filling up some important forms

Filling up some important forms

ANNEXURE –14(CHAPTER 12, PARA 12.2)MOCK POLL CERTIFICATE

This is to certify that I, …………………………………………..……………Presiding Officer at the Polling Station No of……………………………………. Assembly Constituency (or the…………………………………………… Assembly segment under……………………………………………………………….………………. ParliamentaryConstituency) conducted the mock poll at ……………….AM today, thepoll day i.e…………………...(date), following scrupulously all the

0123, Darjeeling

6:0019/05/2019poll day i.e…………………...(date), following scrupulously all the

instructions issued by the Election Commission of India, using-CUof Serial No. (as printed on back side of theCU)………………………………………………… BU of Serial No. (as printed onback side of the BU)…………………………… VVPAT Unit of SerialNumber (as printed on VVPAT)……………………………1. A total of ……….. votes were cast for each candidate and also for NOTA.2. It is verified that the LED light was getting lit up against the correct

candidate/NOTA button, when the button was pressed and beep soundwas properly heard.

19/05/2019

C 01597

B 023467643

50

1. The candidate-wise detail of votes polled during mock-poll and resultdisplayed, is as under:

Sl. No.

Name of the

Candidate

Number of votes cast

during mock poll

Number of votes displayed in CU on checking the

result

Number of Printed Paper Slips, as per

counting on checking mock poll result (if

VVPAT used)

Votes Cast and Result displayed & Printed Paper Slip count (if VVPAT used) COUNT tallied with each

other (YES/NO)

1. ABC 5 5 5 YES

2. DEF 5 5 5 YES

3 GHI 5 5 5 YES

4. JKL 5 5 5 YES4. JKL 5 5 5 YES

5. MNO 5 5 5 YES

6. PQR 5 5 5 YES

7. STU 5 5 5 YES

8. VWX 5 5 5 YES

9. YZA 5 5 5 YES

10 NOTA 5 5 5 YES

TOTAL 50 50 50 YES

4. I have cleared the memory of the EVM after the mock poll andverified that the memory has been cleared, by pressing the Totalbutton and seeing the Total is shown as ‘0”.

5. At the time of mock poll the following polling agents representingthe candidates whose names mentioned against the names ofsuch agents were present and I have obtained their signatures.

6. Poll Start Date and Time seen on the display of CU at the time ofstart of actual poll…………………………………………………………(To befilled in case of Post – 2006 EVMs).

19/05/2019 AT 7:00 AM

Sl. No.

Name of Polling Agent

Name of PartyName of

candidateSignature of Polling AgentNo. Agent candidate Polling Agent

1.2.3.4.5.6.7.8.9.

orAt the time scheduled for mock poll no polling agent was

present/the agent of only one contesting candidate waspresent. After waiting for fifteen more minutes, I conductedthe mock poll along with other polling staff at ………………. AM.

Signature of Micro-Observer(If posted at the Polling Station)Date:…………………………………

6:15

Date:…………………………………Time:……………………………….

Name & Signature of the Presiding Officer

Polling Station No……………………..

Polling Station Name……………………………………………………

23/01

Srikhola Primary School

Register of Voters (formRegister of Voters (form--17A)17A)

Voter of Sl. No. 691 of Electoral Roll cast vote with EPIC Voter of Sl. No. 168 of Electoral Roll whose name alsofigured in Sl. No. 3 of ASD list cast vote with EPIC & Job Card

Person whose name figured in Sl. No. 2 of CSV list cast votewith EPIC

Voter of Sl. No. 131 of E/Roll who came with EPIC was notallowed to vote by Presiding officer for violation of votingprocedureVoter of Sl. No. 645 of E/Roll who came with EPIC left Voter of Sl. No. 645 of E/Roll who came with EPIC leftwithout voting

Voter of Sl. No. 439 of Electoral Roll cast vote with PAN Later a voter came. On verification it was found that he wasthe actual voter whose name figured in Sl. No. 439 ofElectoral Roll. From Sl. No 6 in Form 17A it appeared thatsomeone already cast vote in place of him.

