i SR ERTIES Annexure-IV wierat / PROFORMA Date: 10! ti] 2023 ‘each staat (Name of the Company) REL GANG ALO: tee Re ‘Wawa aa eee Urfta weet (Name of the State/UT) [WAT wT AIA (Name of the Election) A. & 2023 pvatiq.uret (Total CU Received) 43) ‘ey wes (Total BU Received) 3) [pw diahdtcdl art (Total WPAT Received) 36 Repairable or Non- rable iS uBuY VVPAT Unique to Reason for such Number na AVTEGOH36| Not Pewe on BVTE 0884 Qvtegosss3 VTE O04? GVTEQOINT BVTEQDE4IO VTEQOISIZ JavTEQOEIES gvieaoo320 | javiecossee BVTE O664O aif vitae Seer ( Signature of the BEL Representative)Annexure-IV wat / PROFORMA Date: \ 0/7) ]202 [ Suet sr ara (Name of the Company) Rer. BANGALORE ‘Tae e an/ ex enfva weet (Name of the State/UT) ree ‘Gare a 7A (Name of the Election) AsC-2ory [ps atig.wrex (Total CU Received) 48) | gs ata wr (Total BU Received) 331 | x eietetwet wrer (Total VVPAT Received) 385 If Repairable or repairable EO/BUPWPAT | neason for such Ney which part Unique 10 oo fee east | Repairable | “nich Par Number (Mentioned in | Pas Pern Defect Code) | "epaees ever od $ 42 S-Pin Cmnedesnol 7 gcves27 793 FP Conmecer oe] 7 BLUETISIVE | In-opmadine ins = Qalhet ku wor | 10 = REvETIFg21 ml ges viata seat (Signature of the BEL Representative)Annexure VI Alartte / MOCK POLL 1. (area) State: 2. (ear) Place:__Qhind ~ Gehad =H Se FEIT Biete Yee a. te aie ce fear zat Total No. of &_% Control Units for1@00_ Votes have ‘undergone Mock Pot: 1% No's waa Taye A; Sak AR fayperh ar fein a Setagia aaite day Rayer 7s aa ————— feast carsutenf@tadea at Certified that the Mock Poll has been conducted forthe above mentioned ‘quantity of Control Units by your representative Sr/Smt QRIT BHUSHAN PALL SHARAT Staff No 610285 4109%0tom date 10-M1=2023 Todate \o=l-2023 Ye Date: [0=1-2023. G soe tre a 13s Ree 7 (Signature of Authorized Signatory) (Encherge with Seal)BU/CU/VVPAT Serial No’s in which Mock poll Done. WPAT WeaT SLNo,| CUUID | BU UID Hes SI.No.| CUUID | BUUID Hs 1) [3 20162| £P23664 £@ 02994 16) PLYFSSS| EP 23670 | ¢ @ oSesal 2) _[e42916% |ACH334S [ta ooe3S| |_17) ES 2033>| EP I> 460 | tqosnc 3) _|t529226 |AcPios4 [Eaosous | | \ 4Y [nc32ve7/Acr9929 |€@ 08078 AC31356 | P2.2739| £@ olb60 £3.20396 |ACHI IO |EQ 06 674 EIN 707 |ADES%08 [FA OP029 fI1S829 |v 66a22|f0 06997 \ E12976A\Cpi64 22. | tq 08324 £120493 |eeo.6us €Q0540g £5) S422 |ADIM) | €@c0306 \ ET2100 C0034) £@ 03462. £7 2o0b4| €P2r92¢ |ERo126) esN4y4) ACPISES |8G 00240) £5)3296 |¢P15313 |£@ 50618 |VVPAT Symbol Loading Certificate 1. State eee 2. Place eee HNN 0s 3. Assembly constituency number and name:__|3- GOWAD The Following are the Identification Number of 2S war's in which actual Symbols of A.