1

TRAINING TO PRESIDING
AND POLLING OFFICERS
DISTRICT ELECTION OFFICER
RETURNING OFFICER
LEVEL

November 16, 2016

11:33 AM
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
members.

with

your

team

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.

AT DISTRIBUTION CENTRE

AT DISTRIBUTION CENTRE

Marked copy of voter list:

Check

the marked copy in total

and Certificate given by RO.

Check

markings on the marked cop

y.
If

the number of voters in your

polling station exceeds 850,
ensure that the additional Polling
Officer accompanies the polling

MARKED COPY
Check:1.
2.
3.
4.
5.

6.
7.
8.
9.

Check the certificate given by Returning Officer.

That the copies of the supplements are given.
That the part number of the roll and the
supplement is correctly given.
Page numbers in the working copies of the roll
are given serially.
The printed serial numbers of voters are not
corrected and no new numbers are substituted
for them.
Marked copy is duly certified by the RO/ARO.
No unauthorized markings on the marked copy
except PB.
The deletions and corrections marked on the
marked copy as per the supplements.
Check markings on the marked copy.
9

AT DISTRIBUTION CENTREVERIFY
Voter

slips in sufficient quantity.

Indelible
Metal
List

ink.

Seal & Cross Arrow Mark

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 observers report.

Dummy

cardboard Balloting Unit.

10

AT DISTRIBUTION CENTRECHECK
Acquittance
Tender

Roll

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

C. P. F.

Micro
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

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.
Take

a 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 DOS & DONTS

DOS
1.

Must possess Appointment letter in

FORM 10.

DONTS
1.

Shall NOT carry their roll copy or send

slips outside the Polling Station.

2.

Will carry ENTRY PASS issued by

Presiding Officer.

2.

Reliever Polling Agent will NOT enter

the Polling Station unless First Polling
Agent comes out.

Should be a voter from the same part

Polling agent cannot leave P.S. in last

one hour of poll i.e. 4.00 p.m.

Must display EPIC on his body.

Polling Agent are not allowed to carry

Mobiles, spy cameras or any electronic
gadgets inside the Polling Station.

Only one polling agent at a time per

candidate.

Voters with EDC will NOT BE

CHALLENGED.

Can be allowed to enter any time in the

Polling Station till 4.00 pm

Allowed to carry the copy of electoral

roll inside the Polling Station.

Can make tick marks on their roll copy.

Presiding Officer can

direct the removal of
Polling Agent in case of
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 CommissionObservers, Micro observer, Photographers,

media persons issued with authority letter.

Public
Child

servants on duty.

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 VIPs 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.

Seated

at the Polling Station

and observe the preparedness
and poll procedure.

He

is there to observe and

not to direct.
SEATING ARRA
GEMENT

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

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 29

MOCK POLL

30

MOCK POLL

1.
Press
Ballot
Button
Busy
Lamp

2.
3.
Polling Agent
Press
Candidate
s Blue
Button

Candidate
Lamp

Ready
Butto
n

RED

OFF

Ready
Lamp

4.
Red

Green
6.
Close
Button

Verify total
Votes
recorded

Beep
Soun
d
5.
Press
Total
Button

31

Order to be followed
Ensure
that equal
number of votes
are polled for all
candidates

Seal
Switch of 7
Clear
Result 5
Close 4
Ballot

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
videographed
provided.

poll
procedure
to
in case videographer

be
is

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

Presiding Officer
Candidate/s, Election Agent/s,
Polling Agent/s, if any, present
during the sealing.
Note

the serial Number of

Green Paper Seal on Presiding
Officers Diary and Form 17C
35

SEALING OF CONTROL UNIT

36

SPECIAL TAG

Back

VIEW SEALS

side to be signed by

Presiding Officer
Candidate/s, election agent/s,
polling agent/s if any present
during the sealing
Note

the serial Number of

Special Tag on Presiding
Officers 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
Put

distinguishing mark.

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

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

4
0
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-

Presiding Officer
Candidate/s,
election
agent/s,
Polling Agent/s, if any, present
during the time of sealing
Take

care that the close button cap i

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

SEALING WITH STRIP SEAL..

49

SEALING WITH STRIP SEAL..

50

SEALING WITH STRIP SEAL..

51

SEALING WITH STRIP SEAL..

52

BEFORE START OF POLL

Show to Polling Agents

present
Register of Voter (Form 17A)
&
Marked Copy of Electoral Rol
l

53

READ SECTION 128 OF R.O.P.A.

54

DECLARATION BY PR.O.

02 --South
SouthGoa
Goa
02
12
April,
2014
12th
April,
2014

6,
6, GOVT.
GOVT. PRIMARY
PRIMARY SCHOOL,
SCHOOL, Chaudi
Chaudi

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
Duplicate voters [ ASD List ].

and

List of Vulnerable Voters ( inform

Sector Magistrate, if they have not
come to vote )
Responsible

identification.

for

the

electors
58

ABOUT FIRST POLLING OFFICER

Once

VIEW
MARKINGS

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
concerned elector.

the

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

Photo Identity Card (EPIC)

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 ofIndelible 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

Presiding

Officer
overall in-charge
polling team.

is
of

the
the

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
List of Challenged votes.

Presiding

Officer
summary inquiry.

to

in

hold
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 ELECTORS IDENTITY

PROCEDURE IN CASE OF CHALLENGE

AND

Take

support of villagers if you need to ascertain

the fact

Administer
Enter

oath from challengers

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

Dont

allow the voter to

vote.
File

complain 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
Allow

declaration.

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

person.

about identity of such

Allow

to vote by means of
Tender Ballot Paper but not
through EVM.

Enter

the 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

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.

Person

can be allowed to act as

companion to only one elector.

Obtain

declaration about mainta

93

BRAILLE DUMMY BALLOT SHEET

Introduction

in EVM.

of Braille signage feature

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 sub
mit 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.

If

at 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 Officers
Diary & Form 17C

105

REPLACEMENT OF EVM .
PART - II

02 SOUTH GOA

Parliamentar
y
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.

Issue

serial 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 & SECOND 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 & POs 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

CLOSE OF POLL & PRESIDING OFFICER

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

CLOSE OF POLL & PRESIDING OFFICER

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

CLOSE OF POLL & PRESIDING OFFICER

He

shall fill :

remaining part of the Presiding

Officers 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 OFFICERS DIARY

40 - Canacona
12 April 2014
40 / 6

125

PRESIDING OFFICERS DIARY.

126

PRESIDING OFFICERS DIARY..

( Form 17 A )

127

PRESIDING OFFICERS DIARY...

128

PRESIDING OFFICERS DIARY....

129

PRESIDING OFFICERS DIARY.....

Canacona GOA
12 April 2014

130

STATUTORY COVERS
UNSEALED
Account of votes recorded and paper
seal account17 C
Declarations by presiding officer before
and after the poll.
Visit sheet
16- point Observers Report
Presiding Officers Diaryin 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 Voters 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 paper
s

5)Used tendered ballot paper

s and list in form 17 B
133

NON-STATUTORY COVERS
SEALED COVERS
1. Other copies of Electoral Roll

7. Receipt book & cash forfeited in r

2. Appointment letters of Polling A

gents in Form 10

8. Unused and Damaged paper se

als

3.

9. Unused Voter Slips

Election Duty Certificates [Form

12B]
4. List of challenged votes

espect of challenged votes

10. Unused & damaged Special Tags

List of blind & infirm electors in

5. Form 14-A along
with
the
declarations of companions.

11.

Unused and damaged strip seal

s

6.

12.

Dummy Ballot Sheet

Declaration from electors as to th

eir 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

PERFORM

CONFIDENCE

ELECTION

DUTY

AND
WHOLE

HEARTEDLY

136

November 16, 2016

11:33 AM

137

Model Polling Station

BACK

MICRO OBSERVER

138

ADDRESS TAG

Election to the

BACK

: 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

SEALS / TAGS

STRIP SEAL

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.
No.

