(1) The Arunachal Pradesh Municipal Elections Rules, 2010 dated 22.04.2009 are hereby superseded, provided that-
(a) such repeal shall not affect the previous operation of the said rules, notifications and orders or anything done or any action taken thereunder; and
(b) any proceedings under the said rules, notifications or orders pending at the commencement of these rules shall be continued and disposed of as far may be in accordance with the provisions of these rules.
(2) Nothing in these rules shall operate to deprive any person, to whom these rules apply, of any right of appeal which has accrued to him/her under the rules, notifications or orders repealed by sub-rule (1) in respect of any order passed before the commencement of these rules.
(3) A petition pending at or preferred after the commencement of there rules against an order made before such a commencement shall be considered and order thereon shall be passed in accordance with these rules.
K. Kholie, lAS, Secretary to Government of Arunachal Pradesh, Department of Urban Development, ltanagar.
The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 17
SCHEDULE-I (RULE-24) NATIONAL PARTIES SI No. Name of Party Symbol reserved Symbol
1. Bharatiya Janta Party Lotus ¥ . ,} . r I I
2. Bahujan Samaj Party Elephant ~~I!
. '~
3. CPI Ears of Corn and Sickle
4. CPI (M) Hammer, Siddles and Star
5. INC(I) Hand
6. Janta Dal (C) Chakra (Wheel)
7. Janata (U) Bow & Arrow ~
8. NCP Table Clock 0
9. RJD Lantern Q
10. S.P Bicycle A
11. TTI/IC Flower ~ 18 The Arunachal Pradesh Extraordinary Gazette, July 26,2011
SCHEDULE -II (RULE - 24) STATE PARTIES 51 No. Name of Party Symbol reserved Symbol
1. Arunachal Congress Two Dao intersecting X
2. PPA Split Maize ,
SCHEDULE -III (RULE - 24) FREE SYMBOLS Fish 2. Horn Bill 3. Electric Bulb I.
6. S ade 5. Umbrella
9.
4.
Scooter 7. 8
10. Tele hone II. Jug
13. Apple 14.
12.
15. Cup & Saucer The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 19
SCHEDULE -1 (RULE - 24) FREE SYMBOLS
1. Fish 10. Telephone 19. Railway Engine
2. Horn Bill 11. Jug 20. Sewing Machine
3. Electric Bulb 12. Kettle 21. Spectacle
4. Spade 13. Apple 22. Bell
5. Umbrella 14. Pot 23. Table Fan
6. Jeep 15. Cup & Saucer 24. Television
7. Scooter 16, Bucket 25. Road Roller
8. Hat 17. Chair
9. Pineapple 18. Plough FORM-1 (See rule 6) NOTICE OF PUBLICATION OF ELECTORAL ROLL To The voters of Ward No Municipal (Ward) No district Arunachal Pradesh.
Notice is hereby given that the electoral roll has been prepared in accordance with the Arunachal Pradesh Municipal Election Rules, 2010 and copy thereof is available during office hours for inspection at my office and in the office of Municipal Council! Deputy Commissioner and at the office of Municipal Electoral Registration Officer.
If there be any claim for the inclusion of a name in the electoral roll or any objection to the inclusion of a name or any objection to particularly in any entry, it should be lodged in or before (date) in Form 2, 3 and 4 as may be appropriate.
Every such claim or objection could be addressed to the .
(full address) Revising Authority and should either be presented in person or through agent or sent by registered post so as to reach him not later than the aforesaid date.
Place .
Date .
Municipal Electoral Registration Officer 20 The Arunachal Pradesh Extraordinary Gazette, July26, 2011 FORM -2 [See rule 9 (1) and 16] CLAIM APPLICATION FOR INCLUSION OF NAME To The Revising Authority/ Municipal Electoral Registration Officer.
Sir, I request that my name be included in the electoral roll for the ward relating to .
Municipal Council/ Nagar Panchayat.
My name (in full) .
My Father's/ Mother's/ Husband's Name .
Particulars of my place of residence are:
House No .
Street! locality/ Village/Sector .
Post Office .
I hereby declare that to the best of my knowledge and belief that-
(i) I am a citizen of India.
(ii) My age on i.e. date notified by the State Election Commission under clause (e) of rule 5(1) was years months.
