ELECTIONS (CONDUCT OF ELECTIONS)    REGULATIONS 1981   FORM 13
[Regulation 24 (1) ]
BALLOT PAPER STATEMENT

Situation of........................ Polling Station No.......................................
Polling District Code No.....................................................................................
Constituency of.................................................................................................
 
A - Number of ballot papers received from Returning Officer (excluding tendered ballot papers )
 
                                                                                            Number of ballot Papers
                                                                                                                 

Serial No................................. to.................................................        ...................
Serial No................................. to................................................         ...................
Serial No ................................ to................................................         ......................
Serial No ................................ to ...............................................         .....................
Serial No ................................ to ...............................................          ....................

                                                                                                             ___________
       Total number of ballot papers recived ..                                                                                                              ___________
 

B -  Number of ballot papers issued to voters  (excluding tendered ballot papers) 
 
                                                                                                          Number of
                                                                                                          ballot papers

Serial No ................................ to  .............................................          ...................
Serial No ................................ to  ..............................................         ...................
Serial No ................................  to ..............................................         . ..................
Serial No.................................  to ..............................................          ...................
Serial No.................................  to .............................................           ....................
Serial No ................................  to ..............................................           ...................
Serial No ................................  to...............................................           ...................
Serial No ................................  to ..............................................           ...................
Serial No ................................  to ..............................................           ....................

                                                                                                              ___________
                 Total number of ballot papers issued ..
                                                                                                              ___________
 
                                                                                                                     

 

 P.U. (A) 386/1981

C -  Number of spoilt papers ..        ..              ..        ..                     _____________
 
D -  Number of unused ballot papers                    ..                       _____________

E -  Summary of ballot papers:

                            Total number of ballot papers received as in A..    .........................
                            Minus number of spoilt ballot papers as in C ..     .........................
                            Minus number of spoilt ballot papers as in D ..     .........................

                                                                                                            ___________
         Total number of ballot papers to be accounted for in the ballot box ..
                                                                                                            ___________
 

I certify that the above statement is correct
 

Dated the...........................................20..............
 

 

 

  Signature of-          }  ..........................................
  or their election     }  ...........................................
  agents or                }  ...........................................
  polling egent         }  ...........................................  
                                  }  ...........................................