The Rajasthan Municipalities Fixation of Seats (for Women, Scheduled Castes/Scheduled Tribes and Determination of Wards for Women by Rotation) Rules, 1993, The Rajasthan Municipalities (Election of Chairman, Vice-Chairman, President and Vice-President) Rules, 1959 and Rajasthan Municipalities Election Order, 1960, shall stand repealed.
[Schedule-I] [Rule-81 (1)] Nomination Form of election to the office of ["Chairman/Vice-Chairman/President/Vice- President/Mayor/Deputy Mayor] of the "Municipal Board/Council/Corporation-
1. Full name of the candidate.....................................
2. Father's or Husband's name.....................................
3. Age............................................................
4. Sex............................................................
5. Caste..........................................................
6. Address........................................................
7. Full name and address of the proposer..........................
Signature of the proposer.
Place.........
Date..........
Candidate's Declaration
1. The above named candidate, give any consent to this nomination and hereby declare that I do not hold any of the disqualifications enumerated in the Rajasthan Municipalities Act, 1959 and that 1 am qualified, to be candidate for the seat under the provisions of the said Act.
I further declare that I am setup at this election by ............ (Party).
Signature of the proposer.
Place.........
Date..........
Endorsement by the Returning Officer S. No.
This nomination paper was presented to me by.............(Name) at ..........(date and hour.)
Signature of the Returning Officer.
Place.........
Date..........
Order of the Returning Officer Accepted/Rejected Reasons for rejection.............
Signature of the Returning Officer Place......
Date.......
Acknowledgement Received nomination paper of Shri............. for election as ........... of........... *Municipal Board/Municipal Council/ Municipal Corporation which was presented to me at.......... (time) this day of..........19......... by Shri..........
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-II] [Rule-81(5)] List of Candidates proposed for nomination for election as......... of Municipal* Board/Council/Corporation........
S. No. Name and description of candidate Address of Candidate Remarks
1.
2.
3.
4.
5.
6.
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-III] [Rule-83] List of candidates validly for nominated for election........... of Municipal* Board/Council/Corporation...........
S. No. Name and description of candidate Address of Candidate Remarks
1.
2.
3.
4.
5.
6.
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-III-A] [Rule-84] Election to the office of ["Chairman/Vice-Chairman/President/Vice-President/Mayor/Deputy Mayor] of......... *Municipal Board/ Municipal Council/Corporation.
To Returning Officer .....................Municipality I......................... a candidate nominated at the above election given notice that I withdraw my candidature.
Signature of Candidate This notice was delivered to me in my office at........(hour) on ........(date) by Shri.................
the candidate personally.
Returning Officer *Score out if inappropriate.
[Schedule-III-B] [See Rule-84 (3)] List of Contesting Candidates Election to the office of ["Chairman/Vice-Chairman/President/Vice-President/Mayor/Deputy Mayor] of......... *Municipal Board/ Municipal Council/Corporation.
S. No. Name of candidate Address of Candidate
1.
2.
3.
4.
5.
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-IV] [See Rule-86 (3)] Ballot Paper Election to the officer of *Chairman/Vice- Chairman/President/Vice- President/Mayor/Deputy Mayor of ............ *Municipal Board/Municipal Council/Corporation.
Sign. and Seal of R.O.
S. No. Name of candidate Vote Mark
1.
2.
3.
4.
5.
…........... and so on NOTA (none of the above) Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-V] [See Rule 85] (For use in election when seat is uncontested) Declaration of the result of election to the office of["Chairman/Vice-Chairman/President/Vice- President/Mayor/Deputy Mayor] of........... *Municipal Board/Council/Corporation.
In pursuance of the provision contained in sub-rule (1) of rule 85, I declare that- ....................................................Name ....................................................Address has been duly elected unopposed to fill the office of *Chairman/Vice- Chairman/President/Vice-President/Mayor/Deputy Mayor of........... *Municipal Board/Council/Corporation.
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-VI] [See Rule 87] For use in election when seat is uncontested Declaration of the result of election to the office of ["Chairman/Vice- Chairman/President/Vice-President/Mayor/Deputy Mayor] of......... *Municipal Board/Council/Corporation.
In pursuance of the provision contained in sub-rule (6) of rule 87, I declare that- ............................................Name ............................................Address has been duly elected unopposed to fill the office of *Chairman/Vice- Chairman/President/Vice-President/Mayor/Deputy Mayor of......... *Municipal Board/Council/Corporation.
