"Provided that in the case of absentee voter, postal ballot paper shall be returned to the centre provided for recording of vote under sub-rule(3) of rule 27F, subject to any direction that may be issued by the Election Commission in this behalf.".
8. In the said rules, after "FORM 12C", the following Form shall be inserted, narnely: "[FORM l2D] [See rule 27 -C)
PART!
Letter of intimation to Assistant Returning Officer (for absentee voters) To The Assistant Returning Officer, (for the notified class of electors) .... . ...................... . ........ . . ... Parliamentary/Assembly constituency .......... . .. .•. .. . .... ...... . ........ (designation and address of ARO) Sir, L· .. · ........... son/daughter/wife of .. . .......... resident of.. ................... village/mohalla .. . . ............... .
Town/city/tehsil. ................... District. ......... .... .. ... . . (State) belong to the class of absentee voter and wish to cast my vote by post at the election to the House of the People/Legislative Assembly from the ... ..... ..... . .............. . ....... Parliamentary/Assembly constituency.
My complete present postal address is as under:- House/dwelling unititent number. ............. . ............ ... ....... .
Camp/mohalla/tent number .... . . .. .. .... . ... .................. ...... ..
Ward/town/tehsil. ... .. ..... . .............. .. .. ............ .. .... ... . ... .
District. ...... ... .. .. ........................................ ....... ..... ..
I I I I I I I I I I I I / 6 TIiE GAZETI'E OF INDIA ; EXTRAORDINARY [PART I1-SEC. 3(ii)] State .......... ....... .... ... .. . ... ..... PIN CODE .. ............. . .. .. .
Mobile Phone No. (if available) ... . ................. . .. . ... .. . . ... .
My name is entered at serial oumber. .. .. ....... .in Part No .... ... .......... ofthe electoral roll for ... . ..... ... .. .... ...... ....... ....... .... Parliamentary/Assembly constituency.
I am working as ........ .. ................ (designatioo of the office held) in .. ........ ...... ....... . .... ............ ..
(Name and full address of organization).
I will be 00 duty in the above-mentioned office on the day of poll for the above-mentioned election.
*On account of my official duties 00 the date of poll, 1 will not be io a position to be preseot in the polling statioo assigned to me on the day of poll.
OR *1 am ...... .. ...... years of age/am a person with disability, and am not in a position to go to the polling station to cast vote.
It is requested that postal ballot paper may be issued to me as absentee voter for the above election.
Yours faithfully, (Full name and signature)
PART II (for absentee voter other than senior citizen or persons with disability) Certificate by the nodal officer appointed by the Organisation concerned.
It is bereby certified that the particulars given by the applicant in Part I are correct, and it is further certified that the applicant will be on official duty on the day of poll, and be/she will not be in a position to be present in the polling station on the day of poll.
(full signature of the attesting Officer) .. ................................ . . (Narne) ......... . .......... ............... . (address) ............... . .. . .......... (rubber stamp) • Strike off whichever is not applicable and tick the relevant statement.
Note - This Application must reach RO within 5 days following the date of notification of election."
[F. No. H- llOI9(6)12019-Leg.II) Dr. REETA VASISHTA, Add!. Secy.
Footnote The principal rules were published in the Gazette of India, Extraortlinary, vide number S.O. 859, dated the 15th April, 1961 and were last amended vide number S.O. 1022(E), dated the 26th February, 2019.
Uploaded by Ole. of Printing at Government of India Press, Ring Road. Mayapuri. New Delhi-l 10064 and Published by the Controller of Publications. Oelhi-llOO54. MNIOJ .....
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