The Returning Officer shall arrange to display on the Notice Board at his Office and in the Office of the Project Committee concerned a notification signed by him indicating the names of the duly elected candidates in Form 25. The Returning Officer shall arrange to publish the names of elected candidates in the District Gazette.
APPENDIX FORM - 1 [see rule 11(1).]
GOVERNMENT OF TAMIL NADU PUBLIC WORKS DEPARTMENT Water Resources Organisation NOTIFICATION OF PROGRAMME OF ELECTION TO THE OFFICES OF MEMBERS OF TERRITORIAL CONSTITUENCIES AND PRESIDENTS OF WATER USERS ASSOCIATIONS It is hereby notified that the election to fill the offices of Members of Territorial Constituencies and Presidents of Water Users Associations in ................................ district shall be conducted as per the schedule given below:
The notice of election shall be issued on ..................................
The names of Water Users Associations and the Territorial Constituencies shall be published at the time of issue of notice of election .
SCHEDULE OF ELECTION Events Date and Time Receipt of nominations and publication of final list of contesting candidates.
(a) Receipt of nominations from the contesting candidates for members of Territorial Constituencies and Presidents for Water Users Associations.
(b) Scrutiny of nominations and publication of list of valid nominations.
(c) Withdrawal of candidature.
(d) Finalization of list of contestants and allotment of the election symbols.
Polling and announcing Results
(e) Polling to elect the members of Territorial Constituencies and Presidents of Water Users Associations.
(f) Counting of votes and declaration of results.
(g) Date ................
9 - 00 A .M . to 4 -00 P .M .
Date: .............
9 - 0 0 A . M . t o 2 - 0 0 P . M .
2 - 0 0 P . M . t o 4 - 0 0 P . M .
f r o m 4 - 0 0 P .M . o n w a r d s t i l l c o m p l e t i o n on the same day Date: ...................
7-00 A.M. to 2-00 P.M.
4 - 0 0 P . M . o n w a r d s Station: Signature………………………………..
( COLLECTOR ) 20 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY Date / / 20 Full name ..................................................
TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 21 FORM - 2 [see rule 13(1)] GOVERNMENT OF TAMIL NADU PUBLIC WORKS DEPARTMENT Water Resources Organisation NOTICE FOR ELECTION TO THE OFFICES OF MEMBERS OF TERRITORIAL CONSTITUENCIES AND PRESIDENTS OF WATER USERS ASSOCIATIONS.
1. It is hereby notified that the election to fill the offices of Members of Territorial Constituencies and Presidents of Water Users Associations as detailed in the annexure shall be conducted as per the schedule given below.
2. Name of the Returning Officer and address .........................................................................................
...................................................................................................... (Place where Nomination Forms are issued)
SCHEDULE OF ELECTION S. No. Events
(1) (2) Date and Time
(3) Receipt of nominations and publication of final list of contesting candidates.
(a) Receipt of nominations from the contesting candidates for members of Territorial Constituencies and Presidents for Water Users Associations
(b) Scrutiny of nominations and publication of list of valid nominations
(c) Withdrawal of candidature
(d) Finalization of list of contestants and allotment of the election symbols Polling and announcing Results
(e) Polling to elect the members of Territorial Constituencies and Presidents of Water Users Associations.
(f) Counting of votes and declaration of results.
Date ............
9.00 A.M. to 4-00 P.M.
Date: ..............
9-00 A.M. to 2-00 P.M.
2-00P.M. to 4-00 P.M.
from 4-00 P.M. onwards till completion on the same day Date: ................
7-00 A.M. to 2-00 P.M.
4-00 P.M. onwards Station : Signature ( Collector ) Full name ........................................
(in capitals) Date 22 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY________ ANNEXURE Sl.No. Description of the TC/WUA District/ Taluk/ Village Place for Receiving Nomination Form Officer Receiving Nomination Form Name of Polling station Place of Counting Votes Remarks By registered post with Ack. Due FORM - 3 [See rule 58(1)] Government of Tamil Nadu Public Works Department Water Resources Organisation NOTIFICATION FOR ELECTION TO THE OFFICES OF PRESIDENTS AND MEMBERS OF DISTRIBUTORY COMMITTEES It is hereby notified that the Election to fill the Offices of President and Members of Distributory Committee as detailed in the annexure shall be conducted as per the schedule given below:
1. The date of Election / / 20
2. Name of the Returning Officer and address ………….............................
(Place where Nomination Forms are issued) Schedule of Election (A) For President S.No.
(1) Events
(2) Date and Time
(3) 1 . Receipt of nominations for the office of President Date: ........................
8.30 A.M - 9.30 A.M.
2 . Scrutiny of nominations and publication of list of contesting candidates 9.30 A.M. - 10.00 A.M.
3 . Withdrawal of candidature 10.00 A.M. - 10.30 A.M.
4 . ,Publication of final list of candidates 10.45 A.M.
5 . Election in the event of contest 11.30 A.M. - 12.15 P.M.
6 . Counting and declaration of results Immediately after Poll (B) For Members for Distributory Committee S.No.
(1) Events
(2) Date and Time
(3) 1 .
