Lok Sabha 2014

1
TRAINING TO PRESIDING
AND POLLING OFFICERS
DISTRICT ELECTION OFFICER

RETURNING OFFICER
LEVEL
19 November 2018 10:22 PM
2
ROLE AND RESPONSIBILITIES
OF
PRESIDING OFFICERS
&
POLLING OFFICERS
FOR GENERAL ELECTIONS TO

PARLIAMENT 2014
3
DURING TRAINING…
 Presiding officer is leader of polling team.

 Get acquainted with your team members.
 Report absence of your team member
immediately to the ARO.
 EVM made by ECIL will be used for this
election.
 Familiarize yourselves with use/working of
EVM and various prescribed forms.
4
RESPONSIBILITIES…
 The duties relating to the election can be
classified into:
1. PRE – POLL DUTIES:

a) DUTIES ON THE DAY PRIOR TO THE POLL
i. AT THE DISTRIBUTION CENTRE.
ii. AT THE POLLING STATION.
b) DUTIES ON THE DAY OF POLL (BEFORE THE
START OF POLL)
2. POLL DUTIES (AFTER THE START OF POLL)
3. POST – POLL DUTIES
5
AT DISTRIBUTION CENTRE…
 Know the distribution centre and

reach the centre at the specified time.
 Collect the poll material as per the list.
 Check whether the election material
received by you is as per list, and EVM
as allotted to your polling station.
6
 Confirm that the serial numbers on CU and

BU are the same as that mentioned on the
EVM Identification Slip.
 Total number of EVM Identification Slips

issued to your team should be equal to the
number of candidates.
7
Marked copy of voter list:
 Check the marked copy in total and

Certificate given by RO.
 Check markings on the marked copy.
 If the number of voters in your polling
station exceeds 850, ensure that the
additional Polling Officer accompanies the
polling team.
8
MARKED COPY
Check:-
1. Check the certificate given by Returning Officer.
2. That the copies of the supplements are given.
3. That the part number of the roll and the supplement is
correctly given.
4. Page numbers in the working copies of the roll are given
serially.
5. The printed serial numbers of voters are not corrected
and no new numbers are substituted for them.
6. Marked copy is duly certified by the RO/ARO.
7. No unauthorized markings on the marked copy except
PB.
8. The deletions and corrections marked on the marked
copy as per the supplements.
9. Check markings on the marked copy. 9
AT DISTRIBUTION CENTRE…VERIFY
 Voter slips in sufficient quantity.
 Indelible ink.
 Metal Seal & Cross Arrow Mark
 List of Absentee shifted and dead electors.
 Photo copy of Specimen Signature of the contesting
candidates and their agents.
 List of Vulnerable Voters.
 List of contesting candidates. (Form 7A)
 16 points observer’s report.
 Dummy cardboard Balloting Unit.
10
AT DISTRIBUTION CENTRE…CHECK
 Acquittance Roll
 Tender ballot papers
 Distinguishing Mark
 Dummy ballot sheet in Braille
 Register of voters – 17 A
 Account of votes & paper seal account – 17C
11
FIND OUT….
Find out whether there is

deployment of
Micro
C. P. F.
Observer
12
MODE OF TRANSPORT
 Transport – Vehicle as provided by

RO/ARO.
 No Vehicle other than provided by

RO/ARO to be used to & fro Polling
Station.
 Polling parties to be accompanied by

security personnel.
13
AT THE P.S. ON THE EVE OF POLL DAY…
Ensure that:
 The voting compartment for voters to record their votes is well
lighted
 A notice showing the polling area, list of contesting candidates

and warning notice is displayed at the entrance.
 See that no photographs of political leaders are displayed in the

polling station, if found remove/cover them.
MODEL PS14
AT THE P.S. ON THE EVE OF POLL DAY…
 Set up the polling station preferably as per the Model.
 Make arrangement for separate queue for Male,

Female and special queue for handicap, infirm and
Senior Citizen Voters.
 Regulation of voters in the Polling Station should be as

per instructions i.e. 1 Male to 2 Female.
MODEL PS15
CHECK RADIUS OF 200 MTS.
 Takea round and know periphery of

200 meters around the Polling Station
to exercise your jurisdiction and
control.
 Remove / get removed all the banners

& symbols of candidates, if any, within
radius of 200 mts.
16
ON THE DAY OF POLL
 Entire polling team should be ready one

hour prior to the poll.
 Make sure that :
◦ Notice specifying polling area,
◦ List of contesting candidates and
◦ Warning displayed are in place
17
POLLING AGENT – DO’S & DON’TS
DO’S DON’T’S
Must possess Appointment letter in Shall NOT carry their roll copy or send
1. 1.
FORM 10. slips outside the Polling Station.
Reliever Polling Agent will NOT enter
Will carry ENTRY PASS issued by
2. 2. the Polling Station unless First Polling
Presiding Officer.
Agent comes out.
Polling agent cannot leave P.S. in last
3 Should be a voter from the same part 3
one hour of poll i.e. 4.00 p.m.
Polling Agent are not allowed to carry
4 Must display EPIC on his body. 4 Mobiles, spy cameras or any electronic
gadgets inside the Polling Station.
Only one polling agent at a time per Voters with EDC will NOT BE
5 5
candidate. CHALLENGED.
Can be allowed to enter any time in the
6
Polling Station till 4.00 pm Presiding Officer can
Allowed to carry the copy of electoral direct the removal of
7
roll inside the Polling Station. 6
Polling Agent in case of
8 Can make tick marks on their roll copy. nuisance value.
18
WHO CAN ENTER THE POLLING STATION?
 The electors.
 Member of polling team.
 Candidates/their election agent (one Polling
Agent of each candidate at a time)
 Persons authorized by the Commission-
Observers, Micro observer, Photographers,
media persons issued with authority letter.
 Public servants on duty.
 Child in arms of the elector.
 Companion of blind and infirm elector.
 Such other person as may be admitted from
time to time for identification, Law & Order etc., 19
WHAT ABOUT POLICE?
 Police cannot enter Polling Station.
 However, Presiding Officer can call

police, if need arises.
 Even security personnel has to be

outside Polling Station.
20
IDENTITY CARDS
 Identity cards will be issued to:

◦ Observers
◦ Polling party
◦ RO/ARO
◦ Sector Officer / Magistrate
◦ And all other election related Officers.

21
VIP AND GLAMOROUS PERSONALITIES
 No special treatment is to be provided

to VIP’s and glamorous personalities.
 Should handle the situation

professionally without creating any
hindrance to the polling activity
22
PRESS AND MEDIA
 No press or media persons to be

allowed except those authorized by
Election Commission.
 No Photography and video

recording by press is to be allowed
inside the voting compartment.
23
VISIT SHEET
 To be maintained by the presiding officer.

 Should be given to all authorized visitors
visiting the polling station for entering their
observations.
 The visit sheet should be used on the day
prior to the poll and on the day of poll.
24
MICRO OBSERVER
 Representative of Observer.
 Seatedat the Polling Station and

observe the preparedness and poll
procedure.
 He is there to observe and not to

direct. SEATING
ARRAGEMENT
25
USE OF MOBILE PHONE IN P.S.
 ONLY BY:
◦ Presiding Officer
◦ Observer
◦ Micro observer
 STRICTLY IN SILENT MODE
26
ON THE DAY OF POLL
 Entire polling team to be ready one hour prior to

the poll.
 Start preparing the voting machine including the
conduct of MOCK POLL one hour before the
time fixed for commencement of poll
 Ensure presence of Polling Agents. Wait for 15
Minutes if Polling agents of two or more
candidates are not present.
27
MOCK POLL..
 Distribute the EVM Identification slips to Polling Agents of

the candidates present.
 Mock poll has to be started even if polling agents have not

arrived at the Polling station.
 Have to cast at least 50 votes in TOTAL (minimum 1

vote to each candidate including NOTA).
 Mock poll is compulsory
28
MOCK POLL..
 If there is no mock poll, there is no poll at the polling

station.
 During mock poll, Balloting Unit to be kept in Voting
Compartment.
 Ensure that at least TWO POLLING OFFICERS are
present in the Voting Compartment during Mock Poll.
 If no polling agents are present or if polling agent of single
candidate is present, then inform the R.O. immediately.
 Proper record of dummy votes cast in favour of each
candidate to be kept to avoid any doubts at the time of
MOCK POLL RESULTS by the Polling Agents.
29
MOCK POLL…
30
MOCK POLL…
2.
Polling Agent Press 3.
Candidate’s
1. Blue Button
Press Ready Candidate
Ballot Button Lamp
Button
Ready OFF RED

Busy
Lamp Lamp
Beep
4. Sound
Red Green
5.
6.
Press
Verify total
Total
Close Votes
recorded Button
Button
31
Order to be followed
Ensurethat equal
number of votes are
polled for all candidates
Seal
Switch off 7
Clear 6
Result 5
Close 4
Ballot 3
2
1
32
MOCK POLL CERTIFICATE
 Fill and sign the Mock Poll Certificate.
 Obtain the Signature of Polling Agents present
 Micro observer to participate in all proceeding of

the Mock poll
 Entire Mock poll procedure to be videographed in

case videographer is provided.
 Obtain the Signature of Micro observer on Mock

poll certificate.
33
SEALING AFTER MOCK POLL
• Make sure that Machine is in

switched OFF mode.
• Keep ready the following:
Green paper seal
Special tag
Strip Seal
Address tag 34
GREEN PAPER SEAL
 To be signed by
◦ Candidate/s, Election Agent/s, Polling
Agent/s, if any, present during the sealing.
 Note the serial Number of Green
Paper Seal on Presiding Officer’s Diary
and Form 17C
35
SEALING OF CONTROL UNIT
36
SPECIAL TAG
VIEW SEALS
 Back side to be signed by

◦ Candidate/s, election agent/s, polling
agent/s if any present during the
sealing
 Note the serial Number of Special
Tag on Presiding Officer’s Diary.
37
CLOSING THE INNER DOOR WITH THREAD
38
SEALING THE INNER DOOR WITH SPECIAL TAG
39
ADDRESS TAG…
 To be signed on back side by

◦ Presiding Officer.
◦ Candidate/s, election agent/s, Polling
Agent/s, if any, present during the
sealing.
 Affix distinguishing mark.
 Put wax seal.
40
ADDRESS TAG: FRONT & BACK VIEW
Election to the : 02 – South Goa Parliamentary Constituency
Control Unit Number: G – 34567
Sl. No. & Name of PS: 6, Govt. Primary School, Chaudi
Date of Poll : 12th April 2014
SIGNATURE OF PRESIDING OFFICER

40
SIGNATURE(S) OF CANDIDATE(S), IF PRESENT
SIGNATURE(S) OF ELECTION AGENT(S), IF PRESENT

6
SIGNATURE(S) OF POLLING AGENT(S), IF PRESENT
41
SEALING RESULT SECTION WITH ADDRESS TAG
42
STRIP SEAL
 Strip seal is also known as ABCD seal.
 To be Signed by-
◦ Candidate/s, election agent/s, Polling

Agent/s, if any, present during the time of
sealing
 Take care that the close button cap is not

covered by strip seal. 43
SEALING WITH STRIP SEAL
44
SEALING WITH STRIP SEAL..
45
SEALING WITH STRIP SEAL…
46
SEALING WITH STRIP SEAL….
47
SEALING WITH STRIP SEAL…..
48
49
50
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BEFORE START OF POLL
Show to Polling Agents present
Register of Voter (Form 17A) &
Marked Copy of Electoral Roll
53
READ SECTION 128 OF R.O.P.A.
54
DECLARATION BY PR.O.
02 --South
02 SouthGoa
Goa
6,
6, GOVT.
GOVT. PRIMARY
PRIMARY SCHOOL,
SCHOOL, Chaudi
Chaudi
12 April,
12th 2014
April, 2014
55
DECLARATION BY PR.O….
56
COMMENCEMENT OF POLL
Actual poll to commence

exactly on the scheduled
time.
Note that EVM records the
poll start time.
57
FIRST POLLING OFFICER
 In charge of
◦ Marked copy of the electoral roll.
◦ List of Absentee, Shifted and Duplicate
voters [ ASD List ].
◦ List of Vulnerable Voters ( inform Sector
Magistrate, if they have not come to vote )
 Responsible for the electors identification.
58
ABOUT FIRST POLLING OFFICER
VIEW
MARKINGS
 Once elector enters Polling Station
◦ Shall ask for the name of the Elector
◦ Shall identify the elector.
◦ Shall read ALOUD serial number and name of elector.
◦ Draw a diagonal line in the box of the concerned elector.
◦ In case of female voter, in addition, the serial number of
the elector shall be encircled.
◦ Maintains record of number of male & female electors
voted.
59
FIRST POLLING OFFICER - EDC
 Obtain signature of the person producing EDC on

EDC (FORM 12B) produced by him.
 Serially number the entry of EDC consecutively

after the last serial number in the MARKED COPY.
 EDC to be retained by the First Polling Officer.
 Mention the name and Electoral Roll details as per

EDC as below.
 Ex.: 415 / 25 / XYZ
415 :- Serial Number, 25: Part Number and XYZ :

Assembly Segment
60
IDENTIFICATION OF VOTER
 Election Photo Identity Card (EPIC)
 Photo Voter Slip issued by the RO

◦ Minor discrepancies in details of elector or
EPIC number should be ignored, if voter is
identified.
61
ABSENTEE, SHIFTED & DUPLICATE [ASD] VOTERS
 They have right to cast their vote.