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-VII] [See Rule 95] (For use in election to a casual vacancy) Declaration of the result of election to the office of ["Chairman/Vice- Chairman/President/Vice-President/Mayor/Deputy Mayor] of......... Deputy Mayor of...........
*Municipal Board/Council/Corporation.
In pursuance of the provision contained in rule 95, I declare that- ............................................Name ............................................Address has been duly elected unopposed to fill the vacancy of *Chairman/Vice- Chairman/President/Vice-President/Mayor/Deputy Mayor of caused by the *resignation/death/removal passing of no confidence motion against election has been registered void of Shri..........
Place.........
Date.......... Signature of the Returning Officer *Score out if inappropriate.
[Schedule-VIII] [See Rule 88] Proceeding of Election bye election of *Chairman/Vice- Chairman/President/Vice- President/Mayor/Deputy Mayor of................ Municipal Board/Council/Corporation.
1. Date of Election ....................
2. Place of Election ....................
3. Hours of Poll ....................
4. Name of Returning Officer ....................
5. Total Members holding office ....................
6. Total Members present in meeting ....................
7. Names of members Present in meeting (List enclosed) ....................
8. Total No. of Polling Officers appointed ....................
9. Counting :-
(a) Commencement time for counting. ....................
(b) Time for declaration ....................
10. Result ....................
S.No. Name of candidates Votes Polled Name of *Chairman/ Vice-Chairman/ President/ Vice- President/ Mayor/ Deputy Mayor declared elected.
1 2 3 ….... and so on NOTA (none of the above) Total Valid votes polled....................................................................
Total invalid votes polled..................................................................
Total votes polled..........................................................................
Returning Officer Signature by Members
1.
2.
3.
4.
5.
6.
*Score out if inappropriate.
[Form 1] [See Rule 10] Public Notice of Intended Election Election to the Municipal *Board/ Council/corporation Notice is hereby given that-
(1) A general election is to be held to till the seats to the following Municipal Board/Council/Corporation.......
OR *(1) A election is to be held to fill the seats of the following wards of the Municipal Board/Council/Corporation.
S.
No.
Ward Number with name of Municipal Board/ Council/Corporation Whether ward is general, reserved for S.C., S.T., Backward Classes or Women.
1.
2.
3.
4.
(2) The schedule for the election is as follows:-
(a) Dates and hours between which nomination papers shall be received from...........to......... between 10.30 A.M. to 3.00 P.M. (other than public holidays).
(b) Date for scrutiny of nomination papers ......./....../......
(c) Last date for withdrawal of candidature ....../...../......
(d) Date for poll...../....../.....
(e) Hours of poll......... A.M. to......... P.M.
By Order of the State Election Commission.
Secretary, State Election Commission.
Place...........
Date............
*Score out if inappropriate.
[Form 2] (See Rule 11) Public Notice of Election Election to the Municipal Board/Council/Corporation............ Ward Number.............. Notice is hereby given that:-
(1) An election is to be held to fill the seats of the following wards- S.
No.
Ward Number Whether ward is general, reserved for S.C., S.T., Backward Classes or Women.
1.
2.
3.
4.
5.
(2) Nomination papers may be delivered by a candidate or his proposer to me at my office at the following address...............between 10.30 A.M. on any day not later than the............/......../........
(3) Forms of nomination paper may be obtained at the place and time aforesaid.
(4) The nomination papers will be taken up for scrutiny at my office at.........hours on.........../........../...........
(5) Notice of withdrawal of candidature may be delivered by a candidate, or where the candidate is in jail or police custody, by any person authorised by him in this behalf in person to me at my office during office hours but before 3 P.M. on ......../......./......
(6) In the event of the election being contested, the poll will be ......./........./....... between the hours of......... and........
Place.........
Date.......... Returning Officer [Form 3] [See Rule 12] Nomination Paper Election to the Municipal Corporation/Council/Board............
Ward Number.....................
[Strike off Part 1 or Part II below whichever is not applicable.]
Part-I (To be used by the candidate set up by recognised political party)
1. I nominate as a candidate for election to the Municipal......... of........... from Ward Number........... Candidate's Name......... Father's/Mother's/Husband's name............ Sex........