Receipt of nominations for the office of members of Distributory Committee Date : ......................
1.30 P.M. - 2.30 P.M.
2 . Scrutiny of nominations and publication of list of contesting candidates 2.30 P.M. - 3.00 P.M.
3 . Withdrawal of candidature 3.00 P.M. - 3.30 P.M.
4 . Publication of final list of candidates 3.45 P.M.
5 . Election in the event of contest
4.30 P.M. - 5.15 P.M.
6 . Counting and declaration of results Immediately after Poll TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 23 The Presidents of .............................................................. Water Users Association are requested to attend the meeting along with original certificates of Election at the venue mentioned above without fail for electing the Presidents and Member of ……………………………………………………. Distributory Committee.
Station: Signature …………………………….... .
Full name ……………………………………….
(in capitals) (Collector) To Sri / Smt. / Kum. ...............................
President of .....................................................
(name of WUA as per records) Village/town ....................................................
Taluk ...........................................................
District ............................................................
Pin code Annexure SLNo. Description of the DC. Taluk.
Place for receiving nomination Form.
Officer receiving nomination Form.
Place of Election.
Place of counting votes.
Remarks.
Date: / / 20 24 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY_________ By registered post with Ack. Due FORM - 4 [See rule 72(1)] Government of Tamil Nadu Public Works Department Water Resources Organisation NOTIFICATION FOR ELECTION TO THE OFFICES OF CHAIRMEN AND MEMBERS OF PROJECT COMMITTEES
1. It is hereby notified that the Election to fill the Offices of Chairman and Members of Project Committee as detailed in the annexure shall be conducted as per the schedule given below:
2. The date of Election 20
3. Name of the Returning Officer and address .......................................................
(Place where Nomination Forms are issued) Schedule of Election (A) For Chairman S.No.
(1) Events
(2) Date and Time
(3) 1 . Receipt of nominations for the office of Date: .....................
Chairman 8.30 A.M. - 9.30 A.M 2 . Scrutiny of nominations and publication of list of contesting candidates
9.30 A.M. - 10.00 A.M.
3 . Withdrawal of candidature 10.00 A.M. - 10.30 A.M.
4 . Publication of final list of candidates 10.45 A.M.
5 . Election in the event of contest 11.30 A.M. - 12.15 P.M.
6 . Counting and declaration of results Immediately after Poll (B) For Members for Project Committee S.No.
(1) Events
(2) Date and Time
(3) 1 . Receipt of nominations for the office of members of Project Committee Date: ..................
1.30 P.M. - 2.30 P.M.
2 . Scrutiny of nominations and publication of list of contesting candidates 2.30 P.M. - 3.00 P.M.
3 . Withdrawal of candidature 3.00 P.M. - 3.30 P.M.
4 . Publication of final list of candidates 3.45 P.M.
5 . Election in the event of contest 4.30 P.M. - 5.15 P.M.
6 . Counting and declaration of results Immediately after Poll TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 25 25
4. The Presidents of ................................................................ Distributory Committees are requested to attend the meeting along with original certificates of election at the venue mentioned above without fail for electing the Chairmen and members of ................................................................. Project Committees.
Station :
Signature ......
Date : 20 Full name ......
(in capitals) (Collector) To Sri / Smt/ Kum ..........................................................
President of .....................................................................
(name of DC as per records) Village/town- .............................................................
Taluk .................................................................................
District ……………………………………………………..
Pin code Annexure SLNo Description of the PC District Place for receiving nomination Form Officer receiving nomination Form Place of election Place of counting votes Remarks 26 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY___________ TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY .............. 27 This form is issued to Thiru/Tmt/Selvi …………………………………………………………………………………………………………………………………… (Candidate's name to be written by Returning Officer before issue) FORM - 5 [See rules 14(2), 16(3), 16(6), 60(1), 62(2), 74(1), 76(2)] NOMINATION FORM I wish to contest the election for the following office and furnish my personal details hereunder.
Name of the office contesting ...........................
Farmers organisation …………………………………… (name of the farmers organisation)1 Town/village………………………………Taluk…………………………… District…………………………………………………………… Irrigation system………………………… (name of irrigation system) 2 ………………………………………………………
1. Personal particulars a) Full name: Thiru/Tmt/Selvi …………………………………. ………………………………………………..
(surname) (full name) b) Father/Husband name: Thiru .................... ………………………………………………… (surname) (full name) c) Serial No.in the voters list (contesting candidate) d) Age Years e) Gender Male Female (please put tick ( �) Mark) f) Total extent of land (i) Owned ha (ii) Leased ha g) Occupation ……………………………….. i) Educational qualification ………………………………..
h) Address of contesting candidate :
House No…………………. Street…………………………………………………………………..
Town/village. .............................. Taluk .............. District ………………………………………
2. Details of the proposer a) b) c) Full name : Thiru/Tmt./Selvi Father/Husband name : Thiru Serial No. in the voters list …………………………………………………….
……………………………………………………….
(proposer) Signature ............................
(proposer) 1 Name of the WUA/DC/PC as per records 2 Name of the irrigation system e.g: major/ medium/ minor irrigation To S No.