 Any elector from the list of ASD shall
have to produce EPIC or any one of the
alternative photo documents.
 Check left hand fore finger of such
elector.
 Presiding Officer MUST verify the
identification document of such voter
PERSONALLY. 62
ABSENTEE, SHIFTED & DUPLICATE [ASD] VOTERS
 Presiding Officer shall also verify the details

entered by Polling Officer in the Register of Voters
(Form 17A).
 Thumb impression of such elector shall also be
taken on Registers of Voters (Form 17A) IN
ADDITION to signature (Even if the elector is
Literate).
 Presiding Officer shall maintain a record and give a
certificate at the end of the poll that so many
electors from the ASD list were allowed to vote
after proper scrutiny and this certificate is to be
kept with FORM 17A for scrutiny.
63
DUTIES OF THE SECOND POLLING OFFICER
Shall be in charge of-

◦Indelible ink
◦Register of Voters (17A)
◦Voter Slip
Apply indelible ink to left
hand fore finger of elector.
64
INDELIBLE INK TO LEFT HAND FOREFINGER
65
REGISTER OF VOTERS….
 Shall enter the serial number of voter in second

column of register.
 Enter description of document along with LAST

FOUR DIGITS OF ITS NUMBER produced by
the elector in the third column.
 Obtain full signature / thumb impression of elector

in fourth column.
66
VOTER SLIP…
 Shall enter the Serial Number of voter in

column (1) of Register of Voters in item No. 1
 Serial Number of Voter as per Marked Copy in

Item No. 2
 And shall sign the same in item No. 3
67
DUTIES OF THIRD POLLING OFFICER
 IN-CHARGE OF CONTROL UNIT OF EVM.

 Take back the Voter Slip from elector & places it
serially.
 Verify if the ink mark is retained by the elector & if
removed, should get the same applied again
 Instruct the elector to wipe their thumb using wet
cloth/duster in case if the same is inked.
 Ask the voter to go to Voting Compartment.
 Press the ‘Ballot’ button on Control Unit.
68
WORDS OF CAUTION
 Take care that the next voter is allowed

to enter the Voting Compartment only
after the beep sound and red light on
Control Unit goes off.
 Strictly
allow voters to enter the Voting
Compartment in same sequence of
Voter Slip.
69
ROLE OF PRESIDING OFFICER
 PresidingOfficer is the overall

in-charge of the polling team.
 Presiding Officer may swap
duties of Polling Officers as per
need of hour.
70
TWO HOURLY REPORT
 Cumulative report should be given

to the RO/ARO through Sector
Magistrate or representative of RO
every two hours.
 Figures should be taken out from
the TOTAL button of EVM and
verified with the Register of voters.
71
CHALLENGED VOTES
 Candidate / Election Agent / Polling

Agent may challenge.
 Challenge fees- Rs. 2.

 Name to be recorded in List of Challenged
votes.
 Presiding Officer to hold summary

inquiry.
72
PROCEDURE IN CASE OF CHALLENGED VOTES
 Warn the person challenged about the penalty

for impersonation.
 Enter his name and address in the list of

Challenged Votes (Form 14)
 Ask him to sign/ affix his thumb impression
 If he refuses to do so, do not allow him to vote
73
PROCEDURE IN CASE OF CHALLENGE
 Ask the challenger to produce evidence that he

is not voter
 If he does not provide prima facie evidence –
disallow challenge
 If prima facie evidence provided, ask the voter to
produce evidence that he is voter (Rebut the
challenge)
 If voter proves his point, allow him for voting
 If he fails, hold the challenge proved
74
VERIFICATION OF ELECTOR’S IDENTITY AND
PROCEDURE IN CASE OF CHALLENGE
 Take support of villagers if you need to ascertain the fact

 Administer oath from challengers
 Enter the name in LIST OF CHALLANGED VOTES
 Immediately return the challenge fee of two rupees to

the challenger after inquiry except if you find that the
challenge was not done in good faith.
 In that case forfeit the challenge fee to Government and

do not return it to the challenger and enter the word
“forfeited” in Column 10 of Form 14 and the relevant
counterfoil in the receipt book
75
RECEIPT OF CHALLENGE FEE
76
RECEIPT OF CHALLENGE FEE…
40, Canacona
Sadar, Canacona
12 April 2014
77
FAILURE OF CHALLENGE
Forfeit Rs. 2.
Sign the counterfoil on the
receipt book.
Allow Voter to cast his vote.
78
CHALLENGE FEE FORFEITED
12 April 2014
79
CHALLENGE PROVED
Don’t allow the voter to

vote.
Filecomplain to S.H.O. and
hand over to police.
Return back Rs. 2 to the
challenger.
80
CHALLENGE PROVED
12 April 2014
81
COMPLAINT LETTER TO S.H.O.
Canacona Police Station

Canacona Goa
40 - Canacona
02 – South Goa
06- Chawdi, Canacona Goa
12 April 2014
40 - Canacona
82
COMPLAINT LETTER TO S.H.O. …
Chawdi, Canacona
Goa
12 April 2014
40 - Canacona
83
CHALLENGE ON AGE
 Presiding Officer considers any

voter below qualifying age.
 Get satisfied about his identity.
 Obtain declaration.
 Allow the elector to vote.
84
DECLARATION ABOUT AGE
2014
85
DECLARATION ON AGE ….
06
12 April 2014
12 April 2014 06 – Chawdi, Canacona Goa
86
LIST OF VOTER WHO GAVE DECLARATION
FORM 14 A
[See rules 40(2) and 40A(2)]
Election to 02 – South Goa Parliamentary Constituency from 40, Canacona

No. and Name of Polling Station : 06 – GPS Chawdi
40, Canacona
06, Chawdi, Canacona Goa
87
LIST OF VOTER WHO REFUSED TO MAKE DECLARATION
12 April 2014
88
TENDERED VOTES
 To be issued to an elector in whose

name another person has already voted
as such voter.
 Satisfy about identity of such person.
 Allowto vote by means of Tender
Ballot Paper but not through
EVM.
 Enterthe name of elector in list of
tendered votes.
89
LIST OF TENDERED VOTES
GOA 02 - South Goa
06 – GPS Chawdi
06
12 April 2014
90
VOTING BY PROXY
 Some categories of service voters have been

given the facility of voting through proxy
appointed by them.
 Such voters are categorized as “Classified Service

Voters” (CSVs).
 The Returning Officer will supply you a list of the

CSVs
 This list of CSVs is to be treated as part of the

marked copy of the electoral roll for your polling
station
91
VOTING BY PROXY
 Proxy voter will follow the same procedure as other voters
 In the case of proxy, marking of indelible ink will be done on the

middle finger of the left hand
 The proxy will be entitled to vote on behalf of the CSV in addition to

the vote that he may cast in his own name if he is registered elector
in the constituency
 The serial number of elector to be entered in the second column of

the Register of Electors (Form 17A) as given in the sub-list of CSVs
for your polling station.
 In the main marked copy of the electoral roll, the letters ‘PV’ (for
‘Proxy Voter’) should be suffixed in bracket.
92
VOTING BY BLIND AND INFIRM
 Blind & infirm persons are allowed to

be accompanied by a companion of not
less than 18 years of age.
 Personcan be allowed to act as

companion to only one elector.
 Obtain declaration about maintaining

secrecy of vote.
93
BRAILLE “DUMMY BALLOT SHEET”
 Introduction of Braille signage feature in

EVM.
 Presiding Officer will be provided with one
dummy ballot sheet in Braille containing the
serial number, name and party status of the
candidate.
 Facility of companion can be availed.
 Presiding Officer to hand over dummy sheet
to voter on his request and collect it back.
94
BRAILLE “DUMMY BALLOT SHEET”…
 On close of poll the dummy ballot sheet to

be sealed in separate cover written there on
“Dummy Ballot Sheet” and sent to RO along
with other non-statutory forms.
 Presiding Officer to maintain the record of
all the voters who availed the facility of
Braille sheet and submit to RO in Prescribed
Form.
95
CARDBOARD EVM
 Ensure Free and Fair poll.

 Leave no chance for allegation against polling staff.
 Cardboard (real size) printed sample of EVM
ballot unit will be provided to each polling team.
 Any voter seeking help/express inability to vote
using EVM, presiding officer to explain the voter
the voting process by using cardboard EVM
outside voting compartment in presence of polling
agents.
96
SOME PRECAUTIONS…
 Presiding Officer to avoid frequent visit

to voting compartment.
 Ifat any time, Presiding Officer feels

need of inspecting the Balloting Unit,
should strictly do so in presence of
Polling Agents.
97
REFUSED TO VOTE - RULE 49 O
 Voter deciding not to vote after completing

procedure with polling officers.
 Cannot be forced to vote.

 Presiding Officer to make remarks in the remarks
column of register of voters as “Refused to Vote”
and sign below the remark.
 Obtain signature or thumb impression of

elector against the remarks.
98
REMARK ON REGISTER OF VOTERS..
99
ELECTORS DECIDING NOT TO VOTE
•If the “Ballot” button on the control unit has been pressed to release
voting on the ballot unit for the last elector but he refuses to vote then
•Whoever is in-charge of the control unit shall put the ‘Power’
switch in the rear compartment of the control unit to ‘OFF’
position
•Disconnect the ballot unit(s) from the control unit.
•After disconnecting the ballot unit(s) from the control unit the
‘Power’ switch should again be put ‘ON’.
•Now the ‘Busy’ lamp will go off and the ‘Close’ button will
become functional to close the poll.
•Do it care fully and step wise as if this whole process is not followed
in such a case, the ‘Close’’ button will not be functional and without
closing the control unit, it will not give the result, because the ‘Result’
button will also become functional only after the ‘Close’ button is
pressed.
100
NONE OF THE ABOVE [NOTA] OPTION
• The elector has an option of casting his vote

against NOTA
• On the Balloting Unit, NOTA is shown as the last
candidate.
• NOTA is not an alternative to REFUSED TO VOTE
(Rule 49-O)
• Symbol for NOTA is as shown below
101
NOT ALLOWED TO VOTE - RULE 49 M
 An elector violating secrecy of voting/voting

procedure shall not be allowed to vote.
 If voter slip is already been issued shall be
withdrawn and cancelled.
 Make entry in remarks column of register of
voters - “Not allowed to vote - poll
procedure violated”.
 Presiding Officer to sign below the entry.
102
REMARK ON REGISTER OF VOTERS...
103
REPLACEMENT OF EVM
 Ensure that both CU and BU are to

be replaced in case of failure of
either.
 Conduct Mock poll by casting at
least one vote to each candidate.
 Seal the machine.
 Sign mock poll certificate and
obtain signature of polling agents.
104
REPLACEMENT OF EVM
 Add a note indicating such replacement

in the ORIGINAL mock poll certificate
mentioning the EXACT TIME OF
REPLACEMENT.
 Sign Part II of Declaration by presiding
officer.
 Write serial number of EVM, Green
Paper seal, Special Tag & Strip Seal on
Presiding Officer’s Diary & Form 17C 105
REPLACEMENT OF EVM ….
PART - II
02 – SOUTH GOA Parliamentary /

6, G.P.S., CHAWDI – Canacona GOA
12 April 2014
106
REPLACEMENT OF EVM….
12 April 2014
107
CLOSING OF POLL
 Poll closing time is 5.00 p. m.

