Section 89, Chhattisgarh Krishi Upaj Mandi…

Chhattisgarh Krishi Upaj Mandi (Mandi samiti ka nirvachan) Niyam, 1997State Rules of Chhattisgarh · 1973

(1) while in the custody of the District Election Officer -

(a) the packets of unused ballot papers;

(b) the pakets of used ballot papers whether valid, tendered of rejected;

(d) the packets of Marked Copies of the Voter’s List shall not be opened and their contents shall not be inspected by, or produced before, any person or authority except under the order of a Competent Court of Authority.

(2) All other papers relating to an Election shall be retained for a period of five years and shall be destroyed thereafter.

90. Repeal and Savings- On and from the date on which these rules come into force so much of the provisions of the Chhattisgarh Kishi upaj mandi (Adhisuchana Prakashan Riti, Bharsadhak Samiti Tatha Mandi Samiti Ka Gathan) rules, 1974. as relate to the matters covered by these rules stand repealed:

Provided that anything done or any action taken under any of the provisions so repealed unless such thing or action is inconsistent with the provisions of these rules, be deemed to have been done or taken under the corresponding provisions of the rules.

________________ FORM -1 [See Rule 7(1)] Voters List Name of Mandi ..............................................................................

District ....................................................................................

Name of Constituency......................................................................

(if any ) Serial Number of Constituency : ..................................................................

Serial Serial No. Of agricultural House Number Name of voter No. Holding/ Forest Block (if any) and Compartment/ Licenec Number 1 2 3 4 R.88-90 178 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 çÂÌæ/ÂçÌ ·¤æ Ùæ× ÂéL¤á/×çãUÜæ ¥æØé ·ë¤á·¤/ÃØæÂæÚUè 5 6 7 8 SÍæÙ .......................... ..................................

ÌæÚUè¹ .......................... ÚUçÁSÅUþè·¤ÚU‡æ ¥çÏ·¤æÚUè (×‡ÇUè) ¥ÙéÂêÚU·¤ ×Ì¼æÌæ âê¿è¥ÙéÂêÚU·¤ ×Ì¼æÌæ âê¿è¥ÙéÂêÚU·¤ ×Ì¼æÌæ âê¿è¥ÙéÂêÚU·¤ ×Ì¼æÌæ âê¿è¥ÙéÂêÚU·¤ ×Ì¼æÌæ âê¿è

(1) â×æßðàæâ×æßðàæâ×æßðàæâ×æßðàæâ×æßðàæ ¥Ùé·ý¤×æ¢·¤ ¹æÌæ ·ý¤×æ¢·¤/ ßÙ ¹´ÇU °ß´ ©UÂ¹´ÇU/ ×·¤æÙ ·ý¤×æ¢·¤ ×Ì¼æÌæ ·¤æ Ùæ× ¥Ùé™æçŒÌ ·ý¤×æ¢·¤ (Øç¼ ·¤ô§ü ãUô) 1 2 3 4 çÂÌæ/ÂçÌ ·¤æ Ùæ× ÂéL¤á/×çãUÜæ ¥æØé ·ë¤á·¤/ÃØæÂæÚUè 5 6 7 8

(2) âéÏæÚUâéÏæÚUâéÏæÚUâéÏæÚUâéÏæÚU ×é•Ø ×Ì¼æÌæ âê¿è ×Ì¼æÌæ ·¤æ Ùæ× çßl×æÙ ÂýçßçcÅU â¢àæôçÏÌ ÂýçßçcÅU ·¤æ ¥Ùé·ý¤×æ¢·¤ (çÁâð â¢àæôçÏÌ ç·¤Øæ ÁæÙæ ãñU) 1 2 3 4 C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 179 Father’s/Husband’s Name Male/Female Age Agriculturist/Trader 5 6 7 8 Place............. ................................

Date ............. Registration officer (mandi) Supplementary Voter List

(1) Inclusion Serial Serial No.of Agricultural House Number Name of Voter No. Holding/Forest Block and (if any) Compartment/Licence Number 1 2 3 4 Father’s/Husband’s Male/Female Age Agriculturist/Trader name 5 6 7 8

(2) Correction SI.No. Of Main Name of Present entry is Amended entry Voter List Voter (which to be amended) 1 2 3 4 180 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997

(3) çßÜôÂÙçßÜôÂÙçßÜôÂÙçßÜôÂÙçßÜôÂÙ ×é•Ø ×Ì¼æÌæ âê¿è ×Ì¼æÌæ ·¤æ Ùæ× ·¤æ ¥Ùé·ý¤×æ¢·¤ 1 2 ...............................

ÚUçÁSÅþUè·¤ÚU‡æ ¥çÏ·¤æÚè ________________ ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-2 [çÙØ× [çÙØ× [çÙØ× [çÙØ× [çÙØ× 8 ·¤æ ©UÂçÙØ× ·¤æ ©UÂçÙØ× ·¤æ ©UÂçÙØ× ·¤æ ©UÂçÙØ× ·¤æ ©UÂçÙØ× (1) ¼ðç¹°¼ðç¹°¼ðç¹°¼ðç¹°¼ðç¹°] ........................ çÁÜð ·¤è .............. ×‡ÇUè âç×çÌ ·ð¤ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ........................................... çÁÜð ·¤è .............. ×‡ÇUè âç×çÌ ·ð¤ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ........................................... çÁÜð ·¤è .............. ×‡ÇUè âç×çÌ ·ð¤ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ........................................... çÁÜð ·¤è .............. ×‡ÇUè âç×çÌ ·ð¤ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ........................................... çÁÜð ·¤è .............. ×‡ÇUè âç×çÌ ·ð¤ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ...................

çÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ÌñØæÚU ·¤ÚUÙð ·¤è âê¿ÙæçÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ÌñØæÚU ·¤ÚUÙð ·¤è âê¿ÙæçÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ÌñØæÚU ·¤ÚUÙð ·¤è âê¿ÙæçÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ÌñØæÚU ·¤ÚUÙð ·¤è âê¿ÙæçÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ÌñØæÚU ·¤ÚUÙð ·¤è âê¿Ùæ °Ì¼÷mæÚUæ, ØãU âêç¿Ì ç·¤Øæ ÁæÌæ ãñU ç·¤ ×Ì¼æÌæ âê¿è ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ·ð¤ ©UÂÕ¢Ïô´ ·ð¤ ¥ÙéâæÚU ÌñØæÚU ·¤è »§ü ãñU, ÌÍæ ©Uâ·¤è ÂýçÌ ·¤æØæüÜØ â×Ø ·ð¤ ¼æñÚUæÙ çÙßæü¿Ù ÂýæçÏ·¤æÚUè ÌÍæ ×‡ÇUè âç×çÌ ............... ·ð¤ ·¤æØæüÜØ ×ð´ çÙÚUèÿæ‡æ ·ð¤ çÜ° ©UÂÜ•Ï ãñUÐ Øç¼ âêç¿Øô´ ×ð´ Ùæ× ·¤æ â×æßðàæ ·¤ÚUÙð ·ð¤ çÜ° ·¤ô§ü ¼æßæ ·¤ÚUÙæ ¿æãUÌæ ãUô Øæ Ùæ× â×æßðàæ ç·¤Øð ÁæÙð ·¤è ¥æÂç•æ ãUô Øæ ç·¤âè ÂýçßçcÅU ·¤è çßßÚUç‡æØô´ ÂÚU ·¤ô§ü ¥æÂç•æ ãUô Ìô §âð ............ ·¤ô Øæ ·ð¤ Âêßü ¼æç¹Ü ·¤ÚU ¼ðÙæ ¿æçãU°Ð °ðâæ ¼æßæ Øæ ¥æÂç•æ çÜç¹Ì ×ð´ ·¤è Áæ°»è ÌÍæ ©Uâ×ð´ ÂýàÙ»Ì çÙßæü¿Ù ÿæð˜æ, ·ð¤ ¥æÏæÚU çÁU‹æâð âêç¿Øô´ ×ð´ ÂýçßçcÅU ç·¤Øð ÁæÙð ßæÜð ç·¤âè ÃØç€Ì ·ð¤ ¥çÏ·¤æÚU ·¤æ Âýæ•ØæÙ Øæ ¥çÏ·¤æÚU ·¤æ ÂýˆØæ•ØæÙ ãUôÌæ ãñU, ßãU âæÿØ çÁâð ¼æßð¼æÚU Øæ ¥æÂç•æ·¤•ææü, ¼æßð¼æÚU Øæ ¥æÂç•æ·¤•ææü ·¤æ ÂÌæ Øæ ©Uâ·¤æ âê¿è ×ð´ ·ý¤×æ¢·¤ (Øç¼ ·¤ô§ü ãUô) ÂýSÌéÌ ·¤ÚUÙð ·¤æ ¥æàæØ ÚU¹Ìæ ãUôÐ ÂýˆØð·¤ °ðâæ ¼æßæ Øæ ¥æÂç•æ ¿æãðU Ìô ×ðÚÔU ·¤æØæüÜØ ×ð´ ÂýSÌéÌ ·¤è ÁæÙæ ¿æçãU° Øæ Ùè¿ð ç¼Øð »Øð ÂðÌ ÂÚU ÇUæ·¤ mæÚUæ ÖðÁè ÁæÙæ ¿æçãU° Ìæç·¤ ØãU ×éÛæð ©UÂÚUô€Ì ÌæÚUè¹ Ì·¤ Âãé¡U¿ â·ð¤Ð SÍæÙ ................... .......................

ÌæÚUè¹ ....................... ÚUçÁSÅþUè·¤ÚU‡æ ¥çÏ·¤æÚUè ÂÌæ .....................

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 3 [çÙØ× 21 ¼ðç¹°)] ×Ì¼æÙ ·ð¤‹¼ý×Ì¼æÙ ·ð¤‹¼ý×Ì¼æÙ ·ð¤‹¼ý×Ì¼æÙ ·ð¤‹¼ý×Ì¼æÙ ·ð¤‹¼ý ¥Ùé·ý¤×æ¢·¤ ×Ì¼æÙ ·ð¤‹¼ý ×Ì¼æÙ ·ð¤‹¼ý ×Ì¼æÙ ·ð¤‹¼ý ßãU SÍæÙ/Â¼ çÁÙ·ð¤ ·¤æ Ùæ× ·¤æ ·ý¤×æ¢·¤ ·¤æ ÿæð˜æ çÜ° ×Ì¼æÙ ·ð¤‹¼ý ×ð´ ×Ì ÇUæÜð Áæ°¢»ð 1 2 3 4 5 C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 181

(3) Deletion SI.No of Main Name of the Voter List Voter 1 2 .................................

Registration Officer (Mandi) FROM -2 [See Sub-Rule (1) of Rule 8] Notice of the preparation of the voter’s list of the ....................

constituency for the election of the members of the ................

Mandi Committee in District ...........................

Notice is hereby given that the voter’s list has been prepared in accordance with the provisions of the chhattisgarh Krishi Upaj Mandi (Election of Mandi Committee) Rules, 1997 and a copy thereof is available for inspection at the office of the election authority and the mandi committee ................. during office hears.

If there be any claim for the inclusion of a name in the lises of any objection to the inclusion of a name of any objetion to perticulars in any entry its should be lodged on or before ............... such claim of objection shall be made in writing and shall specified the constituency in question, the grounds on which the right of any person to be entered in the lists is aserted of denied, the evidence which the claimant or objector intends to produce, the address of the claiment or objector and his number if any, in the list Every such claim or objection should either be persented in my office or to .................... of sent by post to the address given below so as to reach me not later than the afiresaid date.

Date ........................... ...........................................

Place ........................ Registration Officer Address.................

Form -3 [See Rule 21] Polling Stations Serial Name of Serial Area of Seat/Post to whom No. the Polling Number of Polling Station the Votes will be Station Polling Station Casted at the polling Station 1 2 3 4 5 182 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 SÍæÙ .......................... .............................

ÌæÚUè¹ .......................... çÁÜæ çÙßæü¿Ù ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-ÂýL¤Â-4 (çÙØ× 26 ¼ðç¹°) ·¤æØæüÜØ çÁÜæ çÙßæü¿Ù ¥çÏ·¤æÚUè (×‡ÇUè)......................

