Slide 1

About Challenged votesCandidate/Election agent/Polling Agent may challenge.Challenge fees - Rs. 10/= in cash.Name to be recorded in ( Form No. 7 ) List of Challenged VotesPresiding officer to hold summary inquiry.March 16, 2015RETURNING OFFICER 19 RIVONA1Failure of ChallengeForfeit Rs. 10/=.Sign the counterfoil on the Receipt Book.Allow the Voter to cast vote.

March 16, 2015RETURNING OFFICER 19 RIVONA2Challenge ProvedDont allow the Voter to vote.File complain to S.H.O. and hand over to Police.Return back Rs. 10/= to the challenger.March 16, 2015RETURNING OFFICER 19 RIVONA3Tendered votesTo be issued to an elector in whose name another person has already voted as such voter.Satisfy about identity of such person. Enter the name of elector in [ Form No. 8 ] List of Tendered Votes and obtain his Signature/thumb impression.March 16, 2015RETURNING OFFICER 19 RIVONA4Tendered votesSuch Voter shall then be issued an ordinary Ballot Paper but from the last serial number from the bundle of Ballot Papers supplied to you.The words Tendered Ballot Paper shall be written on the back of each such paper by the Presiding Officer in his own hand writing and signed by him.Tendered votesSuch Voter shall then go inside the V.C. and exercise his option of voting.He will then hand over the Ballot Paper to the Presiding Officer and NOT PUT IT INTO THE BALLOT BOX.Voting by Blind and InfirmBlind & infirm persons, owing to blindness or infirmity is unable to record his/her vote, then the Presiding Officer should personally do so according to the directions of the Elector. Make a brief note against the entry relating to such voter in the Marked Copy.[P.O.1]March 16, 2015RETURNING OFFICER 19 RIVONA7Disabled to be given preference

March 16, 2015RETURNING OFFICER 19 RIVONA8Refused to vote.Voter deciding not to vote after receiving the Ballot Paper, may return the same without marking it.Voter cannot be forced to vote.The Ballot Paper should be cancelled by writing on it the words Returned: Cancelled. Such Ballot Papers are to be sealed in envelope and handed over to the RO at receiving center.March 16, 2015RETURNING OFFICER 19 RIVONA9Spoiled Ballot Paper If an Elector has marked the Ballot Paper wrongly / on second thought wishes to vote in favour of another candidate / spoils it and returns the same to you, then the Voter may be given another Ballot Paper provided the Presiding Officer is satisfied of Electors inadvertence.The spoiled/returned Ballot Paper shall be marked Spoiled: CancelledKeep record of all such Ballot Papers.Such Ballot Papers are to be sealed in envelope and handed over to the RO at the receiving center.March 16, 2015RETURNING OFFICER 19 RIVONA10Not allowed to voteAn Elector who is violating secrecy of voting/voting procedure shall not be allowed to vote.An entry to that effect be made in the Elector box of such voter in the Marked Copy[P.O.1]March 16, 2015RETURNING OFFICER 19 RIVONA11Closing of PollPoll should close exactly at 5.00 p. m.A few minutes before the closing hour, announce to all those within the limits of Polling Station that they will be allowed to vote.Issue initialed blank slips to the electors in the Queue at 5.00 p.m.Close poll once last Voter cast his/her vote.

March 16, 2015RETURNING OFFICER 19 RIVONA12Sealing of Box after the PollAfter the last voter has voted remove the wire and cut the twine so as to free the window cover.Move the window cover clockwise and turn the button hard in the clockwise direction until it stops and closes the slit completely.

March 16, 2015RETURNING OFFICER 19 RIVONA13Sealing of Box after the PollTurn the window cover anti-clockwise so as to close the window fully. Hold the button and the window cover together, run a piece of wire through the hole in the window cover and the corresponding hole in the button and secure them together firmly by twisting the ends of the wire together tightly a few times. March 16, 2015RETURNING OFFICER 19 RIVONA14Sealing of Box after the PollRun a thread through the holes of the button and the window cover and tie up its ends tightly with multiple knots close to the button. Affix your seal on the loose ends of the thread as near the knots as practicable after placing a piece of thick strong paper below them so that the knots cannot be undone by breaking the seal. The box is now ready for dispatch to the Returning Officer.March 16, 2015RETURNING OFFICER 19 RIVONA15Duties of Officers at Close of Poll Once the last voter has cast his vote, the total number of voters to whom the Ballot Papers (including Tendered Ballot Papers) have been issued according to the Marked Copy and the actual number of Ballot Paper issued shall be tallied. This information is to be recorded in Presiding Officers Diary with signatures of First & Second Polling Officer.Fill in DECLARATION AT THE END OF POLL [ PART III ] Issue copies of the Ballot Paper Account to the Polling Agents present taking their signatures.Record names of Polling Agents who decline to receive this Ballot Paper AccountMarch 16, 2015RETURNING OFFICER 19 RIVONA16Duties of Officers at Close of PollThe First Polling Officer to give information to the Presiding Officer about the total number of voters as per Marked Copy and number of voters who refused to vote.The First Polling Officer also to calculate the total number of Male and Female Voters and provides this information to the Presiding Officer.March 16, 2015RETURNING OFFICER 19 RIVONA17No.464/INST/2009/EPS. Dated: 21st January, 200917Use of Mobile Phones Presiding Officer is allowed to use Mobile Phone, however strictly in SILENT MODE.March 16, 201518RETURNING OFFICER 19 RIVONAPRESIDING OFFICERS DIARYPresiding Officer shall draw up the proceeding of the entire happenings at the Polling Station in the diary set out in Appendix V.

This diary is to be forwarded to the Returning Officer in TRIPLICATE at the Receiving centre along with Ballot Boxes and other sealed packets.March 16, 2015RETURNING OFFICER 19 RIVONA19March 16, 201520RETURNING OFFICER 19 RIVONAPRESIDING OFFICERS DIARYON THE DAY OF POLLGOA STATE ELECTION COMMISSIONDATESEC Form IDZILLA PANCHAYAT ELECTIONSAPPENDIX VDDMMYYYYR - 151. Name of the Zilla Panchayat ( in block letters):- SOUTH2. ZP Constituency No. & Name: - 19 - RIVONA 3. Number and Name of the Polling Station ___________whether located in - Yes NoGovt. or quasi Govt. bldg.Private buildingTemporary Structure4. Number of polling officers recruited locally, if any:PRESIDING OFFICERS DIARYPRESIDING OFFICERS DIARYAppointment of Polling Officer made in the absence of duly appointed Polling Officer if any, and the reasons for such appointment Number of ballot boxes /EVM usedNumber of paper seals used Sl. Nos. of paper seals usedNumber of Polling Agents and the number who arrived late.No. of candidates who appointed polling agents at the polling stationMarch 16, 2015RETURNING OFFICER 19 RIVONA21From ToPRESIDING OFFICERS DIARYMarch 16, 2015RETURNING OFFICER 19 RIVONA22(i) Number of ballot papers issued according to Marked Copy of the Voters list:(ii) Number of ballot papers actually issued at the Polling Station:Number of electors who voted: (i) Men (ii) Women ... (iii) Total ...Challenged Votes: (i) Number allowed .(ii) Number rejected ...... (iii) Amount forfeited Rs. ......

March 16, 2015RETURNING OFFICER 19 RIVONA23PRESIDING OFFICERS DIARYNumber of electors who voted with the help of companion ...Number of Tendered Votes Number of electors : (i) From whom declaration as to their age obtained(ii) Who refused to give such declaration Whether it was necessary to adjourn the poll and if so, reason for such adjournment ____________________________________________________________________________________________________________________________________________________________________

PRESIDING OFFICERS DIARYNumber of votes cast From To No. of Votes Cast 08.00 a.m.10.00 a.m. ...08.00 a.m. 12.00 Noon ...............................08.00 a.m. 02.00 p.m. 08.00 a.m.04.00 p.m. 08.00 a.m.05.00 p.m. No. of voters slips issued at closing of pollElectoral offences with details:Number of cases of :(i)Canvassing within 100 mts of Polling Station(ii)Impersonation of voters(iii)Fraudulent defacing, destroying or removal of a list of notice or another document at a PS(iv)Bribing of voters(v) Intimidation of voters and other persons

March 16, 2015RETURNING OFFICER 19 RIVONA25Was the poll intrerrupted or obstructed by : (i) Riot .....(ii) Open Violence .... (iii) Natural Calamity ..........(iv)Any other cause .................................................Please give details of the above

PRESIDING OFFICERS DIARYWas the poll vitiated by-(i) Any ballot box used at the PS having been unlawfully taken out of the custody of the Presiding Officer: (a) Accidently or intentionally lost or destroyed ...................(b) damaged or tampered with ..............................Yes No(ii) The ballot papers having been unlawfully marked by any person & deposited in the ballot box, please give details.Serious complaints, if any, made by the candidates ............Number of cases of breach of law and order .........Report of mistakes and irregularities committed, if any, at the polling station........................................................................................................................................................Whether the declarations have been made before the commencement of the poll and if necessary, during the poll when a new ballot box is placed for reception of marked ballot paper and at the end of poll as necessary: ....................................................................................................................................................................................

Place: .. Date: ... Presiding OfficerPresiding Officers DiaryMarch 16, 201526RETURNING OFFICER 19 RIVONARecord of Paper SealsForm Part IRecord of Paper Seals

Elections to Panchayat No. and name of Polling StationSr. No. of ward assigned.----------------------------------------------------------------------------------------------------------------------------------Sr. No. of Ballot Sr. No. of Paper Remarks box used seal used ---------------------------------------------------------------------------------------------------------------------------------- 1 2 3 ----------------------------------------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------------------------------

Place: ..Date: Signature of Presiding Officer

March 16, 201527RETURNING OFFICER 19 RIVONAPART IIACCOUNT OF PAPER SEALSSerial number of paper seals supplied from................. To ________________________________________________Total number supplied ________________________________________________No. of paper seals used________________________________________________No. of paper seals spoiled /damaged________________________________________________No. of unused paper seals returned to Returning Officer________________________________________________

Place: Date: Signature of Presiding OfficerMarch 16, 2015RETURNING OFFICER 19 RIVONA28SEALING OF ELECTION PAPERSSTATUTORY COVERS The Sealed Packets containing:Unused Ballot PaperSpoiled and returned / cancelled Ballot PapersMarked copyTendered Voters list and various covers containing Tendered ballot papers.List of Challenged VotesUnused and damaged Paper sealsAppointment Letters of Polling Agents.March 16, 2015RETURNING OFFICER 19 RIVONA29SEALING OF ELECTION PAPERSThe Sealed Packets containing:

Ballot Paper Account in Form No. 9 Account of Paper Seals

March 16, 2015RETURNING OFFICER 19 RIVONA30FORM No. 9 BALLOT PAPER ACCOUNTON THE DAY OF POLLGOA STATE ELECTION COMMISSIONZILLA PANCHAYAT ELECTIONSFORM No. 9[ See rule 47(4)]DATESEC Form IDDDMMYYYYR - 16A. Election to the . SOUTH . Zilla Panchayat Constituency No. : - 19 RIVONAB. Polling Station: .BALLOT PAPER ACCOUNTNumber of Ballot Papers received by the Presiding Officer at P/S.......Number of Ballot Papers issued to Voters.............................................Number of Unused Ballot Papers returned............................................Number of Ballot Papers Cancelled.......................................................Number of Ballot Papers used as Tendered Ballot Papers.....................Number of Ballot Papers in Ballot Box ................................................Place: .. ________________________Date: ...Signature of Presiding OfficerSerial No.TotalFromToINCLUDING TENDERED BALLOT PAPERS1] 1 = 2 + 32] 2 = 4 +5+ 6{SEALED PACKETSContainingHand book of Instructions to Presiding OfficersCover containing Presiding Officers Diary.Cover containing receipt book and cash, if any.Any other covers, the R.O. may direct.March 16, 2015RETURNING OFFICER 19 RIVONA32ADJOURNMENT OF POLLUse police force to control the cases of riot or any open violence or attempt of the same.Natural calamity.However, if the situation is beyond control, the Poll may be adjourned.The same must be reported to Returning Officer immediately.March 16, 2015RETURNING OFFICER 19 RIVONA33DISORDERLY CONDUCT/PERSONS TO BE REMOVEDIf any person behaves in disorderly manner, you can have him/her arrested then and there with the help of police.

Disorderly conduct also covers use of loudspeakers disturbing the work at the Polling Station.March 16, 2015RETURNING OFFICER 19 RIVONA34REMOVAL OF BALLOT PAPER FROM POLLING STATIONRemoval of Ballot Paper from Polling Station is punishable.

March 16, 2015RETURNING OFFICER 19 RIVONA35BREACH OF OFFICIAL DUTY BY ELECTION OFFICERAny Presiding Officer or Polling Officer without reasonable cause if guilty of any act, or even of any omission, in breach of his official duty, he/she commits an offence.March 16, 201536RETURNING OFFICER 19 RIVONACertain significant instructionsALWAYS BE: JUST FAIR REASONABLE

ACT WITH CONFIDENCE AND PERFORM ELECTION DUTY WHOLE HEARTEDLY. Thanks and all the bestThis is to certify that the Electoral Roll of Part No. 01 of 10-COLVA Zilla Panchayat Constituency, reprinted after reflecting the deletions and corrections shown in Supplement Nos. 01 05 has been thoroughly compared and no discrepancy has been found. There are total 28 numbers of pages ( From 01 to 28 )

Signature & Seal of the Date: 16/03/2015 Returning Officer/Asstt. Returning Officer CERTIFICATE

( Where the roll is reprinted to reflect Deletions & Corrections in the Supplement Nos. 1 5 )BACKMarch 16, 201539RETURNING OFFICER 19 RIVONAMARKINGS ON MARKED COPY ..

