10TH PANCHAYAT GENERAL ELECTION -2023

Date of Poll : 08.07.2023 (Saturday)

No. & Name of the
Polling Station
Constituency No.
Assembly No.
Name of the G.P
Name of the P.S
Name of the Z.P

Total Voters Male Female Transgender

Type of Box Number of Serial Number

Ballot Box
Improvised (G.P) 1
Godrej (P.S) 1
Bungo (Z.P) 2

Paper Seal Numbers Serial Number

Provided
Used
Damaged
Unused

Ballot Provided Serial No. Used Serial No. Unused Serial No.
From To Total From To Total From To Total
G.P
P.S
Z.P
 Total
Signed
No.
SMS Reminder : Mobile No. -
D.C Arrival 07A.M 9A.M 11A.M 01P.M 03P.M 4:55P.M 05P.M
Reg. in (Poll (Voters’ (End of
Start) Queue) Poll)

Gender 9A.M 11A.M 01P.M 03P.M 5P.M End

Male
Female
Total
Percentage(%)
Epic
Non Epic
Slip Issued
Important Phone Number:
Sector Officer
Sector Police
In-charge of Polling Station Police
Water Carrier
Bus Driver
Bus’s Number Plate
Returning Officer
If Any Requirement
Some Important Points:
1. Polling Agents’ signature : Pro. Declaration, Paper Seal Account, Address Tag,
Green Paper Seal(P.S)
2. Pro. Kept in his own hand : Distinguish Mark, Metal Seal, Wax, Candle, Match
Box, Ink Pad, Stapler with pin box.
3. 1 copy Form-18 per Tire & Receiving by Polling Agents.