çÙßæü¿Ù ·¤è âê¿ÙæçÙßæü¿Ù ·¤è âê¿ÙæçÙßæü¿Ù ·¤è âê¿ÙæçÙßæü¿Ù ·¤è âê¿ÙæçÙßæü¿Ù ·¤è âê¿Ùæ ¥ŠØÿæ, ·ë¤á·¤ °ß¢ ÃØæÂæÚUè â¼SØ ·ð¤ â¢Õ¢Ï ×ð´ çÙßæü¿Ù ·¤è âê¿Ùæ¥ŠØÿæ, ·ë¤á·¤ °ß¢ ÃØæÂæÚUè â¼SØ ·ð¤ â¢Õ¢Ï ×ð´ çÙßæü¿Ù ·¤è âê¿Ùæ¥ŠØÿæ, ·ë¤á·¤ °ß¢ ÃØæÂæÚUè â¼SØ ·ð¤ â¢Õ¢Ï ×ð´ çÙßæü¿Ù ·¤è âê¿Ùæ¥ŠØÿæ, ·ë¤á·¤ °ß¢ ÃØæÂæÚUè â¼SØ ·ð¤ â¢Õ¢Ï ×ð´ çÙßæü¿Ù ·¤è âê¿Ùæ¥ŠØÿæ, ·ë¤á·¤ °ß¢ ÃØæÂæÚUè â¼SØ ·ð¤ â¢Õ¢Ï ×ð´ çÙßæü¿Ù ·¤è âê¿Ùæ ·ý¤×æ¢·¤ ................. ÀU•æèâ»É¸U ×‡ÇUè çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 26 ·ð¤ ¥ÏèÙ ÂýæŒÌ àæç€ÌØô´ ·¤ô ÂýØô» ×ð´ ÜæÌð ãéU° ×ñ´ .................... çÁÜæ çÙßæü¿Ù ¥çÏ·¤æÚUè (×‡ÇUè) çÁÜæ ........... §ââð â¢Ü‚Ù ¥Ùéâê¿è ·ð¤ ·¤æÜ× (1) ×ð´ çßçÙç¼ücÅU ×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ÌÍæ â¼SØô´ ·ð¤ çÙßæü¿Ù ·ð¤ â¢Õ¢Ï ×ð´ °Ì¼÷mæÚUæ âê¿Ùæ ¼ðÌæ ãê¡U ç·¤— (·¤) ¥Ùéâê¿è ·ð¤ ·¤æÜ× (2) ×ð´ çßçÙç¼ücÅU ßð çÚU€Ì SÍæÙ ãñ´U çÁÙ·ð¤ çÜ° çÙßæü¿Ù ãUô»æÐ (¹) ¥Ùéâê¿è ·ð¤ ·¤æÜ× (3) ×ð´ çßçÙç¼ücÅU ¥çÏ·¤æÚUè ×‡ÇUè ·ð¤ ¥ŠØÿæ ÌÍæ â¼SØô´ ·ð¤ çÙßæü¿Ù ·¤æ â¢¿æÜÙ ·¤ÚUÙð ãðUÌé çÚUÅUçÙZ» ¥æòçÈ¤âÚU (×‡ÇUè) ãUô»æÐ (») ·¤æÜ× (4) ×ð´ çßçÙç¼ücÅU SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø, Ùæ× çÙ¼ðüàæÙ ·¤ÚUÙð ·¤æ SÍæÙ, ¥¢çÌ× ÌæÚUè¹ ¥æñÚU â×Ø ãUô»æÐ (ƒæ) ·¤æÜ× (5) ×ð´ çßçÙç¼ücÅU SÍæÙ ÌæÚUè¹ ¥æñÚU â×Ø, Ùæ× çÙ¼ðüàæÙ ·¤è â¢ßèÿææ ·¤ÚUÙð ·¤æ SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø ãUô»æÐ (¾¤) ·¤æÜ× (6) ×ð´ çßçÙç¼ücÅU SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø ¥•ØçÍüÌæ ßæÂâ ÜðÙð ·¤æ SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø ãUô»æÐ (¿) ·¤æÜ× (7) ×ð´ çÙçßç¼ücÅU SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø, ×Ì¼æÙ ·¤æ SÍæÙ ÌæÚUè¹ ¥æñÚU â×Ø ãUô»æÐ (ÀU) ·¤æ×Ü (8) ×ð´ çßçÙç¼ücÅU SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø, ×Ìô´ ·¤è »‡æÙæ ·¤ÚUÙð ·¤æ SÍæÙ, ÌæÚUè¹ ¥æñÚU â×Ø ãUô»æÐ SÍæÙ ............................ ..............................

ÌæÚUè¹ ........................... çÁÜæ çÙßæü¿Ù ¥çÏ·¤æÚUè (×‡ÇUè) ¥Ùéâê¿è¥Ùéâê¿è¥Ùéâê¿è¥Ùéâê¿è¥Ùéâê¿è ×‡ÇUè ·¤æ Ùæ× çÚU€Ì SÍæÙ çÚUÅUçÙZ» ¥æòçÈ¤âÚU Ùæ× çÙ¼ðüàæÙ ·¤ÚUÙð çÁâ·ð¤/çÁÙ·ð¤ çÜ° (×‡ÇUè ·¤æ Ùæ× ·¤æ SÍæÙ, ¥¢çÌ× çÙßæü¿Ù ãUô»æ ÌÍæ Â¼æçÖÏæÙ ÌæÚUè¹ ¥æñÚU â×Ø 1 2 3 4 C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 183 Place .......................... ...............................................

Date ............................ District Election Officer (Mandi) ________________ FROM-4 [See rule 26] Office of the District Election Officer (Mandi) Notice Of Election NOTICE OF ELECTION REGARDING CHAIRMAN, AGRICULTURIST AND TRADER MEMBER No. ........................ In exercise of the powers conferred under rule 26 of the Chhattisgarh Krishi Upaj Mandi Election Rule, 1997. I ...............................................

District Election Officer do hereby give Notice in relation to the election of Chairman and Members of the Mandi Committee specification in column (1) of the Scheduled enclosed herewith, that-

(a) The Vacant seats are specified in column (2) of the schedule for which election will be held ;

(b) The officer specified in column (3) of the schedule-1 to be the Returning officer (Mandi) for conducting the election of chairman & Members of Mandi Committee;

(d) The Place, Date and Time specified in column (5) to be the place, date and the time for the scrutiny of nominations;

(e) The Place, Date and Time specified in column (6) to be the place, date and hour for withdramal of nominations;

(f)The Place, Date and Time specified in column (7) to be the place, date and time during which the poll shall be taken;

(g) The Place, Date and Time specified in column (8) to be the place, date and time for the counting of Votes.

Place .......................... ..................................................

Date ............................ District Election Officer (Mandi)

SCHEDULE Name of Vacant Seat for Name and Designatiin Place, last date and Mandi Mandi Which Election of the Returning time for Making Shall be held officer (Mandi) Nominations 1 2 3 4 184 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 Ùæ× çÙ¼ðüàæÙ ·¤è Ùæ× çÙ¼ðüàæÙ ßæÂâ ×Ì¼æÙ ·¤æ SÍæÙ, ×Ìô´ ·¤è »‡æÙæ â¢ßèÿææ ·¤ÚUÙð ·¤æ ÜðÙð ·¤æ SÍæÙ, ÌæÚUè¹ ÌÍæ â×Ø ·¤ÚUÙð ·¤æ SÍæÙ, SÍæÙ, ÌæÚUè¹ ¥æñÚU ÌæÚUè¹ ¥æñÚU â×Ø çÁâ·ð¤ ¼æñÚUæÙ ÌæÚUè¹ â×Ø â×Ø ×Ì¼æÙ ãUô»æ 5 6 7 8 SÍæÙ............................ ....................

ÌæÚUè¹ ......................... çÁÜæ çÙßæü¿Ù ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýM¤ÂÂýM¤ÂÂýM¤ÂÂýM¤ÂÂýM¤Â-5 (çÙØ× (çÙØ× (çÙØ× (çÙØ× (çÙØ× 29 ¼ðç¹°)¼ðç¹°)¼ðç¹°)¼ðç¹°)¼ðç¹°) Ùæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æ ×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×ñ´, ×‡ÇUè âç×çÌ ............. çÁÜæ .............. ·ð¤ Â¼ .............. âð ·ë¤á·¤ â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ¥•ØÍèü ·ð¤ M¤Â ×ð´ Ùæ× çÙç¼ücÅU ·¤ÚUÌæ ãê¡U/·¤ÚUÌè ãê¡U— ¥•ØÍèü ·¤æ Ùæ× ..................................

çÂÌæ/ÂçÌ ·¤æ Ùæ× .................................

©Uâ·¤æ ÂÌæ ..........................................

©Uâ·¤æ Ùæ× ×‡ÇUè âç×çÌ ...................... çÁÜæ ................. ·ð¤ ·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ................. ·¤è ×Ì¼æÌæ âê¿è ×ð´ ·ý¤×æ¢·¤ ........................ ÂÚU ÂýçßcÅU ãñUÐ ×ðÚUæ Ùæ× ................ ãñU Áô ×‡ÇUè âç×çÌ .............. çÁÜæ ........... ·ð¤ çÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ·ð¤ ·ý¤×æ¢·¤ ................ ÂÚU ÂýçßcÅU ãñUÐ ÌæÚUè¹ ........................ ..........................

ÂýSÌæß·¤ ·ð¤ ãUSÌæÿæÚU/¥¢»êÆðU ·¤æ çÙàææÙ ×ñ´, ª¤ÂÚU ßç‡æüÌ ¥•ØÍèü ................ §â Ùæ× çÙ¼ðüàæÙ ·¤ô ¥ÂÙè â•×çÌ ¼ðÌæ/¼ðÌè ãê¡U ·¤è °Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤— (·¤) ×ñ´Ùð ............ ßáü ·¤è ¥æØé ÂéÚUè ·¤ÚU Üè ãñUÐ (¹) ×ðÚUæ Ùæ× ¥æñÚU ×ðÚÔU çÂÌæ/ÂçÌ ·¤æ Ùæ× ª¤ÂÚU çãU‹¼è ×ð´ ¼ðßÙæ»ÚUè çÜçÂ ×ð âãUè M¤Â ×ð´ çÜ¹æ »Øæ ãñUÐ (») ×ðÚÔU âßôü•æ× ™ææÙ ÌÍæ çßàßæâ ·ð¤ ¥ÙéâæÚU ×ñ´ ¥çãüUÌ ãê¡U ÌÍæ ×‡ÇUè âç×çÌ ·ð¤ ·ë¤á·¤ â¼SØ ·ð¤ SÍæÙ ·ð¤ çÜ° ¿éÙð ÁæÙð ãðUÌé ¥ÙçãüUÌ ÙãUè´ ãê¡UÐ (ƒæ) ×ñ´ ........... ¥Ùéâêç¿Ì ÁæçÌ/¥Ùéâêç¿Ì ÁÙÁæçÌ/¥‹Ø çÂÀUÇ¸Uæ ß»ü ·¤æ/·¤è â¼SØ ãê¡U Áô ÀU•æèâ»É¸U ÚUæ’Ø (ÿæð˜æ) ............. ·ð¤ â¢Õ¢Ï ×ð´ ¥çÏâêç¿Ì ãñUÐ .........................

¥•ØÍèü ·ð¤ ãUSÌæÿæÚU C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 185 Place, date and Place, date and time Place of poll, date Place, date time for securityof for withdrawal and time during and time for nominations of nominations which poll shall the counting be taken of votes 5 6 7 8 Place .................... ......................................

Date ..................... District Election officer (Mandi) --------------------------- FROM - 5 [See Rule - 29] Nomination Paper ELECTION OF AGRICULTURIST MEMBER OF MANDI COM- MITTEE I nominate as a candidate for election to the seat of ...............................

Mandi commitee .................. Distt. ........................................... ...

Candidate’ Name .....................................................................................

Father’s Name/Husband’s Name ..............................................................

His Postal Address ...................................................................................

His Name is entered at Serial No. ...............................of the voters list of Agriculturist Constiuency No. ........................ of Mandi Commitee .................Distt. ..................

My Name is ........................................ it is enterd at Serial No.

...... of the Votesrs of constituency No. .......................... of Mandi Commitee ............................ Distt ..............................

Date ........................... .......................................

Signature/Thumb impression of proposer I, the above mentioned candidate .............. assent to this nomination and hereby declare .................

(a) That I have completed ..................... yeare of age :

(b) That my name and my Father’s/Husband’s name have been correctly spelt out above in Hindi written in Devengri Script :

(c) That to the best of my knowledge and belief I am qualified and also not disqualified for being chosen to the seat of Agriculturist Member of Mandi Committee..............................