Name of the Polling Agent

Name of the
Party

Name of the
Candidate

Signature of
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 Agent

Name of the Candidate

( with Party affiliation)

Signature of Polling
Agent

Signature of Micro-observer (if posted at the PS)

Date: 12th April 2014
Time: 06.45 pm

Name of Signature of
the Presiding Officer
Polling Station No.

145

OTHER COPY OF ELECTORAL ROLL

BACK

146

DISTINGUISHING MARK

BACK

40
6
40 : Assembly Segment Number
6 : POLLING STATION NUMBER
147

Form 17 A
(See Rule 49 L)

Form 17A

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
.

..

..

..

Sl. No. of
Details of the document
Sl. No. Elector in the
produced by the elector in
Electoral Roll proof of his/her identification
(1)

(2)

(3)

Signature/Th
umb
Remarks
impression
of Elector
(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. ...
Fathers/ Mothers/husbands 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

BACK
NOTICE SPECIFYING POLLING AREA..BACK

154

WARNING NOTICE

BACK
155

CLOSE OF POLL

BACK
156

Ballot Unit - Details

BACK

Ready Lamp
Slide Switch Window
Candidates Button

Candidates Lamp

Ballot Paper Screen

157

Mock Poll Results

BACK
158

Green Paper Seal

BACK
159

Special Tag

BACK
160

CONTROL UNIT
Result I
button

BACK
Clear button

Close
button

Result II
button

Inner
latches

Frames for
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

STATUTORY COVERS - 6

BACK

170

STATUTORY COVERS - 3

BACK

171

STATUTORY COVERS - 4

BACK

172

STATUTORY COVERS - 5

BACK

173

NON STATUTORY COVERS

BACK

174

NON-STATUTORY COVER - 1

BACK

175

NON-STATUTORY COVERS - 6

BACK

176

NON-STATUTORY COVERS - 4

BACK

177

NON-STATUTORY COVERS - 5

BACK

178

SEALED COVER - EDC

SEALED COVER CONTAINING EDC

No. & Name of Polling Station: _________________

Total Number of EDCs inside the Envelope: _______

BACK

179

UNSEALED COVERS

Additional Report by Presiding Officer

BACK

180

NON-STATUTORY COVERS - 6

BACK

181

NON-STATUTORY COVERS - 7

BACK

182

NON-STATUTORY COVERS - 8

BACK

183

NON-STATUTORY COVERS - 9

BACK

184

NON-STATUTORY COVERS - 10

BACK

185

NON-STATUTORY COVERS - 11

BACK

186

UN-USED TENDERED BALLOT PAPER SAMPLE

BACK

187

PHOTO VOTER SLIP

BACK

188

APPT. OF POLLING AGENTS

FORM 10
APPOINTMENT OF POLLING AGENT

BACK

[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
Date

: ..
: ..

Signature of Candidate/Election Agent

I agree to act as such polling agent.

Place
Date

: ..
: ..

Signature of Polling Agent

Declaration of Polling Agent to be signed before 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: ..
Signed before me

Signature of Polling Agent

Date: . Signature of Presiding Officer

189

Postal
Ballot

DETAILS OF MARKED COPY ..

Hash
Mark
PHOTO
AS IN
CORRECTION

LIST

EDC

BAC
190

MARKINGS ON MARKED COPY

..
Encircling Sr.
No. of Female
Voters

Diagonal Line

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.
No.

: ______________________________________________
: ______________________________________________
: ______________________________________________
: ______________________________________________
Item

Sex

Nos.

Male
1.

Total Electors in the Polling Station

Female
Others
Total
Male

6.

Number of persons who voted in the Polling Station

Female
Others
Total

NEXT

192

Additional information - 1 HOME

Sr.
No.

Item

Reply

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 EVMs 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
FORM 14

BACK

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 ...............]

