of members with their address on an affidavit in copy | |||
| 7 | Name official address of theManager/President/C/Chairman of the School | |||
| Name | ||||
| Designation | ||||
| Address | ||||
| Phone | (R)..........................(O)........................ | |||
| 8 | Total Income & Expenditure during last 3years surplus/deficit | |||
| Year | Income | Expenditure | Surplus/deficit | |
| C. Nature and area of School | ||
| 1 | Medium of Instruction | |
| 2 | Type of School (Specify entry & exitclasses) | |
| 3 | If aided, the name of agency and percentage ofaid | |
| 4 | If School Recognized | |
| 5 | If so, by whichauthority· Recognition number | |
| 6 | Does the school has its own building or is itrunning in a rented building. | |
| 7 | Whether the school buildings or other structuresor the grounds are used during the day or night for commercial orresidential purposes (except for the purpose of residence of anyemployee of the school) or for political or non-educationalactivity of any kind whatsoever? | |
| 8 | Total area of the school | |
| 9 | Built in area of the school |
| D.Enrollment Status | |||
| Class | No.of Section | No.of Students | |
| 1 | Pre-primary | ||
| 2 | I - V | ||
| 3 | VI - VIII |
| E.Infrastructure Details & SanitaryConditions | |||
| Room | Numbers | Average Size | |
| 1 | Classroom | ||
| 2 | Office room - cum – Store Room - cum –Headmaster Room | ||
| 3 | Kitchen - Cum - Store |
| F.Other Facilities | ||
| 1 | Whether all facilities have barrier free access | |
| 2 | Teaching Learning Material (attach list) | |
| 3 | Sports & Play equipments (attach list) | |
| 4 | Facility books inLibrary· Books (No.ofbooks)· Periodical/Newspapers | |
| 5 | Type and number of drinking water facility | |
| 6 | Sanitary Conditions | |
| (i) Type of W.C.& Urinals | ||
| (ii) Number of Urinals/Lavatories Separately forBoys | ||
| (iii) Number of Urinals/Lavatories Separatelyfor Girls |
| G.Particulars of Teaching Staff | |||
| 1.Teaching in Primary/Upper Primary exclusively(details of each teacher separately) | |||
| Teacher Name(1) | Father/Spouse Name(2) | Date of Birth(3) | |
| Academic Qualification(4) | Professional Qualifications(5) | Teaching Experience(6) | |
| Class Assigned(7) | Appointment Date(8) | Trained or Untrained(9) | |
| 2.Teaching in Both Elementary and Secondary(details of each teacher separately) | |||
| Teacher Name(1) | Father/Spouse Name(2) | Date of Birth(3) | |
| Academic Qualification(4) | ProfessionalQualifications(5) | Teaching Experience(6) | |
| Class Assigned(7) | Appointment Date(8) | Trained or Untrained(9) | |
| 3.Head Teacher | |||
| Teacher Name(1) | Father/Spouse Name(2) | Date of Birth(3) | |
| Academic Qualification(4) | Professional Qualifications(5) | Teaching Experience(6) | |
| Class Assigned(7) | Appointment Date(8) | Trained or Untrained(9) | |
| H. Curriculumand Syllabus | |||
| 1. | Details of Curriculum &syllabus followed in each class (upto VIII) | ||
| 2. | System of Pupil Assessment. | ||
| 3. | Whether pupils of the schoolare required to take any Board exam upto class 8 ? |
| Gram: | Phone: |
| Email: | Fax: |
| No. | Dated: |
| The Manager, |
1. The grant for recognition is not extendable and does not in any way imply any obligation to recognize/affiliate beyond Class VIII.
2. The School shall abide by the provisions of Right of Children to Free and Compulsory Education Act, 2009 (Annexure I) and the Right of Children to Free and Compulsory Education Rules, 2009 (Annexure II).
3. The School shall admit in class I, to the extent of --------% of the strength of that class, children belonging to weaker section and disadvantaged group in the neighborhood and provide free and compulsory elementary education till its completion. Provided, further that in case of pre primary classes also, this norm shall be followed.
4. For the children referred to in paragraph 3, the School shall be reimbursed as per Section 12(2) of the Act. To receive such reimbursements school shall provide a separate bank account.
5. The Society/School shall not collect any capitation fee and subject the child or his or her parents or guardians to any screening procedure.
6. The School shall not deny admission To any child for lack of age proof. If such admission is sought subsequent to the extended provided prescribed for admission. On the ground of religion, caste or race, place of birth or any of them.