The Returning Officer, (pre-printed) Serial number of nomination form (name of the farmers organization) (as received during election)
3. DECLARATION ( by the contesting candidate ) I solemnly affirm and state as follows:
1. I am a registered voter in the electoral roll at serial number ................. and that my proposer is also a registered voter in the electoral roll at serial number .................
2. I am ............ years (in words ..................................... ) old as on the date of this nomination.
3. I am not a village servant or an officer or a servant of the Government of India or any State Government or a local authority or an employee of any institution receiving aid from the funds of the Government.
4. I was not convicted by a Criminal Court for any offence involving moral turpitude committed under any law for the time being in force.
5. I am with a sound mind and I am not an applicant to be adjudicated as an insolvent or an un-discharged insolvent.
6. I am not a defaulter of land revenue or water tax or charges payable either to the Government or to the Farmers Organization.
Witness 1 Witness 2 Signature ……………………….. Signature ……………………………..
Full name ……………………….. Full name ……………………………..
Address ………………………….. Address ………………………………… Continued………….
28 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY Signature ....................................................
(contesting candidates) Station :
Date : / / 20 For office use
4. SCRUTINY OF NOMINATIONS
1. This nomination form is presented to me by Thiru/Tmt/Selvi .................................................................
(name of the contesting candidate / proposer) *candidate/*proposer in person on this day of .................... / 20 ......... at............ (AM/PM).
dd mm yy
2. I have scrutinised this nomination form in accordance with election rules and the nomination is (Decision to be written as Accepted / Rejected in the box)
3. The nomination is rejected for the following reasons (if rejected) ………………………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………… Station :
Signature ………………………………………..
Date 20 Full name ..........................
(Returning officer) ------------------------------------------------------------------------------------------------------------------------------------------------- Strike out whichever is not applicable TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 29 FORM - 6 [See rules 14(4), 60(2) and 74(2)] S. No.
RECEIPT FOR NOMINATION ………………………………………………………………………………………………………………………………………………..
(name of the WUA / DC / PC as per records) The filled in nomination form of Thiru/Tmt/Selvi. .......................................................
(name of the contesting candidate) son/wife/daughter of Sri ............................................................... a candidate for the (father or husband name) election to the office of ................................... was delivered to me at .......................
(name of the office contested) (hour and minutes) on………/………./20……… by Thiru/Tmt/Selvi ........................................................
(name of the candidate / proposer) and entered at serial number in the list of nominations received (Form-7 ).
Station: Signature……………………………………… Date 20 30 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY Full name ....................................
(Returning officer) FORM - 7 [See rules 15, 61 and 75] LIST OF NOMINATIONS RECEIVED (for TC election only wherever applicable) Office ...............................................
(name of the office contesting), Farmers Organisation ...................................................................................
(name of the farmers organisation) 2 Village ...................................................... Taluk ........................................................
District ....................................................... Irrigation system ........................................
(name of the irrigation system)3 S No
(1) Details of Candidate
(2) Remarks
(3) Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ...................... … …………………………………………………………………………………..
…………………………………………………………………………………… S.No.in electoral roll….……………………… Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ...................... … …………………………………………………………………………………..
…………………………………………………………………………………… S.No.in electoral roll….……………………… Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ...................... … …………………………………………………………………………………..
…………………………………………………………………………………… S.No.in electoral roll….……………………… The Nomination Forms will be taken up for scrutiny at .......... A.M./P.M. on (Date .................................... ) at (Place ............... ) Signature…………………………………………….
TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 31 TC No.
Date of Polling 20 Full name ..................................................
(Returning Officer) FORM - 8 [See rules 16(6), 62(3), 76(3)] LIST OF VALIDLY NOMINATED CANDIDATES Office ................................................
(name of the office contesting)' Farmers Organisation ...........................................................................
(name of the farmers organisation)2 Village .................................................. Taluk ..................................................
District ...................................................... Irrigation system ......................................
(name of the irrigation system)3 S. No.
(1) Details of Candidate
(2) Remarks
(3) Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ..................... … …………………………………………………………………………………..
…………………………………………………………………………………… S.No.in electoral roll….……………………… Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ..................... … …………………………………………………………………………………..
…………………………………………………………………………………… S.No.in electoral roll….……………………… Name: Thiru/Tmt/Selvi son/wife/daughter of Sri Occupation ....................
Address .......................
Proposer: Thiru/Tmt/Selvi …………………………………………………………..Age………. Yrs ………………………………………………………………………………… ……………………S.No in electoral roll ..................... … …………………………………………………………………………………..
…………………………………………………………………………………… …………….……S.No.in electoral roll….……………………….
Signature…………………………………………… Date of Polling 20 Full name ..................................
(Returning officer) 32 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY____________ FORM - 9 [See rules 17(1), 63(2), 77(2)] WITHDRAWAL OF NOMINATION (By the contesting candidate) I----------------------------------------------------------------------------------------------------------------- (surname) (full name) a candidate validly nominated for the election for the office of ....................................................................
(name of the office contested) do hereby willfully withdraw my candidature.
Station: Signature .................................