Age........ Postal Address........... His name is entered at S. No............. in the Part No.............
of electoral roll for the Ward Number..............
2. My name is ........... and it is entered at S.No.......in the Part No............ of electoral roll for Ward Number..........
Date........../......./.......
(Signature of the proposer) Part-II (To be used by the candidate NOT set up by recognised political party) We hereby nominate as candidate for election to the ward number........... of Municipal Candidate's name......... Father's/Mother's/Husband's name.......... Sex.......... Age....... His postal address............ His name is entered at S. No........ in Part No............ of the electoral roll for the Ward No.......... of Municipal..........We declare that we are electors of the above Ward No........... and our names are entered in the electoral roll for that ward as indicated below and we append our signatures below in token of subscribing to this nomination:- Particulars of the Proposed and Their Signatures:- S.No. Electrol Roll No. or proposer Full Name Signature Date Ward Part No. of S.No. in No. electrol roll that part 1 2 3 4 5 6 7
1.
2.
3.
4.
5.
N.B. There should be five electors of the ward as proposers.
Part-III
3. I, the above mentioned candidate, assent to this nomination and hereby declare:-
(a) that I have completed...........years of age :
[(b) that I am set up at this election by........party :
OR that the symbols I have chosen are :-
(i)..................................(ii)........................
(i).................................]
(d) that my name and my father's/mother's/husband's name have been correctly spelt out above in Hindi in Devnagri Script and I request that my name may be entered as such on the ballot paper.
(e) that to the best of my knowledge and belief, 1 am qualified and not also disqualified for being elected to the Municipality.
(f) that I have filed/not filed nomination paper in Ward Number ........... /any other Ward.
4. [I further declare that I am a member of the.......... caste tribe class, which is a Scheduled Caste/Scheduled Tribe/Backward Classes in Rajasthan State. I am enclosing herewith an authenticated copy of the caste/tribe/class/ certificate issued by...........on .........]
Date....../......./.......
(Signature of the candidate) Part-IV (To be filled in by the Returning Officer)
1. Serial Number of the nomination paper is...................
2. This nomination was delivered to me at my office at............ (hours) on...../..../...... (date) by the *candidate/proposer.
Date ...../...../.....
Returning Officer *Score out if inappropriate.
Part-V (Decision of Returning Officer) I have examined this nomination paper and decide as follows.
................................
................................
Date.......... Returning Officer Part-VI (To be filled in by the Returning Officer and given to the person presenting the nomination paper).
1. Serial Number of the nomination paper............
2. This nomination was delivered to me at my office at............ (hours) on ..../...../.... (date) by the *candidate/proposer.
Date......./......../....... Returning Officer *Score out if inappropriate.
Form 4 (See Rule 15) List of Validly Nominated Candidates Election to the Municipal............
Ward Number................Reserved & Category :..............
S,No. Name of the Candidate Address Party affiliation Category of candidate 1 2 3 4 5
1.
2.
3.
4.
etc.
Place........................
Date ......./........./......
Returning Officer Form 5 (See Rule 16) Notice of Withdrawal of Candidature Election to the Municipal..................
Ward Number................................
To The Returning Officer, Ward No..............
.....................
Sir, I, ................... a candidate validly nominated at the above election do hereby give notice that I withdraw my candidature.
Date.......... Signature of validly nominated candidate (To be filled in by the Returning Officer) This notice was delivered to me at My office at.........hours......... on.............
*(1) by the candidate personally, or *(2) by Shri/Smt....................person duly authorised by the candidate as the candidate is in jail/police custody proof of which has been given to me.
Date.......... Returning Officer *Score out if inappropriate.
Acknowledgement (To be filled in by the Returning Officer and given to the person presenting the notice of withdrawal) The notice of withdrawal of candidature by Shri/Shrimati Number .......... was delivered to me at my office at............. hours...... on.............
*(1) by the candidate personally/or through his proposer, or *(2) by Shri/Shrimati...............person duly authorised by the candidates as the candidate is in jail/police custody proof of which has been given to me.
Date.......... Returning Officer *Score out if inappropriate.
Form 6 (See Rule 21) List of Contesting Candidates Election to the Municipal ..........................
Ward Number.........................................
S.No. Name of the Candidate Address Party affiliation Symbol allotted 1 2 3 4 5
1.