 Issueserial numbered slips to the
electors in the Queue at 5.00 p. m.
 Last person in Queue to be given
slip of serial no. 1
 Close the poll once last voter casts
his vote.
108
ISSUE OF SLIPS
109
ISSUE OF SLIPS…
110
CLOSE OF POLL & FIRST POLLING OFFICER
 Once the last voter casts his

vote, the first polling officer
shall count the total number of
male and female votes and give
information to Presiding Officer.
 He shall also sign the Presiding
Officers Diary.
111
CLOSE OF POLL & THIRD POLLING OFFICER
 Shall draw a line in register of voters after

the last entry of the elector.
 He shall also write immediately after the line

“The serial number of last entry in form
17A is ____.”
 Give information to Presiding Officer about

total number of voters as per register of
voters, number who refused to vote and not
allowed to vote.
112
REMARK ON REGISTER OF VOTERS....
113
CLOSE OF POLL & PRESIDING OFFICER
 Shall
verify total votes recorded
in Control Unit and record the
same in Form 17-C & PO’s
Diary.
114
CLOSE OF POLL & PRESIDING OFFICER..
 Once the last voter casts his vote, the

Presiding Officer shall press the CLOSE
button of CU and put off the machine
without any delay.
 He shall also fill Form 17C, sign it, give one
copy to each polling agent & obtain their
signatures on it.
 [ Total No. of 17C = Total No. of Candidates
+ 3 for RO + 1 in CU ]
115
ACCOUNT OF VOTES RECORDED….
116
ACCOUNT OF VOTES RECORDED…...
117
 After copies of Form 17C are given to

polling agents and obtaining their signatures,
the presiding officer shall
◦ Make declaration in part III of the declarations to

be made by Presiding Officer and obtain
signature of polling agents.
118
DECLARATION AT THE END OF POLL
12 April 2014
119
DECLARATION AT THE END OF POLL…
12 April 2014
120
 He shall put one copy of Form 17C and seal

the control unit and balloting unit case with
the address tags which are also required to
be signed by presiding officer and polling
agents.
 Shall sign Declaration in part IV of the

declaration to be made by presiding officer
and obtain signatures of polling agents on it.
121
DECLARATION AFTER THE SEALING OF EVM
12 April 2014
122
DECLARATION AFTER THE SEALING OF EVM…
12 April 2014
123
 He shall fill :
◦ remaining part of the Presiding Officer’s
diary
◦ 16 Point Report for Observer.
◦ Additional report by the Pr.O.
◦ Maintain record of the electors from the
ASD list who were allowed to vote.
124
PRESIDING OFFICER’S DIARY…
40 - Canacona
12 April 2014
40 / 6
125
PRESIDING OFFICER’S DIARY….
126
PRESIDING OFFICER’S DIARY…..
( Form 17 A )
127
PRESIDING OFFICER’S DIARY…...
128
PRESIDING OFFICER’S DIARY…....
129
PRESIDING OFFICER’S DIARY….....
Canacona GOA
12 April 2014
130
STATUTORY COVERS
 UNSEALED
◦ Account of votes recorded and paper seal
account—17 C
◦ Declarations by presiding officer before and after
the poll.
◦ Visit sheet
◦ 16- point Observer’s Report
◦ Presiding Officer’s Diary—in duplicate
◦ Mock Poll Certificate
◦ Report on the voting by the visually impaired
voters
131
IMPORTANT REPORTS..
UNSEALED
 Additional Reports of the Presiding

Officer.
 Certificate
regarding number of
Voter’s who voted from the ASD
list.
 Scrutiny of Form 17A
132
STATUTORY COVERS - SEALED
1)Marked copy of electoral roll

2)Register of voters 17 A
3)Voter slips
4) Unused tendered ballot papers
5) Used tendered ballot papers and
list in form 17 B
133
NON-STATUTORY COVERS
SEALED COVERS
Receipt book & cash forfeited in
1. Other copies of Electoral Roll 7.
respect of challenged votes
Appointment letters of Polling Unused and Damaged paper
2. 8.
Agents in Form 10 seals
Election Duty Certificates [Form
3. 9. Unused Voter Slips
12B]
4. List of challenged votes 10. Unused & damaged Special Tags
List of blind & infirm electors in

Unused and damaged strip
5. Form 14-A along with the 11.
seals
declarations of companions.
Declaration from electors as to
6. 12. Dummy Ballot Sheet
their age & list of such electors.
134
NO UNDUE DELAY IN POLL
 Presiding Officer to ensure that the start of

poll is not delayed for unduly long hours for
any reasons.
 Commission may order re-poll at any polling
station where polling fails to start for two
hours for any reasons.
 Immediate action for replacement of EVM in
case of failure.
135
CERTAIN SIGNIFICANT INSTRUCTIONS
 ALWAYS BE:
‘JUST – FAIR – REASONABLE’
 ACT WITH CONFIDENCE AND

PERFORM ELECTION DUTY WHOLE
HEARTEDLY
136
19 November 2018 10:22 PM
137
Model Polling Station BACK
EVM-MODEL POLLING STATION
MICRO OBSERVER
PRESIDING OFFICER
VOTING
COMPARTMENT
ROPE PARTITION
POLLING OFFICER-3 POLLING OFFICER-2 POLLING FFICER-1
POLLING AGENTS
138
ADDRESS TAG BACK
Election to the : 02 – South Goa Parliamentary Constituency
Control Unit Number: G – 34567
Sl. No. & Name of PS: 6, Govt. Primary School, Chaudi
Date of Poll : 12th April 2014
139
MARKED COPY …. BACK
140
STRIP SEAL
SEALS / TAGS
SPECIAL TAG
GREEN PAPER SEAL
BACK
141
MARKED COPY ….
BACK
142
MOCK POLL CERTIFICATE…
ANNEXURE – I
MOCK POLL CERTIFICATE
This is certified that I ………………………., Presiding Officer at the

Polling Station No……. of ………………………….. Assembly
Constituency ( or the ………… Assembly segment under
……………….. Parliamentary Constituency) conducted the mock poll at
………….. am today, the poll day i.e………………... following
scrupulously all the instructions issued by the Election Commission of
India.
A total of ……….. votes were polled in the mock poll and after the mock
poll, I have carefully cleared the memory of the mock poll and the total
votes polled showed ‘0’ after clearing the memory.
A. At the time of mock poll, the following of polling agents representing

the candidates whose names mentioned against the names of such
agents were present and I have obtained their signatures.
NEXT 143
MOCK POLL CERTIFICATE….
Sl. Name of the Name of the Signature of

Name of the Polling Agent
No. Party Candidate Polling Agent
1.
6.
3.
4.
B. At the time of mock poll, the agent of only one contesting candidate
were present. After waiting for fifteen minutes, I conducted the mock
poll along with other polling staff at ………, I have mentioned before
the name of the agent present at the time of mock poll including the
name of the candidate whom he represented.
( In case, no agent was present, it shall be mentioned “No Polling Agent

was present at the time of Mock Poll” )
NEXT 144
MOCK POLL CERTIFICATE….. BACK
Name of the Candidate Signature of Polling

Name of the Agent
( with Party affiliation) Agent
Signature of Micro-observer (if posted at the PS)
Date: 12th April 2014 Name of Signature of

Time: 06.45 pm the Presiding Officer
Polling Station No……….
145
OTHER COPY OF ELECTORAL ROLL BACK
146
DISTINGUISHING MARK
BACK
40
40 : Assembly Segment Number

6 : POLLING STATION NUMBER
147
Form 17A Form 17 A
(See Rule 49 L)
Register of Voters
Elections to the House of the People / Legislative Assembly of the State

/ Union Territory Goa . from Constituency No. and Name of the
.
Polling Station 40 – Canacona Assembly Segment Part No. of Electoral

.
Roll 06 – GPS Chawdi

. .
Signature/Thumb
Sl. No. of Elector in Details of the document produced by the
Sl. No. impression of Remarks
the Electoral Roll elector in proof of his/her identification
Elector
(1) (2) (3) (4) (5)
1.
2.
3.
4.
BACK Signature of
Presiding Officer
148
PHOTO VOTERS SLIP…. BACK
Election to the 2- South Goa Parliamentary Constituency
Voter Slip
No. and Name of AC : ……………………………………………
Part No.: …………………………………………………………… PHOTO
Name: ………………………………………………………………
Sex: ………………………..……………………………………….
EPIC No. …………………………………………………………...
Father’s/ Mother’s/husband’s Name: ………………………………………………………....
Voter Serial Number: ………………...……………………………………………………….
Polling Station No. & Name: …………………………………………………………………
Poll Date, Day and Time: ……………………….……………………………………………
Note 1: This Voter Slip can also be produced as an identification document.

Note 6: Bringing this voter slip to the Polling Station is, however, not compulsory. It is issued only as convenience to
electors.
Note 3: If this voter slip does not have a photograph or it has wrong particulars or Photograph, the voter can still be
allowed to vote based on alternate identity documents permitted by Election Commission of India.
Date: Signature and Stamp of

Returning Officer/BLO
149
Voter Slip : General Voter BACK
Voter Slip : EDC Voter
150
CLOSE BUTTON OF EVM… BACK
CAP OF
CLOSE
BUTTON
151
NEXT
152
BACK
153
NOTICE SPECIFYING POLLING AREA.. BACK
154
WARNING NOTICE
BACK
155
CLOSE OF POLL…
BACK
156
Ballot Unit - Details BACK
Ready Lamp
Slide Switch Window
Candidate’s Button
Candidate’s Lamp
Ballot Paper Screen
157
Mock Poll Results
BACK
158
Green Paper Seal
BACK
159
Special Tag
BACK
160
CONTROL UNIT
BACK
Result I
button Clear button
Close
button
Result II Inner Frames for

button latches Paper seal
161
STRIP SEAL
BACK
162
OTHER MISC. COVERS
163
MISC COVERS - 1
164
MISC COVERS - 6
165
MISC COVERS - 3
166
MISC COVERS - 4
167
STATUTORY COVERS
BACK
168
STATUTORY COVERS - 1
BACK 169
BACK 170
BACK 171
BACK 172
BACK 173
NON STATUTORY COVERS
BACK
174
NON-STATUTORY COVER - 1
BACK
175
NON-STATUTORY COVERS - 6
BACK
176
BACK
177
BACK
178
SEALED COVER - EDC
SEALED COVER CONTAINING EDC
No. & Name of Polling Station: _________________
Total Number of EDC’s inside the Envelope: _______
BACK 179
UNSEALED COVERS…
Additional Report by Presiding Officer
BACK
180
BACK
181
BACK 182
BACK 183
BACK 184
BACK 185
BACK 186
UN-USED TENDERED BALLOT PAPER – SAMPLE
BACK 187
PHOTO VOTER SLIP
BACK 188
APPT. OF POLLING AGENTS
FORM 10
BACK
APPOINTMENT OF POLLING AGENT
[See Rule 13(6)]
Election to the South Goa Parliamentary Constituency
I, …………………………………., a candidate/election agent of …………………………………………..

who is a candidate at the above election do hereby appoint …………………………………........................
of ……………………………….. as polling agent to attend Polling Station No. ……….. at /place fixed for
the poll …….………………………..
Place : ……………………….. Signature of Candidate/Election Agent

Date : ………………………..
I agree to act as such polling agent.
Place : ……………………….. Signature of Polling Agent

Date : ………………………..
Declaration of Polling Agent to be signed before Presiding Officer
I hereby declare that at the above election, I will not do anything forbidden by Section 168 of the
Representation of Peoples Act, 1951, which I have read/has been read over to me.
Date: ……………………….. Signature of Polling Agent
Signed before me Date: …………………. Signature of Presiding Officer 189

Postal
DETAILS OF MARKED COPY ….. Ballot
Hash
Mark
PHOTO
AS IN
CORRECTION
LIST
EDC
BACK 190
MARKINGS ON MARKED COPY …..
Encircling Sr.
No. of Female Diagonal Line
Voters
BACK
191
Additional information - 1 HOME
Additional Information from Presiding Officer at the receiving centre
Name of the State : ______________________________________________

Name of the District : ______________________________________________
No. & Name of A.C. : ______________________________________________
No. & Name of P.S. : ______________________________________________
Sr.
Item Sex Nos.
No.
Male
Female
1. Total Electors in the Polling Station
Others
Total
Male
Female
6. Number of persons who voted in the Polling Station
Others
Total
NEXT 192
Additional information - 1 HOME
Sr.
Item Reply
No.
3. Number of Tendered votes
4. Number of challenged votes
5. Number of proxy votes by CSVS
6. No. of voters who exercised their franchise on the basis of EPIC
7. No. of voters who exercised their franchise using Photo Voter Slip
8. No. of voters who exercised their franchise on basis of alternate document
9. No. of voters who exercised their franchise on the basis of Rule 49 – O
10. Number of polling agents in the Polling Station
11. Number of polling stations where no Polling Agents were present
16. Number of overseas voters who voted in the Poll
13. Number of EVM’s used.
13A Whether the EVM was changed or replaced
13B If so, the time when changed and the reason for such change.
BACK 193
List of Challenged Votes
BACK
FORM 14
LIST OF CHALLENGED VOTES
[ See Rule 36(6)(C) ]
Election to the*……....................from the …................... Constituency.
[Polling Station Number and Name of Polling Station...............in.................Assembly

constituency/Name of place of poll ...............]
Sr. No. of
Name of Challenger
challenger receiving
Name of the Elector
Signature or thumb
Order of Presiding
person challenged
person challenged
impression of the
refund of deposit
identifier, if any
Address of the
Electors Name in
No. of Entry
Name of the
Sign of one
Part of roll
Officer
that part
1 6 3 4 5 6 7 8 9 10
Date: …………………. Signature of Presiding Officer