(d) That I am a memeber of the .................. Caste/Tribe/other Back ward Classes of Chhattisgarh in relation to ................ to (area) of the Stage.

....................................

Signature of Candidate 186 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 (çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ) Ùæ× çÙ¼ðüàæ Â˜æ ·¤æ ¥Ùé·ý¤×æ¢·¤ ØãU Ùæ× çÙ¼ðüàæÙ Â˜æ ×éÛæð (ÌæÚUè¹) .................... ·¤ô ÕÁð ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ ÍæÐ ÌæÚUè¹ .............. ......................................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿Ø ×ñÙð §â Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤æ ÂÚUèÿæ‡æ ÀU•æèâ»É¸U (×‡ÇUè) çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 33 ·ð¤ ¥ÙéâæÚU ·¤ÚU çÜØæ ¥æñÚU ×ñ´ çÙ•ÙçÜç¹Ì M¤Â âð çßçÙà¿Ø ·¤ÚUÌæ ãê¡U— ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................

..................................................................................................................................................................................................................................................................................................................................................................................................................................................................

ÌæÚUè¹ ............. ..........................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) Ùæ× çÙ¼ðüàæ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿Ùæ (Ùæ× çÙ¼ðüàæÙ Â˜æ ÂýSÌéÌ ·¤ÚUÙð ßæÜð ÃØç€Ì ·¤è âê¿Ùæ ¼æ ÁæÙð ·ð¤ çÜ°) Ùæ× çÙ¼ðüàæÙ Â˜æ ·ý¤×æ¢·¤ ..............................................

Ÿæè/·é¤./Ÿæè×Ìè .......................... Áô ×‡ÇUè ....................... çÁÜæ ................... ·ð¤ ........................... ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ¥•ØÍèü ãñ´U, ·¤æ Ùæ× çÙ¼ðüàæÙ Â˜æ ×éÛæð ÌæÚUè¹ ...............

·¤ô ......................... ÕÁð ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ, â×SÌ Ùæ× çÙ¼ðüàæÙ Â˜æô´ ·¤è â¢ßèÿææ ÌæÚUè¹ .................... ·¤ô ÕÁð ....................... (SÍæÙ) ............... ·¤è Áæßð»èÐ ..................................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ÌæÚUè¹ ...............................

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 6 [çÙØ× 29 ¼ðç¹°)] Ùæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æ ×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×ñ´, ×‡ÇUè âç×çÌ ................... çÁÜæ ..................... ·ð¤ SÍæÙ ................ âð ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ°, ¥•ØÍèü ·ð¤ M¤Â ×ð´ Ùæ× çÙç¼ücÅU ·¤ÚUÌæ ãê¡U/·¤ÚUÌè ãê¡U— ¥•ØÍèü ·¤æ Ùæ× .................................

çÂÌæ/ÂçÌ ·¤æ Ùæ× ................................

©Uâ·¤æ ÇUæ·¤ ·¤æ ÂÌæ .............................

©Uâ·¤æ Ùæ× ×‡ÇUè âç×çÌ ................ çÁÜæ .................... ·ð¤ çÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ×ð´ ·ý¤×æ¢·¤ ...................... ÂÚU ÂýçßcÅU ãñUÐ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 187 (To be filled by Returning Officer) Serial Number of Nomination Paper ............................................. This Nomination paper was delivered to me at ................................. (hours) on ............. (date) by the candidate/propose.

Dated ................... ........................................

Returning Officer (Mandi) Decision of the Returning Officer Accepting or Rejection the Nomination Paper I have examined the Nomination paper in accordance with Rule ....... of the Chhattisgarh Krishi Upaj Mandi Election Rule, 1997 And Decide as Follows :- ...............................................................

...............................................................

Dated ................... .......................................

Returning Officer (Mandi) Receipt of Nomonation Paper and Notice of Secrutiny (to be handed over to the person presenting the Nomination Paper) Serial Number of the Nomination Paper .............................................

This Nomination paper of ................................ a candidate for Election of ............................... was delievered to me at .......................( hours) .....................

on ..................(date) by the candidate/ proposer. All Nomination Paper will be taken up for Scrutiny at .................... (hours) on ...........................(date) at ........................( place).

Dated ................... ................................

Returning Officer (Mandi) FROM - 6 [See Rule - 29] Nomination Paper ELECTION FOR CHAIRMAN OF MANDI COMMITEE I nominate as a candidate for election to the seat of ...............................

Mandi commitee .................. Distt. ........................................... ...

Candidate’ Name .....................................................................................

Father’s Name/Husband’s Name ..............................................................

His Postal Address ...................................................................................

His Name is entered at Serial No. ...............................of the voters list of Agriculturist Constiuency No. ........................ of Mandi Commitee .................Distt.

188 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ×ðÚUæ Ùæ× .......................... ãñU Áô ×‡ÇUè âç×çÌ .................... çÁÜæ ................ ·ð¤ çÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ×ð´ ·ý¤×æ¢·¤ .................... ÂÚU ÂýçßcÅU ãñUÐ ............................

ÌæÚUè¹ ...................... ÂýSÌæß·¤ ·ð¤ ãUSÌæÿæÚU/¥¢»êÆðU ·¤æ çÙàææÙ ×ñ´ ª¤ÂÚU ßç‡æüÌ ¥•ØÍèü ...................... §â Ùæ× çÙ¼ðüàæÙ ·¤ô ¥ÂÙè â•×çÌ ¼ðÌæ/¼ðÌè ãê¡U ¥æñÚU °Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤— (·¤) ×ñ´Ùð .................. ßáü ·¤è ¥æØé ÂêÚUè ·¤ÚU Üè ãñUÐ (¹) ×ðÚUæ Ùæ× ¥æñÚU ×ðÚÔU çÂÌæ/ÂçÌ ·¤æ Ùæ× ª¤ÂÚU çãU‹¼è ×¢ ¼ðßÙæ»ÚUè çÜçÂ ×ð´ âãUè M¤Â ×ð´ çÜ¹æ »Øæ ãñUÐ (») ×ðÚÔU âßôü•æ× ™ææÙ ÌÍæ çßàßæâ ·ð¤ ¥ÙéâæÚU ×ð´ ¥çãüUÌ ãê¡U ÌÍæ ×‡ÇUè âç×çÌ ·ð¤ ÃØæÂæÚèU â¼SØ ·ð¤ SÍæÙ ·ð¤ çÜ° ¿éÙð ÁæÙð ãðUÌé ¥çãüUÌ ãê¡U/¥ÙèçãüUÌ ÙãUè´ ãê¡UÐ (ƒæ) ×ñ´ ................... ¥Ùéâêç¿Ì ÁæçÌ/¥Ùéâêç¿Ì ÁÙÁæçÌ/¥‹Ø çÂÀUÇ¸Uæ ß»ü ·¤æ/·¤è â¼SØ ãê¡U Áô ÀU•æèâ$»É¸U ÚUæ’Ø (ÿæð˜æ) ................... ·ð¤ â¢Õ¢Ï ×ð´ ¥çÏâêç¿Ì ãñUÐ .................................

¥•ØÍèü ·ð¤ ãUSÌæÿæÚU (çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ) Ùæ× çÙ¼ðüàæ Â˜æ ·¤æ ¥Ùé·ý¤×æ¢·¤ ................

ØãU Ùæ× çÙ¼ðüàæÙ Â˜æ ×éÛæð (ÌæÚUè¹) ................... ·¤ô ............... ÕÁð ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ ÍæÐ ................................

ÌæÚUè¹ ......................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿Ø ×ñ´Ùð §â Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤æ ÂÚUèÿæ‡æ ÀU•æèâ»É¸U (×‡ÇUè) çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 33 ·ð¤ ¥ÙéâæÚU ·¤ÚU çÜØæ ãñU ¥æñÚU ×ñ´ çÙ•ÙçÜç¹Ì M¤Â âð çßçÙçà¿Ø ·¤ÚUÌæ ãê¡UÐ .....................................................

.....................................................

....................................

ÌæÚUè¹ ..................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) Ùæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿Ùæ (Ùæ× çÙ¼ðüàæÙ Â˜æ ÂýSÌéÌ ·¤ÚUÙð ßæÜð ÃØç€Ì ·¤è âê¿Ùæ ¼è ÁæÙð ·ð¤ çÜ°) Ùæ× çÙ¼ðüàæ Â˜æ ·ý¤×æ¢·¤ .................

Ÿæè/·é¤./Ÿæè×Ìè .................... Áô ×‡ÇUè ................... çÁÜæ ...................... ·ð¤ ...................... ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ¥•ØÍèü ãñ´U, ·¤æ Ùæ× çÙ¼ðüàæ Â˜æ ×éÛæð ÌæÚUè¹ ............ ·¤ô ÕÁð C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 189 My Name is ........................................ it is enterd at Serial No. ...... of the Voters of constituency No. .......................... of Mandi Commitee ....................

Date .............................. .....................................

Signature/Thumb impression of proposer I, the above mentioned candidate ......................... assent to this nomination and hereby, declare .........................

(a) That I have Completed .........................year of age;

(b) That my name and my Father’s/Husbend’s Name have been correctly spelt out above in Hindi written in Devnagri Script:

(c) That to the best of my knowledge and belief I am qualified and also not disqualified for being chosen to the seat of chairman of Mandi Commitee ....................

(d) That I am a member of the ..................... Caste/Tribe/other Backward Classes of Chhatisgarh in relation to ............ to (area) of the State.

Place ............................. .......................................

Signature of Candidate (To be filled by Returning Officer) Serial Number of Nomination Paper .............................................

This Nomination paper was delivered to me at ............................(hours) on .............. (date) by the candidate/propose.

Dated ................... ....................................

Returning Officer (Mandi) Decision of the Returning Officer Accepting or Rejecting the Nomination Paper I have examined the Nomination paper in accordance with Rule .......

of the Chhattisgarh Krishi Upaj Mandi Election Rule, 1997 And Decide as Follows :- .................................................................

.................................................................

Dated ................... .........................................

Returning Officer (Mandi) Receipt of Nomination Paper and Notice of Scrutiny (To be handed over to the person presenting the Nomination Paper) Serial Number of the Nomination Paper ....................

A candidate for Election of ................... was devlivered to me at .......... (hours) on .........................

190 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ, â×SÌ Ùæ× çÙ¼ðüàæÙ Â˜æô´ ·¤è â¢ßèÿææ ÌæÚUè¹ ............ ·¤ô ......... ÕÁð ............... (SÍæÙ) ............. ·¤è Áæßð»èÐ ÌæÚUè¹ ....................... .........................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 7 [çÙØ× 29 ¼ðç¹°)] Ùæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æÙæ× çÙ¼ðüàæÙ Â˜æ ×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×ñ´, ................ ×‡ÇUè âç×çÌ ................ çÁÜæ ·ð¤ ¥ŠØÿæ ·ð¤ Â¼ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ°, ¥•ØÍèü ·ð¤ M¤Â ×ð´ Ùæ× çÙç¼ücÅU ·¤ÚUÌæ ãê¡U/·¤ÚUÌè ãê¡U— ¥•ØÍèü ·¤æ Ùæ× .............................................................

çÂÌæ/ÂçÌ ·¤æ Ùæ× ............................................................

©Uâ·¤æ ÇUæ·¤ ·¤æ ÂÌæ ........................................................

©Uâ·¤æ Ùæ× .................... ×‡ÇUè âç×çÌ .................... çÁÜæ ................... ·¤è ·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ........................ ·¤è ×Ì¼æÌæ âê¿è ·ý¤×æ¢·¤ ............ ÂÚU ÂýçßcÅU ãñUÐ ×ðÚUæ Ùæ× .................... ãñU Áô ×‡ÇUè âç×çÌ ·ý¤×æ¢·¤ ................ çÁÜæ ....................

(çÙßæü¿Ù ÿæð˜æ ·¤è ×Ì¼æÌæ âê¿è ×ð´ ·ý¤×æ¢·¤) .................... ÂÚU ÂýçßcÅU ãñUÐ ÌæÚUè¹ ......................... ......................

