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Manual of Election Law_Volume II - Home: Chief Electoral Officer ...

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217<br />

FORM 11<br />

[See rule 14(1)]<br />

REVOCATION OF APPOINTMENT OF POLLING AGENT<br />

<strong>Election</strong> to the* .........................<br />

To<br />

The Presiding <strong>Officer</strong>,<br />

I, .....................[the election agent <strong>of</strong>..................] a candidate at the above election, hereby revoke<br />

the appointment <strong>of</strong>.................. my/his polling agent.<br />

Place ...........................<br />

Date ...........................<br />

Signature <strong>of</strong> person revoking.<br />

__________________________________________________________________________________________<br />

*Here insert one <strong>of</strong> the following alternatives as may be appropriate:—<br />

(1) House <strong>of</strong> the People from the............... constituency.<br />

(2) Legislative Assembly from the....................... constituency.<br />

(3) Council <strong>of</strong> States by the elected members <strong>of</strong> the Legislative Assembly <strong>of</strong> .........................(State).<br />

(4) Council <strong>of</strong> States by the elected members <strong>of</strong> the electoral college <strong>of</strong>.......................... (Union<br />

territory).<br />

(5) Legislative Council by the members <strong>of</strong> the Legislative Assembly.<br />

(6) Legislative Council from the........................ constituency.<br />

N.B.-Omit the words marked [ ] as necessary.<br />

__________________________________________________________________________________________<br />

1 [FORM 12<br />

(See rules 19 and 20)<br />

LETTER OF INTIMATION TO RETURNING OFFICER<br />

To<br />

The Returning <strong>Officer</strong> for<br />

Assembly/Parliamentary constituency.<br />

Sir,<br />

I intend to cast my vote by post at the ensuing election to the Legislative Assembly/House <strong>of</strong> the People<br />

from the .................Assembly/Parliamentary constituency.<br />

My name is entered at S.No........in Part No............. <strong>of</strong> the electoral role for ............... assembly<br />

constituency comprised within......................Parliamentary constituency.<br />

The ballot paper may be sent to me at the following address:—<br />

.................................<br />

.................................<br />

.................................<br />

Place ...........................<br />

Yours faithfully,<br />

Date ............................ ......................]<br />

__________________________________________________________________________________________<br />

1. Subs. by Notifn. No. S.O. 3662, dated the 12th October, 1964, for Form 12.

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