(iii) I am an ordinary resident at the address given above.
(iv) I have not applied for the inclusion of my name in the electoral roll for any other municipal ward.
(v) My name has not been included in the electoral roll for any ward of the above mentioned Municipal Committee .
OR That my name has been included in the electoral roll for the "ward under the address mentioned below and I request that the same may be excluded from the electoral roll.
Signature/thumb-impression of claimant.
(Full postal address).
Place .
Date .
I am a voter included in the electoral roll of the same part in which the claimant has applied for inclusion viz. part No relating to my serial number therein is I support this claim and countersign it.
Signature (Name in full) and address "Strike out inappropriate words.
Note.- Any person who makes a statement of declaration which is false and which he either knows or believes to be false or does not believe to be true is punishable in accordance with the law in force.
The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 21 FORM-3 [See rule 9 (1)] OBJECTION TO INCLUSION OF NAME To The Revising Authority, ................ Ward.
Sir, I object the inclusion of the name of at serial No in the electoral roll ..................... ward relating to Municipal Councill Nagar Panchayat for the following reasons :- I hereby declare that the facts mentioned above are true to the best of my knowledge and belief that my name has been included in the electoral roll for this ward as follows :- Name in full .
Father's/Mother's/Husband's name .
Serial No .
No. and name of the Ward relating to Municipal Councill Nagar Panchayat.
Signaturelthumbimpression of objector (Full postal address) .
Dated .
I am a voter included in the same electoral roll in which the name objected to appears, viz, number and name of the ward relating to.............. Municipal Councill Nagar Panchayat. My serial number therein is I support this objection and countersign it.
Signature/thumbimpression (Full postal address).
Note :- Any person who makes a statement or declaration which is false and which he either knows or believes to be false or does not believe to be true is punishable in accordance with the law in force.
22 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 FORM -4 [See rules 9(1) and 14) OBJECTION TO PARTICULAR IN ANY ENTRY To The Revising Authority/Municipal Electoral Registration Officer, ................................................................ Ward.
I submit that the entry relating to myself which appears at Serial No.............. in the roll for ward relating to Municipal Council/ Nagar Panchayat as is incorrect. It should be corrected to read as follows:- Place .
Date . Signature/thumbimpression of the objector (Full Postal Address) .
FORM-5 [See rules 9(4)(5) and rule 11] .......................................... Municipal Council/ Nagar Panchayat ........................................................................................ Ward.
SI. No. Name, Father's name and address Date of presentation of claim Date of decision with note in the presence of parties 2 3 4 Decesion Signature of Signature of official by revising authority whom effect was Admitted Rejected given to the decision of the revising authority and date 5 6 7 8 The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 23 FORM-6 [See rules 9 (4) and (5) and rule 11] REGISTER OF OBJECTION TO INCLUSION OF NAMES ............................................................................................. Municipal Council/Nagar Panchayat Person objected to Name, Father's, SI.No. of objection Date of husband's name in the roll presentation of SI. No. Under With SI. No. and adress of objection nameof in the roll objector 2 3 4 5 6 Date of Decision Signature of Signature of official by decision with Admitted Rejected revising authority whom effect was given note as to to the decision of the presence of revision authority and date parties 7 8 9 10 11 FORM-7 [See rule 9(4) and (5) and rule 11] REGISTER OF OBJECTION TO THE PARTICULARS IN AN ENTRY ............................................................................................... Municipal Council/Nagar Panchayat ............................................................................................... Ward SI. No. Name of the objector Date of presentation of objection Particulars as existed in the roll Correct particulars as requested by the objector 2 3 4 5 Decision Signature of the revising authority Signature of official by whom effect was given to the decision of the revising authority and date Admitted Rejected 6 7 8 9 24 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 FORM - 8 [See rule 10 (1)] LIST OF CLAIMS .................................................................................................. Municipal Council/Nagar Panchayat ............................................................................................................ Ward.
Date of receipt Serial No.
Name of claimant Name offather/ husband/mother Address Date, time and place of hearing 2 3 4 5 6 Signature of Revising Authority.
FORM-9 [See rule 10(1)] LIST OF OBJECTIONS FOR INCLUSION OF NAMES .................................................................................................... Municipal Council/ Nagar Panchayat ....................................................................................................... Ward.
