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Form Xi: The Statement of The Count

1) The document appears to be a form for recording the statement of the count of votes in an election for a local council or ward. 2) It includes tables to record the name of each contesting candidate, symbol allotted, number of votes polled, challenged votes, and total votes. 3) The bottom section includes certificates for election staff to confirm their duties were performed diligently.

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Jameel Qureshi
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166 views8 pages

Form Xi: The Statement of The Count

1) The document appears to be a form for recording the statement of the count of votes in an election for a local council or ward. 2) It includes tables to record the name of each contesting candidate, symbol allotted, number of votes polled, challenged votes, and total votes. 3) The bottom section includes certificates for election staff to confirm their duties were performed diligently.

Uploaded by

Jameel Qureshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM XI

THE STATEMENT OF THE COUNT


Election to the _______________________________ of ________________________________
(Number, if any & name of Local Council/Ward)
District: _________________________
Province: _________________________
Name and Number of Polling Station _______________________________________________
No. of Registered Voters: Male _____________ Female _____________ Total______________
Sr. Name of Contesting Symbol allotted Number Number of Total votes Remarks
No Candidate to Contesting of cotes challenged polled by
Candidate polled by votes polled each
each by each contesting
contesting contesting candidate
candidate candidate Cols (4) + (5)
1 2 3 4 5 6 7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

(i) Total number of votes polled by the contesting candidates (including challenged votes)
male ________________ Female ________________ Total ________________
(ii) Total number of doubtful votes excluded from the count (including the doubtful challenged
votes) ________________
(iii) Aggregate of (i) and (ii) ______________________________________________________
Place: ________________________
Date: ________________________

SIGNATURE OF PRESIDING OFFICER


Name and designation of the Presiding Officer
and thumb impression of the Presiding Officer
DUTY CERTIFICATE

It is certified that Mr: _____________________________________

PC/HC Posted at _______________________ has performed his election duties diligently

from ____________to ____________. His performance is satisfactory. This is for favourable

consideration.

Dated: ______________

Signature & Stamp of Presiding Officer

DUTY CERTIFICATE

It is certified that Mr: _____________________________________

PC/HC Posted at _______________________ has performed his election duties diligently

from ____________to ____________. His performance is satisfactory. This is for favourable

consideration.

Dated: ______________

Signature & Stamp of Presiding Officer


DUTY CERTIFICATE

It is certified that Mr: _____________________________________

Driver of Vehicle No:_____________________ has performed his election duties diligently

from ____________to ____________. His performance is satisfactory. This is for favourable

consideration.

Dated: ______________

Signature & Stamp of Presiding Officer

DUTY CERTIFICATE

It is certified that Mr: _____________________________________

Driver of Vehicle No:_____________________ has performed his election duties diligently

from ____________to ____________. His performance is satisfactory. This is for favourable

consideration.

Dated: ______________

Signature & Stamp of Presiding Officer


Ballot Paper Record Date:
Election to the ______________ of _____________________________
District ____________________________________________________
Province: __________________________________________________
Name & No. of Polling Station _________________________________
Sr. No of Ballot
Signature &
Book Papers
S.No Name of APO Stamp of
No.
From To APO

01

02

03

04

05

06

07

08

09

10
Ballot Paper Record for Counting Date:
Election to the ______________ of _____________________________
District ____________________________________________________
Province: __________________________________________________
Name & No. of Polling Station _________________________________
Invalid Votes
Booth Male/ Female
Valid Votes Total (Excluded from Total
No:
the Count)
ECP PACKETS

PACKET 1 VALID VOTES OF EACH CANDIDATE (CATEGORY WISE)

PACKET 2 UNCOUNTED/ DOUBTFUL VOTES

PACKET 3 PRINCIPAL PACKET (WE HAVE TO INSERT PKT 1 AND PKT 2)

PACKET 4 TENDERED VOTES

PACKET 7 CHALLENGED VOTES

PACKET 8 COUNTED CHALLENGED VOTES

PACKET 9 UNCOUNTED CHALLENGED VOTES

PACKET 10 SPOILT/STARY VOTES

PACKET 11 UNUSED BALLOT PAPERS

PACKET 12 COUNTER FOILS OF USED BALLOT PAPERS

PACKET 13 USED VOTER LIST

PACKET 14 LIST OF TENDERED VOTES

PACKET 15 LIST OF CHALLENGED VOTES

PACKET 16 FORM XI

PACKET 17 FORM XII

PACKET 18 Misc: Documents

PACKET 19 BRASS SEAL


Ballot Paper Record Date:
Election to the ______________ of _____________________________
District ____________________________________________________
Province: __________________________________________________
Name & No. of Polling Station _________________________________

Issued Ballot Papers


Book Sr. No of Used Ballot Total Sr. No. of Unused Ballot Total
No Paper Paper

From To From To
Ballot Paper Record Date:
Election to the ______________ of _____________________________
District ____________________________________________________
Province: __________________________________________________
Name & No. of Polling Station _________________________________

Unissued Ballot Papers


Book No Sr. No of Unissued Ballot Paper Total

From To

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