(contesting candidate) Date :
Remarks For office use The above withdrawal is accepted and entered in the Form-10 displayed on the notice board.
Signature ..........................................
Full name ..........................................
Returning Officer) TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 33 FORM - 10 [See rules 17(2), 63(3), 77(3)] LIST SHOWING THE NOTICES OF WITHDRAWAL OF CANDIDATURE Office ..........................................................
(name of the office contesting)' Farmers Organisation ............................................................................
(name of the farmers organisation)2 Village ............................................... Taluk ..................................................... ………..
District ..................................................... Irrigation system .......................................... ………..
(name of the irrigation system)3 Sl.No. Name of candidate Father/Husband Name Address Remarks Signature………………………………………… Full name………………………………………… (Returning-Officer) 34 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM - 11 [See rules 18(1), 64 and 78] TC No.
FINAL LIST OF CONTESTING CANDIDATES for TC election only wherever applicable) Office ............................................
(name of the office contesting)' Farmers Organisation .............................................................................................................................
(name of the farmers organisation) 2 Village ..............
Taluk ............................................
District ......................................... Irrigation system ...........................................................................
(name of the irrigation systems)3 Sl.No ( 1 ) Name of the contesting candidate and father's/husband's name in the order of Tamil alphabet.
( 2 ) Names of Election symbol allotted (wherever applicable).
( 3 ) 1 2 3 4 5 6 7 8 9 Abstract of Nominations No.of nominations received Withdrawn Balance Signature…………………………………………..
Polling date 20 Full name ………………………………………….
(Returning Officer) TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 35 4 1 - FORM - 12 [See rule 28(2)] SI. No.
BALLOT PAPER (Election to the President of Water Users Association) ………………………………………………………………………………………………………………………………………………………………………… (Name of Water Users Association ) Electoral roll parts number .......... Territorial Constituency No ................... of .......................................... Water Users' Association.
SI.No. of the elector ........................................
………………………………………………… Signature or thumb impression of the elector.
________________________________________________________________________________________________ ……………………………………………………………………………………………………………………………………………………………….
Election to President of …………………………………………Water Users Association.
Territorial Constituency No. …………………………………..
S.No.
(1) Name of the candidate in Tamil alphabetical order.
(2) Symbol allotted.(Figure)
(3) 1 2 3 4 5 6 7 8 9 10 - 36 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM — 13 [See rule 28(2)] SI.No.
BALLOT PAPER (Election to the members of Territorial Constituencies of Water Users Association) (Name of Water Users Association) Electoral roll parts number ........................... Territorial Constituency No ....................
SI.No. of the elector .........................
………..……………………………………….
Signature or thumb impression of the elector.
Election to member of Territorial Constituency Number ........................................................... Water Users Association.
Sl. No.
(1) Symbol allotted.(Figure)
(2)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 37 FORM - 14 [See rule 66(3)] SI.No.
BALLOT PAPER FOR ELECTION OF PRESIDENT .…….............................................................................. DISTRIBUTORY COMMITTEE S.No. of the elector ………………………….. SIGNATURE / THUMB IMPRESSION OF THE ELECTOR.
………….……………….DISTRIBUTORY COMMITTEE ___________________________________________________________________________________________________ SL No. Name of the Candidate Put (�) mark against one name in Tamil in Alphabetical only in the box space provided.
order.
(1) (2) (3)
1. NAME __________________________________________________________________________________________________
2. NAME __________________________________________________________________________________________________
3. NAME __________________________________________________________________________________________________
4. NAME __________________________________________________________________________________________________
5. NAME _________________________________________________________________________________________________
6. NAME ________________________________________________________________________________________________ Signature of the Returning Officer.
38 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM -1'5 [See rule 69(2)] SI.No.
BALLOT PAPER FOR ELECTION OF MEMBER ............................................................... DISTRIBUTORY COMMITTEE S.No. of the elector ………………………….. Signature / Thumb impression of the Elector.
_________________________________________________________________________________________________ ………….……………….DISTRIBUTORY COMMITTEE ___________________________________________________________________________________________________ SL No. Name of the Candidate Put (�) mark against as in Tamil in Alphabetical many candidates as the order. number of offices in the Managing Committee in the box space provided.
(1) (2) (3) ______________________________________________________________________________________________
1. NAME __________________________________________________________________________________________________
2. NAME __________________________________________________________________________________________________
3. NAME __________________________________________________________________________________________________
4. NAME __________________________________________________________________________________________________
5. NAME _________________________________________________________________________________________________
6. NAME ________________________________________________________________________________________________ Signature of the Returning Officer.
TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 39.
FORM - 16 [See rule 80(3)] SI.No.
BALLOT PAPER FOR ELECTION OF CHAIRMAN ................................................................. PROJECT COMMITTEE S.No. of the Elector ………………………………….. Signature / Thumb impression of the Elector.
_________________________________________________________________________________________________ ......................................................................................... PROJECT COMMITTEE SL No. Name of the Candidate Put (�) mark against one name in Tamil in Alphabetical only in the box space provided.
order.