Date of SI. Full name Particulars of name Objection Date, receipt No. of objector objected to in brief time and place of SI. No. Name in hearing of entry full 2 3 4 5 6 7 Signature of the Revising Authority.
FORM-10 [See rule 10(1)] LIST OF OBJECTIONS TO PARTICULARS IN ENTRIES Date of SI. No. Namein Part No. and Nature of Date, time receipt full of SI. No. of objection and place elector entry of hearing objection 2 3 4 5 6 Signature of Revising Authority.
The Arunachal Pradesh Extraordinary Gazette. July 26. 2011 25 FORM -11 [See rule 10(2)] NOTICE OF HEARING OF CLAIM To Full name and address of claimant .
Reference/Objection No .
Your claim for the inclusion of your name in the electoral roll will be heard at (Place) at O·clock on the day of 20 .
You are directed to be present personally or through your authorised agent at the hearing with such evidence as you may like to adduce.
Place .
Date .
Signature of Revising Authority . Ward.
FORM-12 [See rule 10(2)] NOTICE OF HEARING OF OBJECTION To Full name and address of objection .
Referencel objection No .
Your objection to the inclusion of the name of will be heard at .......................................... O·clock day of 20 .
You are directed to be present personally or through your authorised agent at the hearing with such evidence as you may like to adduce.
Place .
Date .
Revising Authority.
FORM-13 [See rule 10(3)] NOTICE OF HEARING OF OBJECTION To Full name and address of person objected to Reference/Objection No The objection to the inclusionl deletion of your name at the serial No in the electoral roll for Ward relating to ............................. Municipal Council/Nagar Panchayat filled by (Full name and address of objector) Will be heard at... (Place) at O'clock on the day of 20 .
You are directed to be present personally or through your authorised agent at the hearing with such evidence as you may like to adduce.
The grounds of objection (in brief) are :-
(a)
(b)
(c) Place .
Date .
Revising Authority.
. Ward.
26 The Arunachal Pradesh Extraordinary Gazette. July 26.2011 FORM -14 [See rule 10(2)] NOTICE OF HEARING OF AN OBJECTION TO PARTICULARS IN THE ELECTORAL ROLL To Full name and address of person objected to .
Reference/Objection No .
Your objection to certain particulars in the entry relating to you with be heard at .
(place) at O'clock the day of 20 .
You are directed to be present personally or through your authorised agent at the hearing with such evidence as you may like to adduce.
Place .
Da~ .
Revising Authority.
.. Ward.
FORM -15 [See rule 12(1)] NOTICE OF FINAL PUBLICATION OF ELECTORAL ROLL It is hereby notified for public information that the list of amendments to the draft electoral roll for ward No (ward) or Municipal Council/Nagar Panchayat has been prepared in accordance with the Arunachal Pradesh Municipal Election Rules. 2010 and a copy of the said electoral roll together with the said list of amendments has been published finally.
Place .
Date .
Municipal Electoral Registration Officer.
FORM -16 [See rule (14)] APPLICATION FOR DELETION OF ENTRY IN ELECTORAL ROLL To The Municipal Electoral Registration Officer.
Sir.
I submit that the entry at Serial No........................... in the electoral roll for Ward relating to Shri/Shrimati. son/daughter of requires to be deleted as the said person is not entitled to be registered in the electoral roll for the following reasons.
I hereby declare that the facts mentioned above are true to the best of my knowledge and belief.
I declare that I am a voter of this ward being enrolled at serial No .
Place .
Date .
Signature or thumb impression of applicant (full postal Address) "Strike off the inappropriate words.
Note: - Any person who makes a statement or declaration which is false which he either knows or believes to be false or does not believe to be true is punishable in accordance with the law in force.
The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 27 FORM -17(A) (See rule 22.A) NOTIFICATION In exercise of power conferred upon under sub-section(3) of section 36 of the Arunachal Pradesh Municipal Election Act 2009 and in pursuance of the provision of Rule 22(A) of the Arunachal Pradesh Municipal Election Rule 201 0, I the State Election Commissioner, Itanagar, call upon the municipality of to elect members ~m .
State Election Commissioner, Arunachal Pradesh.