A voter having EDC was allowed to vote

FORM 17 AFORM 17 A(See Rule 49L)(See Rule 49L)

Register of VotersRegister of VotersElection to the House of People /Legislative Assembly of State /Union

Territory from ................................................Constituency.

No & Name of Polling Station.....................................................

Part No. of electoral Roll ..................

Sl.Sl. No. of theelector in

Details of thedocument produced by

Signature / Thumb Remarks

23, Darjeeling

01, Srikhola Primary School23/01

Sl.No.

elector inthe electoralroll

document produced bythe elector in proof ofhis / her identification

Thumb impression

Remarks

1 2 3 4 5

1 691 EP

2 168EP

MGNREGA 3119Both Signature &Thumb impression

Sl. No. 3 in ASD list

3 2 (PV) EP CSV

Sl.No.

Sl. No. of the elector in

the electoral roll

Details of the

document produced by the elector in proof of

his / her identification

Signature / Thumb

impressionRemarks

1 2 3 4 5

4 131 EPNot allowed to vote- voting

procedure violated4 131 EP procedure violated

-Signature of PO

5 645 EPRefused to vote / left

without voting

-Signature of PO

6 439 PAN-2025

7 860 EP EDC

Tendered ballot issued

FORM 17 BFORM 17 B(See Rule 49P)(See Rule 49P)

LIST OF TENDERED VOTESLIST OF TENDERED VOTESElection to the House of People /Legislative Assembly of State /Union

Territory from ................................................Constituency.

No & Name of Polling Station.....................................................

Part No. of electoral Roll ..................

Sl. No. of elector in Sl. No. Of

23, Darjeeling

01, Srikhola Primary School23/01

Sl.No.

Name of elector

Sl. No. of elector in electoral roll of the

person who has already voted in place

of elector

Sl. No. Of elector in

Register of Voters (Form

17A)

Signature / Thumb

impression

1 2 3 4 5

1 AA BB 439 6

Filling up Ballot Paper Account (FormFilling up Ballot Paper Account (Form--17C)17C)

Polling Station No. & Name: 01, Srikhola Primary School Control Unit No: C01597; Ballot Unit No: B02346; VVPAT:7643

Total no. of electors as per electoral Roll of Part No. 23/01 is859

Total number of voters as entered in the Register forVoters(Form 17A ) is 748Total 02 Voters were not allowed to vote by Presiding officer Total 02 Voters were not allowed to vote by Presiding officeru/r 49-M for violation of voting procedure

Total three voters decided not to vote u/r 49-O Two voters (Sl. No. 98 & 652 in electoral Roll) lodged VVPATcomplaint under rule 49 MA

Tendered Ballot Papers supplied: 000001 – 000020 Only one tendered ballot paper was issued Paper Seals supplied: AA008895 – AA008897 Paper seals used: AA008895

ANNEXURE 11(CHAPTER 29, Para 29.1.4)

FORM – 17C(See rule 49Sand 56 C (2)}

Part – I ACCOUNT OF THE VOTES RECORDED

Bye-election to ……………………………………………............................

No and name of Polling...............................................................

Identification Number of the Voting Control Unit No. ………………..Balloting Unit No...................

23, Darjeeling Assembly Constituency

01, Srikhola Primary School

C 01597B 02346Machine used at the polling station: Balloting Unit No...................

VVPAT.....................

1. Total number of electors assigned to the Polling Station........................

2. Total number of voters as entered in the Register for Voters(Form 17A) ………….

3. Number of voters deciding not to record Votes under rule 49-O ..............

4. Number of voters not allowed to Vote under rule 49-M............................

B 023467643859

748

03

02

Sl No. Name of Candidate No of Votes

1. ABC 002. DEF 013. GHI 004. JKL 00

5. Test Votes recorded under rule 49MA (d) required to be deducted: …………(a) Total number of test Votes to be deducted: Total No ...............

Sl. No(s) of elector(s) in Form 17A.........................(b) Candidate(s) for whom test vote(s) cast

0202

98 & 652

4. JKL 005. MNO 016. PQR 007. STU 008. VWX 009. YZA 00

10. NOTA 00

Total 02

6. Total number of votes recorded as per Voting Machine ......................

7. Whether the total number of votes as shown against item 6 tallieswith the total number of votes as shown against item 2 minusnumbers of voters deciding not to record votes as against item 3minus number of voters as against item 4 (i.e. 2-3-4) or anydiscrepancy noticed ..............................................................................

8. Number of voters to whom Tendered Ballot Papers were issued

743

743 = (748-2-3). Yes, tallied.

8. Number of voters to whom Tendered Ballot Papers were issued under rule 49P: .........................

9. Number of Tendered Ballot Papers01

Sl. No. Total From To

(a) Received for use

(b) Issued to electors

(c) Not used and returned

20 000001 00002002 000020 00002018 000001 000019

10. Account of papers seals:

1. Paper seals supplied for use: Total No. ........... Sl. No. from ..................... to .......................

2. Paper seals used: Total No. ............ Sl. No. from ..................... to .......................

3. Unused paper seals returned to Returning Officer: Total No. ............. Sl. No. from ..................... to ….................

4. Damaged paper seal, if any Total No. .............. Sl. No. from ............... to ...................Signature of Polling Agents 1. .............................................................................................

2. .............................................................................................

03 AA008895 AA008897

01 AA008895 AA008895

02 AA008896 AA008897

NIL

2. .............................................................................................3. .............................................................................................4. ..............................................................................................5. ..............................................................................................6. ..............................................................................................7. ..............................................................................................8. ..............................................................................................9. . ..............................................................................................

Date .......................... Signature of Presiding Officer

Place ........................ …………… Polling Station No. ....................................

Srikhola Jr. Basic School

19/05/2019

23/01

ANNEXURE XIV[CHAPTER XXXIII, Para 1]

PRESIDING OFFICER’S DIARY

1. Name of the constituency [in block letters]: 2. Date of poll:3. Number and Name of the polling station:

Whether located in –i. Government or quasi-government building; ii. Private building;iii. Temporary structure;

23, DARJEELING A.C.19/05/2019

01, Srikhola Primary School

Government

iii. Temporary structure;4. Number of polling officers recruited locally, if any:5. Appointment polling officer made in the absence of duly appointed

polling officer, if any and the reasons for such appointment:

6. Electronic Voting Machine-i. Number of Control Units used: ii. S. No.(s) of Control units used: iii. Number of Balloting units used: iv. S. No. of Balloting units used:

No

No

01

B0234601

C01597

7. (i) Number of paper seals used:(ii) Sl. Nos. of paper seals used:

7A. (i) Number of special tags supplied: (ii) S. No.(s) of special tags supplied: (iii) Number of special tags used:(iv) S. No.(s) of special tags used:(v) S. No.(s) of special tags returned as unused:

7B. (i) Number of Strip seals supplied:(ii) S. No.(s) of Strip seals supplied:

01

AA008895

03S001201-S00120301

S001201

S001202-03

017B. (i) Number of Strip seals supplied:(ii) S. No.(s) of Strip seals supplied:(iii) Number of Strip seals used:(iv) S. No.(s) of Strip seals used:(v) S. No.(s) of Strip seals returned as unused:

7C. (Application only in the polling station where VVPAT system is used)i. No. of printers used:ii. Sl. No(s) of printer(s):

01AB0345 – AB0347

01AB0345

AB0346-47

017643

8. Number of candidates who had appointed polling agents at the polling stations:

9. (i) Number of polling agents present at the commencement of poll: (ii) Number of polling agents who arrived late:(iii) Number of polling agents present at the close of poll:

10. (i) Total no. of voters assigned to the polling station: (ii) Number of electors allowed to vote according to marked copy

03

02

0103

859

(ii) Number of electors allowed to vote according to marked copy of the electoral roll: (iii) Total number of electors as entered in the register of voters (Form 17-A): (iv) Number of votes recorded as per the voting machine:(v) Number of voters deciding not to record vote, if any:

Signature of First Polling OfficerSignature of Polling Officer

In-charge of Register of Voters

859

74874303

11. Number of electors who voted-Men..............................................................Women........................................................Third Gender...............................................Total............................................................