(1) (2) (3) ______________________________________________________________________________________________
1. NAME ____________________________________________________________________________________________
2. NAME _____________________________________________________________________________________________
3. NAME _____________________________________________________________________________________________
4. NAME ______________________________________________________________________________________________
5. NAME ______________________________________________________________________________________________
6. NAME __________________________________________________________________________________ 40 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY Signature of the Returning Officer.
FORM - 17 [See rule 83(2)1] SI.No.
BALLOT PAPER FOR ELECTION OF MEMBER .............................................................PROJECT COMMITTEE S.No. of the Elector……………………………….. Signature / Thumb impression of the Elector.
…………………………….. .................................................................................................... PROJECT COMMITTEE Sl.No. Name of the Candidate Put (�) mark against as many candidates as in Tamil in Alphabetical order. the number of offices in Managing Committee in the box space provided.
(1) (2) (3) ______________________________________________________________________________________________
1. NAME ___________________________________________________________________________________________
2. NAME _____________________________________________________________________________________________
3. NAME _____________________________________________________________________________________________
4. NAME ______________________________________________________________________________________________
5. NAME _____________________________________________________________________________________________
6. NAME __________________________________________________________________________________ ____________________TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 41 Signature of the Returning Officer.
FORM - 18 (See sub-rule (9) of rule 22] DECLARATION OF THE PRESIDING OFFICER BEFORE THE COMMENCEMENT OF POLL Member to Territorial Constituency number…………………………………………of the…………………………………………… ………………………………………………………………………………………Water Users Association Number and name of the Polling Station:
Date of Poll :
I hereby declare—
(1) that I have demonstrated to the candidates and other persons present that the ballot boxes to be used for the poll are empty;
(2) that on the paper seal used for securing the ballot box, I have affixed my own signature and obtained thereon the signatures of such of the candidates who are present and desirous of affixing the same;
(3)that I have demonstrated to the candidates and others present that the marked copy of the electoral roll/ rolls to be used during the poll does/do not contain any marks other than those used for issuing Election duty certificates; and
(4)that I have allowed the candidates to note the first and the last of the serial numbers of the ballot papers and also the numbers on the paper seals which will be used at the polling station.
(Presiding Officer) Signature of candidates:
SI.No.
(1) Signature of candidates
(2) Name of candidates
(3) 42 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY.
Presiding Officer.
FORM - 19 [See rule 34(2)] LIST OF TENDERED BALLOT PAPERS Name of the Water Users Organisation .........................................................................................................................
(As per records) Territorial Constituency No. ...........................
S. No. Name of the voter S. No. in electoral roll Ballot Paper number Signature/Thumb impression of the elector Number of Ballot Paper issued to the person already voted ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5) (6) Date : Signature ........................................
Full name .........................................
FORM - 20 [See rule 32 (3)] LIST OF BLIND AND INFIRM ELECTORS Member to Territorial Constituency number …………………………………of the ………………………………… …………………………………………………………………………Water Users Association Election of _____________________________________________________________________________________________ President to .............................................................................................. Water Users Association.
Number and name of the polling station :
Sl No. Territorial Constituency Number Sl No. of elector in electoral roll Full name of • elector Full name of companion Address of companion Signature of companion
(1) (2) (3) (4) (5) (6) ( 7 ) Date………………………. Signature of the Presiding Officer.
TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 43 FORM - 21 [See rule 25(2)(c)] LIST OF CHALLENGED VOTES Name of the Water Users Organisation .........................................................................................
(As per records) Territorial Constituency No. .......................
S.No. Name of the voter S.No. in electoral roll Address of voter and signature/ Thumb impression Name of challenger Signature/Thumb impression of identifier if any Orders of Collector
(1) (2) (3) (4) (5) (6) (7) Date : Signature ……………………………….
Full name………………………………….
( Presiding Officer ) 44 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM - 22 [See rule 47(1) and (2), 67 and 81.]
BALLOT PAPER ACCOUNT Name of the Water Users Association / Distributory Committee / Project Committee …………………..
………………………………………………………………………………………………………………………….
Name of the polling station / Place ……………………………………………………………………… (wherever applicable) Serial number of ballot papers From To (A) Ballot papers used at the Polling stations (B) Ballot papers used at the polling station, but not put in ballot box.
(1) Total ballot papers received
(2) Details of ballot papers unused (i.e) not issued to voters
(4) Ballot papers cancelled for violation of voting procedure
(a) With signature of the Presiding Officer
(5)Ballot papers cancelled for other reasons
(b) Without signature of the Presiding Officer
(6) Ballot papers used on tendered votes
(c) Total ballot papers unused [ (2a)+(2b)]
(7) Total ballot papers not inserted in voting box [(4)+(5)+(6)] *(3) Ballot papers used at the Polling Station (1)-(2c)
(8) Ballot papers to be found in ballot box (3)-(7) Station: Signature…………………………………………..
Date Full Name………………………………………….
(Presiding Officer) (*) Serial numbers need not be given, only total is required Strike whichever is not applicable.
Serial number of the polling station Territorial Constituency No.
TAMIL NADU GOVERNMENT GAZETTE EXtRAORDINARY 45 FORM - 23 [See rules 47(2), 49(6), 51(1)(5)(6), 53(1), 67 and 81.]