ÂýSÌæß·¤ ·ð¤ ãUSÌæÿæÚU/¥¢»êÆðU ·¤æ çÙàææÙ ×ñ´ ª¤ÂÚU ßç‡æüÌ ¥•ØÍèü ................. §â Ùæ× çÙ¼ðüàæÙ ·¤è ¥ÂÙè â•×çÌ ¼ðÌæ/¼ðÌè ãê¡U ¥æñÚU °Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤— (·¤) ×ñ´Ùð ....................... ßáü ·¤è ¥æØé ÂêÚUè ·¤ÚU Üè ãñUÐ (¹) ×ðÚUæ Ùæ× ¥æñÚU ×ðÚÔU çÂÌæ/ÂçÌ ·¤æ Ùæ× ª¤ÂÚU çãU‹¼è ×ð´ ¼ðßÙæ»ÚUè çÜçÂ ×ð´ âãUè M¤Â ×ð´ çÜ¹æ »Øæ ãñUÐ (») ×ðÚÔU âßôü•æ× ™ææÙ ÌÍæ çßàßæâ ·ð¤ ¥ÙéâæÚU ×ñ´ ×‡ÇUè âç×çÌ ·ð¤ ¥ŠØÿæ ÂÎ ·ð¤ çÜ° ¿éÙð ÁæÙð ãðUÌé ¥çãüUÌ ãê´/çÙÚUçãüUÌ ÙãUè´ ãê´Ð (ƒæ) ×ñ´ ............... ¥Ùéâêç¿Ì ÁæçÌ/¥Ùéâêç¿Ì ÁÙÁæçÌ/¥‹Ø çÂÀUÇ¸Uæ ß»ü ·¤æ/·¤è â¼SØ ãê´ Áô ÀU•æèâ»É¸U ÚUæ’Ø ·ð¤ (ÿæð˜æ) çÁÜæ ·ð¤ â¢Õ¢Ï ×ð´ ¥çÏâêç¿Ì ãñUÐ .....................

¥•ØÍèü ·ð¤ ãUSÌæÿæÚU (çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ)(çÚUÅUçÙZ» ¥æòçÈ¤âÚU mæÚUæ ÖÚUæ ÁæØ) Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤æ ¥Ùé·ý¤×æ¢·¤ .....................

ØãU Ùæ× çÙ¼ðüàæÙ Â˜æ ×éÛæð (ÌæÚUè¹) .............. ·¤ô ÕÁð ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ ÍæÐ ÌæÚUè¹ ..................... ..........................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 191 (date) by the Candidate/proposer. All Nomination Papers will be taken up for Scrutiny at...........(hours) on ..............(date) at .................(place).

Date................. ........................

Returning Officer (Mandi) FROM - 7 [See Rule - 29] Nomination Paper Election For Chairman of Mandi Commitee I nominate as a candidate for election to the seat of ...............................

Mandi Commitee .................. Distt. ................................. ...

Candidate Name .....................................................................................

Father’s Name/Husband’s Name ..............................................................

His Postal Address ...................................................................................

His Name is entered at Serial No. ...............................of the voters list of Agriculturist Constiuency No. ........................ of Mandi Commitee .................Distt.

..................

My Name is ........................................ it is enterd at Serial No. ...... of the Votesrs of constituency No. .......................... of Mandi Commitee ............................ Distt ..............................

Date .............................. ............................................

Signature/Thumb impression of proposer I, the above mentioned candidate ......................... assent to this nomination and hereby, declare .........................

(a) That I have Completed .........................year of age;

(b) That my name and my Father’s/Husband’s Name have been correctly spelt out above in Hindi written in Devnagri Script:

(c) That to the best of my knowledge and belief I am qualified and also not disqualified for being chosen to the seat of chairman of Mandi Commitee ....................

(d) That I am a member of the ..................... Caste/Tribe/other Backward Classes of Chhatisgarh in relation to ............ to (area) of the State.

Place ............................. ..............................................

Signature of Candidate (To be filled by Returning Officer) Serial Number of Nomination Paper .............................................

This Nomination paper was delivered to me at ................................. (hours) on .............. (date) by the candidate/propose.

Dated ................... ....................................

Returning Officer (Mandi) 192 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢ÏèÙæ× çÙ¼ðüàæÙ Â˜æ ·¤ô Sßè·ë¤Ì Øæ ¥Sßè·ë¤Ì ·¤ÚUÙð â¢Õ¢Ïè çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿ØçÚUÅUçÙZ» ¥çÏ·¤æÚUè ·¤æ çßçÙà¿Ø ×ñ´Ùð §â Ùæ× çÙ¼ðüàæÙ Â˜æ ·¤æ ÂÚUèÿæ‡æ ÀU•æèâ»É¸U (×‡ÇUè) çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 33 ·ð¤ ¥ÙéâæÚU ·¤ÚU çÜØæ ãñU ¥æñÚU ×ñ´ çÙ•ÙçÜç¹Ì M¤Â âð çßçÙà¿Ø ·¤ÚUÌæ ãê¡UÐ ..................................................

..................................................

ÌæÚUè¹ ........................ .....................................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) Ùæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿ÙæÙæ× çÙ¼ðüàæÙ Â˜æ ·ð¤ çÜ° ÌñØæÚU ÚUâè¼ ¥æñÚU â¢ßèÿææ ·¤ÚUÙð ·¤è âê¿Ùæ (Ùæ× çÙ¼ðüàæÙ Â˜æ ÂýSÌéÌ ·¤ÚUÙð ßæÜð ÃØç€Ì ·¤è âê¿Ùæ ¼è ÁæÙð ·ð¤ çÜ°) Ùæ× çÙ¼ðüàæÙ Â˜æ ·ý¤×æ¢·¤ .......................

Ÿæè/·é¤. Ÿæè×Ìè ....................... Áô ×‡ÇUè...................çÁÜæ.........................

·ð¤............. ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ¥•ØÍèü ãñU, ·¤æ Ùæ× çÙ¼ðüàæÙ Â˜æ ×éÛæð ÌæÚUè¹ ................ ·¤ô .................. ÕÁð ¥•ØÍèü/ÂýSÌæß·¤ mæÚUæ ÂçÚU¼•æ ç·¤Øæ »Øæ, â×SÌ Ùæ× çÙ¼ðüàæÙ Â˜æô´ ·¤è â¢ßèÿææ ÌæÚUè¹ ................. ·¤ô .................. ÕðÁ (SÍæÙ) ................... ·¤è Áæßð»èÐ .......................

ÌæÚUè¹ ..................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 8 [çÙØ× 33 (8) ¼ðç¹°)] çßçÏ×æ‹Ø Ùæ×-çÙ¼ðüçàæÌ ¥•ØçÍüØô´ ·¤è âê¿èçßçÏ×æ‹Ø Ùæ×-çÙ¼ðüçàæÌ ¥•ØçÍüØô´ ·¤è âê¿èçßçÏ×æ‹Ø Ùæ×-çÙ¼ðüçàæÌ ¥•ØçÍüØô´ ·¤è âê¿èçßçÏ×æ‹Ø Ùæ×-çÙ¼ðüçàæÌ ¥•ØçÍüØô´ ·¤è âê¿èçßçÏ×æ‹Ø Ùæ×-çÙ¼ðüçàæÌ ¥•ØçÍüØô´ ·¤è âê¿è ¥ŠØÿæ/·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù¥ŠØÿæ/·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù¥ŠØÿæ/·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù¥ŠØÿæ/·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù¥ŠØÿæ/·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................... çÁÜæ ....................................

¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× çÂÌæ/ÂçÌ ·¤æ Ùæ× ¥•ØÍèü ·¤æ ÂÌæ 1 2 3 4

¥æç¼ SÍæÙ ..................... ..............................

ÌæçÚU¹ ................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) â×Ø ....................

__________________ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 193 Decision of the Returning Officer Accepting or Rejecting the Nomination Paper I have examined the Nomination paper in accordance with Rule ....... of the Chhattisgarh Krishi Upaj Mandi Election Rule, 1997 And Decide as Follows :- ............................................

............................................

Dated ................... .............................................

Returning Officer (Mandi) Receipt of Nomonation Paper and Notice of Secrutiny (to be handed over to the person presenting the Nomination Paper) Serial Number of Nomination Paper .............................................

A camdidate for Election of ............................was delievered to me ..... (hours) on .............. (date) by the candidate/propose. All Nomination Papers will be taken up for Scruitny at .................... (hours) on ............... (date) at .......................... (place) Dated ................... ................................................

Returning Officer (Mandi) FROM -8 [See Rule - 33 (8) ] List of validly Nominated Candidates ELECTION FOR CHAIRMAN AGRICULTURIST/TRADER MEMBER Mandi Commitee .................Distt. ..................

Serial Name of Candidate Father’s/ Address of No. Husband’s Name Candidate 1 2 3 4

etc Place ................... ...................................

Date ..................... Returning Officer (Mandi) Time .....................

194 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 9 [çÙØ× 34 ·¤æ ©UÂçÙØ× (1) ¼ðç¹°)] ¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù ×‡ÇUè âç×çÌ ................................ çÁÜæ ................. âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............................... çÁÜæ .................. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............................. çÁÜæ ...................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ÂýçÌ, çÚUçÅUçÙZ» ¥çÏ·¤æÚUè, .....................

×‡ÇUè âç×çÌ ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ............... ×ð´ â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ M¤Â ×ð´, ×ñ´ ....................... çÂÌæ/ÂçÌ ·¤æ Ùæ× ...................... Áô ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ·ð¤ çÜ° â•Ø·÷¤ M¤Â âð Ùæ× çÙç¼ücÅU ¥•ØÍèü ãê¡U, °Ì¼÷mæÚUæ âê¿Ùæ ¼ðÌæ/¼ðÌè ãê¡U ç·¤ ×ñ´ ¥ÂÙè ¥•ØçÍüÌæ ÌæÚUè¹ ................

·¤ô ßæÂâ ÜðÌæ/ÜðÌè ãê¡UÐ SÍæÙ ..................... ............................

ÌæÚUè¹ .................... ¥•ØÍèü ·ð¤ ãUSÌæÿæÚU çÚUÅUçÙZ» ¥çÏ·¤æÚUè mæÚUæ ç¼Øæ »Øæ Âý×æ‡æ-Â˜æçÚUÅUçÙZ» ¥çÏ·¤æÚUè mæÚUæ ç¼Øæ »Øæ Âý×æ‡æ-Â˜æçÚUÅUçÙZ» ¥çÏ·¤æÚUè mæÚUæ ç¼Øæ »Øæ Âý×æ‡æ-Â˜æçÚUÅUçÙZ» ¥çÏ·¤æÚUè mæÚUæ ç¼Øæ »Øæ Âý×æ‡æ-Â˜æçÚUÅUçÙZ» ¥çÏ·¤æÚUè mæÚUæ ç¼Øæ »Øæ Âý×æ‡æ-Â˜æ ¥•ØçÍüÌæ ßæÂâ ÜðÙð ·¤è ØãU âê¿Ùæ ¥•ØÍèü/¥•ØÍèü ·ð¤ ÂýSÌæß·¤ mæÚUæ ×éÛæð ÌæÚUè¹ ................ ·¤ô ¼è »§ü Íè çÁâð ¥•ØÍèü mæÚUæ ç¼Øð ÁæÙð ·ð¤ çÜ° ÂýæçÏ·ë¤Ì ç·¤Øæ »Øæ ãñUÐ SÍæÙ .................. ........................

ÌæÚUè¹ .................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 10 [çÙØ× 36 ·¤æ ©UÂçÙØ× (4) ¼ðç¹°)] ¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù¥•ØçÍüÌæ ßæÂâ ÜðÙð ·ð¤ çÜ° ¥æßð¼Ù ×‡ÇUè âç×çÌ ................................ çÁÜæ ................. âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............................... çÁÜæ .................. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............................. çÁÜæ ...................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù °Ì¼÷mæÚUæ ØãU âêç¿Ì ç·¤Øæ ÁæÌæ ãñU ç·¤ ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ çÙ•ÙçÜç¹Ì çßçÏ×æ‹Ø Ùæ× çÙç¼ücÅU ¥•ØÍèü/¥•ØçÍüØô´ Ùð ¥ÂÙè ¥•ØçÍüÌæ ßæÂâ Üð Üè ãñU— ¥Ùé·ý¤×æ¢·¤ çßçÏ×æ‹Ø çÂÌæ/ÂçÌ ·¤æ Ùæ× ÂÌæ Ùæ×çÙç¼ücÅU ¥•ØÍèü ·¤æ Ùæ× 1 2 3 4

C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 195 FROM -9 [See Sub Rule (1) of Rule - 34 ] Application for withdrawl of Candidate Mandi Commitee .................District .................. Election of Agriculture Member Mandi Commitee .................District .................. Election of Trader Member Mandi Commitee .................District .................. Election of Chairman To, Returning Officer .........................

For the election of ................................ Member in ................................

Constituency (No. .........................) of Mandi Committee ............... I .................

of ............... a Candidate duly nomiated at the above mentioned Election, do hereby give Notice that I withdraw my candidature this ................... day of ........................

19 ...................

Place ............................. .......................................

Signature of Candidate CERTIFICATE OF DELIVERY BY ELECTION AUTHORITY This notice of withdrawal was delivered to me at my office at (Hour) ........................ on (date) ...................... by the candidate/candidate’s proposer/seconder, who has been authorised by the candidate to deliver it.

Place ............... ..........................

Date ................ Signature of Candidate FROM -10 [See Sub-Rule (4) Of Rule 36 ] Notice for withdrawl of Candidature Mandi Commitee ..............District ................ Election of Agriculture Member Mandi Commitee .................District .................. Election of Trader Member Mandi Commitee .................District .................. Election of Chairman It is hereby notified that following validly Nominated Candidates of the aforesaid Election have withdrawn their Candidature.

Serial Name of the Valid Father’s Address No. Nominated Candidate Husband’s Name 1 2 3 4

196 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997

SÍæÙ ......................... ............................

ÌæÚUè¹ ....................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) (Ùæ× .......)

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 11 [çÙØ× 35 (1) ¼ðç¹°)] çÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿è ·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù·ë¤á·¤ çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ........... çÁÜæ .............. çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ..............

¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·¤æ ÂÌæ ¥æß¢çÅUÌ ÂýÌè·¤ (¿éÙæß ç¿‹ãU) 1 2 3 4

¥æç¼ SÍæÙ ......................... ...............................

ÌæÚUè¹ ....................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) (Ùæ× ..............)

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 12 [çÙØ× 35 (1) ¼ðç¹°)] çÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØæçÍüØô´ ·¤è âê¿è ÃØæÂæÚUè çÙßæü¿Ù ÿæð˜æ âð â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................ çÁÜæ ................. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù çÙßæü¿Ù ÿæð˜æ ·¤æ ·ý¤×æ¢·¤ ...................

¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·¤æ ÂÌæ ¥æß¢çÅUÌ ÂýÌè·¤ (¿éÙæß ç¿‹ãU) 1 2 3 4

C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 197

Place ................... ..........................................

Dated ................... Returning Officer (Mandi) Name .......................................

________________ FROM -11 [See Rule - 35 (1) ] List of Contensting Candidates ELECTION OF MEMBER FROM AGRICULTURIST CONSTITUENCY Constituency No. ............... of Mandi Commitee .................District ..................

Serial No. Name of Address of Symbol Candidate Candidate allotted

1. 2 3 4

etc.

Place ................... ...........................................

Dated ................... Returning Officer (Mandi) ________________ FROM -12 [See Rule - 35 (1) ] List of Contensting Candidates ELECTION OF TRADER MEMBER OF MANDI COMMITEE From Constituency No. ...............

Serial No. Name of Address of Symbol No. Candidate Candidate Allotted 1 2 3 4

¥æç¼ SÍæÙ .................. .....................

ÌæÚUè¹ .................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ________________ 198 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 13 [çÙØ× 35 (1) ¼ðç¹°)] çÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØçÍüØô´ ·¤è âê¿èçÙßæü¿Ù ÜÇ¸UÙð ßæÜð ¥•ØçÍüØô´ ·¤è âê¿è ¥ŠØÿæ ·¤æ çÙßæü¿Ù¥ŠØÿæ ·¤æ çÙßæü¿Ù¥ŠØÿæ ·¤æ çÙßæü¿Ù¥ŠØÿæ ·¤æ çÙßæü¿Ù¥ŠØÿæ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............. çÁÜæ ............... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·¤æ ÂÌæ ¥æß¢çÅUÌ ÂýÌè·¤ (¿éÙæß ç¿‹ãU) 1 2 3 4

¥æç¼ SÍæÙ ...................... ...................

ÌæÚUè¹ ...................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 14 [çÙØ× 38 (1) ¼ðç¹°)] çÙßæü¿Ù ¥çÖ·¤•ææü ·¤è çÙØéç€ÌçÙßæü¿Ù ¥çÖ·¤•ææü ·¤è çÙØéç€ÌçÙßæü¿Ù ¥çÖ·¤•ææü ·¤è çÙØéç€ÌçÙßæü¿Ù ¥çÖ·¤•ææü ·¤è çÙØéç€ÌçÙßæü¿Ù ¥çÖ·¤•ææü ·¤è çÙØéç€Ì ÂýçÌ, çÚUÅUçÙZ» ¥æòçÈ¤âÚU .......................

×ñ́ .................. Áô, ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð́ ¥•ØÍèü ãê¡U, °Ì¼÷mæÚUæ Ÿæè/Ÿæè×Ìè/·é¤×æÚUè ..................

çÂÌæ/ÂçÌ ·¤æ Ùæ× ......................... ·¤ô ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥æÁ âð ¥ÂÙæ çÙßæü¿Ù ¥çÖ·¤•ææü çÙØé€Ì ·¤ÚUÌæ/·¤ÚUÌè ãê¡UÐ SÍæÙ ....................... .........................

ÌæÚUè¹ ¥•ØÍèü ·ð¤ ãUSÌæÿæÚU ×ñ´, ª¤ÂÚU ßç‡æüÌ çÙØéç€Ì ·¤ô Sßè·¤æÚU ·¤ÚUÌæ/·¤ÚUÌè ãê¡UÐ .........................

çÙßæü¿Ù ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU SÍæÙ .................... ...........................

ÌæÚUè¹ .................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ·ð¤ ãUSÌæÿæÚU ________________ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 199 From – 13 [ See Rule – 35 (1)] List of constensting Candidates ELECTION FOR CHAIRMAN Mandi Cimmitee ……………….. District ………………… Serial Name of Address of Symbol No. Candidate Candidate allotted 1 2 3 4

etc.

Place …………….

Date ……………. ……………………........

Returning Officer (Mandi) ___________ From – 14 [ See Rule – 38 (1)] Election to the …………….

APPOINTMENT OF ELECTION AGENT To.

The Returning Officer ……………………….

I …………………………… of …………….. a candidate at the above Election do herby appoint …………………… of …………….. as my Election agent from this day at the above Election.

Place …………. …………………...

Date …………... Signature of the Candidate I accept the above appointment Place ………..

………………………… Date ………..

Signature of Election Agent ...............………………………………..

Signature and seal of the Returning office ______________ 200 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 Âý L ¤Â—ÂýL ¤Â—ÂýL ¤Â—ÂýL ¤Â—ÂýL ¤Â—15 [çÙØ× 39 (17) ¼ðç¹°)] ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì×Ì¼æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì×Ì¼æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì×Ì¼æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì×Ì¼æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì ×‡ÇUè âç×çÌ ................. ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ...................... çÙßæü¿Ù ÿæð˜æ .................. ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ..................... çÙßæü¿Ù ÿæð˜æ ........................ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×ñ´ ............... Áô, ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥•ØÍèü ãê´/ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥•ØÍèü Ÿæè/ Ÿæè×Ìè/·é¤×æÚUè ...................................................... ·¤æ çÙßæü¿Ù ¥çÖ·¤•ææü ãê¡U, °Ì¼÷mæÚUæ Ÿæè/ Ÿæè×Ìè/·é¤×æÚUè .................................... çÂÌæ/ÂçÌ ·¤æ Ùæ× .............................. ·¤ô ×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ....................... SÍæÙ ................. ×ð´ ©UÂçSÍÌ ÚUãUÙð ãðUÌé ¥ÂÙð ×Ì¼æÙ ¥çÖ·¤•ææü ·ð¤ M¤Â ×ð´ çÙØé€Ì ·¤ÚUÌæ/·¤ÚUÌè ãê¡UÐ SÍæÙ ...................... ..........................

ÌæÚUè¹ ..................... ¥•ØÍèü/çÙßæü¿Ù ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU Ùæ× .....................

×ñ´, °ðâð ×Ì¼æÙ ¥çÖ·¤•ææü ·ð¤ M¤Â ×ð ·¤æØü ·¤ÚUÙð ·ð¤ çÜ° âãU×Ì ãê¡UÐ SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ×Ì¼æÙ ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ×Ì¼æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ (ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ âÿæ× ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ âÿæ× ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ âÿæ× ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ âÿæ× ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ âÿæ× ãUSÌæÿæÚU ç·¤° Áæ°¡) ×ñ´, °Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤ ×ñ´ ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥çÏçÙØ× Øæ ©Uâ·ð¤ ¥ÏèÙ ÕÙæ° »Øð çÙØ×ô´ mæÚUæ çÙçáh ·¤ô§ü ·¤æØü ÙãUè´ ·¤M¡¤»æ/·¤L¡¤»èÐ SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ×Ì¼æÙ ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU ×ðÚUð âÿæ× ãUSÌæÿæÚU ç·¤Øð »Øð— SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ ãUSÌæÿæÚU ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 16 [çÙØ× 40 (1) ¼ðç¹°)] »‡æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì»‡æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì»‡æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì»‡æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì»‡æÙ ¥çÖ·¤•ææü ·¤è çÙØéç€Ì ×‡ÇUè âç×çÌ ............ çÁÜæ .............. ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤. âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................... çÁÜæ ................... âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................... çÁÜæ ..................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×ñ´ ...................... Áô, ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥•ØÍèü ãê´/ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥•ØÍèü Ÿæè/ Ÿæè×Ìè/·é¤×æÚUè ................................................ ·¤æ çÙßæü¿Ù ¥çÖ·¤•ææü ãê´, °Ì¼÷mæÚUæ Ÿæè/ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 201 From – 15 [ See Rule – 39 (17)] APPOINTMENT OF ELECTION AGENT Election to ……………….. CHAIRMAN …………..

AGRICULTURIST MEMBER : From Constituency No. ……… TRADER MEMBER : From Constituency No. ………………..

MANDI COMMITTEE : ……………………………………… I ………………………….. a candidate/Election agent of ……….. who is a candidate at the above Election do herby appoint …………………........................

(Name and Address) as a Polling Agent Station No. ……...............................……..

at …………...

Place …………. …………………...

Date …………...

Signature of Candidate/Election Agent I agree to act as such Polling Agent.

Place ………..

………………………… Date ………..

Signature of polling Agent Declaration of polling Agent to be Signed before the Presiding Officer I hereby declare that at the above election I will not do anything forbidden by the Act or Rule Made thereunder …..………..…… ...........………………… Signed Before me Signature of polling Agent Place ………..

………………………… Date ………..

Signature of Presiding officer ________________ From – 16 [ See Rule – 40 (1)] Appointment of Counting Agent Election to ……………………………………………….

CHAIRMAN …………………………………………….

TRADER MEMBER …………………………………… AGRICUTURIST MEMBER : From constituency No. …………..

MANDI ……………………………………… I ………………. a candidate/Election agent of ..........................who is a candidate at the above election do hereby appoint ………….......................(Name 202 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 Ÿæè×Ìè/·é¤×æÚUè ........................ çÂÌæ/ÂçÌ ·¤æ Ùæ× ........................ ·¤ô »‡æÙæ ·ð¤ çÜ° çÙØÌ SÍæÙ ÂÚU »‡æÙæ ·ð¤ ¼æñÚUæÙ ©UÂçSÍÌ ÚUãUÙð ãðUÌé ¥ÂÙð »‡æÙ ¥çÖ·¤•ææü ·ð¤ M¤Â ×ð´ çÙØé€Ì ·¤ÚUÌæ/·¤ÚUÌè ãê¡UÐ SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ¥•ØÍèü/çÙßæü¿Ù ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU Ùæ×.........................................

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ÌæÚUè¹ .......................... ×ÌÎæÙ ¥çÖ·¤Ìæü ·ð¤ ãUSÌæÿæÚU »‡æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ»‡æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ»‡æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ»‡æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ»‡æÙ ¥çÖ·¤•ææü ·¤è ƒæôá‡ææ (ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ â×ÿæ ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ â×ÿæ ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ â×ÿæ ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ â×ÿæ ãUSÌæÿæÚU ç·¤° Áæ°¡)(ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ â×ÿæ ãUSÌæÿæÚU ç·¤° Áæ°¡) ×ñ´, °Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤ ×ñ´ ª¤ÂÚU ßç‡æüÌ çÙßæü¿Ù ×ð´ ¥çÏçÙØ× Øæ ©Uâ·ð¤ ¥ÏèÙ ÕÙæ° »Øð çÙØ×ô´ mæÚUæ çÙçáh ·¤ô§ü ·¤æØü ÙãUè´ ·¤M¡¤»æ/·¤M¡¤»èÐ ................................

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ÌæÚUè¹ .......................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè ·ð¤ ãUSÌæÿæÚU ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 17 [çÙØ× 55 (2) ¼ðç¹°)] ¥•ØæÿæðçÂÌ ×Ìæð´ ·¤è âê¿è¥•ØæÿæðçÂÌ ×Ìæð´ ·¤è âê¿è¥•ØæÿæðçÂÌ ×Ìæð´ ·¤è âê¿è¥•ØæÿæðçÂÌ ×Ìæð´ ·¤è âê¿è¥•ØæÿæðçÂÌ ×Ìæð´ ·¤è âê¿è çÙßæü¿Ù ·ð¤ ¼æñÚUæÙ ¥•ØæÿæðÂ ×Ìô´ ·¤è çßçàæçcÅUØæ¡çÙßæü¿Ù ·ð¤ ¼æñÚUæÙ ¥•ØæÿæðÂ ×Ìô´ ·¤è çßçàæçcÅUØæ¡çÙßæü¿Ù ·ð¤ ¼æñÚUæÙ ¥•ØæÿæðÂ ×Ìô´ ·¤è çßçàæçcÅUØæ¡çÙßæü¿Ù ·ð¤ ¼æñÚUæÙ ¥•ØæÿæðÂ ×Ìô´ ·¤è çßçàæçcÅUØæ¡çÙßæü¿Ù ·ð¤ ¼æñÚUæÙ ¥•ØæÿæðÂ ×Ìô´ ·¤è çßçàæçcÅUØæ¡

(1) ×‡ÇUè âç×çÌ ............................................................... ·ð¤ ¥ŠØÿæ ·¤æ çÙßæü¿Ù

(2) ×‡ÇUè âç×çÌ ..........................................................·ð¤ ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù

(3) ×‡ÇUè âç×çÌ .......................................................... ·ð¤ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ....................... ×Ì¼æÙ ·ð¤‹¼ý ........................ SÍæÙ ...............

¥Ùé·ý¤×æ¢·¤ ×Ì¼æÌæ ×Ì¼æÌæ »æ¡ß ·¤æ Ùæ× çÁââð ¥•ØæÿæðçÂÌ ÃØç€Ì ·ð¤ ·¤æ Ùæ× âê¿è ×ð´ ×Ì¼æÌæ ·¤è âê¿è ãUSÌæÿæÚU Øæ ¥¢»êÆðU ·¤æ ¥Ùé·ý¤×æ¢·¤ â¢Õ¢çÏÌ ãUô çÙàææÙ 1 2 3 4 5 C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 203 and Address) ...................................................... as a Count polling Agent to attend Polling Station No. …………at ……...

Place …………. …………………...

Date …………... Signature of Candidate/Election Agent I agree to act as such Counting Agent.

Place ………..

………………………… Date ………..

Signature of Counting Agent Declaration of Counting Agent to be Signed before the Returning Officer I hereby declare that at the above election I will not do anything forbidden by the Act or Rule Made thereunder …..……….. ………………………… Signed Before me Signature of Counting Agent Place ………..

................………………………… Date ………..

Signature of Returning officer(Mandi) ________________ From – 17 [ See Rule – 55 (2)] List of the Challenged Votes Particulars of Challenge Votes during the election to …………….

(1) Election of Chairman of Mandi Committee ………..……….

(2) Election of Trader Member of Mandi Committee ………….

(3) Election of Agriculturist Member of Mandi Committee From constituency No. ………… Polling Station No........... Place ……… S. No. Name of S. No. Name Of Gram Signature or thumb Voter in to which voter’s impression of the Voter’s List list pertains person challenged

(1) (2) (3) (4) (5) 204 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ¥•ØæÿæðÂ•ææü ÂãU¿æÙ·¤•ææü ¥•ØæÿæðçÂÌ ÂèÆUæâèÙ çÙÿæðÂ ßæÂâ ÂýæŒÌ ·¤ÚUÙð ·¤æ Ùæ× (Øç¼ ·¤ô§ü ãUô) ÃØç€Ì ·¤æ ¥çÏ·¤æÚUè ·¤æ ÂÚU ¥•ØæÿæðçÂÌ ·ð¤ Ùæ×, ÂÌæ ¥æ¼ðàæ ãUSÌæÿæÚU 6 7 8 9 10 SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ ãUSÌæÿæÚU ______________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 18 [çÙØ× 59 (1) ¼ðç¹°)] çÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ ·ð¤ âæÍè mæÚUæ ƒæôá‡ææçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ ·ð¤ âæÍè mæÚUæ ƒæôá‡ææçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ ·ð¤ âæÍè mæÚUæ ƒæôá‡ææçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ ·ð¤ âæÍè mæÚUæ ƒæôá‡ææçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ ·ð¤ âæÍè mæÚUæ ƒæôá‡ææ ×‡ÇUè âç×çÌ çÁÜæ .................. ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤. ........ âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ..................... çÁÜæ ........................... âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ..................... çÁÜæ ....................................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ...........................

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°Ì¼÷mæÚUæ ØãU ƒæôá‡ææ ·¤ÚUÌæ/·¤ÚUÌè ãê¡U ç·¤— (·¤) ×ñ´Ùð ¥æÁ ÌæÚUè¹ ................. ·¤æð ç·¤âè ×Ì¼æÙ ·ð¤‹¼ý ÂÚU ç·¤âè ¥‹Ø ×Ì¼æÌæ ·ð¤ âæÍè ·ð¤ M¤Â ×ð´ ·¤æØü ÙãUè´ ç·¤Øæ ãñU;

(¹) ×ñ´, Ÿæè/Ÿæè×Ìè/·é¤×æÚUè ................... Áô ç·¤ ×‡ÇUè âç×çÌ ................ ·¤è ×Ì¼æÌæ âê¿è ·ð¤ ¥Ùé·ý¤×æ¢·¤ .................... ÂÚU ×Ì¼æÌæ ·ð¤ M¤Â ×ð´ ÂýçßcÅU ãñU, ·¤è ¥ôÚU âð ×ðÚÔU mæÚUæ ç·¤Øð »Øð ×Ì ·¤ô »éŒÌ ÚU¹ê¡»æ/ÚU¹ê¡»èÐ SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... âæÍè ·ð¤ ãUSÌæÿæÚU Ùæ× ................................

ÂýçÌãUSÌæÿæçÚUÌ ÂèÆUæâèÙ ¥çÏ·¤æÚUè, ×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ................

________________ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 205 Address of Name of Name of Order of Signature or challenger the person indentifier challenger Presiding on receiveing refund of challenged if any officer deposit

(6) (7) (8) (9) (10) Place ……….. ………………………… Date ………..

Signature of Presidine officer ________________ From – 18 [ See Rule – 59 (1)] Declaration by the person Accompanying IIIiterate Blind and Infirm Voters Mandi Committee ……… District ………… Election of Agriculturist Member Constituency No. ……………….

Mandi Committee …………District ……….Trade Member ……………......

Mandi Committee …………District ……….Chairman ……………………..

Polling Station Number …………… I ………………………………… Father’s/Husband’s Name ……………. Age ……………..Address ………… Do hereby Declare that, -

(a) I have not accompanied any of the in any polling station to day.

(b) I will keep secret the vote casted by me on behalf of shri/smt./ku… ...........…… whose name is entered at Sl. No ……………. of the electoral Roll of Mandi committee …………… Place ……….. …….............…………………… Date ………... Signature of the Person Accompanying Name ….……………… Countersigned Presiding officer Polling Station Number.....................

________________ 206 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 19 [çÙØ× 59 (2) ¼ðç¹°)] çÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ¥æð´ ·¤è âê¿èçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ¥æð´ ·¤è âê¿èçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ¥æð´ ·¤è âê¿èçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ¥æð´ ·¤è âê¿èçÙÚUÿæÚU/¥¢Ïð/çàæçÍÜæ¢» ×Ì¼æÌæ¥æð´ ·¤è âê¿è ×‡ÇUè âç×çÌ çÁÜæ .................. ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤. ........ âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ..................... çÁÜæ ........................... âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ..................... çÁÜæ ....................................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ...........................U ¥Ùé·ý¤×æ¢·¤ ×Ì¼æÌæ ·¤æ çÙßæü¿ÅUÙ Ùæ×æßÜè âæÍè ·¤æ ÂêÚUæ âæÍè ÂêÚUæ, Ùæ×, ×ð´ ×Ì¼æÌæ ·¤æ Ùæ×, çÂÌæ/ÂçÌ ·¤æ ÂÌæ çÂÌæ/ÂçÌ ·¤æ ¥Ùé·ý¤×æ¢·¤ ·¤æ Ùæ× Ùæ× ÌÍæ ÂÌæ 1 2 3 4 5 SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ×Ì¼æÙ ¥çÖ·¤•ææü ·ð¤ ãUSÌæÿæÚU ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 20 [çÙØ× 61 (2) ¼ðç¹°)] çÙçß¼•æ ×Ìô´ ·¤è âê¿èçÙçß¼•æ ×Ìô´ ·¤è âê¿èçÙçß¼•æ ×Ìô´ ·¤è âê¿èçÙçß¼•æ ×Ìô´ ·¤è âê¿èçÙçß¼•æ ×Ìô´ ·¤è âê¿è ×‡ÇUè âç×çÌ ....................................................................... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............................................................. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............ ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤×æ¢·¤ ................. âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ......................... SÍæÙ ...................................................

¥Ùé·ý¤×æ¢·¤ ×Ì¼æÌæ ×Ì¼æÌæ »ýæ× ·¤æ Ùæ× çÁââð ·¤æ Ùæ× âê¿è ×ð´ ×Ì¼æÌæ ·¤è âê¿è ¥Ùé·ý¤×æ¢·¤ â¢Õ¢çÏÌ ãUô 1 2 3 4 C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 207 From – 19 [ See Rule – 59 (2)] List IIIiterate Blind and Infirm Voters Mandi Committee …………… District …… Election of Agriculturist Member Constituency No. ……………….

Mandi Committee …………District ……….Trade Member ……………......

Mandi Committee …………District ……….Chairman ……………………..

Polling Station Number ……………………………… Serial Name of Voter S. No. of Name, Father’s/Hus Address to the No. Father’s/Husband’s Voter in band’s name of the person ac- Name and Address Electroal Roll person accompanying companing

(1) (2) (3) (4) (5) Place ………..

………………………… Date ………..

Signature of Presiding officer ________________ From – 20 [ See Rule – 61 (2)] List of Tendered Voters Eection to - Chairman Mandi Committee ………………………………. ……………......

Traders Member Mandi Committee ……………………………………...…..

Agriculturist Member from Constituency No. ……………………………… Mandi Committee ……………………………………………………………… Polling Station No. ……………………. Place ……………………………….

Serial No. Name of S. No. in Name of Gram to which Voter Voter’s List Voter’s List pertains 1 2 3 4 208 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 çÙßç¼•æ ×Ì ©Uâ ÃØç€Ì ·¤ô çÁâÙð ÂãUÜð ãUè ×Ì¼æÌæ ·ð¤ ãUSÌæÿæÚU Øæ ¥¢»êÆðU Â˜æ ·¤æ ·ý´.. ×Ì ÇUæÜ ç¼Øæ ãñU ÁæÚUè ç·¤° ·¤æ çÙàææÙ ×ÌÂ˜æ ·¤æ ¥Ùé·ý¤×æ¢·¤ 5 6 7 SÍæÙ ........................... ........................................

ÌæÚUè¹ .......................... ÂèÆUæâèÙ ¥çŠæ·¤æÚUè ·ð¤ ãUSÌæÿæÚU ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 21 [çÙØ× 64 ¼ðç¹°)] Öæ»-Öæ»-Öæ»-Öæ»-Öæ»-1 ×ÌÂ˜æ Üð¹æ ×ÌÂ˜æ Üð¹æ ×ÌÂ˜æ Üð¹æ ×ÌÂ˜æ Üð¹æ ×ÌÂ˜æ Üð¹æ ×‡ÇUè âç×çÌ ............... çÁÜæ ................. ·ð¤ çÙßæü¿Ù ÿæð˜æ ×ð´ ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............... çÁÜæ ............. ·ð¤ çÙßæü¿Ù ÿæð˜æ âð ÃØæÂæÚUè â¼SØ ·¤æ çÙÃææü¿Ù ×‡ÇUè âç×çÌ ................. çÁÜæ .............. ·ð¤ çÙßæü¿Ù ÿæð˜æ âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ×Ì¼æÙ ·ð¤‹¼ý ................. ·ý¤×æ¢·¤ ..................... ¥Ùé·ý¤×æ¢·¤ ......... ·é¤Ü â¢•Øæ .............

