Professional Documents
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Form 13-A
Election Duty Certificate
[See Rule 54(4)]
Certified that ________________ is an elector in my Municipal Corporation of Delhi, his
electoral roll number being ____________________ that by reason of his being on election duty
he is unable to vote at the polling station where he entitled to vote and that he is therefore hereby
authorised to vote at any polling station he may be on duty on the date of poll.
Place _______________
_____________________
Date ________________
Officer
Signature
Returning