Thursday, 18 July 2019

Presiding Officers Dairy for Municipal and Municipal Corporation Elections

Presiding Officers Dairy for Municipal and Municipal Corporation Elections



No. & Name of the Ward :
Name of the Municipality/ Mpl. Corporation and District
Date of Poll :
Number & Name of the polling station :
Whether located in-
(i) Government or quasi-government building;
(ii) Private building;
(iii) Temporary structure;
Number of polling officers recruited locally, if any :
Appointment of polling officer made in the absence of duly appointed polling officer, if any, and the reasons for such appointment :
Number of ballot boxes used :
(i) Number of paper seals used supplied & their serial numbers
(ii) No. of paper seals used & their serial numbers
Number of candidates who had appointed polling agents at the polling station
Number of polling agents and the number who arrived late :
(i) Number of ballot papers issued to voters according to marked copy of the electoral roll
(ii) Number of ballot papers actually issued at the polling stations (including tendered ballot papers, cancelled ballot papers, etc.)



Number of electors who voted (tendered votes should not be included here)
Men :
Women :
Others :
Total :


Challenged vote-
(i) Number allowed
( i.e. where the challenge was upheld and the persons were not allowed to vote )
Number rejected ( i.e. where the challenge was rejected and
the voters were allowed to vote )
Amount forfeited Rs. {This should tally with the figure obtained by multiplying ( Rs.5 with item (ii)}
Number of persons who have voted on production of Election Duty Certificate (EDC)
Number of electors who voted with the help of companions
Number of tendered votes :
Men :
Women :
Others :
Total :
% of tendered votes to total votes polled :

No. of electors-
(i) from whom declarations as to their age obtained
(ii) who refused to give such declaration

Presiding Officers Dairy for Municipal and Municipal Corporation Elections


Whether it was necessary to adjourn the poll and if so, the reasons for such adjournment
Number of votes cast
From 7 a.m. to 9 a.m. :
From 9 a.m. to 11 a.m. :
From 11 a.m. to 1 p.m. :
From 1 p.m. to 3 p.m. :
From 3 p.m. to 5 p.m. :

No. of slips issued at the closing hour of the poll

Electoral offences accorded during the poll with details
Number of cases of-
(a) canvassing within one hundred metres of the polling station
(b) impersonation of voters
(c) fraudulent defacing, destroying or removal of the list of notice or other document at the polling station.
(d) bribing of voters
(e) intimidation of voters and other persons

Was the poll interrupted or obstructed by-
(a) riot :
(b) open violence :
(c) natural calamity :
(d) booth capturing :
(e) any other cause :


Please give details of the above.

Was the poll vitiated by –
(1) any ballot box used at the polling station having been unlawfully taken out of the
custody of the Presiding Officer
(a) accidentally or intentionally lost or destroyed
(b) damaged or tampered with


the ballot papers having been unlawfully marked by any person and deposited in the ballot box.
Please give details

Serious complaints, if any, made by the candidate/agents

Number of cases of breach of law and order occurred:
Report of mistakes and irregularities committed, if any, at the polling station during polling
Download Presiding Officers Dairy for Municipal and Municipal Corporation Elections

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