1. ÂèÆUæâèÙ ¥çÏ·¤æÚUè mæÚUæ ÂýæŒÌ ×ÌÂ˜æô´ ·¤è â¢•Øæ .......................

»Øð ×ÌÂ˜æô´ ·¤è â¢•ØæÐ

×ÌÂðÅUè ×ð´ ÙãUè´ ÇUæÜð »Øð ×ÌÂ˜æô´ ·¤è â¢•Øæ (·¤) ×é¼ý‡æ ÌÍæ Üð¹Ù ·¤è ˜æéçÅU ·ð¤ ·¤æÚU‡æ ÚU¼÷¼ .......................

×ÌÂ˜æô´ ·¤è â¢•ØæÐ (») ÚU¼÷¼ ç·¤Øð »Øð ×ÌÂ˜æô´ ·¤è â¢•Øæ .......................

Øô» (·¤+¹+»)

5. ×ÌÂðÅUè (3-4=5) ×ð´ Âæ° ÁæÙð ßæÜð ×ÌÂ˜æô´ .......................

·¤è â¢•Øæ SÍæÙ ................... ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·¤è ×ôãUÚU ........................................

ÌæÚUè¹ ................ ÂèÆUæâèÙ ¥çÏ·¤æÚUè ·ð¤ ãUSÌæÿæÚU Ùæ× ................................

C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 209 S No. of tendered S. no. of the ballot Paper issued Signature of thumb ballot paper to the person who hasalready voted impression of the Voter

(5) (6) (7) Place ………..

………………………… Date ……….. Signature of Presiding officer ________________ FROM – 21 [ See Rule – 64 ] Part -1, Ballot paper Account Election to Mandi Committee …… District …… Constituency No. … Agriculturist Member Mandi Committee …… District …… Constituency No.... Traders representative Mandi Committee …… District …… Constituency No. …. chairman Serial No. of Polling Station ……… Sr. Number …………. Total No. ……….

1. No. of Ballot paper received by the ……………………… Presiding Officer

2. No. of unused Ballot Paper . ………………………

3. No. of Ballot paper used in the ……………………… Polling Station (1-2-3)

4. No. of Ballot Paper used but not ……………………… inserted in the Ballot box.

(a) Ballot Papers Cancelled due to ……………………… Printing and Writing mistake

(b) Ballot Paper used as tendered ……………………… Ballot Papers.

5. Number of Ballot Papers in Ballot Box (3 – 4 = 5) Place ……….. Seal of ………………………… Date ……….. Presiding officer Presiding Officer Name ………………… 210 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 Öæ»-Öæ»-Öæ»-Öæ»-Öæ»-2 ÂýæÚ¢UçÖ·¤ »‡æÙæ ·¤æ ÂçÚU‡ææ×ÂýæÚ¢UçÖ·¤ »‡æÙæ ·¤æ ÂçÚU‡ææ×ÂýæÚ¢UçÖ·¤ »‡æÙæ ·¤æ ÂçÚU‡ææ×ÂýæÚ¢UçÖ·¤ »‡æÙæ ·¤æ ÂçÚU‡ææ×ÂýæÚ¢UçÖ·¤ »‡æÙæ ·¤æ ÂçÚU‡ææ×

1. ×Ì¼æÙ ·ð¤‹¼ý ×ð´ .............. ©UÂØô» ×ð´ Üæ§ü »§ü ×ÌÂðÅUè/×ÌÂðçÅUØô´ ×ð´ ÂæØð »Øð ×ÌÂ˜æô´ ·¤è ·é¤Ü â¢•Øæ ....................

2. §â Öæ» ×ð´ ×¼ 1 ·ð¤ â×æÙð ¼àææüØè »Øè ·é¤Ü â¢•Øæ ¥æñÚU Öæ»-1 ·¤è ×¼ 5 ×ð´ ©UçËÜç¹Ì ×ÌÂ˜æô´ ·¤è ·é¤Ü â¢•Øæ ×ð´ ¥¢ÌÚU, Øç¼ ·¤ô§ü ãUô ....................

...................................

»‡æÙæ ÂØüßðÿæ·¤ ·ð¤ ãUSÌæÿæÚU Ùæ× ..........................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè Ùæ× ............................

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 22 [çÙØ× 74 (2) ¼ðç¹°)] ·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ·ë¤á·¤ â¼SØ/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ ×‡ÇUè âç×çÌ ............................................. çÁÜæ .............................

×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ ............................................................................

×Ì¼æÙ ·ð¤‹¼ý ×ð´ âç•×çÜÌ ç·¤Øð »Øð çÙßæü¿Ù ÿæð˜æô´ ·¤æ ¥Ùé·ý¤×æ¢·¤ ......................

¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·ð¤ Âÿæ ×ð´ ç¼Øð »Øð çßçÏ×æ‹Ø ×Ìô´ ·¤è â¢•Øæ 1 2 3 (·¤) çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ .......................................

(¹) ÂýçÌÿæðçÂÌ (¹æçÚUÁ) ×Ìô´ ·¤è ·é¤Ü â¢•Øæ.............................

(») ÇUæÜð »Øð ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ...........................................

×Ì»‡æÙæ ·¤æ SÍæÙ ............................ çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè)/ ÌæÚUè¹ ............................................ çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) mæÚUæ ÂýæçÏ·ë¤Ì ¥çÏ·¤æÚUè ________________ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 211 Part - II Result of Initial Counting

1. Total Number of ballot paper formed in the ballot used at the polling Station

2. Discrepancy, if any between the total number as shown against item I in this part and the total number of ballot paper to be formed in the ballot boxes in item 5 of part ………………… Signature of Counting Supervisor Name ………………….

Returning officer Name ……………… ________________ FROM – 22 [ See Rule – 74(2) ] COUNTING OF VOTES IN THE THE ELECTION OF AGRICULTURIST/TRADERS MEMBER Mandi Committee ……………. District …………… Polling Station No. ………………….

S. No. of Constituencies included in polling Station ………… Serial No. Name of Candidate No. of Valid Votes in Favour of the Candidate

(1) (2) (3) Total No. of Valid Votes …………..……………….

Total No. of Rejected Votes ……….……………….

Total No. of Votes Polled …………………………...

Place Of Counting ...................

Date …………… ………………… Returning Officer (Mandi)/ Officer authorized by Returning officer (Mandi) ________________ 212 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 23 [çÙØ× 74 (2) ¼ðç¹°)] ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ ×Ìô´ ·¤è »‡æÙæ ×‡ÇUè âç×çÌ ........................................ çÁÜæ ...............................

×Ì¼æÙ ·ð¤‹¼ý ·ý¤×æ¢·¤ .........................................................................

×Ì¼æÙ ·ð¤‹¼ý ×ð´ âç•×çÜÌ çÙßæü¿Ù ÿæð˜æô´ ·ð¤ ¥Ùé·ý¤×æ¢·¤ ................................

¥Ù·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·ð¤ Âÿæ ×ð´ ç¼Øð »Øð çßçÏ×æ‹Ø ×Ìô´ ·¤è â¢•Øæ 1 2 3 (·¤) çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ............................

(¹) ÂýçÌÿæðçÂÌ (¹æçÚUÁ) ×Ìô´ ·¤è ·é¤Ü â¢•Øæ .................

(») ÇUæÜð »Øð ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ...............................

×Ì»‡æÙæ ·¤æ SÍæÙ ............................ çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè)/ ÌæÚUè¹ ............................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) mæÚUæ ÂýæçŠæ·ë¤Ì ¥çŠæ·¤æÚUè ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 24 [çÙØ× 74 (2) °ß¢ çÙØ× 77 (8) ¼ðç¹°)] ×‡ÇUè âç×çÌ .......................... çÁÜæ ....................... ·ð¤ ¥ŠØÿæ ·ð¤×‡ÇUè âç×çÌ .......................... çÁÜæ ....................... ·ð¤ ¥ŠØÿæ ·ð¤×‡ÇUè âç×çÌ .......................... çÁÜæ ....................... ·ð¤ ¥ŠØÿæ ·ð¤×‡ÇUè âç×çÌ .......................... çÁÜæ ....................... ·ð¤ ¥ŠØÿæ ·ð¤×‡ÇUè âç×çÌ .......................... çÁÜæ ....................... ·ð¤ ¥ŠØÿæ ·ð¤ â×SÌ ×Ì¼æÙ ·ð¤‹¼ýô´ ·ð¤ ×Ìô´ ·¤è »‡æÙæ ·ð¤ ÂçÚU‡ææ×â×SÌ ×Ì¼æÙ ·ð¤‹¼ýô´ ·ð¤ ×Ìô´ ·¤è »‡æÙæ ·ð¤ ÂçÚU‡ææ×â×SÌ ×Ì¼æÙ ·ð¤‹¼ýô´ ·ð¤ ×Ìô´ ·¤è »‡æÙæ ·ð¤ ÂçÚU‡ææ×â×SÌ ×Ì¼æÙ ·ð¤‹¼ýô´ ·ð¤ ×Ìô´ ·¤è »‡æÙæ ·ð¤ ÂçÚU‡ææ×â×SÌ ×Ì¼æÙ ·ð¤‹¼ýô´ ·ð¤ ×Ìô´ ·¤è »‡æÙæ ·ð¤ ÂçÚU‡ææ× ¥Ù·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ×Ì¼æÙ ·ð¤‹¼ýô´ ×ð´ ¥•ØÍèü ·ð¤ Âÿæ ×ð´ ·é¤Ü Øô» ç¼Øð »Øð çßçÏ×æ‹Ø ×Ìô´ ·¤è â¢•Øæ 1 2 3 4 5 1 2 3 4

¥æç¼ (·¤) çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ............................

(¹) ÂýçÌÿæðçÂÌ (¹æçÚUÁ) ×Ìô´ ·¤è ·é¤Ü â¢•Øæ .................

(») ÇUæÜð »Øð ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ...............................

×Ì»‡æÙæ ·¤æ SÍæÙ ............................. .........................

ÌæÚUè¹ ........ 19 ç¼Ù .............. ãUSÌæÿæÚU çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè)/ çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) mæÚUæ ÂýæçÏ·ë¤Ì ¥çÏ·¤æÚUè C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 213 FROM – 23 [ See Rule – 74(2) ] COUNTING OF VOTES IN THE THE ELECTION OF CHAIRMAN Mandi Committee ……………. District …………… Polling Station No. ………………….

S. No. of Constituencies included in polling Station ………… Serial No. Name of Candidate No. of Valid Votes in Favour of the Candidate

(1) (2) (3) Total No. of Valid Votes …………..……………….

Total No. of Rejected Votes ……….……………….

Total No. of Votes Polled …………………………...

Place Of Counting ................. …………………................

Date …………… Returning Officer (Mandi)/ officer authorized by Returning officer (Mandi) ________________ FROM – 24 [ See Rule – 74(2) and 77(8)] Result of Counting of All Polling Station in the Election of Chairman Mandi Committee …………….. District ……………….

Serial Name of Number of Valid Votes in Total No. Candidate favour of the candidate in Polling Station No.

(1) (2) (3) (4) (5) 1 2 3 4

etc Total No. of Valid Votes …………..……………….

Total No. of Rejected Votes ……….……………….

Total No. of Votes Polled …………………………...

………………… Signature of Returning Officer (Mandi)/ officer authorized by Returning officer (Mandi) Dated ……………… Day of …………… 19 ………… ________________ 214 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 25 [çÙØ× 78 (1) ¼ðç¹°)] ×‡ÇUè âç×çÌ.......................... çÁÜæ............................. âð ·ë¤á·¤/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤×‡ÇUè âç×çÌ.......................... çÁÜæ............................. âð ·ë¤á·¤/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤×‡ÇUè âç×çÌ.......................... çÁÜæ............................. âð ·ë¤á·¤/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤×‡ÇUè âç×çÌ.......................... çÁÜæ............................. âð ·ë¤á·¤/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤×‡ÇUè âç×çÌ.......................... çÁÜæ............................. âð ·ë¤á·¤/ÃØæÂæÚUè â¼SØ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× ·¤è àæèÅçÜ° ÂçÚU‡ææ× ·¤è àæèÅçÜ° ÂçÚU‡ææ× ·¤è àæèÅçÜ° ÂçÚU‡ææ× ·¤è àæèÅçÜ° ÂçÚU‡ææ× ·¤è àæèÅ ¥Ù·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ×Ì¼æÙ ·ð¤‹¼ýô´ ×ð´ ¥•ØÍèü ·ð¤ Âÿæ ×ð´ çßçÏ×æ‹Ø ÇUæÜð »Øð çßçÏ×æ‹Ø ×Ìô´ ·¤è â¢•Øæ ×Ìô´ ·¤æ 1 2 3 4 5 6 7 8 1 2 3 4 (·¤) çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ............................

(¹) ÂýçÌÿæðçÂÌ (¹æçÚUÁ) ×Ìô´ ·¤è ·é¤Ü â¢•Øæ .................

(») ÇUæÜð »Øð ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ...............................

×ñ´, ØãU ƒæôçáÌ ·¤ÚUÌæ ãê¡U ç·¤— (Ùæ×) .........................................

ÂÌæ ...............................................

â•Ø·ê¤ M¤Â âð çÙßæüç¿Ì ãUô »°/»§ü ãñ´UÐ SÍæÙ ....................... ........................

ÌæÚè¹ ...................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ÌæÚUè¹ .................... 19 ç¼Ù ...................

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 26 [çÙØ× 78 (1) ¼ðç¹°)] ×‡ÇUè âç×çÌ .................... çÁÜæ ................ âð ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× âê¿è×‡ÇUè âç×çÌ .................... çÁÜæ ................ âð ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× âê¿è×‡ÇUè âç×çÌ .................... çÁÜæ ................ âð ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× âê¿è×‡ÇUè âç×çÌ .................... çÁÜæ ................ âð ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× âê¿è×‡ÇUè âç×çÌ .................... çÁÜæ ................ âð ¥ŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ÂçÚU‡ææ× âê¿è (àæèÅ U)(àæèÅ U)(àæèÅ U)(àæèÅ U)(àæèÅ U) ¥Ùé·ý¤×æ¢·¤ ¥•ØÍèü ·¤æ Ùæ× ¥•ØÍèü ·ð¤ Âÿæ ×ð´ ÇUæÜð »Øð çßçÏ×æ‹Ø ×Ìô´ ·¤è â¢•Øæ 1 2 3 (·¤) çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ............................

(¹) ¥çßçÏ×æ‹Ø ×Ìô´ ·¤è ·é¤Ü â¢•Øæ .................

(») ÇUæÜð »Øð ×Ìô´ ·¤è ·é¤Ü â¢•Øæ ...............................

C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 215 FROM – 25 [ See Rule 78(1)] Mandi Committee …………….. District ……………….

Result Sheet for the election of Agriculturist/Traders member Serial No. Name of Number of Valid Votes in favour Total No. of Candidate of every candidate in Polling valid votes Station No.

(1) (2) (3) (4) (5) 1 2 3 4 Total No. of Valid Votes …………..……………….

Total No. of Rejected Votes ……….……………….

Total No. of Votes Polled …………………………...

I declare that – (Name) …………………………….

Address …………………………….

has been duly elected.

Dated the …………… day of ………..19 ……… ...........………………… Returning Officer (Mandi) ________________ FROM – 26 [ See Rule – 78(1) ] Mandi Committee ……………. District …………… Result Sheet For the Election of Chairman Serial No. Name of Numberof Valid Votes cast Candidate in favour ßf every Candidate 1 2 3 Total No. of Valid Votes …………..……………….

Total No. of Rejected Votes ……….……………….

Total No. of Votes Polled …………………………...

216 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ×ñ´, ØãU ƒæôçáÌ ·¤ÚUÌæ ãê¡U ç·¤— (Ùæ×) ..........................................

ÂÌæ ................................................

â•Ø·¤÷ M¤Â âð çÙßæüç¿Ì ãUô »°/»§ü ãñ´UÐ ...........................

çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) ÌæÚUè¹ ............. 19 ................ ç¼Ù ..................

________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 27 [çÙØ× 44 ¼ðç¹°)] çÙçßüÚUôÏ çÙßæü¿Ù ·¤è ƒæôá‡ææ-âãU-Âý×æ‡æ-Â˜æçÙçßüÚUôÏ çÙßæü¿Ù ·¤è ƒæôá‡ææ-âãU-Âý×æ‡æ-Â˜æçÙçßüÚUôÏ çÙßæü¿Ù ·¤è ƒæôá‡ææ-âãU-Âý×æ‡æ-Â˜æçÙçßüÚUôÏ çÙßæü¿Ù ·¤è ƒæôá‡ææ-âãU-Âý×æ‡æ-Â˜æçÙçßüÚUôÏ çÙßæü¿Ù ·¤è ƒæôá‡ææ-âãU-Âý×æ‡æ-Â˜æ ×‡ÇUè âç×çÌ .......... çÁÜæ ................. ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤. ........âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................ çÁÜæ .............. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................. çÁÜæ ................ âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 44 ·ð¤ ©UÂÕ¢Ï ·ð¤ ¥ÙéâÚU‡æ ×ð´, ×ñ´ (çÚUÅUçÙZ» ¥æòçÈ¤âÚU) ØãU ƒæôçáÌ ·¤ÚUÌæ ãê¡U ç·¤— Ÿæè/·é¤×æÚUè/ ............................ çÂÌæ/ÂçÌ ·¤æ Ùæ× .......................................

â¼SØ/¥ŠØÿæ ·ð¤ M¤Â ×ð´ â•Ø·÷¤ M¤Â âð çÙßæüç¿Ì ç·¤Øæ »Øæ/·¤è »§ü ãñU ¥æñÚU ©Uâ·ð¤ Âý×æ‡æSßM¤Â ©U‹ãð´U çÙßæü¿Ù ·¤æ ØãU Âý×æ‡æ-Â˜æ Âý¼æÙ ç·¤Øæ ÁæÌæ ãñUÐ SÍæÙ ...................... ......................................

ÌæÚUè¹ .................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) âç×çÌ ________________ ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 28 [çÙØ× 80 ¼ðç¹°)] çÙßæü¿Ù ·¤æ Âý×æ‡æ-Â˜æçÙßæü¿Ù ·¤æ Âý×æ‡æ-Â˜æçÙßæü¿Ù ·¤æ Âý×æ‡æ-Â˜æçÙßæü¿Ù ·¤æ Âý×æ‡æ-Â˜æçÙßæü¿Ù ·¤æ Âý×æ‡æ-Â˜æ ×‡ÇUè âç×çÌ .................. çÁÜæ .......................... ·ð¤ çÙßæü¿Ù ÿæð˜æ ·ý¤........... âð ·ë¤á·¤ â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ............... çÁÜæ .............. âð ÃØæÂæÚUè â¼SØ ·¤æ çÙßæü¿Ù ×‡ÇUè âç×çÌ ................ çÁÜæ ............... âð ¥ŠØÿæ ·¤æ çÙßæü¿Ù ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè çÙßæü¿Ù çÙØ×, 1997 ·ð¤ çÙØ× 80 ·ð¤ ©UÂÕ¢Ï ·ð¤ ¥ÙéâÚU‡æ ×ð´, ×ñ´ (çÚUÅUçÙZ» ¥æòçÈ¤âÚU) ØãU ƒæôçáÌ ·¤ÚUÌæ ãê¡U ç·¤— Ÿæè/·é¤×æÚUè/Ÿæè×Ìè ............. çÂÌæ/ÂçÌ ·¤æ Ùæ× ................... ÂÌæ .................. Áô ©UÂÚUô€Ì çÙßæü¿Ù ×ð´ ¥•ØÍèü Íæ/Íè, ×‡ÇUè âç×çÌ.............. ·ð¤ âÎSØ/ ¥ŠØÿæ ·ð¤ M¤Â ×ð´ â•Ø·¤÷÷ M¤Â âð çÙßæüç¿Ì ç·¤Øæ »Øæ / ·¤è »§üU ãñU ¥æñÚU ©Uâ·ð¤ Âý×æ‡æSßM¤Â ©U‹ãð´U çÙßæü¿Ù ·¤æ ØãU Âý×æ‡æ-Â˜æ Âý¼æÙ ç·¤Øæ ÁæÌæ ãñUÐ SÍæÙ ...................... ......................................

ÌæÚUè¹ ..................... çÚUÅUçÙZ» ¥çÏ·¤æÚUè (×‡ÇUè) âç×çÌ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 217 I declare that – (Name) …………………………….

Address …………………………….

has been duly elected.

Dated the …………… day of ………..19 ……… ………………… Returning Officer (Mandi)/ ________________ FROM – 27 [ See Rule – 44 ] Declaration of Uncontested Election Cum Election Certificate Mandi Committee …… District …… Constituency No. Election of Agriculturist Member Mandi Committee … District ……Election of Traders Member Mandi Committee …… District …… Election of chairman In pursuance with the provision of rule 44 of C.G. Krishi Upaj Mandi Election Rules, 1997. I ………………… Returning officer of mandi ………. herby declared that shri/smt./ku ………… Father’s/Husband’s Name ………… Address …………..who was a candidate in the aforesaid Election have been duly elected as ………….member/ chairman of Mandi Committee ……….. and that ……… in token therof I have granted to him/her the Certificate of Election.

Place ………………. ……...................….………… Date …………….… Returning Officer Mandi Committee ________________ FROM – 28 [ See Rule – 80 ] Election Certificate Mandi Committee …......... District …............ Constituency No.Election of Agriculturist Member Mandi Committee … District ……Election of Traders member Mandi Committee …… District …… Election of Chairman In pursuance with the provision of rule 44 of C.G. Krishi Upaj Mandi Election Rules, 1997. I ………………… Returning officer of mandi ………. herby declared that shri/smt./ku ………… Father’s/Husband’s Name ………… Address …………..who was a candidate in the aforesaid Election have been duly elected as ………….member/ chairman of Mandi Committee ……….. and that ……… in token therof I have granted to him/her the Certificate of Election.

Place ………………. ........................……….………… Date …………….… Returning Officer Mandi Committee ________________ 218 ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×,ÀU•æèâ»É¸U ·ë¤çá ©UÂÁ ×‡ÇUè (×‡ÇUè âç×çÌ ·¤æ çÙßæü¿Ù) çÙØ×, 1997 ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— ÂýL¤Â— 29 [çÙØ× 84 ·¤æ ©UÂçÙØ× (6) ¼ðç¹°)] ©UÂæŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ×ÌÂ˜æ©UÂæŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ×ÌÂ˜æ©UÂæŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ×ÌÂ˜æ©UÂæŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ×ÌÂ˜æ©UÂæŠØÿæ ·ð¤ çÙßæü¿Ù ·ð¤ çÜ° ×ÌÂ˜æ ×‡ÇUè âç×çÌ ...................... Â‡æü ¥Ùé·ý¤×æ´·¤ ...................

ÂýçÌÂ‡æü ¥Ùé·ý¤×æ¢·¤ Â‡æü ¥•ØÍèü ·¤æ ¥•ØÍèü ·¤æ Ùæ× ×Ì¼æÌæ ·¤æ ç¿‹ãU ¥Ùé·ý¤×æ¢·¤

×Ì¼æÌæ ·ð¤ ãUSÌæÿæÚU 4.

¥Ùé¼ðàæÑ

1. ¥æÂ·¤æ ·ð¤ßÜ °·¤ ×Ì ãñUÐ

3. ¥æÂ °·¤ âð ¥çÏ·¤ ¥•ØÍèü ·ð¤ çÜ° ×Ì¼æÙ ÙãUè´ ·¤ÚÔ´U»ðÐ ........................

çÙßæü¿Ù ¥çÏ·¤æÚUè ________________ C.G. KRISHI UPAJ MANDI (MANDI SAMITI KA NIRVACHAN), RULES, 1997 219 Form -29 [See sub-rule (6) of rule 84] Voting Paper for election of Vice-Chirman Mandi Committee .......................

Countefoil Foil Foil Serial No.......

Serial No. of Name of Voter’s the Candidate Candidate Mark

1. 1.

..............................

Signature of the Voter Instruction :

1. You have only one vote.

2. Place a cross (x) mark clearly against the name of the candidate for whom you with to vote.

3. You must not vote for more than one candidate.

....................

Election Officer __________________

Act	Chhattisgarh Krishi Upaj Mandi (Mandi samiti ka nirvachan) Niyam, 1997
Section	89
Marginal note	Production and Inspection of Election Papers
Jurisdiction	State of Chhattisgarh
Status	In force as published by the source

Section 89: Production and Inspection of Election Papers

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