12. Challenged vote-Number allowed..........................................Number rejected.........................................Amount forfeited Rs. ..................................

13. Number of persons who have voted on production of Election Duty Certificate (EDC):

368373

02743

001

Rs 2/-

02Certificate (EDC): 13A. Number of overseas electors who voted:

14. Number of electors who voted with the help of companions:

15. Number of votes cast through proxy:

16. Number of tendered votes:

17. No. of electors-a) From whom declarations as to their age obtained..................................b) Who refused to give such declaration.......................................................

0200

05

01

01

01

00

18. Whether it was necessary to adjourn the poll and if so, the reasons for such adjournment:

19. Number of votes cast in every two hours-From 7 a.m. to 9 a.m.From 9 a.m. to 11 a.m.From 11 a.m. to 1 p.m. From 1 p.m. to 3 p.m. From 3 p.m. to 5 p.m.From 5 p.m. to 6 p.m.

20. (a) Number of slips issued at the closing hour of the poll to electros standing in the queue:

Not to be left blank

89132148141168

68

09electros standing in the queue: (b) Time at which poll finally closed after the last such elector cast his/her vote:

21. Electoral offences with details:Number of cases of –

a) Canvassing within one hundred meters of the polling station: b) Impersonation of voters: c) Fraudulent defacing, destroying or removal of the list of notice or other

document at the polling station:d) Bribing of voters: e) Intimidation of voters and other persons: f) Booth capturing:

09

06:15 p.m.

Not to be left blankNot to be left blank



22. Was the poll interrupted of obstructed by-(1) riot:(2)open violence: (3) natural calamity: (4) booth capturing: (5) failure of voting machine: (6) any other cause:

Please give details of the above.

23. Was the poll vitiated by any voting machine used at the polling station having been-(a) unlawfully taken out of the custody of the Presiding Officer: (b) accidentally or intentionally lost or destroyed:







(b) accidentally or intentionally lost or destroyed: (c) damaged or tampered with:

Please give details

24. Serious complaints, if any, made by the candidate/agents: 25. Number of cases of breach of law and order: 26. Report of mistakes and irregularities committed, if any, at the polling

station:27. Whether the declarations have been made before the commencement of

the poll and it necessary during the course of poll when a new voting machine is used and at the end of poll as necessary:

Date:…Place:…. Signature of Presiding Officer






VOTER TURNOUT REPORT FOR POLLING STATION

EECI FORM ID

PS 05

ELECTION COMMISSION OF INDIABye-election to 23, Darjeeling AC

A)State / UT

NameWest Bengal

B) PC No. & Name

04, Darjeeling

C)AC No. &

Name23, Darjeeling

D) Polling StationNo. & Name

01, SrikholaPrimary School

Men 427

1. Total ElectorsWomen

Third Gender

Total

2.No. of Electors who

voted

Men

Women

Third Gender

Total

429

003

859

368

373

002

743

3. No. of voters identified using “EPIC”

4. No. of “Tendered Votes”

5. No. of declarations submitted u/r 49-MA

6. No. of slips issued to voters in queue at 6 p.m.

7. No. of voters cast vote with EDC

8. No. of Challenged Votes

9. No. of voters cast vote through Proxy

10. No. of voters identified using “Alternative

722

01

02

09

02

01

01

10. No. of voters identified using “Alternative Documents”

11. No. of voters deciding not to record votes u/r 49-O

12. No. of polling agents present during Mock Poll

13. No. of polling agents present during Poll

14. No. of voters not allowed to vote by PrO u/r 49-M for violation of secrecy of voting

21

03

02

03

02

Additional Information:

1.No. of EVM & VVPAT

used at the polling station

2. Change / Replacement of EVM

2a Time

2b Reason of changing

3. Change / Replacement of VVPAT

3a Time

3b Reason of changing

4.Any incidence of violence/Poll interruption due to

CU- 01597 BU-02346 7643

4.Any incidence of violence/Poll interruption due to

any reason (Yes/No)

5.ASD Voter

5a Total as per the ASD list of part issued

5b No. of ASD voters cast votes

6. No. of blind/Inform voter used companion (49N)

7. No. of PWD voters who cast their votes

I authenticate the data furnished above(Presiding Officer’s Signature)

04

01

05

ANNEXURE 13(CHAPTER 9, PARA 9.10.1)

FORMAT FOR PRESIDING OFFICER’S ADDITIONAL REPORT TO BE SUBMITTED TO CONSTITUENCY OBSERVER / RO)

1. Polling Booth No:

2. CPF deployed (Y/N) :

3. Micro Observer Deployed (Y/N) :

4. Video Camera Deployed (Y/N) :

5. Total Voters :

23/1

Y/N

Y/N

Y/N

8595. Total Voters :

6. No. of Votes polled :

7. % of votes polled :

8. Total No. of candidates:

9. No. of Candidates represented by polling agents :

10.No. of Voters who voted using documents other than EPIC : 21

743

86.49

09

03

859

ANNEXURE 13(CHAPTER 9, PARA 9.10.1)

FORMAT FOR PRESIDING OFFICER’S ADDITIONAL REPORT TO BE SUBMITTED TO CONSTITUENCY OBSERVER / RO)

11. Whether Mock Poll done in the presence of agent ?

12. Whether Mock Poll Cleared ?

13.Whether machines closed and sealed properly in the presence of agents ?

Y/N

Y/N

Y/Npresence of agents ?

14.Whether 17C given to polling agents after obtaining their signature ?

15.No. of voters who have voted after 5 PM by receivingthe token at the end of polling hours :

16. Whether any significant incident took place during the poll ?

Y/N

Y/N

75

Y/N

Points to remember while filling up forms at Polling Station and at the time of receiving at RC

ITEM 17A 17C Pt 1 PrO’s Diary PS-05 16 pt

Observer’s Report by PrO

Total electors assigned in PS Col 1 Col 10 (i) Col 1 Col. 5

No. of persons who voted in PS

Page of last entry

Col 6 Col 10(iv)

and 11 Col 2 Col 6

Tendered votes cast Col 9(b) Col 16 Col 4 Tendered votes cast Col 9(b) Col 16 Col 4

No. of voters who voted on basis of EPIC

As per 17A

Col 3

No. of voters who refused to vote / left without voting

Col 3 Col 10(v) Col.11

Polling agents present Col 9 Col.13 Col 9

EVM nos Pt-1 Col 6 Addl.

informCol. 1

1.

2.

3.

4.

5.

ANSWERS TO QUESTIONNAIRE

(b) In CU there are five sections. Result section is missing here

(b) Photographs are not shown

(a) All correct

(d) The Knob should be kept horizontal while transporting

(b) All correct 5.

6.

7.

8.

9.

10.

(b) All correct

(c) All correct

(b) Paper roll can print maximum 1500 slips as its length is 15 meter. Length of one slip is 99 mm.

(a)

(c) All correct .

(b) All correct

11.

12.

13.

14.

15.


(C) Companion will be only 18 yrs old. To be elector is not mandatory. Polling personnel shall not act as companion

(b) The placement of machine will be as per poll not on Pr O’s table..

(d) All correct.

(d) All correct

(a) All correct15.

16.

17.

18.

19.

20.

