This is to certify that following ECIL Engineers have reported at the Office of the Collector/ District Election Officer, .., on .. for FLC / Sealing / Polling / Counting. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Note: Please furnish the following information needed for submission of Bills: 1. Period for which accommodation was provided to our Engineers / Technicians .. 2. Number of days for which local conveyance was to our Engineers / Technicians
3. The date on which our Engineers / Technicians
were relieved: ------------------------Signature of Authorised Officer (Stamp) Station: Date: