151

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 15
[See rule 42(2)]
LIST OF TENDERED VOTES

Election in the*…………………………………from the……………………………………………………….constituency.
1[Number and Name of Polling Station……….in……….Assembly Constituency/ Name of place of poll…………………….]
________________________________________________________________________________________________

Part number, serial
number and name
of elector

Address of elector

Serial number of
tendered ballot
paper

Serial number of ballot
paper issued to the
person who has already
voted

Signature or
thumb imp-
ression of
person
tendering
vote

________________________________________________________________________________________________
12345

________________________________________________________________________________________________

________________________________________________________________________________________________

Date…………. Signature of Presiding Officer.

*Appropriate particulars of the election to be inserted here.

________________________________________________________________________________________________
1. Subs. by Notifn. No. S.O. 565(E), dated the 4th August, 1984, for certain words.

152

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 16
[See rules 45, 56(7) and 56A(7)]
PART I.—Ballot Paper Account

Election to the……………………………………from the……………………………………………………constituency.

Name of Assembly Segment……………………………………………………………………………………………………
(in the case of election from a Parliamentary constituency)

No. and Name of Polling Station………………………………………………………………………………………………..
________________________________________________________________________________________________

Serial Nos. Total No.
_______________

From To
________________________________________________________________________________________________

1. Ballot papers received ………………………………
2. Ballot papers unused (i.e. not issued to voters)—

(a) With the signature of Presiding Officer
(b) Without the signature of Presiding Officer ……………………………

*Total : (a+b) ………………………….

3. *Ballot papers used at the Polling Station ……………………………
(1—2=3) …………………………………………

4. *Ballot papers used at the polling station but NOT INSERTED INTO
THE BALLOT BOX:

(a) Ballot papers cancelled for violation of voting procedure under
rule 39 ……. . . .
(b) Ballot papers cancelled for other reasons.
(c) Ballot papers used as tendered ballot papers …………………….

*Total: (a+b+c) …………………….
5. *Ballot papers to be found in the ballot box

(3—4—5)
*(Serial numbers need not be given)

Date ……….. Signature of the Presiding Officer.

_______________________________________________________________________________________________
1. Form 16 ins. by Notifn. No. S.O. 470A, dated the 27th January, 1971 and subs. by Notifn. No. S.O. 518(E), dated the 7th September, 1979.

153

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

PART II.—Result of Counting
_______________________________________________________________________________________________

I. Name of candidate Number of valid votes cast
_______________________________________________________________________________________________
1.
2.

3.
4.
5.
etc.
_______________________________________________________________________________________________

II. Rejected Ballot Papers
_______________________________________________________________________________________________

III. TOTAL
_______________________________________________________________________________________________

Whether the total number of ballot papers shown against item No. III
above tallies with the total shown against item No. 5 of Part I or
any discrepancy notice between these two totals.

_______________________________________________________________________________________________

Place…………… Signature of the Counting Supervisor
Date…………….

Place…………… Signature of the returning Officer.]
Date…………….

________________________________________________________________________________________________

154

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 16A
[See rules 45 and 55B(1)]
(To be used in constituencies specified under rule 59A)

Election to the………………………………………..from the…………………………………………constituency.
Name of Assembly Segment…………….. (in the case of election from a Parliamentary constituency) No. and Name of
Polling Station …………………………………………………………………………………………………………………
_______________________________________________________________________________________________

1. Ballot papers received …………………………………..

2. Ballot papers unused (i.e. not issued to voters)—

(a) With the signature of Presiding Officer
(b) Without the signature of Presiding Officer _____________________

*Total : (a+b) ______________________

3. *Ballot papers used at the Polling Station _______________________
(1—2=3) ……………………….. _______________________

4. *Ballot papers used at the polling station but NOT
INSERTED INTO THE BALLOT BOX :

(a) Ballot papers cancelled for violation of voting
procedure under rule 39.

