handbook for presiding officers - Chief Electoral Officer, Govt. of Sikkim

ANNEXURE VIII
(CHAPTER XVIII Para 4)
RECEIPT FOR CHALLENGE FEE
Book No........... Page No..............
Received a sum of Rs./-2 (Rupees two only) in
cash from Shri....................................
Candidate/Election Agent/Polling Agent on
account of deposit for challenge under rule 36 of
the Conduct of Election Rules, 1961.
Date ................... Presiding Officer
for Polling Stations
No._________________
of____________Parliamentary/
Legislative Assembly Constituency
Forfeited to Government
Presiding Officer
Received back the amount of Rs.2
(Rupees two only) under rule 36(5) of the
Conduct of Election Rules, 1961.
Date.................. Name and Signature of
Candidate/ Election
Agent/Polling Agent
RECEIPT FOR CHALLENGE FEE
Book No.............. Page No..................
Office of the Presiding Officer
For Polling Station No. …….of Parliamentary/
………….……. Legislative Assembly
Constituency
Received a sum of Rs.2/- (Rupees two only) in
cash from Shri .......................................................
Candidate/Election Agent/Polling Agent on
account of deposit for challenge under rule 36 of
the Conduct of Elections Rules, 1961.
Station
Date..................... Presiding Officer