FORM N-25

STATE ELECTION COMMISSION

KERALA

Photo
of the
Counting
Agent

General / Bye Election 20.......

Election to Local Bodies

PASS TO COUNTING AGENT

Name of Counting Agent ..........................................................................of
........................................................................................................(candidate)
Counting Table No. .......................
Signature of Counting Agent .............................................
Returning Officer.

FORM N-25

STATE ELECTION COMMISSION

KERALA

Photo
of the
Counting
Agent

General / Bye Election 20.......

Election to Local Bodies

PASS TO COUNTING AGENT

Name of Counting Agent ..........................................................................of
........................................................................................................(candidate)
Counting Table No. .......................
Signature of Counting Agent .............................................
Returning Officer.