Sample Format for preparing Polling Personnel database in connection with Lok Sabha Election - 2024

Name of the District: _________________________________

Name of the Sub-division: _________________________________

Name of the Official/School/College (Address for sending appointment) : _______________________________________________________

Specia Posting Pay Present Ban IFSC Assembly Elector Details

l Constituency
Address Leve basic k Code
Status No.
l A/C

Date of joining in the present post

Code
(If outside
Sl (1-15)
(See District put 99)
No

Education Qualification

(State/Central/PSU)
code
. Initial at
(Mr/ First Last Gender Mobil

Designation

Is Gazetted
table

(A/B/C/D)
Residence

(Yes/No)

Remarks
Address
Mrs/ Name Name (M/F) e No.

Group
1)

Residential Constituency
Govt.
Smt/

Home Constituency

Posting Constituency
Miss)

Epic No.
A/C No.

Part No.

Sl. No.
1 2 3 4 5 6 7 8 9 10 11 12 1 14 15 16 17 18 19 2 2 22 2 24 2 26 27
3 0 1 3 5