7. The School shall ensure.
8. The School shall follow the syllabus on the basis of curriculum laid down by appropriate authority. -
9. The School shall enroll students proportionate to the facilities available in the school as prescribed in the section 19 of the Act. -
10. The School shall maintain the standards and norms of the school as specified in section 19 of the Act. The facilities reported at the time of last inspection are as given under. - Area of school campus
Total built up areaArea of play groundNo. of class roomsRoom for Headmaster-cum-Office-cum-StoreroomSeparate toilet for boys and girlsDrinking Water FacilityKitchen for cooking Mid Day MealBarrier free AccessAvailability of Teaching Learning Material/Play Sports Equipments/Library11. No unrecognized classes shall run within the premises of the school or outside in the same name of school. -
12. The school buildings or other structures or the grounds are used only for the purposes education and skill development. -
13. The School is run by a society registered under the Societies Registration Act, 1860 (21 of 1860), or a public trust constituted under any law for the time being in force;
14. The School is not run for profit to any individual, group or association of individuals or any other persons;
15. The accounts should be audited and certified by a Chartered Accountant and proper accounts statements should be prepared as per rules. A copy each of the Statements of Accounts should be sent to the DEO every year.
16. The recognition Code Number allotted to your school is ------------. This may please be noted and quoted for any correspondence with this office.
17. The school furnishes such reports and information as may be required by the Director of Education/District Education Officer from time to time and complies with such instructions of the State Government/ Local Authority as may be issued to secure the continued fulfillment of the condition of recognition or the removal of deficiencies in working of the school;
18. Renewal of Registration of Society if any, be ensured.
19. Other conditions as per Annexure 'III' enclosed.
Yours faithfully,District Education OfficerAnnex-III[See Rule 32 of the Gujarat Elementary Education Rules, 2010]Rules For The Election of Members of The Municipal Education Committee1. President to fix place and dates for election. - The President of the Municipality shall fix the date for the election of the members of the Education Committee. He shall fix the date, hour and place for the following stages of the election, namely :-
2. Notice of election. - At least four weeks before the date fixed for ecording of votes, the President shall cause a written notice of such date and of the place, dates and hours fixed under rule 1 for the various stages of the election to be-
3. Returning Officer. - The President of the municipality shall be the Returning Officer:
Provided that4. Nomination of candidates. - (1) On or before the date and at the time appointed under rule 1 for the receipt of nomination papers, each candidate shall either in person of by his proposer and seconder deliver to the Returning Officer, a nomination paper duly completed in the form in Appendix I to this Annex and subscribed by the candidate himself as assenting to the nomination and by two members of the electing local authority concerned a proposer and seconder. Nomination papers in the prescribed form shall be supplied by the Returning Officer to every candidate or any other person on his behalf asking for the same :
5. Scrutiny of nomination paper. - On the date appointed for scrutiny of nomination papers the candidates and one proposer and one seconder of each candidate and one other person for each candidate duly authorised in writing by each candidate, but no other person may attend at the appointed time and place and the Returning Officer shall give them all reasonable facilities for examing the nomination papers of all candidates which have been delivered within the time and in the manner prescribed in rule 4.
6. Disposal of objection - Rejection of nomination. - (1) The Returning Officer shall examine the nomination papers and shall decide all objections which may be made to any nomination and may either on such objection or on his own motion, after such summary inquiry, if any, as he thinks necessary refuse any nomination on any of the following grounds:-
(i)that the candidate is inelligible for the vacancy or vacancies for which he has been nominated;(ii)that there has been any failure to comply with any of the provisions of the Act or the rules made thereunder;(iii)that the signature of the candidate or of any proposer or seconder is not genuine or has been obtained by fraud.7. Completion of scrutiny. - (1) The Returning Officer shall endorse on each nomination paper his decision accepting or rejecting the same, and, if the nomination paper is rejected, shall record in writing a brief statement of his reasons for such rejection.
8. Appeal against rejection of a nomination paper. - (1) An appeal may be made to the Collector against an order of the Returning Officer rejecting a nomination paper within three days from the date of the order of the Returning Officer.
9. Preparation of list of valid nominations. - On the completion of the scrutiny of nominations, the Returning Officer shall forthwith cause a list of valid nominations for each class of vacancies (excepting nominations for seats of representatives of non-authorised municipalities) to be prepared under his signature and cause it to be affixed in some conspicuous place in his office and at the place at which the election is to be held. He shall also cause a copy of the list to be sent to every members of the Municipality, showing therein the qualifications. viz., the details mentioned in Appendix I (of Annexure-III) Nomination Paper-of each of the candidates.
10. Procedure at uncontested election. - After the scrutiny of nomination papers, should the number of duly nominated candidates for any class of vacancies not exceed the number of vacancies in that class, the Returning Officer shall declare such candidates to be duly elected for that class.