(b) Ballot papers cancelled for other reason.
(c) Ballot papers used as tendered ballot papers

*Total : (a+b+c)

5. *Ballot papers to be found in the ballot box
(3—4=5)

*(Serial numbers need not be given)
Date……..

PART II—Result of Initial counting

1. Total number of ballot papers found in the ballot box(es) used at the polling station………………………………………
2. Discrepancy, if any, between the total number as shown against item 1 in this Part and the total number of ballot

papers to be found in the ballot box(es)
Date………………

shown

in item 5 of

Part I…………………………………………….
Signature of Counting Supervisor

Signature of the Returning Officer.]
________________________________________________________________________________________________

1. Original Form 16, which was renumbered as Form 16A by Notifn. No. S.O. 479 A, dated the 27th January, 1971, omitted by Notifn. No, 518(E),
dated the 7th September, 1979 and again ins. by Notifn. No. S.O. 958(E), dated the 17th November, 1989.

Serial Nos. Total No.
___________

From To
_____________________________________

Signature of the Presiding Officer.

155

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 17
[See rule 49(3)(f)]

Tendered Ballot Paper

Election to the*………………………………………………from the…………………………………………..constituency
………………………………………………………..Serial number of Ballot paper………………………………………………
Polling Station ………………………………………………………………………………………………………………….
Name of Elector…………………………………………………………………………………………………………………
Serial number of elector ………………………………………. in Part number……..of the electoral roll.

Address of elector……………………………………………………………………………………………………………………..
Name of candidate in whose favour vote is tendered…………………………………………………………………………..

Date ……………

________________________________________________________________________________________________
*Appropriate particulars of the election to be inserted here.

156

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 17A
(See rule 49L)

Register of Voters

Election to the House of the People/Legislative Assembly of the State/Union territory …………………………….
from …………………………….. Constituency No. and Name of Polling Station…………………………………………… Part No. of
Electoral Roll………………………………..

etc.

___________

FORM 17B
(See rule 49P)
List of Tendered Votes

Election to the House of the People/Legislative Assembly of the State/Union territory…….from…….Constituency.

No. and Name of Polling Station……………………………………………………………………………………………………
Part No. of Electoral Roll…………………………………………………………………………………………………………….
________________________________________________________________________________________________

Sl. Name of
No. elector

Sl.No. of
elector in
electoral
roll

Sl. No. in Reg-
ister of
voters
(Form 17A) of
persons who
has already
voted in

place of

Signature/
Thumb
impression
of elector

elector
________________________________________________________________________________________________

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
________________________________________________________________________________________________

Date…………….. Signature of the Presiding Officer.

________________________________________________________________________________________________
1.Subs. by Notifn. No. S.O. 728(E), dated the 8th May, 2007.

Signature of the Presiding Officer.

157

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 17C
[See rules 49S and 56C(2)]

PART I.—ACCOUNT OF VOTES RECORDED

No. and Name of Polling Station………………………………………………………………………………………………….
Identification No. of Voting Control Unit………………………………………………………………………………………

Machine used at the Polling Station balloting Unit:—

1. Total No. of electors assigned to the Polling Station
   

2. Total No. of voters as entered in the Register for Voters (Form 17A)
   

3. No. of voters deciding not to record votes under rule 49-O
   

4. No. of voters not allowed to vote under rule 49M
   

5. Total No. of votes recorded as per voting machine
   

6. Whether the total No. of votes as shown against item 5 tallies with the total No. of voters as shown against item 2
   minus Nos. of voters deciding not to record votes as against item 3 minus No. of Voters as against item 4 (2-3-4)
   or any discrepancy noticed.
   

7. No. of voters to whom tendered ballot papers were issued under rule 49P.
   

8. No. of tendered ballot papers.
   

   Sl. No.
   