2.
3.
4.
etc.
Place...................
Date....................
Returning Officer Form 7 [See Rule 23(1)] Appointment of Election Agent Election to the Municipal...................
Ward No......................
To The Returning Officer, Ward Number..............
Sir, I............... a candidate at the above election do hereby appoint Shri/Shrimati ...............
of......... as my election agent from this date for the above election.
Yours faithfully Date...../......../...... Signature of the Candidate I accept the above appointment.
Date...../......../...... Signature of the election agent Date............
Place ..........
Signature and seal of the Returning Officer Form 8 [See Rule 23 (2)] Revocation of Appointment of Election Agent Election to the Municipal..................
Ward Number................................
To The Returning Officer, Ward Number...............
Sir, I,.................. a candidate at the above election hereby revoke the appointment of Shri/Shrimati......................
Yours faithfully Date............... Signature of the Candidate Form 9 [See Rule 26 (3)] [Appointment of Polling Agent] Election to the Municipal......................
Ward Number......................
I, .................candidate/the election agent of.................. who is a candidate at the above election do hereby appoint Shri/ Shrimati.....................(name and address in full) as a polling agent to attend polling station No............polling station name...........on the day of the poll.
Date................ Signature of the Candidate/election agent.
I agree to act as such polling agent.
Date............... Signature of the polling agent.
Declaration of polling agent to be signed before the presiding officer.
I hereby declare that at the above election I will maintain, and aid in maintaining the secrecy of the voting and shall not (except for some purpose authorised by or under any law) communicate to any person any information calculated to violate such secrecy.
Signature of the polling agent.
Signed before me Dated........... Presiding Officer Form 10 [See Rule 26(5)] Revocation of Appointment of Polling Agent Election to the Municipal................
Ward Number....................
To The Presiding Officer, Polling Station No............
Polling Station Name.............
Sir, I..................... a candidate/the election agent of Shri/ Shrimati ................... a candidate at the above election hereby revoke the appointment of Shri/Shrimati.............. as polling agent.
Date................ Signature of the Candidate/election agent.
[Form 11 - X X X] Form No. 12 [See Rule 38(2)] List of Illiterate, Blind and Infirm Electors Election to the Municipal..........................
Ward No............................................
Polling Station Number ............................
Polling Station Name...............................
Sr.No. and Part No. of the elector Full Name of the elector Full Name and address of the Companion Signature of the companion 1 2 3 4 Date.......... Signature of the Presiding Officer Form 13 (See Rule 43) List of Challenged Votes Election to the Municipal ............. of........ Ward Number............... Polling Station...........
Number............... Polling Station Name.............
S.No. Name of elector Sr. No. and Part No. of the elector Signature or thumb impression of the person challenged Address of the person challenged 1 2 3 4 5
1.
2.
3.
4.
5.
etc.
Name of identifier if any. Name of challenger.
Order of presiding officer.
Signature of challenger on receiving refund of deposit it.
6 7 8 9 Place.......... Signature of the Presiding Officer Form 14 [See Rule 44(2)] List of Tendered Votes Election to the Municipal...................
Ward Number.................................
Polling Station Number......................
Polling Station Name........................
Sr. No. [Sr. No. and Part No. of the elector] Name and Address of the elector Serial Number of the tendered ballot paper Signature or thumb impression of the elector.
1 2 3 4 5 Date.......... Signature of the Presiding Officer [Form 14-A] (See Rule 35A) Register of Voters Election to the Municipal Board/Council/Corporation ........ from Ward No.......... No. and Name of Polling Station.................
Part No....................of Electoral Roll...............
Sl. No. Name of elector Sl. No. of elector in the electoral roll Signature/ Thumb impression of Remarks 1 2 3 4 5
1.
2.
3.
4.
etc.
Date.......... Signature of the Presiding Officer [Form 14-B] [See Rule 44A] Election to the Municipal Board/Council/Corporation................
from Ward No.......................................................
No. and Name of Polling Station....................................
Part No. of Electoral Roll ........................................
Sl. No. Name of elector Sl. No. of elector in the electoral roll.
Sl. No. in register of voters (from 14A) of the person who has already voted in place of elector Signature/ Thumb impression of elector 1 2 3 4 5
1.
2.
3.
4.
etc.