RESULT OF COUNTING (Election to the offices of Members of Territorial Constituencies and Presidents of Water Users Associations, Presidents and members of Distributory Committees, Chairmen and members of Project Committees) Office .................................................
( name of the farmers organisation )1 irrigation system……………………..
(name of irrigation system) 3 ( name of the office )2 Village ....................................................
District .........................
S.No.
(1) Candidate's name and father's / husband's name
(2) Number of valid votes cast Nos.
(3) In words
(4) Total valid votes cast 1 Full name of the - Water Users Association / Distributory Committee / Project Committee.
2 Name of the office - TC member / president / members / chairman / members.
3 Name of the irrigation system - major / medium / minor irrigation systems.
46 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY Taluk Date of counting 20 RESULT OF COUNTING.--contd.
(Election to the offices of Members of Territorial Constituencies and Presidents of Water Users' Associations, Presidents and members of Distributory Committees, Chairmen and members of Project Committees) *(A) The highest number of valid votes are polled in favour of the following candidate Thiru / Tint / Selvi .................................
(surname) (full name) son / wife / daughter of Thiru ...............
(full name) (surname) *(B) For equality of votes, lots have been drawn and the lot has fallen in favour of Thiru / Tmt / Selvi .........................................................
(surname) (full name) son /wife/ daughter of Thiru .......................................................................................
(surname) (full name) Signature ...............................
Full name ................................
(Returning Officer) * strike out, whichever is not applicable Tallying of ballot papers ( for election to TC members and President, Water Users' Association only )
(1) Total number of ballot papers (as per ballot papers account)
(2) Total number of ballot papers actually found in the box *(A) Certified that the total number of ballot papers found in the box are tallied with that of ballot paper account *(B) Certified that there is a discrepancy by ....................... …………..votes.
Station: Signature…………………………………………..
Date 20 Full Name………………………………………….
(Presiding Officer) (*) strike out, not applicable TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 47 No. of rejected ballot papers Difference, if any (1)-(2) FORM - 24 [See rules 19, 53(2), 65(1), 68(1), 79(1) and 82(1).]
DECLARATION OF RESULTS (Election to the offices of Members of Territorial Constituencies and Presidents of Water Users Associations, Presidents and members of Distributory Committees, Chairmen and members of Project Committees) ( name of the farmers organisation ) contested office ...................................... Irrigation system ( name of the office ) (name of the irrigation system) Village……………………………………………………………………………. Taluk………………………………………….
District……………………………….. Date of counting : / / 20 In accordance with the Election Rules I …………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………..Returning officer hereby declare that the following candidate has been duly elected *where there is only one validly nominated candidate / *After contest, for the above office.
* strike out, whichever is not applicable Details of elected candidate Name of candidate Thiru/ Tmt./ Selvi ........................
(surname) son/wife/daughter of Thiru .......................................
(full name) (full name) (surname) Extent of land (i) owned Occupation ...................................
Residential Address:
House No ............
ha (ii) leased Term of office Street ……………………………….
Town / Village ……………………………………………… Taluk ……………… District .................................................... Pin code…….
Signature………………………………..
Full name………………………………..
(Returning Officer) Age Years Gender Male Female ha years 48 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM - 25 [See rules 53(2), 55, 70 and 84] LIST OF ELECTED CANDIDATES (Election to the offices, of Members of Territorial Constituencies and Presidents of Water Users Associations, Presidents and members of Distributory Committees, Chairmen and members of Project Committees) (name of the farmers organisation) Village ..................................................................................................... Taluk .................................
S.No.
(1) Name of the candidate elected
(2) Office to which elected
(3)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Signature .................................
Full name .................................
(Returning Officer) TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 49 20 Date of counting District ................................
50 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY FORM – 26 [See rules 19,56,65,68,79 and 82] GOVERNMENT OF TAMIL NADU PUBLIC WORKS DEPARTMENT WATER RESOURCES ORGANISATION CERTIFICATE OF ELECTION I……………………………………………………. …………………………………………………………………………………………..Returning Officer (surname) (full name) on this ……………………….of………………………………………………………of……………………………………………… (day in words) (month in words) (year in words) declare that Thiru/Tmt/Selvi…………………………………………………….. ………………………….………………..
(surname) (full name) son/wife/daughter of Thiru………………………………………………………of.…………………………………………… (surname) (full name) has been duly elected as……………………………………………of………………………………………………………..
(name of the office)1 …………………………………………………………………………………in……………………………………………… (name of the farmers orgnisation)2 (name of the town / village) of……………………………………………………………….. in …………………………………...........and that in token (name of the Taluk) (name of the district) thereof this certificate of election is issued.
Station Signature………………………………………… (Returning Officer) Date 20 Specimen signature / thumb impression of Candidate elected Attested Signature……………………..