From To
(a) received for use _____________________________________________________________________________
(b) issued to electors ____________________________________________________________________________

(c) not used and returned _________________________________________________________________________

Election
territory…………..from…………….Constituency.

to House

9. Account of papers seals
Sl. Nos.

From To

1. Serial Numbers of paper seals supplied
From …………….to …………..

2. Total Numbers supplied
3. Number of paper seals used

4. Number of unused paper seals returned to Returning
Officer (Deduct item 3 from item 2)

Signature of polling agents.
1_____________________.
2_____________________
3_____________________
4_____________________
5_____________________
6______________________

of the People/Legislative Assembly of the

State/Union

5. Serial number of damaged paper seal, if any
________________________________________________________________________________________________

Date…………
Place……….. Signature of Presiding Officer

Polling Station No ……………

158

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

PART II.—RESULT OF COUNTING
________________________________________________________________________________________________

Sl. No. Name of Candidate No. of Votes recorded
________________________________________________________________________________________________
1.
2.
3.
4.
5.
6.
________________________________________________________________________________________________
Total
________________________________________________________________________________________________

Whether the total nos. of votes shown above tallies with the total No. of votes shown against item 5 of Part I or any
discrepancy noticed between the two totals.
________________________________________________________________________________________________
Place…………..

Date……………

1.
2.
3.
4.
5.
6.
7.
8.

Signature of Counting Supervisor
Name of candidate/election agent/counting agent
Full signature

________________________________________________________________________________________________
Place ……………………..
Date……………………….

Signature of Returning Officer.]

159

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 18
[See rule 52(2)]

Appointment of Counting Agents

Election to the………………………………………from the………………………………………………………..constituency.

To
The Returning Officer,

I,……………………….*a candidate/the election agent of………………………..who is a candidate at the above
election, do hereby appoint the following persons as my counting agents to attend the counting of votes
at……………………:

Name of the Counting agent

We agree to act as such counting agents

Address of the counting agent.

Signature of *candidate/election agent.

Signature of counting agents.

1.
2.
3.
etc.

1.
2.
3.
etc.

Place………………..
Date…………………

DECLARATION OF COUNTING AGENTS
(To be signed before the Returning Officer)

We hereby declare that at the above election we will not do anything forbidden by section 128$ of the
Representation of the People Act, 1951 (43 of 1951), which *we have read/has been read over to us.

1……………………………
2…………………………….
3…………………………….
etc.

Date…………………
Signed before me.

Date…………………
________________________________________________________________________________________________

*Strike off the inappropriate alternative.
$Section 128 of the Representation of the People Act, 1951:—

“128. Maintenance of secrecy of voting.—(1) Every Officer, clerk, agent or other persons who performs any duty in connection with the
recording or counting of votes at an election shall maintain and aid in maintaining, the secrecy of the voting and shall not (except for some
purpose authorised by or under any law) communicate to any person any information calculated to violate such secrecy.

(2) Any person who contravenes the provisions of sub-section (1) shall be punishable with imprisonment for a term which may extend to three
months or with fine or with both.”

Signature of counting agents.

Returning Officer.

160

To
The Returning Officer,

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 19
[See rule 52(4)]
Revocation of Appointment of counting Agents

Election of the*.…………………………

I,……………………..[the election agent of……………… a candidate at the above election hereby revoke the
appointment of………………………………… my/his counting agent.

Place……………………
Date……………………. Signature of person revoking.

________________________________________________________________________________________________
*Here insert one of the following alternatives as may be appropriate:—

(1) House of the People from the…………constituency.
(2) Legislative Assembly from the………….constituency.
(3) Council of States by the elected members of the Legislative Assembly of……………(State).
(4) Council of States by the members of the electoral college of………………………….. (Union territory).
(5) Legislative Council by the members of the Legislative Assembly.
(6) Legislative Council from the………….constituency.

N.B.—Omit the Words[ ] as necessary.

161

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 20
[See rule 56(7)]
Final Result Sheet
(To be used for recording the result of voting at polling stations other than notified polling stations)

Election to the…………………………………………from the…………………………………………constituency.
PART I

(To be used both for Parliamentary and Assembly elections)
Name of the Assembly segment (in the case of election from

a Parliamentary constituency)…………….