Date.......... Signature of the Presiding Officer [Form 14-C] [See Rule 49A and 63A (2)] Part 1 Account of Votes Recorded Election to the Municipal Board/Council/Corporation......................
from Ward No.............................................................
No. and Name of Polling Station..........................................
Identification No. of Voting Control Unit................................
Machine used at the Polling Station balloting Unit.......................
1. Total No. of electors assigned to the Polling Station.
2. Total No. of voters entered in the Register of Voters (Form 14A).
3. No. of voters deciding not to record votes under rule 45A.
4. No. of voters not allowed to vote under rule 35A, or 37A.
5. Total No. of voters recorded as per voting machine.
6. Whether the total No. of votes as shown against item 5 tallies with the total No. of voters as shown against item 2 minus Nos. of voters deciding, not to record votes as against item 3 minus No. of voters as against item 4 (2-3-4) or any discrepancy noticed.
7. No. of voters to whom tendered ballot papers were issued under rule 44A.
8. No. of tendered ballot papers.
S.no.
From to
(a) received for use..........................................................
(b) issued to electors.......................................................
(c) not used and returned................................................
9. Account of papers seals.
SI. Nos.
From To Signature of polling agents.
1. Serial Numbers of paper seals supplied
1......................
From ....To....... 2......................
2. Total numbers supplied 3......................
3. Number of paper seals used.
4......................
4. Number of unused paper seals returned to Returning Officer (Deduct item 3 from item 2)
5......................
5. Serial Number of damaged paper Seal if any
6......................
Date.........
Place.......... Signature of the Presiding Officer Polling Station No. .....................
Part II Result of Counting S. No. Name of Candidate [NOTA (none of the above)].
No. of votes recorded.
1.
2.
3.
4.
5.
6.
Total Whether the total numbers of votes shown above tallies with the total No. of votes shown against the item No. 5 of Part 1 or any discrepancy noticed between the two totals.
Place.........
Date.......... Signature of Counting Supervisor Name of candidate/election agent/counting agent Full Signature
1.
2.
3.
4.
5.
6.
7.
8.
........................
........................ Signature of the Returning Officer Form 15 (See Rule 46) Application for Election Duty Certificate Election to the Municipal............... of........... Ward Number.............
To The Returning Officer, Ward Number..............
Sir, I intend to cast my vote in person at the ensuing election to the above ward. My name is entered at Serial Number.......... [in Part No........ of the electoral roll] for the above ward.
I have been posted on election duty at polling station Number........ polling station Name............. of ward Number.......... [x x x] I request that an Election Duty Certificate in Form 16 may be issued to enable me to vote at the polling station where I will be on duty on the polling day. It may be sent to me at the following address :
.................................
.................................
Yours faithfully, Date...............
[Form 15-A] [See Rule 46A(4)] Application for postal ballot paper To, The Returning Officer, Municipal Board/Council/Corporation ...................................
(Ward No..................)
Sir, I intend to cast my vote by post at the ensuing election to the Municipal Board/Council/Corporation ............... from Ward No. ........
My name is entered at Serial No. ............. in Part No........ of electoral roll for the above ward.
I have been posted on election duty at Polling Station No. .......... Polling Station Name............. of Ward No.............in the above Municipal Board/Council/Corporation.
I request that postal ballot paper may be given/sent to me personally/at the following address: - ...............................
...............................
Place.........
Date.......... Yours faithfully, Signature..............................
Name....................................
Form 16 (See Rule 46) Election Duty Certificate Election to the Municipal........................
Ward Number......................................
Certified That Shri/Shrimati.............................. is an elector in the Ward No................. [his name is entered at Sr. No................. in Part No................of the electoral roll].
That by reason of his being on election duty he is unable to vote at the polling station where he is entitled to vote and that he is therefore hereby authorized to vote at.
Polling Station Number..............................
Polling Station Name............................
Where he is to be on duty on the date of poll.
Date..............
Place.............
Signature and Seal of the Returning Officer [Form 16A] [See Rule 46A(4)(a)] Declaration by Elector Election on the Municipal *Board/Council/Corporation..............
(From Ward No...........)
I hereby declare that I am the voter to whom the postal ballot paper bearing serial Number........... has been issued at the above election to seat from Ward No. ...... of the above Municipal Board/Council/Corporation.
Date.........
Address ...........
Signature of the voter Attestation of signature The above has been signed in my presence by..........(voter) who is personally known to me/has been identified to my satisfaction by ......... (identifier) who is personally known to me.
Signature of Attestation Officer Signature of identifier, if any.....................
Designation.......................
Address.......................
Date ..............
Address...........................
[Form 16B] [See Rule 46-A(4)(b)] [Cover A] NOT TO BE OPENED BEFORE COUNTING ELECTION to the seat from Ward No.........of Municipality...............
POSTAL BALLOT PAPER Serial Number of ballot paper [Form 16C] [See Rule 46-A(4)(c)] [Cover B] Every officer under whose care or through whom a postal ballot paper is sent shall ensure its delivery to the addressee without delay ELECTION-IMMEDIATE POSTAL BALLOT PAPER For Ward No.......... *of Municipality .............
(NOT TO BE OPENED BEFORE COUNTING) To The Returning Officer ** ..............
.................
Sender's Signature *Returning Officer to insert here the name of the appropriate Ward No. and name of municipal body.
**Returning Officer to mention here his full postal address.
[Form 16D] [See Rule 46A(4)(d)] Instructions for Guidance of Elections (To be used at an election to the seat from a ward of a municipality) Election to the Municipal **Board/Council/Corporation........... from Ward No.............
The person whose names are printed on the postal ballot paper sent herewith. Record your vote by Placing clearly a mark opposite the name of the candidate to whom you wish to give your vote or NOTA (none of the above) if you wish to exercise the option of not voting for any of the candidate in the fray. The mark should be so placed as to indicate clearly and beyond doubt to which candidate you are giving your vote. If the mark is so placed as to make it doubtful to which candidate you have given your vote, your vote will be invalid.
The number of of members to be elected is one. Please remember that you have only one vote. Accordingly you should not vote for more then one candidate. If you do so, your ballot paper will be rejected.
Do not put your signature or write any word or mark any mark, sign or writing whatsoever on the ballot paper other than the mark required to record your vote.
After you have recorded your vote on the ballot paper, place the ballot paper in the smaller cover marked 'A' sent herewith, close the cover and secure it by seal or otherwise.
You may then sign the declaration in Form 16A also sent herewith in the presence of any gazetted officer or by the Presiding Officer of the polling station in which you are on election duty and obtain the attestation of your signature by such officer.
You may take the declaration to the aforesaid officer and sign it in his presence after he has satisfied himself about your identity. The officer will attest your signature and return the declaration to you. You must not show your postal ballot paper to the attesting officer nor tell him how you have voted.
After Your declaration has been signed and your signature has been attested, place the declaration in Form 16A as also the smaller cover marked "A" containing the ballot paper in the larger cover marked "B". After closing the larger cover, send it to the returning officer by post or by messenger or personally. You have give full signature in the space provided on the cover marked "B".
You must ensure that the cover reaches the Returning Officer before ........... on.............
Please note that:-
(i) If you fail to get your declaration attested in the manner indicated above, your ballot paper will be rejected; and
(ii) if the cover reaches the returning officer after *...... on the *.................... your vote will not be counted.
*(Here specify the hour and date fixed for the commencement of counting of votes) **Score out the words not applicable.
[Form 17] [See Rule 49(1)] Ballot Paper Account Election to the Municipal...................................................
Ward Number.................................................................
Polling Station Number...........................
Polling Station Name.............................
Part-1 Serial Nos. Total Nos.
From To
1. Ballot paper received. ........................................................
2. Ballot paper unused (i.e. not issued to voters)-
(a) With the signature of the Presiding Officer.
(b) Without the Signature of the Presiding Officer.
Total : (a+b)
3. Ballot paper used at the [Polling Station (1)-(2)-(3)]
4. Ballot paper used at the polling station but not inserted in to the ballot box.
(a) Ballot papers cancelled for violation of voting procedure.
(b) Ballot papers cancelled for other reasons.
(c) Ballot papers used as tendered ballot papers.
(Total A+B+C)
5. Ballot papers to be found in the ballot box (3) - (4) = (5) Date.......... Signature of the Presiding Officer Part II Result or initial counting (To be used at the counting centre)
1. Total number of ballot papers should in the ballot box(es) used at the polling station.
2. Discrepancy, if any, between the total number as shown against item 1 in this part and the total number of ballot papers to be found in the ballot box(es) shown in Item 5 of part 1.
Date.......... Signature of the Counting Supervisor.
Signature of Returning Officer.
Form 18 [See Rule 49(2)] Election Duty Staff Ballot Paper Account Election to the Municipal....................
*Ward Number ................................
(*Mention here here the ward number of the ward from which the election duty staff are entitled to vote and are voting) *Polling Station Number.............Polling Station Name.............
(*mention here the particulars of the ward from where the election duty staff are actually voting).
Ward Number..................
Serial From Nos. To Total Nos.
1. Ballot paper received ............ ............. .............
2. Ballot papers used ............ ............. .............
3. Ballot papers spoiled ............ ............. .............
4. Ballot papers unused ............ ............. .............
Date.......... Signature of the Presiding Officer Form 19 [See Rule 58(3)] Appointment of Counting Agent Election to the Municipal..........................................
Ward Number.............................................
To The Returning Officer, Ward Number...............
..........................
Sir, I..................... a candidate/the election agent of Shri/Shrimati.............. who is candidate at the above election, do hereby appoint the following persons as my counting agents to be present during the counting of votes :
Serial Number Name of the counting agent Address of the counting agent
1.
2.
3.
etc.
Signature of candidate/election agent.
We agree to act as such counting agents Serial Number Name of the counting agent Address of the counting agent
1.
2.
3.
etc.
Declaration of counting agents (To be signed before the Returning Officer) I/We hereby declare that at the above election I/We will maintain and aid in maintaining, the secrecy of the voting and shall not (except for some purpose authorised by or under any law) communicate to any person any information calculated to violate such secrecy.
Serial Number Name of the counting agent Address of the counting agent
1.
2.
3.
etc.
Date...../......../..... Signed before me Returning Officer Form 20 [See Rule 58(5)] Revocation of Appointment of Counting Agent Election to the Municipal............of............
Ward Number................
To The Returning Officer, Ward Number...............
..........................
Sir, I......................... a candidate/the election agent of Shri/ Shrimati.............. a candidate at the above election hereby revoke the appointment of Shri/Shrimati.............. as counting agent.
Date...../......../....... Signature of the candidate/election agent [Form 21] [See Rule 66] Final Result Sheet Election to the Municipal..............................
Ward Number..............................
Serial Number Name of the candidate Party affiliation Number of votes polled 1 2 3 4 1 2 3 4 5 6 …........
NOTA (none of the above) Total number of valid votes polled. .................
Total of column no. 4 of above table. .................
Total Number of valid vote for NOTA (none of the above).
.................
Total number of rejected votes. .................
Total number of tendered votes. .................
Returning Officer [Form 22] Declaration of Result [See Rule 68] (To be filled ward wise) Returns showing the result of election for seat of ward number ............. of Municipal Boards/Council/Corporation.
Serial Number Name of the candidate Party affiliation Number of votes polled 1 2 3 4 Total votes...............................................................
Total number of valid votes polled........................................
Total of column no. 4 of above table .....................................
Total Number of vote for NOTA (note of the above) ........................
Total number of rejected votes............................................
Total number of tendered votes............................................
I declare that .....................................(name) of .................................. (address) has been duly elected to fill the seat of Ward No. ............. of Municipal Board/Council/COrporation.
Place.........
Date.......... Returning Officer [Form 22-A] (See Rule 19) (For use in Election when seat is uncontested) Declaration of the result of Election under Rule 19 of Rajasthan Municipalities (Election) Rules, 1994.
Election to the ward No..............of Municipal.............
In pursuance of he provisions contained in Rule 19 of the Rajasthan Municipalities (Election) Rules, 1994 I declare that:- .......................(Name) Sponsored by...............
.......................(Address) (Name of the Recognised political party) has been duly elected to fill the seat in the above ward.
Place......... Signature...........
Date.......... Returning Officer Form 23 [See Rule 71] Certificate of Election Election to the Municipal....... Ward Number........
I, the Returning Officer for Ward Number......... for the Election to the Municipal........ of ........
hereby certify that I have on the....... day of....... 19....... declared Shri/ Shrimati...........
of......... sponsored by......... (Name of the recognised political party) to have been duly elected by the said ward in the election to be a Member and that in token thereof, I have granted to him this certificate of election Date......... Signature and Seal of Place.......... the Returning Officer