(a) All correct

(d) PVS cannot be used as alternative document for voting as per new order of the commission

(c) All correct

(c) All correct

(b) No security personnel allowed. Only Z+ security can be allowed with concealed arms.

(d) ED voter can vote in any PS under the PC except his own PS

21.

22.

23.

24.


(c) GPS, special tags are used for Cu

(d) All correct

(b) Alphabetical Roll locator is not displayed. It is kept with Pr O/ help desk for searching the names of voters easily

(c) Polling agent can be voter of adjacent PS. The badge will only show name of candidate

25.

26.

27.

28.

29.

30.

The badge will only show name of candidate

(b) All correct

(d) Slip to be distributed from last person of the queue

(c) All correct

(d)

(d) All correct

(b) All correct

31.

32.

33.

34.


(b) All correct

(d) All correct

(a)

(d) All correct

35.

36.

37.

38.

39.

40.

(b) All correct

(d) All correct

(c) All correct

(d) All correct

(b)

(d)

41.

42.

43.

44.

45.


(c) EDC voter also has to show EPIC / Alternative document

(b) It should be entered in 17C

(a) Solution correct

(c) All correct

(d) ARL- Alphabetical Roll Locator

46.

47.

48.

49.

50.

(a) No anomaly

(d) Own vote (Left forefinger), Companion’s vote (Right index finger). Proxy vote (Middle finger of left hand)

(a) All correct

(a) Solution is correct

(b) All correct

During mock poll

Replacement of EVM/VVPAT

During poll

Only the defective unit i.e CU or BU or VVPAT will be changed

BU/CU is defective

VVPAT is defective

The entire set i.e CU, BU and VVPAT will be changed

Only one vote to each contesting candidate including NOTA should be polled in the mock poll.

Only VVPAT will be changed

No mock poll will be conducted.

Sl. No.

EventSituatio

nChange required

Mock Poll

Action s to be taken

1.During Mock Poll

If BU or CU

becomes defective

Change only the defective

unit

At least 3 votes to each button

including NOTA totalling50 votes

1. Mock Poll certificate is to be prepared;2. Ballot slips of VVPAT to be kept in

black envelop then in plastic box andafter that to be sealed with PPS

3. Defective units (Category C) to bekept in secured manner in separateStrong room at RC

4. Report to Sector Officer/ControlRoom

SOP on Replacement of EVM / VVPAT during Mock Poll /Actual Poll

50 votesRoom

5. Part a & c of Format A to be filled upby Sector Officer

2.During Mock Poll

If VVPAT becomes defective

Change only the defective VVPAT only

No mock poll

required

1. Ballot slips of VVPAT to be kept inblack envelop then in plastic box andafter that to be sealed with PPS

2. Defective unit to be kept in securedmanner in separate Strong room at RC

3. Report to Sector Officer/ControlRoom

4. Part a & c of Format A to be filled upby Sector Officer

Sl. No.

Event SituationChange required

Mock Poll

Action s to be taken

During If either Whole set One

1. Another Mock Poll certificateis to be prepared;

2. Ballot slips of VVPAT to bekept in black envelop then inplastic box and after that to besealed with PPS

3. Report to Sector Officer /Control Room


3.During Actual

Poll

If either BU or CU becomes defective

Whole set ie. CU, BU & VVPAT to be replaced

One vote to each

button

Control Room4. Part-b & c of Format A of EVM

Manual to be filled up by SO5. Noting to be made at Form

17C,6. Noting to be made at PS-057. Noting to be made PrO’s diary

[item No. 7(C)]8. Both the EVM & VVPAT sets

to be deposited at RC

Sl. No.