Total No. of
electors in Assembly
constituency/segment……….
________________________________________________________________________________________________

Serial No. of No. of valid votes cast in favour of Total of No. of rejected votes Total No. of tendered
Polling A B C valid Votes votes
Station
________________________________________________________________________________________________

(1)
(2)
(3)

etc.
________________________________________________________________________________________________
TOTAL No. of votes recorded at Polling Stations.
________________________________________________________________________________________________
No. of votes recorded on postal ballot papers.

(To be filled in the case of election from an Assembly constituency.)
________________________________________________________________________________________________

TOTAL votes polled.
________________________________________________________________________________________________

Place……………
Date……………. Returning Officer.

________________________________________________________________________________________________
1. Subs. by Notifn. No. S.O. 518(E), dated the 7th September, 1979.

162

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

PART II

(To be used for a Parliamentary election only)

________________________________________________________________________________________________
Name of No. of valid votes cast in favour of Total of No. of rejected votes Total No. of tendered
Assembly A B C valid Votes votes
segment
________________________________________________________________________________________________

(1)
(2)
(3)

etc.
________________________________________________________________________________________________
TOTAL
________________________________________________________________________________________________
No. of votes recorded on postal ballot papers.
________________________________________________________________________________________________
GRAND TOTAL
________________________________________________________________________________________________

Place…………………
Date…………………. Returning Officer.

163

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 20
(See rule 59)
Final Result Sheet
(To be used for recording the result of voting at notified polling stations)
Election to the*………..from the………..constituency.

________________________________________________________________________________________________
Polling Number of the ballot papers found in the ballot box of Total for polling Number of
Station Station tendered

votes
________________________________________________________________________________________________

S.No. Name A B C D
____ ____ ____ ____ ______________________________

________________________________________________________________________________________________

Valid Rejected Valid Rejected Valid Rejected Valid Rejected Valid Rejected Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14

________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

________________________________________________________________________________________________
Total
________________________________________________________________________________________________

Number of valid votes polled by
________________________________________________________________________________________________

A B C DTotal
________________________________________________________________________________________________

Recorded at polling stations
________________________________________________________________________________________________
Recorded on postal ballot papers
________________________________________________________________________________________________
Total votes polled
________________________________________________________________________________________________
Place……………….

Date……………….. Returning Officer.

________________________________________________________________________________________________
*Appropriate particulars of the election to be inserted here.

164

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 20A
[See rule 56B (7)]
Final Result Sheet

(To be used for recording the result of voting at polling stations in constituencies specified under Rule 59A)

Election to the……………………………………………………………………………………………………………
from the…………………………………………………………………………………………………….constituency.
________________________________________________________________________________________________
Polling Station No. Total votes found in the ballot box(es) No. of tendered votes
________________________________________________________________________________________________

1. (1)  ……..
   

2. (2)  ……..
   

3. (3)  ……..
   

………………… ……..
………………… ……..
………………… ……..
________________________________________________________________________________________________
TOTAL
________________________________________________________________________________________________

1. Total number of valid votes recorded for Candidate’s valid votes Valid votes Number of
candidates and of rejected ballot papers ________________________________ Total rejected ballot

Valid and rejected
votes

papers
________________________________________________________________________________________________

1st round…………………………
2nd round………………………..
3rd round. ………………………..
4th round………………………..
5th round. ………………………..
…………………

…. …. ….
…. …. ….
…. …. ….
…. …. ….
…. …. ….

• …..  ….. ……
  

• …..  ….. …..
  

• …..  ….. …..
  

• …..  ….. …..
  

• …..  ….. …..
  

Place……….
Date………..

Name of assembly constituency

(For Parliamentary elections only)
Candidate’s valid votes

_______________________________
ABCD

Valid votes
Total

…..
….. ……
….. …….

Returning Officer

V alid and
rejected
votes
Total

…..
…..
…..

I.1…………………………. ….
2………………………… ….
3………………………… ….

…. …. …..
…. …. …..
…. …. …..

……

ABCD

Total

…..
…..
…..
…..
…..

