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2) f’¡−ua p¢j¢al SeÉ : Godrej (Medium)

3) −Sm¡ f¢lo−cl SeÉ : Bungo (Small)

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From To

The Presiding Officer The Panchayat Returning Officer

Polling Station No…......... Address ………………………..

Sl. No. & Name of the Constituency ………………………………….

Address Tag

Sl. No. & Name of the Constituency ………………………………….

& No. of Constituency …………………

Ballot Box No. / Sl. No.

Assigned to the Ballot Box at

Polling Station ……………………………

Date of Poll ……………………………….

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2) Form - 73) List of identification documents.

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FORM 10

Appointment of polling/counting agent

[See rule 42(2) and 44(1)]Election to the * ABC Gram Panchayat**/Panchayat Samiti/Zilla Parishad/Mahakuma Parishad from the ABC/I

constituency.

I, Sri Gouranga Roy (name), a candidate/** the election agent of……………………X…………………………. who is a candidate

at the above election, do hereby appoint Sri Manoj Barman of Vill & PO: ABC (address) as a polling / counting agent

to attend *Polling Station No 19 at (place) Gomod Roy fixed for the poll on . at (time) 07.00 am.

His name is entered in the electoral roll of ABC/I Constituency in Part No 19 Serial No 541

Place:

Date: .

…………………………………………

Signature of Candidate**/election agent

I agree to act as polling **/counting agent.

Place: ABC

Date: . ………………………………………

Signature of polling**/counting agent

_____________________________________________________________________

Declaration of polling / counting agent to be signed before Presiding Officer

I hereby declare that at the above election I will not do anything forbidden by rules 51(3) and 85 of the

West Bengal Panchayat (Election) Rules, 2006, which I have read /**has been read over to me.

Date: . …………………………………………..

Signature of polling**/counting agent

Signed before me.

Date : . …………………………………………..

Signature of Presiding Officer

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•40

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• Annexure -IV -H −i¡V öl¦l −O¡oe¡ f−s−n¡e¡e Hhw a¡−a pC Ll¦e J H−S¾V−cl pC ¢eez

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•47

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•FORM 18•Ballot Paper Account

•[See rule 65(1) and rule 65(3)]•PART – I

• Election to the * ABC** Gram Panchayat / Panchayat Samiti/ Zilla Parishad/ MahakumaParishadfrom the I constituency,•No. and Name of Polling Station DEF.

Serial numbers Total number

1. Ballot papers received ……………………………………

1401 – 2400 1000

……………………………………

2. Ballot papers unused –

(a)With the signature of the Presiding Officer, if any, 2201 – 2250 and

50

(b)Without the signature of the Presiding Officer 2251 - 2398

98

(c) Total ……………… 148

3. *Ballot papers used at the polling station ………………. (1-2 = 3)

852

4. Ballot papers cancelled –

(a) For violation of voting procedure under rule 59 ……………………… and

1537 ,1810 2

(b)For any other reason ……………….... 1632,1905,2115 3

(c) Total 5

5. Ballot papers used as tendered ballot papers ……………………..

2399,2400 2

6. *Ballot papers to be found in the ballot

box …………………… (3 – 4 – 5 = 6)

845

•*Serial Number of ballot papers need not be given

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Accounts of Paper Seal

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FORMPART – I

Record of Paper Seals used at Election to ……………………………Constituency …………….Polling Station No. ………………………………….

Serial No.

Serial No. of Box used Ballot Box No. (engraved)Serial No. of Paper

seal usedRemarks

1 2 3 4 5

1

2

PART – IIPART – IIAccount of Paper Seals

1. Serial numbers of paper seals supplied from Sl. No…… to Sl. No…………… Signature of Polling Agents

2. Total No. Supplied……………… 1.

3. Number of Paper seals used …………… (Sl.. Nos. ……………………….) 2.

4. Number of unused paper seals returned to Panchayat Returning Officer (Deduct item 3 from item 2)

3.4.

5. Serial No. of damaged paper seals, if any …….Date ………………….Place ……………….. Signature of Presiding Officer

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Some Important Forms

S M S B a s e d P o l l M a n a g e m e n t

Working Guidelinefor Presiding Officer / Polling Officer

SMS Number:9250407930

S M S B a s e d P o l l M a n a g e m e n t S y s t e m

P a n c h a y a t G e n e r a l E l e c t i o n ( P G E ) 2018

Registration by Presiding Officer /Polling Officerfor Main PollingStation

DC stands for Distribution Centre, the digits stand forPolling Station No. where the Presiding Officer /Polling Officer is deployed.

Registration by Presiding Officer /Polling Officer

DC REGISTRATION SYNTAX: DC <PartNo.>

for Auxiliary PollingStation

DCstands forDistribution Centre,thedigits stands forPollingStationNo.KAstands for Auxiliary. Part No.

Should be identical with the decode list at distributioncentre.

Registration shouldbemade afterarrivalat DCand before takingpollmaterial on P-2Day / P-1Day as applicable.

SAFE ARRIVAL AT POLLINGSTATION SYNTAX:RS

RS stands for Reached Safely at pollingstation on P-2 Day / P-1 Day as applicable.

Immediately after reaching Polling stationImmediately after reaching Polling stationon P-2 Day / P-1 Day as applicable, pleasesend this report throughSMS.

POLLDAY

1. Poll Start SYNTAX: PS

PS stands for PollStarted

Send this report once the Pollstarted.

If for some unavoidable circumstances; start ofpoll is delayed in any polling station then sendthis report immediately after the pollstarted.

2. Voter TurnoutReport SYNTAX: <Phase> <VotePolled>2. Voter TurnoutReport SYNTAX: <Phase> <VotePolled>

First digit stands for PhaseNo.e.g. 1 for PHASE 1, 2for PHASE 2etc.

Next digits stand for cumulative votespolled.

Please send this report on two hourly basis as follows:

9 AM= PHASE 1, 11 AM= PHASE 2, 1 PM= PHASE3,3 PM= PHASE4.

3. Voter's inQueue SYNTAX: 6 <no. ofelectors>

First digit stands for PHASE NO. of Queuei.e. 6

Next digits stand for Total no. of Voters standing on theQueue.

This SMS is to be sent by 3.15 PM on the poll day.

4. PollClosed SYNTAX: PC

PC stands for PollClosed

This SMS is to be sent after closing of the Poll on the PollDay.

EXCEPTIONAL SITUATIIONS / PROBLEMS

1. Booth Capture SYNTAX: TB

TB stands for Trouble due to BoothCapture

Send this SMS immediately if Poll is interrupted due to BoothCapture.

2. Law& Order SYNTAX: TL

TL stands for Trouble due to Law &Order

Send this SMS immediately if Poll is interrupted due to Law & Orderproblem.

3. Miscellaneous SYNTAX: TM

TM stands for Trouble due toMiscellaneous reasons.

Send this SMS immediately if Poll isinterrupted due to Miscellaneous reasons

4. ProblemSolved SYNTAX: TS

TS stands for TroubleSolved

Send this SMS immediately after all theProblems are solved which were informedvia SMS(s) earlier.

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