Karnataka General Assembly Election-2023

167-Vijayanagar Assembly Constituency

De-Mustering Check list Date:10-05-2023
PS No. PRO Name & Mob No:

I Important Documents and Materials

Sl No. Items to be checked Tick (✓)
1 Voting Statistic Card ( 2-Copies)
2 EVM (CU+BU+VVPAT)
3 Additional CU+BU+VVPAT (If used)
4 17-C (Account of Votes recorded) In Green Colour Envelop -2 Copies (1 sealed + 1 opened)
5 PRO Dairy In Green Colour Envelop -2 Copies (1 sealed + 1 opened)
6 PRO Declaration In Green Colour Envelop -2 Copies (1 sealed + 1 opened)
7 PRO Report (Part I to Part V)
8 Additional 16 Points Observer’s Report
9 Paper Seal Account
10 Mock Poll Slips (Box containing mock Poll slips in black envelop)
11 VVPAT Battery (In envelop)
12 Polling Personnel remuneration payment receipts
II Statutory Covers (First Packet)
1 The sealed cover containing the marked copy of the electoral roll
2 The sealed cover containing Register of Voters (FORM17A)
3 The sealed cover containing voters’ slips
4 The sealed cover containing the unused tendered Ballot papers
5 The sealed cover containing used tendered ballot papers and list in17B
III Non-Statutory Covers (Second Packet)
1 The sealed cover containing the copy or copies of electoral roll (other than the marked copy)
2 The sealed cover containing the appointment letters of polling Agents in Form10.
3 The sealed cover containing the election duty certificates in Form12B
4 The sealed cover containing the list of challenged Votes in Form 14
The sealed cover containing the list of blind and infirm Electors in Form14A and the declarations of the
5
companions
The sealed cover containing the declarations obtained from the Electors as to
6
their age and the list of such electors
7 The cover containing the receipt book and cash, if any, in respect of challenged votes.
8 The cover containing unused and damaged paper seals
9 The cover containing unused voters’ slips
10 The cover containing with unused and damaged special tags
11 The cover containing unused and damaged strip seals.
IV Other Items: (Third Packet)
1 Handbook for Presiding Officer Dairy 2023
2 Manual on EVM and VVPAT
3 Indelible Ink set with cup
4 Stamp pad
5 Brass seal for Presiding Officer and Distinguished Mark seal
6 Arrow cross mark rubber stamps for marking tendered ballot papers
7 Others Items, If any
V All Other Items: (Fourth Packet)
I Certify that all above Documents I have received above Documents,
submitted is Correct & in order. verified and found correct

Signature of PRO Signature of Sector Officer