194
Entry pass for Polling Agents BACK
Sl. No. _____________
ENTRY PASS
AC No. & Name : ________________________

P.S. No. & Name : ________________________
Name of Candidate : ________________________
Name of Polling Agent: ________________________
Name of Relief Agents, if any: __________________
Signature of Presiding Officer

195
VISIT SHEET…. BACK
VISIT SHEET
Day of Poll: 18th
12October 2010
April 2014
Name and Number of Assembly: 19-Valpoi
40 - Canacona
Name and Number of Polling Station: 6-Government Primary School,
6, GOVT. PRIMARY SCHOOL, Valus.
Chaudi
Number of Electors: 806 985
SI. Name and Designation of Officer visiting Time of Brief Description of polling process No. of votes % polled till Remarks if Signature of
No. (Observer/DEO/RO/ERO/Sector Visit (Peacefull/Incidents, if any) polled till the the time of any Officer
Magistrate/Zonal Magistrate/Patroling time of visit visit
Magistrate)
1 2 3 4 5 6 7 8
Signature of Presiding Officer (with Date)……………………………………………………….

196
DECLARATION BY THE COMPANION OF BLIND OR INFIRM VOTER
Declaration by the Companion of Blind or Infirm Voter

…………………………………… Assembly Constituency
[ comprised within …………………………. Parliamentary Constituency ]
Serial No. and Name of the Polling Station …………………………………………………………………...
I, ……….………………………………………….., son of …………………………………………………..

resident of ……………………………………………………………………………………………………
………….………………………………………………………………………………………………………
hereby declare that –
(a) I have not acted as companion of any other elector at any polling station today, the 03/03/2012 and
(b) I will keep secret the vote recorded by me on behalf of ………………………………………………….
Date: ……………………….. Signature of Companion
BACK 197
REPORT ON THE VOTING BY THE VISUALLY IMPAIRED VOTERS
Report on the Voting by Visually Impaired Voters

1. No. & Name of the Assembly Constituency : ……….………………………………………………..
2. No. and Name of the Polling Station: …………………………………………………………………
3. Name of the Presiding Officer: ……………………………………………………………………....
Number of Number of Number of such voters

Number of
visually such voters who did not use dummy
Sr. voters who
impaired who used ballot sheet & preferred
No. used both
voters turned dummy ballot to vote using provision
the facilities
up for voting sheet in Braille of the Rule 49N
1 6 3 4 5
Date: ……………………….. Signature of the Presiding Officer
BACK 198
CERTIFICATE
BACK 199
RECEIPT OF CHALLENGE FEE
BACK 200
IDENTIFICATION DOCUMENTS
 EPIC of the Voter
 Voters Slip issued by RO / collected from the

facilitation booth outside PS
BACK 201
MINOR DISCRIPANCIES
 If Photo is wrong in PER, but correct in
EPIC - Identification can be allowed to be made
through EPIC.
 Where photo is wrong in EPIC but correct

in PER – Identification should be allowed on basis
of photo in PER.
 Where photo is wrong both in PER & EPIC

– Identification should be allowed through list of
alternative documents along with EPIC/Voter Slips.
BACK 202
LIST OF CONTESTING CANDIDATES...
FORM 7 A
[ See Rule 10(1) ]
List of Contesting Candidates
Election to the 2-South Goa Parliamentary Constituency
Sr. Party Symbol

Name of Candidate Address of Candidate
No. Affiliation* Alloted
1 6 3 4 5
1.
6.
3.
4.
5.
6.
Date: ……………………….. Signature of the Presiding Officer
BACK 203
SPECIMEN SIGN OF CONTESTING CANDIDATES...
SPECIMEN SIGNATURE OF CONTESTING CANDIDATES & THEIR ELECTION AGENTS
No. & Name of Parliamentary Constituency: 02 – South Goa .
The specimen signatures of contesting candidates and their Election Agents are given below for the
Purpose of verification of their signatures by the Presiding Officer in the letter of appointment of polling
Agents at the time of poll:-
Sr. Name of the Specimen Name of his/her Specimen

No. Contesting Candidate Signature Election agent Signature
1.
6.
3.
4.
Date: ………………………..
Place: ………………………. Signature of the Presiding Officer
BACK 204
POLLING BOOTH SETUP
205
CERTIFICATE REGARDING ASD VOTERS….
CERTIFICATE REGARDING NUMBER OF
VOTER’S WHO VOTED FROM THE ASD LIST
No. & Name of Parliamentary Constituency: 02 – South Goa .
I certify that, I have personally verified the identification documents of each voter who voted
from the ASD list and allowed them to vote.
Number of Number of Number of

Total Number
ABSENTEE SHIFTED DUPLICATE
Sr. of voters voted
voters who voters who voters who
No. from the ASD
voted from the voted from the voted from the
List
ASD List ASD List ASD List
1 6 3 4 5
Date: ………………………..
Place: ………………………. Signature of the Presiding Officer BACK 206
REPORT ON VOTING BY BLIND & INFIRM [ FORM 14A]
FORM 14A
LIST OF ILLITERATE, BLIND AND INFIRM VOTERS
Election to the : 40 – Canacona . Assembly Constituency of Legislative

Assembly of : Goa .
Number and Name of Polling Station : 6, Chaudi
Name of place of poll: Govt. Primary School, Chaudi
Part No. & Sl. Full Name of Full name of Address of Signature of
No. of Elector Elector Companion Companion Companion
1 6 3 4 5
Date: ………………………..
Place: ………………………. Signature of the Presiding Officer BACK 207
DECLARATION ABOUT AGE
BACK
(CHAPTER XVIII, Para 10.6)
FORM OF DECLARATION BY ELECTOR ABOUT AGE
I hereby solemnly declare and affirm that my age was more than 18 years on the
first date of January 2012, i.e. the qualifying date with reference to which the
existing electoral roll of the constituency was prepared/revised.
I am aware of the penal provisions of Section 31 of the Representation of Peoples

Act, 1950 for making any false declaration in connection with the inclusion of any
name in the electoral roll or the preparation, revision or correction of the electoral
roll.
Signature/Thumb impression of the Elector: ………………………….
Father/Mother/Husband’s Name: ………………………………………
Part Number of electoral roll: …………………………………………..
Dated: 03/03/2012
Certified that the above declaration was made and subscribed by the elector above
named before me.
Place: ………………………. Signature of the Presiding Office

208
LIST OF VOTERS : 1] DECLARATION OBTAINED
2] REFUSED TO GIVE DECLARATION
Election to the : Goa Legislative Assembly from 40 – Canacona .