………………..
………………..
________________________________________________________________________________________________
TOTAL
_______________________________________________________________________________________________
2. Total number of valid votes
recorded on postal ballot papers
for candidates and of rejected
postal ballot papers ….. …… …… …… …… …… ……
________________________________________________________________________________________________
GRAND TOTAL
________________________________________________________________________________________________

etc.
________________________________________________________________________________________________
TOTAL
_______________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 958(E), dated the 17th November, 1989.

Number of
rejected
ballot
papers

…….
…….
…….
…….
…….
…….

165

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

II. Total number of valid votes
recorded on postal ballot papers
for candidates and of rejected postal
ballot papers…………………………………………………………………………………………………………………………………..
________________________________________________________________________________________________

GRAND TOTAL
________________________________________________________________________________________________

Place……….
Date………. Returning Officer.]

________________________________________________________________________________________________

166

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 21
(See rule 11(1)]
(For use in General Election when seat is uncontested)

Declaration of the result of Election under sub-section (2)*/sub-section (3)* of section 53 of the Representation
of the People Act, 1951.

Election to the†………………………………

In pursuance of the provisions contained in sub-section (2)*/sub-section (3)* of section 53 of the
Representation of the People Act, 1951, read with sub-rule (1) of rule 11 of the Conduct of Elections Rules, 1961, I
declare that—

…………………(Name) 2[sponsored by…………….
………………(Address) (name of the recognised/registered political party)]

has been duly elected to fill the seat in that House from the above constituency.

Place……….. Signature……………

Date………… Returning Officer.]
________________________________________________________________________________________________
*Score out, if inappropriate.
†Here insert one of the following alternatives as may be appropriate:—

(1) House of the People from the…….Parliamentary constituency in the State/Union territory of………….
(2) Legislative Assembly of the State/Union territory of………………….from the……………………Assembly
constituency.
(3) Metropolitan Council of the Union territory of Delhi from the………………….Metropolitan Council
constituency.

________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 4542, dated the 20th December, 1968 (w.e.f. 1-1-1969).
2. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

167

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 21A
[See rule 11(1)]
(For use in General Election when seat is uncontested)

Declaration of the result of Election under sub-section (2)*/sub-section (3)* of section 53 of the
Representation of the People Act, 1951.

Election to the!………………………………………………………………………………………………………………

In pursuance of the provisions contained in sub-section (2)*/sub-section (3)* of section 53 of the
Representation of the People Act, 1951, read with sub-rule (1) of rule 11 of the Conduct of Elections Rules, 1961,
I declare that—

………………………………………….(Name)
…………………………………………(Address)
…………………………………………(Name)
………………………………………..(Address)

1[sponsored by…………………………………. (name of the
recognised/registered political party)]

1[Sponsored by ………….(name of the
recognised/registered political party)]

has been/have been duly elected to fill the seat(s) in that House of………………**……………………member(s)
retiring on…………………..(date, month and year) on the expiration of their term of office.

Place……… Signature…………..
Date……… Returning Officer.

________________________________________________________________________________________________
*Score out, if inappropriate.

!Here insert one of the following alternatives as may be appropriate:—

(1) Council of States by the elected members of the Legislative Assembly of…………………………….(State).
(2) Council of States by the members of the electoral college of………………………………(Union territory).
(3) Legislative Council of……………………………..(State) by the members of the Legislative Assembly.
(4) Legislative Council of……………………………(State) from the …………….(Local

Authorities’/Graduates’/Teachers’) constituency.

**Fill up the number of members retiring.

_______________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

168

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 21B
[See rule 11(1)]
(For use in Election to fill a casual vacancy when seat is uncontested)

Declaration of the result of Election under sub-section (2)*/sub-section (3)* of section 53 of the
Representation of the People Act, 1951.

Election to the†………………………………………………………………………………………………………………..