(Returning Officer) TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 51 FORM — 27 [See rule 6(1)] LIST OF PROPOSED POLLING STATIONS Under rule 6(1) of the Tamil Nadu Farmers Management of Irrigation Systems Election Rules, 2003, the Collector ...................................... District, hereby publish the list of Polling stations together with the areas or groups of voters for which they have been provided in respect of………………………………………………………………………………………… (name of the water users association ) S.No
(1) Territorial Constituency Number
(2) Location of Polling Station Serial Number of electors as per electoral roll
(6) Place
(3) Name of Building / Office
(4) Village and Taluk
(5) Any objection, to the formation of above Polling Stations shall be submitted to the undersigned before 5-00 p.m. on………………./………….20…………… by the members / voters of the………………………………………..
……………………….…………………………………………………………………………………..
(name of the water users association ) Station : Signature .....................................
Date 20 Full name ......................................
(in capitals) (Collector) FORM —28 [See rule 6(2)] FINAL LIST OF POLLING STATIONS (A) * Whereas the object ions rece ived in respect o f Pol l ing sta t ions publ ished in Form-27 on ......................... ./20 ............ have been considered; whereas no objections are received in respect of Polling stations published in Form - 27.
And whereas it is considered that no modification to this said list in Form-27 is necessary and therefore it is ordered that the Polling stations with other particulars already published in respect of ……………………………………………………………………………………………………………………………………………………. are final.
( name of water users association) OR (B) * And whereas it is considered that amendment to the list of Polling station published in Form-27 is necessary. Now therefore, under rule 6(2) of the Tamil Nadu Farmers Management of Irrigation Systems Election Rules, 2003 a final list of Polling stations in respect of ………………………………..
....................................................................................... is published as below :
( name of the water users association ) S.No
(1) Territorial Constituency Number
(2) Location of Polling Station Place
(3) Name of.
Building / Office
(4) Village and Taluk
(5) Serial Number of electors as per electoral roll
(6) * strikeout, whichever is not applicable Station : Signature……………………………….
Date 20 Full name ………………………………..
(in capitals) (Collector) 52 TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY 53 ANNEXURE- 1 PRESIDENTS OF WATER USERS ASSOCIATIONS ANNEXURE -2 SYMBOLS FOR TERRITORIAL CONSTITUENCY MEMBERS Úçid¥ ga‹gL¤Jnth® r§f¤Â‹ jiyt®fŸÚçid¥ ga‹gL¤Jnth® r§f¤Â‹ jiyt®fŸÚçid¥ ga‹gL¤Jnth® r§f¤Â‹ jiyt®fŸÚçid¥ ga‹gL¤Jnth® r§f¤Â‹ jiyt®fŸ M£Á k©ly bjhF cW¥Ãd®fŸM£Á k©ly bjhF cW¥Ãd®fŸM£Á k©ly bjhF cW¥Ãd®fŸM£Á k©ly bjhF cW¥Ãd®fŸ
1. Bow and arrow (éš,m«ò)éš,m«ò)éš,m«ò)éš,m«ò) 1. Wall Clock (Rt® fofhu«)Rt® fofhu«)Rt® fofhu«)Rt® fofhu«)
2. Electric Lamp (ä‹ és¡F)ä‹ és¡F)ä‹ és¡F)ä‹ és¡F) 2. Bucket (thë)thë)thë)thë)