£-2023 ~\%-lOwAD were leaded from 8-11-2023 to 3-11-2023 Mi Antwort Gup tal by Bharat Electronics Limited Engineers. ij Rishon Pol A Ghareth Rumer . as per the order given by RO -11-2028 Pa ae tO rt (Signature of Authorized signatory) Incharge with Seal (afte arfttendt & geaten) (fer are) PTO to note down Serial No’—w —e, HILT | toe Annexure XIE Original Symbols Loaded VVPATs SI.No wate | S| Westie SYTEQ 5 29| E og by EQ OITSL | Zo EROb204 is9 23 £00935 | 81 | en os males FR07952 |n3 2: be ER 05 997 | 33 Eyolt7g | ty 289s: SI No |_WPAT No ; 2s) Ew O71 93, | 7230lt2| Feo spa)| Eg oeer7 o$ S43) D a £03067 lat |e 722.48 Ep 88724) 92168 0639) £80663 [89 | epoeguy £08493 | jo |E@vedin | se £90) 695 _| of ft 16 02628) 34 | Exo2232 12 | E@O8Se7 leo ER 04 27 Ewoe gy 18 |€Q0290) 41 |e pot37S E Gues25 18 | E99 2270 -42\ & @pre49ol Ewoboee lag is_F@ 06228142) eg o2ee |y | EQ ogee! 4p te | € 961326 | 44| Ewcow, 17 | £899799 | 45| Ego gecc| L1@ |£¢ 5283) 4b |Ege nab Ee oss7y EqQb 3232147 | E mone, \75 |£y 08s £8 C8SS 14S | fGen leg ee ty oO £t 2 {7b 45 | 902127 |77 ewnrény So 168 04422 178 le yet cay bt £R.08924| £R C607) | 5) 1FR 01268 |79 EQ £60) |e JER O94 22 | £@ eblo2 |82 | Empkesy |S Fe o8tae| hrlms 072 96 Ete 08994 | cile 2¢|% ee 26 Em 08 So) SylFa p69 bs |82 | Bg oSbs) Eg oBybo £5 07/% |S° |Egoterr |\63 Eg o7s7y ae £ R08 7 | St | Ew pb Bysl8y |Ey 08979| N2\Ep eozya| Egogric|Annexure XIIT ! —= i PURAT Original Symbols Loaded VVPATS SI.No WPAT No Si No WPAT No Fqotyas 4L41 EReobob) FR 03363 ERO CO ER 03933 ERon73 EQ 07274, 1E@e2527 | [bp ER 063 0D Dove | a 3 fo | WAT Ne | Wem, \ O25 'Gl EROS gic] 27246) ER D361 23 | 22 lew ©8399 {sv bo8 ER o9eso 26 ER 07873 ler of227 Boy L130) [24 1E@ ovSoo 125 1ER 5 1675, ES cox 11271E © oosa5 ER ©2637 [Le | hast 129) (Slew oft o. PER 0 27% leal Ew o29sc |Z] Be oa10s ER o87b2) ER oo S 813 Sy |209) leg ORS 5 210| 6 0/379, 1 BR 00383 183 @ 01292 21 EB IH ER O78 by: 412 E@ 09222) 105 ER 0897 3 |213 EQO27194 ERo tesa 155) ER oz oy SHE Roszcty [eo 133 E@ oss6q thy ERCCT et, | Ie lERo2822 Erotr.,7\ eal 190 wm 02469: 187, EXD ByAb 1216 ops igs < 2ib | yas ER C1213 BlER o BS 163 a ese 19) ER 06309) 218) 2 19) 136 Ee 6634) | ig Em of by 192 EQ OT 224 7 13: ERe2459 Ms FR OSG) 195 EQ 038 4322/\pm op 272 ERO210s| Si 28 2) ay CRO 1264 223 €R 62954 Ea0l24y | | 1271 ERo6199 Ws ERo7S 3 Egos 36 ies ER 0730b O3sIs | AY Rosey 02526)—s, 2a rire BUM Bicrpoaaes Annexure X11 Original Symbols Loaded VWPATs SI.No no | wear o | 5] wear io S| wat no el Warts] as 6294) EH} Ey 028 4.6) 401 Fe 9 an 24) Enggica | 22hERo/g 22 |r ol = 2828 osu 9a |p oacag BPVE@ O18, [2561 Fy 65224 |ag $892:51 |e 6ca4 228 E 261! EY O6sep | 2.1312! 