Itanagar.
FORM-17(B) (See rule 23) NOTICE OF ELECTION Notice is hereby given that :-
1. An election is to be held of a member(s) from ward No of Municipal Council/ Nagar Panchayat.
2. Nomination paper may be delivered by a candidate or his proposer to the (Authority) at ................ between 11 A.M. and 3 P.M. from to (dates).
3. Forms of nomination papers may be obtained at the place and time aforesaid.
4. The nomination papers will be taken up for scrutiny at .
5. Notice of withdrawal of candidature may be delivered by a candidate or his proposer to the authority specified in paragraph (2) above at his office before 3 P.M. on the 20 .
6. The symbols to the contesting candidates shall be allotted on (date) at.. P.M.
7. In the event of the election being contested, the poll will be taken on between the hours of and .
Municipal Returning Officer.
FORM -18 (See rule 25) NOMINATION PAPER Election to the Municipal Council/Nagar Panchayat .
I hereby nominate .
(to be filled by the proposer) as a candidate for election from ward of Municipal Council! Nagar Panchayat ............................................... which is general/ward reserved for women.
1. Full name of proposer .
2. Serial number of proposer in the roll of the ward from which the candidate for election has been nominated
3. Name of the candidate's father/ husband .
4. Full postal address of candidate .
5. Serial number of the candidate in the electoral roll of the ward in which he is register as an elector Oate . Signature of Proposer.
(to be filled in by the candidate)
1. I, the above mentioned candidate, assent to this nomination and hereby declare :-
(a) that I have completed years of age; and
(b) that I have not been disqualified for contest of elections under any law in force.
(c) that the symbols I have chosen are in order of preference.
(i) .
(ii) .
(iii) .
(d) that except this nomination I have not given assent to any other nomination from any other ward for election.
Oate . Signature of the candidate.
28 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 VERIFICATION BY EXECUTIVE MAGISTRATE The above declaration is solemnly affirmed before me by who is personally known to me/who has been identified by .
Date .
Place .
Signature with seal.
(Decision of Municipal Returning Officer accepting or rejecting the nomination paper).
I have examined this nomination paper in accordance with rule 29 of the Arunachal Pradesh Municipal Election Rules, 2010, and decide as follow :- Date .
Place .
Municipal Returning Officer.
The symbol assigned to the candidate is .
Date .
Place .
Municipal Returning Officer.
RECEIPT OF NOMINATION PAPER AND NOTICE OF SCRUTINY (To be filled in by the Municipal Returning Officer or specified authority) Serial No. of nomination paper .
This nomination papers was delivered to me at my office on (date) .
at (hours) and shall be taken up for scrutiny on ............................... at place of (hours) .
Date .
Place .
Municipal Returning Officer.
FORM -19 (See rule 27) NOTICE OF NOMINATION Election to the Municipal Council/Nagar Panchayat : from the ..................................................... Ward.
Notice is hereby given that the following nominations in respect of the above election have been received upto 3 P.M. today .
SI. No. of nomination paper Name of candidate Name of father/ husband Age of Candidate Address 2 3 4 5 SI. No. of Candidate in the electoral roll Name of proposer SI. No. of proposer in the electoral roll 6 7 8 Place .
Date .
Municipal Returning Officer or Specified Authority.
The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 29 FORM -20 [See rule in section 43(8) of the Act] LIST OF VALIDLY NOMINATED CANDIDATES Election to the Municipal Council/Nagar Panchayat ................................... Ward.
from SI. No. Name of candidate Name of father/husband Address of candidate 2 3 4 Place .
Date .
Municipal Returning Officer.
FORM -21 [See rule 29 (1)] NOTICE OF WITHDRAWAL Election to the Municipal Council/Nagar Panchayat .
from Ward.
To The Municipal Returning Officer, I, a candidate a nominated at the above election do hereby give notice that I withdraw my candidature.
Place " .
Date .
Signature of Candidate.
This notice was delivered to me at my office at (hours), on (date) by (name).
Returning Officer or Specified Authority RECEIPT FOR NOTICE OF WITHDRAWAL (To be handed over to the person delivering notice) The notice of withdrawal of candidature by a candidate at the election to the Municipal Council/ Nagar Panchayat.. from ward, was delivered to me by the at my office at (hours) on (date).