Event SituationChange required

Mock Poll Action s to be taken

During If VVPAT Only VVPAT No mock

1. Report to Sector Officer/ Control Room

2. Part b & c of Format Aof EVM Manual to befilled up by SO

3. Part-II of PrO’sDeclaration to be filledup


4.During Actual

Poll

If VVPAT becomes defective

Only VVPAT is to be changed

No mock poll

required

up4. Noting to be made at

Form 17C,5. Noting to be made at

PS-056. Noting to be made

PrO’s diary7. Both the VVPAT sets to

be deposited at RC

FORMAT-AFOR SECTOR OFFICERS/ZONAL MAGISTRATE etc.

(Pre-printed)

(a) Name of Election:................Bye-election to 23, Darjeeling. AC............(b) No. & Name of Parliamentary/Assembly Constituency): 23, Darjeeling AC(c) No. & Name of Assembly Segment:..........................X...............................(In case of Parliamentary Constituency)

(To be filled at the time of dispersal)

(a) Name of Sector Officer/Zonal Magistrate:..................................................(b) Cell Number:...................................................................................................(a) Name of Sector Officer/Zonal Magistrate:..................................................(b) Cell Number:...................................................................................................(c) Polling Station Nos. assigned:.........................................................................(d) Date and Time of receiving Reserve EVMs/VVPATs:...................................

(e) Details of reserve EVMs and VVPATs provided

S.No. Unique ID of BU Unique ID of CU Unique ID of VVPAT123

MOs need to observeMOs need to observeMO should reach the Polling Station at least an hour before thestart of the poll.They will do the following at the Polling Station:

Assess the preparedness at the Polling Station

Watch the mock poll & see that it is carried out as per theinstructions of the Commission

Ensure that votes in the CU are cleared after the mock poll & Ensure that votes in the CU are cleared after the mock poll &before the start of actual poll & that mock poll certificate issigned by the Presiding Officer

During Poll Day, s/he should regularly note down importantpoints for his report in the format given at Annexure-2

In no case the MO will act as Presiding Officer of the PollingOfficer. Her/his task is to observe that election process is beingcarried out in a free & fair manner & there is no vitiation ofpoll.

MOs need to observeMOs need to observe

Mock Poll procedure

Presence of Polling Agents and Observance of ECIinstructions.

Entry pass system and access to polling stations.

Proper identification of electors in accordance with ECI Proper identification of electors in accordance with ECIGuidelines.

Identification and recording procedures for Absentee,Shifted and Dead voter list (ASD List)

Application of indelible ink.

Procedure of noting down particulars of electors inregister 17-A.

Secrecy of voting

MOs need to observeMOs need to observe Conduct of polling agents, their complaints if any

In case of violation found in observation - Immediate report togeneral observer through available means of communication

Preparation of Report in prescribed format by MO

MO to report to the General Observer at the collection centersand handover his envelope containing the report for the daypersonally to General Observer

Reports of Micro-Observer along with scrutiny of Register 17Amay be taken with consideration for taking a decision of re-poll

MOs should know and be aware of the roles & responsibilities ofthe Presiding Officer, & therefore should look at thepresentation on Polling Personnel.

Report to be submitted by MOReport to be submitted by MO

Based on the ANNEXURE -L of GUIDELINES FOR OBSERVERS, 2008 issued by ECI

Name of the Micro ObserverDesignationNo. & Name of the polling station allottedNo. & Name of the polling station allottedDate & time of arrival at the polling stationName of the presiding officer Total No. of votersWhether mock poll was conducted (Y/N)Whether mock poll result was cleared (Y/N) Time of mock poll

Report to be submitted by MOReport to be submitted by MOBased on the ANNEXURE -L of GUIDELINES FOR OBSERVERS,2008 issued by ECI

Whether EVM ID/Machine No. shown to agents by PresidingOfficer? (Y/N)

No. of polling agents present

Whether any party (candidate) not represented by polling agent Whether any party (candidate) not represented by polling agent

Whether entry pass system for Agents followed (Y/N)

Time of commencement of poll

No. of people standing at the queue at the time ofcommencement of poll

Whether voters were identified by verifying EPIC or other validdocuments before permitted to vote (Y/N)

Whether the polling staff were filling details in the 17A registerwith reference to each voter