3. Lorry (yhç)yhç)yhç)yhç) 3. Key (rhé)rhé)rhé)rhé)
4. Aeroplane (ékhd«)ékhd«)ékhd«)ékhd«) 4. Comb (Ó¥ò)Ó¥ò)Ó¥ò)Ó¥ò)
5. Light House (fy§fiu és¡f«)fy§fiu és¡f«)fy§fiu és¡f«)fy§fiu és¡f«) 5. Granery (jhåa¡ F®)jhåa¡ F®)jhåa¡ F®)jhåa¡ F®)
6. Hand Roller (if cUis)if cUis)if cUis)if cUis) 6. Cot (f£oš)f£oš)f£oš)f£oš)
7. Lamp Post (és¡F¡ f«g«)és¡F¡ f«g«)és¡F¡ f«g«)és¡F¡ f«g«) 7. Saw (Ïu«g«)Ïu«g«)Ïu«g«)Ïu«g«)
8. Horse Ladam (FÂiu yhl«)FÂiu yhl«)FÂiu yhl«)FÂiu yhl«) 8. Spear (<£o)<£o)<£o)<£o)
9. Electric Fan (ä‹ éÁ¿)ä‹ éÁ¿)ä‹ éÁ¿)ä‹ éÁ¿) 9. Manual Grinder(khtiu¡F« Âçif)khtiu¡F« Âçif)khtiu¡F« Âçif)khtiu¡F« Âçif)
10. Two Tabelas [(ÏU jngyh¡fŸ ÏU jngyh¡fŸ ÏU jngyh¡fŸ ÏU jngyh¡fŸ (Ïir¡ fUéfŸ)(Ïir¡ fUéfŸ)(Ïir¡ fUéfŸ)(Ïir¡ fUéfŸ)]
10. Tiffin Carrier (rh¥gh£L¤ Jh¡F)rh¥gh£L¤ Jh¡F)rh¥gh£L¤ Jh¡F)rh¥gh£L¤ Jh¡F)
11. Grapes Cluster(Âuh£ir¡ bfh¤J)Âuh£ir¡ bfh¤J)Âuh£ir¡ bfh¤J)Âuh£ir¡ bfh¤J) 11. Iron Pan [ÏU«ò¢ r£o (thÏU«ò¢ r£o (thÏU«ò¢ r£o (thÏU«ò¢ r£o (thzè)zè)zè)zè)]
12. Sun Flower (NçafhªÂ¥ó)NçafhªÂ¥ó)NçafhªÂ¥ó)NçafhªÂ¥ó) 12. Jug (T#h)T#h)T#h)T#h)
13. Scissors (f¤Âç¡nfhš)f¤Âç¡nfhš)f¤Âç¡nfhš)f¤Âç¡nfhš) 13. Glass Tumbler (f©zho l«f©zho l«f©zho l«f©zho l«s®)s®)s®)s®)
14. Banana (thiH¥gH«)thiH¥gH«)thiH¥gH«)thiH¥gH«) 14. Broomstick (Jil¥g«)Jil¥g«)Jil¥g«)Jil¥g«)
15. Candles (bkGFt®¤ÂfŸ)bkGFt®¤ÂfŸ)bkGFt®¤ÂfŸ)bkGFt®¤ÂfŸ) 15. Stickle (bt£lçthŸ)bt£lçthŸ)bt£lçthŸ)bt£lçthŸ)
16. Well (»zW)»zW)»zW)»zW) 16. Conch (r§F)r§F)r§F)r§F)
17. Coconut Halves (nj§fhŒ _ofŸ)nj§fhŒ _ofŸ)nj§fhŒ _ofŸ)nj§fhŒ _ofŸ) 17. Radio (thbdhè¥ bg£o)thbdhè¥ bg£o)thbdhè¥ bg£o)thbdhè¥ bg£o)
18. Axe (nfhlhç)nfhlhç)nfhlhç)nfhlhç) 18. Tree (ku«)ku«)ku«)ku«)
19. Pot (ghid)ghid)ghid)ghid) 19. Car (fh®)fh®)fh®)fh®)
20. Spade (k©bt£o)k©bt£o)k©bt£o)k©bt£o) 20. Boat (glF)glF)glF)glF)
21. Black Board (fU«gyif)fU«gyif)fU«gyif)fU«gyif) 21. Rail Engine (Ïuæš vŠÁ‹)Ïuæš vŠÁ‹)Ïuæš vŠÁ‹)Ïuæš vŠÁ‹)
22. Ladder (Vâ)Vâ)Vâ)Vâ) 22. Hut (Foir)Foir)Foir)Foir)
23. Window(r‹dš)r‹dš)r‹dš)r‹dš) 23. Post Box (jghš bg£o)jghš bg£o)jghš bg£o)jghš bg£o)
24. Spectacles (_¡F¡ f©zho)_¡F¡ f©zho)_¡F¡ f©zho)_¡F¡ f©zho) 24. Cart (t©o)t©o)t©o)t©o)
25. Table (nkir)nkir)nkir)nkir) 25. Cup (nfh¥ignfh¥ignfh¥ignfh¥ig))))
26. Beedsmala (kâkhiy)kâkhiy)kâkhiy)kâkhiy) 26. Ball (gªJ)gªJ)gªJ)gªJ)
27. Drum(KuR)KuR)KuR)KuR) 27. Chair (eh‰fhè)eh‰fhè)eh‰fhè)eh‰fhè)
28. Hat (bjh¥Ã)bjh¥Ã)bjh¥Ã)bjh¥Ã) 28. Kite (g£l«)g£l«)g£l«)g£l«)
29. Slate (Ány£)Ány£)Ány£)Ány£) 29. Hammer (R¤Â)R¤Â)R¤Â)R¤Â)
30. Stool (°^š)°^š)°^š)°^š) 30. Telephone (bjhiyngÁ)bjhiyngÁ)bjhiyngÁ)bjhiyngÁ)
31. Helecopter (bAèfh¥l®)bAèfh¥l®)bAèfh¥l®)bAèfh¥l®) 31. Pineapple (m‹dhÁ¥ gH«)m‹dhÁ¥ gH«)m‹dhÁ¥ gH«)m‹dhÁ¥ gH«)
32. Whistle (éÁš)éÁš)éÁš)éÁš) 32. Tender Coconut (ÏsÚ®)ÏsÚ®)ÏsÚ®)ÏsÚ®)
33. Veena(Åiz)Åiz)Åiz)Åiz) 33. Cashew fruit (KªÂç¥ gH«)KªÂç¥ gH«)KªÂç¥ gH«)KªÂç¥ gH«)
34. Sewing Machine (ijaš ÏaªÂu«)ijaš ÏaªÂu«)ijaš ÏaªÂu«)ijaš ÏaªÂu«) 34. Scooter (°T£l®)°T£l®)°T£l®)°T£l®)
35. Brinjal (f¤Âç¡fhŒ)f¤Âç¡fhŒ)f¤Âç¡fhŒ)f¤Âç¡fhŒ) 35. Tractor (ouh¡l®)ouh¡l®)ouh¡l®)ouh¡l®) N.S.PALANIAPPAN, Secretary to Government.