Hash MarkPHOTO AS IN CORRECTION LISTBACK

Deleted

41ELECTION MATERIAL41

BACKMetal SealCross Arrow MarkIndelible InkDistinguishing Mark

March 16, 2015RETURNING OFFICER 19 RIVONASPECIMEN SIGN OF CONTESTING CANDIDATES...Sr. No.Name of the Contesting CandidateSpecimen SignatureName of his/her Election agentSpecimen Signature1.2.3.4.SPECIMEN SIGNATURE OF CONTESTING CANDIDATES & THEIR ELECTION AGENTS

No. & Name of Zilla Panchayat Constituency: 10 COLVA .

The specimen signatures of contesting candidates and their Election Agents are given below for the purpose of verification of their signatures by the Presiding Officer in the letter of appointment of polling Agents at the time of poll:-Date: ..Place: . Signature of the Presiding OfficerBACKMarch 16, 201542RETURNING OFFICER 19 RIVONALIST OF CONTESTING CANDIDATES...Sr. No.Name of CandidateAddress of CandidateParty Affiliation*Symbol Alloted123451.2.3.4.5.6.List of Contesting CandidatesElection to the Legislative Assembly from the: 10 COLVA Zilla Panchayat Constituency Date: .. Signature of the Presiding OfficerBACKMarch 16, 201543RETURNING OFFICER 19 RIVONA44NOTICE SPECIFYING POLLING AREA..

BACKMarch 16, 2015RETURNING OFFICER 19 RIVONABACKWARNING NOTICE

March 16, 201545RETURNING OFFICER 19 RIVONAMarch 16, 2015RETURNING OFFICER 19 RIVONA46Model Polling Station

BACKBACK47APPT. OF POLLING AGENTSFORM No. 15APPOINTMENT OF POLLING AGENT[ See Rule 27(2) and Rule 29(2) ]

Election to the . Zilla Panchayat Constituency.

ToThe Returning OfficerElection to .I, of the candidate at the above election do hereby appoint Shri/Smt. . of .. as a polling agent to attend Polling Station No. .. at place fixed for the poll on ...

I hereby attest the signature of Shri/Smt. , the Polling Agent

Signature of Polling Agent attested by the Candidate Signature of Candidate

Place: .... Date: . March 16, 2015RETURNING OFFICER 19 RIVONABACKEntry pass for Polling AgentsSl. No. _____________

ENTRY PASS

AC No. & Name: ________________________P.S. No. & Name: ________________________Name of Candidate : ________________________Name of Polling Agent: ________________________Name of Relief Agents, if any: __________________

Signature of Presiding OfficerMarch 16, 201548RETURNING OFFICER 19 RIVONA

788793837125BACKMarch 16, 201549RETURNING OFFICER 19 RIVONANo.576/3/2008/SDR. Dated: 11th November, 2008.

49FORM NO. 9Ballot Paper AccountElection to the .. ..Zilla PanchayatWard/ Constituency No.Polling Station No. __________________________________________________________________________Sr. No. From .To. Total Nos._________________________________________________________________________ (1) (2) (3)__________________________________________________________________________

_________________________________________________________________________Number of Ballot papers received by the presiding officer at the polling station Number of Ballot papers issued to voters Number of unused Ballot papers returned. Number of Ballot papers cancelled.Number of Ballot papers used as tendered ballot papers. Number of Ballot papers in the ballot box.__________________________________________________________________________

Place: ..Date: Signature of Presiding Officer

BACKDO NOT INCLUDE TENDERED BALLOT PAPERS AT SR. NO.S 1 & 2March 16, 201550RETURNING OFFICER 19 RIVONAMarch 16, 201551RETURNING OFFICER 19 RIVONAFORM NO. 7List of Challenged VotesElection to the RIVONA Zilla Panchayat, Constituency No.: 19 Polling Station _______________________________Place: ..Date: Signature of Presiding OfficerNameofVoterSr. No. of Voter in the list of votersSignature or thumb impression of voter and his addressName of identifier, if anyName ofpersonchallengingAmount of deposit madeOrder of Presiding Officer in each caseSignature of the challenger acknowledging the receipt of deposit where deposit is returned12345678BACKMarch 16, 201552RETURNING OFFICER 19 RIVONAFORM NO. 8List of Tendered VotesElection to the RIVONA Zilla Panchayat, Constituency No.: 19 Polling Station _______________________________Place: ..Date: Signature of Presiding OfficerSr. No. of Ward / ConstituencySr. No. & Name of ElectorAddress of ElectorSr. No. of Tendered Ballot PaperSr. No. of Ballot Paper issued to the person who has already votedSignature or Thumb impression of person tendering vote123456BACKFORM No. 9 BALLOT PAPER ACCOUNTON THE DAY OF POLLGOA STATE ELECTION COMMISSIONZILLA PANCHAYAT ELECTIONSFORM No. 9[ See rule 47(4)]DATESEC Form IDDDMMYYYYR - 16A. Election to the . SOUTH . Zilla Panchayat Constituency No. : - 19 RIVONAB. Polling Station: .BALLOT PAPER ACCOUNTNumber of Ballot Papers received by the Presiding Officer at P/S.......Number of Ballot Papers issued to Voters.............................................Number of Unused Ballot Papers returned............................................Number of Ballot Papers Cancelled.......................................................Number of Ballot Papers used as Tendered Ballot Papers.....................Number of Ballot Papers in Ballot Box ................................................Place: .. ________________________Date: ...Signature of Presiding OfficerSerial No.TotalFromToINCLUDING TENDERED BALLOT PAPERS1] 1 = 2 + 32] 2 = 4 +5+ 6{BACKUnsealed DocumentsPresiding Officer Diary (Triplicate)Ballot Paper Account / Form No. 9 (Triplicate)Declaration by Presiding Officer (Part I & Part 3)Poll Statistics (Triplicate)March 16, 201554RETURNING OFFICER 19 RIVONAPART - I of Declaration before Commencement of the PollBACKDECLARATION BY THE PRESIDING OFFICER BEFORE COMMENCEMENT OF THE POLLElection to . 19-RIVONA . Zilla PanchayatSerial No. and Name of Polling Station: _________ Date of Poll: 18/03/2015I hereby declareThat I have demonstrated to the Polling Agents and other persons present that the Ballot Box to be used for the Poll is empty.That on the Paper Seal used for securing the Ballot Box, I have affixed my own signature and obtained thereon the signatures of such of the Polling Agents as are present and desrirous of affixing the same.That I have demonstrated to the Polling Agents and others present that the Marked Copy of the Electoral Roll to be used during the poll does not contain any marks other than those used for issuing Postal Ballot Papers and Election Duty Certificate, andThat, I have allowed the Polling agents to note te first and the last of the serial numbers of the Ballot Papers and showed them bundles of ballot papers which will be used at the Polling Station.Date:........................... Signature of Presiding OfficerSignature of Polling Agents: .....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)The following Polling Agent(s) declined to affix their Signature(s) on this declaration.....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)Date:........................... Signature of Presiding OfficerPART - II Declaration at the time of use of subsequent Ballot BoxBACKPART - IIDeclaration By The Presiding Officer at the time of use of subsequent Ballot BoxElection to . 19-RIVONA . Zilla PanchayatSerial No. and Name of Polling Station: _________ Date of Poll: 18/03/2015I hereby declareThat I have demonstrated to the Polling Agents and other persons present that the Second/Third/................. Ballot Box to be used for the Poll is empty and That on the Paper Seal used for securing the Ballot Box, I have affixed my own signature and obtained thereon the signatures of such of the Polling Agents as are present and desrirous of affixing the same.Date:........................... Signature of Presiding OfficerSignature of Polling Agents: .....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)The following Polling Agent(s) declined to affix their Signature(s) on this declaration.....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)Date:........................... Signature of Presiding OfficerDeclaration at the End of PollBACKPART - IIIDeclaration at the End of PollI 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 of each of the entries in Part I Account of Votes Recorded of Form 9.

Date: ..........................Time:........................... Signature of Presiding Officer

Received an attested copy of the entries in the Account of Votes Recorded ( Part I of Form 17 C)Signature of Polling Agents: .....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)The following Polling Agents who were present at the close of the poll declined to receive an attested copy of the Part I of Form 17C and to give a receipt therefore and so an attested copy of that Form was not supplied to them.....................................................................( of candidate ............................................................................).....................................................................( of candidate ............................................................................)Date:........................... Signature of Presiding Officer