Based on the ANNEXURE -L of GUIDELINES FOR OBSERVERS, 2008 issued by ECI

The time of first visit by the sector officer

How many times the sector officer visited the pollingstation during poll hours

Whether CPF deployed at the polling station (Y/N) Whether CPF deployed at the polling station (Y/N)

If yes, whether CPF jawan was observing the proceeding inthe polling station while standing at the door as there anyincident of violence/argument /threat etc. took place

Did you notice any incident of polling staff going to votingcompartment to guide the voters (Y/N)

Did any voter/agent complaint about voting process/pollingstaff?


Based on the ANNEXURE -L of GUIDELINES FOR OBSERVERS,2008 issued by ECI

Whether hourly total was compared between EVM total and17A? (Y/N)

Whether flow of voters was regular or intermittent?

How many voters were standing at the queue at 3.00 PM,..00 How many voters were standing at the queue at 3.00 PM,..00AND PM/5.00 PM

How many voters were given token by the presiding officer at5.00 PM

How many voters had cast their vote at 5.00 PM

How many voters cast their vote after 5.00 PM

What time the poll was actually closed

Total No. of votes polled

Report to be submitted by MOReport to be submitted by MOBased on the ANNEXURE -L of GUIDELINES FOR OBSERVERS, 2008 issued by ECI

% of votes polled No. of voters voted using documents other than EPIC No. of absentee/shifted voters voted Whether EVM was sealed properly in the presence of agents Whether signatures of agents obtained in the Part I of 17C? Whether copy of 17C given to agents (Y/N) Whether copy of 17C given to agents (Y/N) What time the pickup party came to the polling station for

escorting the polling staff?

Signature of Micro Observer : Name (in full) : Designation : Phone No. : Date & Time :

ANNEXURE ANNEXURE –– 22

Format for Report of MOsFormat for Report of MOs1. Whether mock poll has been conducted in presence of MO?

2. Whether data of mock poll from the ballot unit was cleared &the EVM count was set to zero after the mock poll & before thebeginning of real poll?

3. How many polling agents & of which political party were presentduring the mock poll?

Whether Basic Minimum facilities were available at the polling4. Whether Basic Minimum facilities were available at the pollingstation?

5. Whether more than one polling agent from the same politicalparty were present inside the polling station at anytime?

6. Whether polling agents were allowed to note the serial numbersof balloting unit & control unit & green paper seal?

7. Whether the entry pass system was enforced properly? Whetherany unauthorized person was inside the polling station at anypoint of time?


Format for Report of MOsFormat for Report of MOs8. Whether marking of indelible ink on left middle finger was done

properly?

9. Whether the identification document particulars were beingfilled up meticulously in Register ofVoters (Form 17A)?

10. Whether the list of votes issued with Postal Ballot was availablewith the Presiding Officer & Polling Agents? Did any personalready issued Postal Ballot appeared to vote again in person?already issued Postal Ballot appeared to vote again in person?Whether any person cast a vote on the basis of EDC?

11. Whether events are recorded from time to time as & whenthey occur in the Presiding Officer’s diary?

12. Whether the Presiding Officer or Polling Officer was goingtowards voting compartment or giving any undueinstructions to the voters?

13. Whether the scrutiny of voters in the Absentee, Shifted andDead list was done meticulously by the Presiding Officers inaccordance with ECI Guidelines?


Format for Report of MOsFormat for Report of MOs14. Whether copies of accounts of votes recorded in Form 17-C have

been given to the polling agents?15. Whether voting compartment was properly placed to ensure

secrecy of voting?16. Whether sealing of voting machine was done according to

instructions?instructions?17. Whether any complaint by polling agents, election agent or any

political party was received? If yes, its substance.18. Any other incident or issue that you would like to highlight.

Signature of Micro Observer : Name (in full) : Designation : Phone No. : Date & Time :

THANK YOUTHANK YOUTHANK YOUTHANK YOU