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

12 April 2014
40 - Canacona
6, GOVT. PRIMARY SCHOOL, Chaudi
985

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
ballot sheet & preferred
impaired
who used
No.
used both
to vote using provision
voters turned dummy ballot
the facilities
of the Rule 49N
up for voting sheet in Braille
1

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.
No.

Name of Candidate

Address of Candidate

Party
Affiliation*

Symbol
Alloted

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.
No.

Name of the
Contesting Candidate

Specimen
Signature

Name of his/her
Election agent

Specimen
Signature

1.
6.
3.
4.

Date: ..
Place: .

Signature of the Presiding Officer

BAC
204

POLLING BOOTH SETUP

205

CERTIFICATE REGARDING ASD VOTERS.

CERTIFICATE REGARDING NUMBER OF
VOTERS 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.

Sr.
No.

Number of
ABSENTEE
voters who
voted from the
ASD List

Number of
SHIFTED
voters who
voted from the
ASD List

Number of
DUPLICATE
voters who
voted from the
ASD List

Total Number
of voters voted
from the ASD
List

Date: ..
Place: .

Signature of the Presiding Officer

BAC
206

REPORT ON VOTING BY BLIND & INFIRM [ FORM 14A]

FORM 14A
LIST OF ILLITERATE, BLIND AND INFIRM VOTERS
Election to the : 40 Canacona
Assembly of : Goa .

Assembly Constituency of Legislative

Number and Name of Polling Station : 6, Chaudi

Name of place of poll: Govt. Primary School, Chaudi
Part No. & Sl.
No. of Elector

Full Name of
Elector

Date: ..
Place: .

Full name of Address of

Companion Companion
3

Signature of
Companion
5

BAC
Signature of the Presiding Officer

207

DECLARATION ABOUT AGE

(CHAPTER XVIII, Para 10.6)

BAC
K

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/Husbands 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: .
the Presiding Office

Signature of
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.
No.

Full Name
of Elector

Part No. and Serial

No. in Electoral roll

Age as entered in Age as assessed by the

electoral roll
Presiding Officer
4

PART II
LIST OF VOTERS WHO HAVE REFUSED TO MAKE DECLARATION AS TO THEIR AGE

Sl.
No.

Full Name
of Elector

Part No. and Serial

No. in Electoral roll

Date: ..
Place: .

Age as entered in Age as assessed by the

electoral roll
Presiding Officer
4

Signature of the Presiding Officer

BAC
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 )

BAC
210

MISCELLANEOUS ELECTION MATERIAL

BAC
211

BAC
K

SCRUTINY OF FORM 17-A

SCRUTINY OF FORM - 17A
Name & No. of Polling Station:
MALE

Total Electors in the Polling Station

FEMALE
OTHERS
TOTAL
MALE

Number of Persons who voted in Polling Station

FEMALE
OTHERS
TOTAL

Number of tendered votes

Number of Challanged votes

Number of proxy votes by CVSs

EPIC

Number of voters who excercised their right of vote on the basis of

VOTER SLIP
ALTER. DOCUM.

7
8
9
10
11
12
13
14
15
16

Number of voters who excercised their rightunder rule 49 O

Number of Polling Agents in the polling station
Number of OVERSEAS electors voted.
Number of EVM's Used.
Whether EVM was Changed or Replaced
Time when EVM was Changed and reason for it
TOTAL ASD voters in the list
Total persons who cast their vote from ASD voters list
Violance or poll interruption due to any reason
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.
No.

: ______________________________________________
: ______________________________________________
: ______________________________________________
: ______________________________________________
Item

Sex

Nos.

Male
1.

Total Electors in the Polling Station

Female
Others
Total
Male

6.

Number of persons who voted in the Polling Station

Female
Others
Total

NEXT

213

Additional information - 1
Sr.
No.

Item

Reply

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 EVMs 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

BAC
K

216

REMARK ON REGISTER OF VOTERS..

217