6724) 9 | 235 a 288) ER 612.6) |3)2 EB pean) PSS EROUTT [RO @ ba Hin! 2@ ERor zee, [5 231 ER 0629 |2¢9lew o86/8 |7074 = © psiemossis lel eoome gs Beals 232) E0140 FEHR DL922|205|E~ ovg28|,, ve7/ 2336p n67192/2bi po Ep se/9 lps o1s7< |21) 23H 0 85781 2421 | SR AESEt TER 77 | 23s, 1243 Eg oF 274 2 MER OBL Sy \3 14 Ftp 2969 23! Ey olpgs 2 tle 8442! 290 1, 68999 |3.18) =n 0 6169 Helen 02983 28 E 9 0204 34)| oy 07293 22) 1D 6625) hire o49 24 216 Ee oa 2: 3.21 2.00304) 2.29) ©3097 2Ulep eo2ae 2d 6. baslen os kav FOQER OL622|266l, 02270. Hen obgts B24) 2 41 Ex 0 $498|249 ER 08979 297 eels 2 (395 | 240 3) |27 Ee ogag |298 2) ER D2ce| eae 1120 | #08624 |299] Fpn8249 8 eR ee | 244)fe 08279 |272, ER 07292 |aex\EQ 09201 (32: Rot 245| €@ o6022)273/Ee 077 |30/| B¢0173) 329) BR obey 2) 24U1ER ole2b\ 274 OY O85e |309 ry 0) 068/380 poy ye ee 109-99 £@ 62939 |33'6 vbowty 231| Seo9e2b| 248'cn olbo |*16| pty o< Bee |34| ERO2OTT 249 Ei 071292 Tee 0 1297 [28 ERo3 107 Bot PRO S 2s| CRomyé9 |778) el ae 25 ep: 279. Be? | EROSIS9 Ossie 254 EO 0 0825 || BR oot 208) my bb863 we Or dil cansAnnexure XIIT Original Symbols Loaded VVPATs SI.No St WrATNo | No | Weatno | ©] wate EQor3gs Eye 772. 2f 341 34216 oL9/7 345 KW onuoy 2441 €R073 97 3451 OR 06882 S4hlER ogy. 34H/ER OS 479 343/68 og432 1349] ROTO S 57999 ISSUER C7 ees | |SrzleRo2baq E® 0b 37g £8 012£7 Egos OTIS ER D/2b2 Ego8b7°Sages anew A art (Based on the level of satisfaction with respect to each factor, please award ‘the box.) ‘tie aT Fr (Scale of ranking) : S-3ifa Sepec (Excellent) 3- ates (Satisfactory) 4 SRT HOT (Very Good) _2- Halse aét (Not satisfactory) appropriate marks in 1- Te (Poor) Performance Factor ‘ofS (IMAGE) | agua aitat At sys (Accessibility of BEL Personnel) SATS STRefRfaT (Transparency of business) SIR GAS ages A Sear (BEL Tesponstveness to customers) semg att fare (PRODUCT & SERVICES) APT (Quality) FATT (Delivery) ‘Fe zuritzar (Reliability) ‘Fast sit Gare (SALES & SERVICES) Fl yan ‘Shit su uferisar Bara (Response time to queries) 1 2 3 B 1 2 3) ic 1 2 3 Resract & agers & aaracat (Promptness in handling complaints) SeaTE SH Harsit & Fae aaah) era (Technical Support for Product & Services) ‘aerert (LOYALITY) — aiguer & yaWeig 3 Stet (Intension to repurchase from BEL) Bye Ht Sige Hr Rranheer aes ay geo (Willingness to recommended BEL to Others) SES H Fed Seal Va HarsHt st les M seas (Willingness to. Purchase Other Products & services of BEL) p ol wn ard sora & HUN & fore Bere (Please give your comments: for improvement of the process): ‘angs Bsa HT ATA (NAME OF CUSTOMER ORGANISATION) = PSST anes & vfafeitr a7 art (NAME OF CUSTOMER REPRESENTATIVE) = Beaierz (SIGNATURE) = ug / eit (DESIGNATION / TITLE): AO N =