Certificate for Spl.

CL (Election)
Certified that Sh./Smt./Miss…………………………………………………..
S/D/W of Sh……………………………………………………………………………
Poll his/her vote on date…………………………… at Booth No. …….
Of Distt……………………………… State………………………………………….
Serial No……………

Signature of Polling Officer

Booth No………………………….