Here insert one of the following alternatives as may be appropriate :-
1. Candidate.
2. Candidate's proposer who has been authorised in writing by the candidate to deliver it.
30 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 FORM -22 [See rule 29 (2)] NOTICE OF WITHDRAWAL Election to the Municipal Council/Nagar Panchayat from ...................................................................... Ward.
Notice is hereby given that the following candidate/ candidates at the above election withdraws/ withdraw his/ their candidatures today :- Name of candidate Address of candidate Remarks 2 3
1.
2.
3.
4.
5.
etc.
Date .
Place .
Returning Officer or Specified Authority.
FORM -23 [See rule 30] LIST OF CONTESTING CANDIDATES Election to the Municipal Council/ Nagar Panchayat .
.......................................................... ~m ~~.
SI. No. Name of candidate Address of candidate Symbol allotted 2 3 4 Place .
Date .
Municipal Returning Officer.
FORM -24(A) [ See rule 32 (A) (1)] Appointment of Election Agent Election to Municipal Council/ Nagar Panchayat .
~m ~~.
I. a candidate at the above Election do hereby appoint ................................................................. as my election agent from this day at the above election.
Place .
Date .
Signature of Candidate I accept the above appointment Place .
Date .
Signature of Election Agent The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 31 FORM -24(8) [ See Rule 32 (A) (2) ] Revocation of Election Agent Election to the Election to the Municipal Council/Nagar Panchayat from ward.
To The Returning Officer, 1 ........................................•.•.•.•...... a candidate at the above Election do hereby revoked the appointment of my election agent.
Place .
Date .
Signature of Candidate.
FORM -24(C) [See rule 32 (8)(1)] APPOINTMENT OF POLLING AGENT Election to Municipal Council/Nagar Panchayat from ........................................................................... Ward.
I, a candidate at the above election do hereby appoint as polling agent to attend polling station No place fixed for the poll at .
Place .
Date .
Signature of the candidate.
I agree to act as such polling agent.
Place .
D~e .
Signature of Polling agent.
(Declaration of polling agent to be signed before Presiding Officer).
are that at the above election, I will not do any thing forbidden by the Arunachal Pradesh Municipal Elections Act, 2010 which I have read/ has been read over to me).
Place .
Date .
Signature of Polling agent.
Signed before me.
Place .
Date .
Presiding Officer.
32 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 FORM-24(D) (See Rule 32(8) (2) Revocation of appointment of Polling Agent Election to the Municipal Council/ Nagar Panchayat .
from ward.
To The Returning Officer, I. a candidate at the above Election do hereby revoked the appointment of polling agent/relief polling agent ... at the polling station No. at ................................................... place.
Place .
Oate .
Signature of Candidate/Election agent FORM -25 (See rule 35) FOR USE IN ELECTION WHEN SEAT IS UNCONTESTED Declaration of the result of election to Municipal Council/Nagar Panchayat .
from (ward).
In pursuance of the provisron contained in rule 34 of the Arunachal Pradesh Municipal Election Rules, 2010, I declare that :- ........................................................... (Name) .
... . , (Address).
has been duly elected to fill a seat in Municipal Council/Nagar Panchayat .
Place .
Date .
Signature .
Municipal Returning Officer.
FORM -26 (See rule 43) BALLOT PAPER Municipal Council/ Nagar Panchayat .
Number and name of Ward .
Serial Number of Elector .
Roli/ Part Number .
Signature/thumb impression.
Name of Council ward .
2 Name of Candidate Symbol The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 33 FORM -27 [See rule 50(1)] DECLARATION BY THE COMPANION OF BLIND OR INFIRM VOTER Election to Municipal Council!Nagar Panchayat Ward Number and name of polling stations .
I, son of .
aged resident ·of.. hereby declare that.
(a) I have not acted as companion of any other voter at this or any other polling station today.
the and
(b) I will not disclose the secrecy of the vote recorded by me on behalf of •• Date .
Place .
Signature of Companion.
• Full address to be given .
•• Name of voter and his!her serial No. in the electoral roll to be given.
FORM -28 [See rule 50(2)] LIST OF BLIND AND INFIRM VOTERS Election to Municipal Council! Nagar Panchayat from ....................................................... ~~.
