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Form 14-A Declaration by Elector [See Rule 56(2)(a)] Election to the Delhi __________________________ Municipal Corporation from Ward No.

(This side is to be used only when the elector signs the declaration himself) I hereby declare that I am the elector to whom the postal ballot bearing serial number __________________ has been issued at the above election. Signature of elector, Date _________________ Address ______________ Attestation of Signature The above has been signed in my presence by ______________________(elector) who* is personally known to me / has been identified to my satisfaction by ____________________________ (identifier) who is personally known to me. Signature of identifier If any _______________________ Address ____________________ Signature of Attesting Officer On behalf of elector Address of elector ______________ _____________________________ Date __________________ (This side is to be used when the elector cannot sign himself) I hereby declare that I am the elector to whom the postal ballot paper bearing serial number _______________________ has been issued at the above election. Signature of Attesting Officer, on behalf of elector Address of elector ___________________ Date ____________________________________________ * Strike off the inappropriate alternative.

Signature of identifier If any ____________________ Address __________________ Signature of Attesting Officer Designation _______________________ Address_________________________ Date ____________________________ * Strike off the inappropriate alternative . in his presence and in accordance with his wishes.Certificate I hereby certify that – 1) 2) 3) 4) the above named elector* is personally known to me / has been identified to my satisfaction by ______________________ (identifier) who is personally known to me : I am satisfied that the elector* is illiterate suffers from __________________ (infirmity) and is unable to record his vote himself or sign his declaration. and the ballot paper was marked and the declaration signed by me on his behalf. I was requested by him to mark the ballot paper and to sign the above declaration on his behalf.

NOT TO BE OPENED BEFORE COUTING Election to the Delhi Municipal Corporation from _________________ Ward POST BALLOT PAPER Serial Number of ballot paper ________________ .Form 14-B Cover [See Rule 56 (2)(b)] A.

NOT TO BE OPENED BEFORE COUTING Election to the Delhi Municipal Corporation from ________________ Ward ELECTION-IMMEDATE POSTAL BALLOT PAPER To For * ________________________ ward. The Returning Officer. . ** The Returning Officer to mention here his full postal address. ** ______________________ ________________________ ________________________ Signature of sender ________________ * Returning Officer to insert here the name and number of ward.Form 14-C Large Cover [See Rule 56 (2) (c)] Service unpaid A.

After you declaration has been signed and your signature has been attested in accordance with item (b) or item (c). . You must not show your ballot paper to the attesting officer nor tell him how you have voted. your ballot paper will be rejected wish to give that vote. you are entitled to have your vote marked and the declaration on your behalf by an officer mentioned in item(b). in the presence of a stipendiary magistrate or any gazetted officer (See direction 6 above). your ballot paper will be rejected. 3. place the declaration in Form 14-A as also the smaller cover marked 'A' containing the ballot paper. After closing the large cover send it to the returning officer by post or by messenger. The number of Councillors to be elected is one. The mark should be so placed as to indicate clearly and beyond doubt to which candidate you are giving you vote. and 6. 4. Please note that – 1) If you fail to get your declaration attested or certified in the manner indicated above. You have only one vote. place the ballot paper in the small cover marked 'A' sent herewith. Record the vote by placing clearly a mark opposite the name of the candidate to whom you wish to give that vote. 5. You must ensure that the cover reaches the returning officer before 10. Take the declaration to any officer and sign in his presence after he has been satisfied about your identify. It you desire to vote. c) d) e) f) 2) If the cover reaches the returning officer after 10. Close the cover and secure it by seal or otherwise. such an officer will at your request mark the ballot paper in your presence and in accordance with you wishes. You have then to sign the declaration in Form 14-A also sent herewith. An elector shall obtain the attestation of his signature on the declaration in Form 14-A by a stipendiary magistrate or by any gazetted officer. You must not vote for more than one candidate. If you do. The officer will attest your signature and return the declaration to you. _________________________ The persons whose names are printed on the ballot paper sent herewith are candidates at the above election. on the _________________ (date) your vote will not be counted.M. PART –II Instruction for Electors a) b) After you have recorded your vote on the ballot paper.00 A.Form 14-D Instructions for the Guidance of Electors [See Rules 56 (2) (d)] Election to the Delhi Municipal Corporation from Ward No. he will also complete the necessary certificate in this behalf.M.00 A. on the _______________ (date). you should record your vote(s) in accordance with the directions given in the Part-I below and then follow the Instructions detailed in Part-II: PART–I – Directions for Elector 1. 2. You have to give your full signature in the space provided on the cover marked 'B' but not postage stamp need be affixed by you. that vote will be invalid. If you are unable to mark the ballot paper and sign the declaration yourself in the manner indicated above by reason of illiteracy blindness or other infirmity. in the large cover marked 'B'. If the mark is so placed as to make it doubtful to which candidate you have given the vote.