Ordinary Elections to Localbodies - Tamil Nadu - 2021

Registration of Polling Personnel for Local Body Election Duty

Staff Details Affix Photo

CPS or GPF Number (If CPS/GPF Number not available, enter Mobile CPS Number GPF Number
1
Number) Number :637259/PTPF

2 Name of the Employee Kantharubi N

3 Working Office Type Govt

4 Name of the Department / Organization Directorate of Elementary Education

5 Name of the Office with Working Place

BLOCK EDUCATIONAL OFFICER - II , BLOCK EDUCATIONAL

6 Drawing and Disbursing Officer(DDO)
OFFICE ,ALATHUR (PR019) ,

7 Designation Secondary Grade Teacher

8 Gender Male Female Transgender

9 Type of Pay Regular pay

th
10 Level of Pay (As per 7 Pay Commission) Pay Scale - 12

11 Cell of Pay (Level) 35600

12 Mobile no.

13 Email ID

14 Place of Working District

TownPanchayat Municipality
14(a) Place of work located in Localbody Type
Corporation Panchayat Union

14(b) Name of the Working Localbody / (Zone Code if Corporation)

15 Present Residing District

TownPanchayat Municipality
15(a) Residing District Localbody Type
Corporation Panchayat Union

15(b) Name of the Residing Localbody / (Zone Code if Corporation)

16 Native District

TownPanchayat Municipality
16(a) Native District Localbody Type
Corporation Panchayat Union

16(b) Name of the Native Localbody / (Zone Code if Corporation)

17 Name of Police Station for Residential Area

18 EPIC Number

19 Previous Experience

a) Previously worked in L B Election ? Yes No

b)Previously Handled EVM ? Yes No

c)Any Punishment awarded for election related works Yes No

20 COVID 19 Vaccination Taken? Yes No if Yes 1st Dose Both Doses

Signature of the DDO Signature of the Employee

Official use Only : Polling Official Category for Consolidated pay

Employee : Category - 2 (PO - II) Category - 3 (PO - III)
Polling Official Category fixation has to be done by PA Election office Only
 Ordinary Elections to Localbodies - Tamil Nadu - 2021

Registration of Polling Personnel for Local Body Election Duty

Staff Details Affix Photo

CPS or GPF Number (If CPS/GPF Number not available, enter Mobile CPS Number GPF Number
1
Number) Number :564266/PTPF

2 Name of the Employee Sumathi D

3 Working Office Type Govt

4 Name of the Department / Organization Directorate of Elementary Education

5 Name of the Office with Working Place

BLOCK EDUCATIONAL OFFICER - II , BLOCK EDUCATIONAL

6 Drawing and Disbursing Officer(DDO)
OFFICE ,ALATHUR (PR019) ,

7 Designation Head Master (Primary School)

8 Gender Male Female Transgender

9 Type of Pay Regular pay

th
10 Level of Pay (As per 7 Pay Commission) Pay Scale - 15

11 Cell of Pay (Level) 36200

12 Mobile no.

13 Email ID

14 Place of Working District

TownPanchayat Municipality
14(a) Place of work located in Localbody Type
Corporation Panchayat Union

14(b) Name of the Working Localbody / (Zone Code if Corporation)

15 Present Residing District

TownPanchayat Municipality
15(a) Residing District Localbody Type
Corporation Panchayat Union

15(b) Name of the Residing Localbody / (Zone Code if Corporation)

16 Native District

TownPanchayat Municipality
16(a) Native District Localbody Type
Corporation Panchayat Union

16(b) Name of the Native Localbody / (Zone Code if Corporation)

17 Name of Police Station for Residential Area

18 EPIC Number

19 Previous Experience

a) Previously worked in L B Election ? Yes No

b)Previously Handled EVM ? Yes No

c)Any Punishment awarded for election related works Yes No

20 COVID 19 Vaccination Taken? Yes No if Yes 1st Dose Both Doses

Signature of the DDO Signature of the Employee

Official use Only : Polling Official Category for Consolidated pay

Employee : Category - 2 (PO - II) Category - 3 (PO - III)
Polling Official Category fixation has to be done by PA Election office Only