Number and name of polling station .
SI. No.
of voter Full name of voter Full name of companion Address of companion Signature of companion 2 3 4 5 Date . Signature of Presiding Officer.
FORM -29 [See rule 52(2) and 57] LIST OF TENDERED VOTES Election to Municipal Council! Nagar Panchayat .
from ward.
No. and name of polling station .
SI.
No.
Name of voter Address of voter Serial No.
of tendered ballot paper Serial No.
of ballot paper issued to the person who has already voted Signature or thumb impression of person tendering vote 2 3 4 5 6 Date . Signature of Presiding Officer.
FORM -30 (See rules 53 and 57) LIST OF CHALLENGED VOTES 34 The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 Election to the municipal council/ Nagar Panchayat .
from.. .. ward.
No. and name of polling station : .
SI. No. of Name and Signature or Name of Order of voter in the address thumb id e n tifie r, Presiding electoral roll impression of ifany Officer in voter each case 2 3 4 5 Date . Signature of Presiding Officer.
FORM-31 (See rule 56) BALLOT PAPER ACCOUNT Election to the Municipal Council/Nagar Panchayat .................................................................. from ward.
Number and name of polling station .
I Serial No.
From To Total No.
1. Ballot papers received .
2. Ballot papers not used .
(a) With the signature of the presiding officer, if any, and _ .
(b) Without signature of the Presiding Officer .
Total (a+b)
3. Ballot papers issued to voters. Ballot Paper used at the polling Station but NOT INSERTED INTO THE BALLOT BOX .
4. Ballot papers cancelled
(a) for violation of voting procedure under rule 36 and .
(b) for any other reason .
(c) Ballot papers used as tendered ballot papers .
Total (a+b+c)
5. Ballot papers to be bound in the Ballot Box (3 - 4 = 5) Date . Signature of Presiding Officer The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 35
PART-II RESULT OF COUNTING Name of candidate No. of valid votes polled 2
1.
2.
3.
4.
5.
etc.
Total .
Rejected ballot papers .
Total No. of ballot papers found in the ballot box!electronic Voting machine(es) .
Difference, if any .
Dated .
Signature of Counting Supervisor, Signature of the Municipal Returning Officer FORM -32 [See rule 41 (2))
PART -I RECORD OF PAPER SEAL USED Election to Municipal Council! Nagar Panchayat .
from ward.
Number and name of polling station .
Serial No. of ballot box!
electronic voting machine used Serial No. of paper seal used Remarks 2 3
PART -II ACCOUNT OF PAPER SEAL Signature of Polling Agent Signature of Polling Agent
1. Serial No. of paper seal supplied to .................. to total .
1 .
2. No. of paper seals used to .
Total .
2.
3. No. of unused paper seals .
to total .
4. Serial No. of damaged seals, if any, ...... to total.
3 .
4 .
Place .
Date .
Signature of Presiding Officer.
36 The Arunachal Pradesh Extraordinary Gazette, July 26,2011 FORM-33 [See rule 59 (4)) APPOINTMENT OF COUNTING AGENTS Election to the Municipal Council/ Nagar Panchayat " " ,"""",',',.,"'''''','','', .. , .
from " " " .. " " . " .. " " .. " " . " .. " " .. " .. , " ward, I, a candidate at the above election do hereby appoint the following persons as my counting agents to attend the counting of votes at " .. " .. ", " , ,," Address of the Counting Agent.
1.
2,
3.
Signature of Candidate, I agree to act as such counting agent.
1.
2.
3.
Signature of Counting Agent.
Declaration of counting agent to be signed before the Municipal Returning Officer, I hereby declare that at the above election, I shall not do anything forbidden by section 53 and 54 of the Arunachal Pradesh Municipal Elections Act, 2009, which I have read has been read over to me.
1.
2.
3.
Place" ,"'''', .. ",.,,'' Date,.""." .. "., ... ""." ...
Signature of Counting Agent.
Signed before me.
Municipal Returning Officer FORM -34 (See rule 62) RESULT SHEET Election to Municipal council/Nagar Panchayat "."."" .. "."" .. " ... " .. "."." .. """ ... """"."." .. "from ... , "." "" " ward.