11. Right to be nominated to two or more vacancies. - When elections for two or more constituencies are to be held, at or about the same time one and the same person may be nominated as a candidate for election for each such class of vacancy provided he is otherwise duly qualified.
12. Withdrawal of candidature. - Any person nominated under rule 4 may withdraw his candidature at any time on or before the date fixed for recording of votes under rule 1, by notice in writing subscribed by him and delivered to the Returning Officer. Such withdrawal shall make his nomination void. When such notice is delivered before the voting has begun and such withdrawal has the effect of leaving the election uncontested, the Returning Officer shall declare the remaining candidate or candidates as the case may be, to be duly elected.
13. Voting. - (1) When there are more candidates for each class of vacancies these they are vacancies in the class and the question of voting arises, the voting shall be by ballot.
14. Counting of votes. - (1) The Returning Officer shall on the date and at the time and place appointed for the counting of votes under rule 1 in the presence of two members of the municipality who are not candidates and of any candidates in attendance open the ballot box and separate the voting papers which he deems valid from those which he rejects, endorsing on the latter the word "rejected" and the grounds of rejection.
15. Declaration of results. - When the counting of votes has been completed, the Returning Officer shall forthwith declare the candidate or candidates to whom the largest number of votes has been given to be elected. If there is an equal number of votes in favour of each of two or more candidates for one vacancy, the selection shall be determined by the Returning Officer by lot.
16. Multiple elections. - (1) If any person is elected to more than one vacancy on the Education Committee, he shall, by notice in writing signed by him and delivered to the Retuning Officer within three days from the date of the declaration of the result of such election under rule 15, choose for which of these vacancies he shall serve and on such choice having been made, the result of the election shall, in every other vacancy to which such person has been elected, be determined as if no votes had been recorded for him.
17. Publication of results. - As soon as the results of the elections are declared, the Returning Officer shall cause them to be posted up in some conspicuous place in his office and shall without delay report the results to the Municipality.
18. Custody of election papers. - The Returning Officer, if he is the President shall retain in his custody or in case he is not the President shall hand over to the President for custody the return and the packets referred to in rule 15 and all other documents relating to the election.
19. Production and inspection of election papers. - (1) While in the custody of the President the packets of voting papers, Whether counted or rejected, and of the counterfoils thereof shall not be opened and their contents shall not be inspected or produced except under the orders of a competent court or of Government.
20. Destruction of election papers. - The President shall unless otherwise directed by a competent court or by Government cause all papers relating to an election to be destroyed after the lapse of one year from the date of the declaration of the result.
APPENDIX I TO ANNEX-IIIForm of Nomination Paper(See rule 4 in Annex-III)Municipality* Description of the vacancy for which the candidate is nominatedName of candidate with father's name or husband's name in the case of married woman and surname, if any.Age and sexEducational qualificationsAddressName of the proposerSignature of the prposerName of the seconderSignature of the seconderDeclaration by CandidateI hereby signify my willingness to serve if I am elected.| Date | Signature of Candidate |
| Municipality of Counterfoil of Voting paper | Outer foil (Front) |
| -- | Description of the class of vacanciesto filled by election | Number of posts to be filled | Name of candidates (Valid nominees) | Cross x |
| Name of Elector 1. | Representatives of ScheduledCastes and Scheduled Tribes.Persons who have passed theMatriculation or Second Year Training Certificate Examination,or who possess any other equivalent or higher educationalqualifications.General seats .. .. .. | |||
| Signature of Elector. |
| | (2) Put cross or crosses against the name of=| the candidateeach of the candidates| for whom you wish to vote.| |
| Class of vacancies to which members are to be elected withthe number of seats show in brackets | Names of Valid nominees | Votes recorded by members__________________________________1 2 3 4 5 6 7 8 9 10 11 12 & so on | Total number of votes |
| 2. Seats requiring educational qualifications i.e.,Matriculation or second year training certificate examination orany other equivalent or higher educational qualification | 1 | ||
| 2 | |||
| 3 | |||
| 4 | |||
| 3. General Seats | 1 | ||
| 2 | |||
| 3 | |||
| 4 | |||
| Date | President,_____________ Municipality |
| Date: | Signature of the proposer Member |
| I second the above proposal. | |
| Date: | Signature of the seconder Member |
| Date: | Signature of the Candidate |
| Name of the candidate | Put only one cross against the name of thecandidate for whom you wish to vote. |
| 1 | .. |
| 2 | .. |
| 3 | .. |
| 4 | .. |
| Serial No. | Name of member in full | Interest represented | Caste and community | Educational qualifications | Past and present profession or business if any | Whether the person elected is a member of theMunicipality | Remarks |
| Date: | President,______________________Municipality |