Number and Name of Polling Station: 6, Chaudi
PART I
LIST OF VOTERS FROM WHOM DECLARATION AS TO THEIR AGE HAVE BEEN OBTAINED
Sl. Full Name Part No. and Serial Age as entered Age as assessed by the
No. of Elector No. in Electoral roll in electoral roll Presiding Officer
1 6 3 4 5
PART II
LIST OF VOTERS WHO HAVE REFUSED TO MAKE DECLARATION AS TO THEIR AGE
Sl. Full Name Part No. and Serial Age as entered Age as assessed by the
No. of Elector No. in Electoral roll in electoral roll Presiding Officer
1 6 3 4 5
BACK
Date: ………………………..
Place: ………………………. Signature of the Presiding Officer 209
EVM IDENTIFICATION SLIP..
Electronic Voting Machine Identification Slip
Name of the Parliamentary Constituency: …………………………………...
Name of Assembly Segment: ……………………………………................................
No. & Name of Polling Station: …………………………………….............................
Serial No. of Control Unit: …………………………………….....................................
Serial No. of Ballot Unit: ……………………………………........................................
( Signature and Stamp )

( Returning Officer / Asst. Returning Officer )
BACK 210
MISCELLANEOUS ELECTION MATERIAL
BACK 211
SCRUTINY OF FORM 17-A BACK
SCRUTINY OF FORM - 17A
Name & No. of Polling Station:
MALE
FEMALE
1 Total Electors in the Polling Station OTHERS
TOTAL
MALE
FEMALE
2 Number of Persons who voted in Polling Station OTHERS
TOTAL
3 Number of tendered votes

4 Number of Challanged votes
5 Number of proxy votes by CVS‘s
EPIC
6 Number of voters who excercised their right of vote on the basis of VOTER SLIP
ALTER. DOCUM.
7 Number of voters who excercised their rightunder rule 49 O

8 Number of Polling Agents in the polling station
9 Number of OVERSEAS electors voted.
10 Number of EVM's Used.
11 Whether EVM was Changed or Replaced
12 Time when EVM was Changed and reason for it
13 TOTAL ASD voters in the list
14 Total persons who cast their vote from ASD voters list
15 Violance or poll interruption due to any reason
16 Complaints received with respect to that polling station.
PRESIDING OFFICER 212

Additional information - 1
Additional Information from Presiding Officer at the receiving centre
Name of the State : ______________________________________________

Name of the District : ______________________________________________
No. & Name of A.C. : ______________________________________________
No. & Name of P.S. : ______________________________________________
Sr.
Item Sex Nos.
No.
Male
Female
1. Total Electors in the Polling Station
Others
Total
Male
Female
6. Number of persons who voted in the Polling Station
Others
Total
NEXT 213
Additional information - 1
Sr.
Item Reply
No.
3. Number of Tendered votes
4. Number of challenged votes
5. Number of proxy votes by CSVS
6. No. of voters who exercised their franchise on the basis of EPIC
7. No. of voters who exercised their franchise using Photo Voter Slip
8. No. of voters who exercised their franchise on basis of alternate document
9. No. of voters who exercised their franchise on the basis of Rule 49 – O
10. Number of polling agents in the Polling Station
11. Number of polling stations where no Polling Agents were present
16. Number of overseas voters who voted in the Poll
13. Number of EVM’s used.
13A Whether the EVM was changed or replaced
13B If so, the time when changed and the reason for such change.
HOME 214
Distribution and Receiving Arrangement. PLAN
BACK
215
FILLED IN 17A
BACK
216
REMARK ON REGISTER OF VOTERS..
217

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1

DISTRICT ELECTION OFFICER

19 November 2018 10:22 PM

FOR GENERAL ELECTIONS TO

 Presiding officer is leader of polling team.

1. PRE – POLL DUTIES:

2. POLL DUTIES (AFTER THE START OF POLL)

3. POST – POLL DUTIES

 Know the distribution centre and

 Confirm that the serial numbers on CU and

 Total number of EVM Identification Slips

Marked copy of voter list:

 Check the marked copy in total and

Find out whether there is

 Transport – Vehicle as provided by

 No Vehicle other than provided by

 Polling parties to be accompanied by

 A notice showing the polling area, list of contesting candidates

 See that no photographs of political leaders are displayed in the

 Set up the polling station preferably as per the Model.

 Make arrangement for separate queue for Male,

 Regulation of voters in the Polling Station should be as

 Takea round and know periphery of

 Remove / get removed all the banners

 Entire polling team should be ready one

 Police cannot enter Polling Station.

 However, Presiding Officer can call

 Even security personnel has to be

 Identity cards will be issued to:

◦ Sector Officer / Magistrate

◦ And all other election related Officers.

 No special treatment is to be provided

 Should handle the situation

 No press or media persons to be

 No Photography and video

 To be maintained by the presiding officer.

 Seatedat the Polling Station and

 He is there to observe and not to

 STRICTLY IN SILENT MODE

 Entire polling team to be ready one hour prior to

 Distribute the EVM Identification slips to Polling Agents of

 Mock poll has to be started even if polling agents have not

 Have to cast at least 50 votes in TOTAL (minimum 1

 Mock poll is compulsory

 If there is no mock poll, there is no poll at the polling

Ready OFF RED

 Fill and sign the Mock Poll Certificate.

 Obtain the Signature of Polling Agents present

 Micro observer to participate in all proceeding of

 Entire Mock poll procedure to be videographed in

 Obtain the Signature of Micro observer on Mock

• Make sure that Machine is in

 Back side to be signed by

 To be signed on back side by

Election to the : 02 – South Goa Parliamentary Constituency

Control Unit Number: G – 34567

Sl. No. & Name of PS: 6, Govt. Primary School, Chaudi

Date of Poll : 12th April 2014

SIGNATURE OF PRESIDING OFFICER

SIGNATURE(S) OF ELECTION AGENT(S), IF PRESENT

SIGNATURE(S) OF POLLING AGENT(S), IF PRESENT

◦ Candidate/s, election agent/s, Polling

 Take care that the close button cap is not

Show to Polling Agents present