SI. No. No.of valid Total of No. of and name votes polled valid votes Rejected of polling in favour of polled votes station A. S. C. D.
2 3 4 Total votes polled (Col. 3+4) Remarks 5 6 Total No. of valid votes polled in all polling stations of the ward.
Total No, of rejected votes at all polling stations " " of ward, Total number of votes polled (Valid/rejected) in the ward.
Place " " " .. " .
Date " " " .. " .
Municipal Returning Officer.
N,B :- In Col. 2-A, S, C and D denote the name of contesting candidates.
The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 37 FORM -35 (See rule 64) DECLARATION OF RESULT OF ELECTION WHEN SEAT IS CONTESTED Election to Municipal Council! Nagar Panchayat .
............ from ward.
In pursuance of the provisions contained in rule 64 of the Arunachal Pradesh Municipal Election Rules, 2010, I declare that (Name) .
(Address) had been duly elected to fill the seat in the Municipal Council! Nagar Panchayat from the above ward.
Place .
Date .
Municipal Returning Officer.
FORM -36 (See rule 65) RETURN OF ELECTION Election to Municipal Council! Nagar Panchayat .
from ward.
SI. No. of candidate No. of valid votes polled
1.
2.
3.
4.
5.
etc.
Total No. of votes polled .
Total No. of valid votes polled .
Total No. of rejected votes .
I declare that (Name) (address) has been duly elected to fill the seat in Municipal Council! Nagar Panchayat.
Place .
Date .
Municipal Returning Officer.
FORM -37 [See rule 71 (3)] I, the petitioner in the accompanying election petition calling in question the election of Shri/Shrimati from respondent No in the said petition make solemn affirmationl oath and say-
(a) that the statements made in paragraphs of the accompanying election petition about the commission of corrupt practice and the particulars of such corrupt practice mentioned in paragraphs of the Schedule annexed thereto are true to my knowledge;
(b) that the statement made in paragraphs of the said petition about the commission of the corrupt practice of and the particulars of such corrupt practice given in paragraphs of the of the said petition and in paragraphs ................... of the Schedule annexed thereto are true to my knowledge:
(c)
(d) (etc.)
Signature of the Deponent Solemnly affirmed/sworn by Shril Shrimati at this .
day of 20 .
Before me. Executive Magistrate ** Here Specify the name of the corrupt practice.
38 The Arunachal Pradesh Extraordinary Gazette, July 26, 2011 FORM -38 [See rule 33-A (2)] REGISTER FOR MAINTENANCE OF DAY TO DAY ACCOUNT OF ELECTION EXPENDITURE BY CONTESTING CANDIDATES FOR ELECTION TO NAGAR PANCHAYATI MUNICIPAL COUNCIL
1. Name of the candidate .
2. Ward from which contested .
3. Seat for which contested .
4. Date of filing nomination .
5. Date of declaration of result .
Date of expenditure Nature of Expenditure Amount of Exp. Date of payment Paid Outstanding 2 3 4 5 Name and No.of No. of bills Name and adress Remarks Address of vouchers in in case of of person to whom Payee case of amount the amount amount paid outstanding outstanding is payable 6 7 8 9 10 Certified that this is a true copy of the account kept by mel my election agent.
Signature of Contesting Candidate FORM - 39 DETAILS OF ELECTION EXPENSES (THE CONTESTING CANDIDATE) FOR THE ELECTION TO MUNICIPAL COUNCIUNAGAR PANCHAYAT
1. Name of contesting candidate .
2. Name of Ward .
Item of expenditure where money Source:;; from of Exp. procured Amount of Exp.
2 3
1. Expenditure on security deposit.
2. Expenditure on purchase of copies of electoral rolls.
3. Expenditure on printing of manifestos and expenditure on printing of posters and hand bills etc.
4. Expenditure on pasting of posters
5. Expenditure on writing on wall and on publication of advertisements.
6. Hiring charges of places for public meetings and hiring charges of pandals etc. for public meeting.
7. Hiring charges of loudspeakers for public meetings.
8. Hiring charges on vehicle and POL by the candidate.
9. Hiring charges and POL on vehicle used by election agents/polling agents.
10. Misc. expenses (other than those listed above).
Oate(