In pursuance of the provisions contained in sub-section (2)*/sub-section (3)* of section 53 of the
Representation of the People Act, 1951, read with sub-rule (1) of rule 11 of the Conduct of Elections Rules, 1961,
I declare that—

………………………………………….(Name)
…………………………………………(Address) 1[sponsored by………..(name of the
recognised/ registered political party)] has been/have been duly elected to fill the vacancy caused in that House by the

*resignation of……………………………………………………………………………………………………………………….
*death of……………………………………………………………………………………………………………………………….
*election of……………………………………………………………………………………………having been declared void.

*having become
*seat of………………………………………………………………………………………____________vacant.
*having been declared

Place……………… Signature…………..

Date………….. Returning Officer.
________________________________________________________________________________________________
*Score out, if inappropriate.

†Here insert one of the following alternatives as may be appropriate:—

(1) House of the People from the…………………….. Parliamentary constituency in the State/Union
territory of……………………..
(2) Legislative Assembly of the State/Union territory of…………….. from the………………Assembly
constituency.

(3) Metropolitan Council of Delhi from the…………………Metropolitan Council constituency.
(4) Council of States by the elected members of the Legislative Assembly………(State).
(5) Council of States by the members of the electoral college of………..(Union territory).
(6) Legislative Council of…………(State) by the members of the Legislative Assembly.

(7) Legislative Council of……….(State) from the……….(Local Authorities’/Graduates’/Teachers’) constituency.

________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

169

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 21C
(See rule 64)
(For use in General Election when seat is contested)

Declaration of the result of Election under section 66 of the Representation of the People Act, 1951.

*Election to the House of the People from the………………………………………………..Parliamentary
constituency in………………………………………………………………………………………(State/Union territory).
________________________________________________________________________________________________

*Election to the Legislative Assembly of…………………………………………………………….(State/Union
territory) from…………………………………………………………………………………………………Assembly
constituency.
________________________________________________________________________________________________

*Election to the Metropolitan Council of Delhi from………………..Metropolitan Council constituency.

In pursuance of the provisions contained in section 66 of the Representation of the People Act, 1951, read with
rule 64 of the Conduct of Elections Rules, 1961, I declare that—

…………………………………………(Name)

………………………………………….(Address) 1[sponsored by………………………………………….(name of the
recognised/registered political party)] has been duly elected to fill the seat in that House from the above constituency.

Place…………… Signature ……………
Date…………….. Returning Officer.

________________________________________________________________________________________________
*Score out, if inappropriate.

________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

170

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 21D
(See rule 64)
(For use in Election to fill a casual vacancy when seat is contested)

Declaration of the result of Election under section 66 of the Representation of the People Act, 1951.

*Election to the House of the People from the………………………… Parliamentary
constituency in……………………………………………. (State/Union territory).
________________________________________________________________________________________________

*Election to the Legislative Assembly of……………….. (State/Union territory) from…………….Assembly
constituency.

________________________________________________________________________________________________
*Election to the Metropolitan Council of Delhi from………………….Metropolitan Council
constituency. In pursuance of the provisions contained in section 66 of the Representation of the People Act,

1951, read with rule 64 of the Conduct of Elections Rules, 1961, I declare that—
……………………………….(Name)

………………………………(Address) 1[Sponsored by………………………………………………………………….(name
of the recognised/registered political party)] has been duly elected to fill the vacancy caused in that House by the

*resignation of …………………………………………………………………………………………………………………..
____________

*death of……………………………………………………… …………………………………………………………………
____________

*election of……………………………………………………………………………………….having been declared void.
___________

having become.
*seat of ……………………………………………………………………………… _______________________

having been declared vacant.

Place………. Signature ………..

Date………… Returning Officer.
________________________________________________________________________________________________
*Score out, if inappropriate.

________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

171

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 21E]
(See rule 64)
Return of Election

Election to the……………………………………..from the……………………………………………..constituency

Return of Election
________________________________________________________________________________________________

2[Serial Name of candidate Party affiliation Number of votes polled]
No.
________________________________________________________________________________________________

________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

3[Total number of electors……………………………………………………..]
Total number of valid votes polled…………………………………………..
Total number of rejected votes………………………………………………..
Total number of tendered votes……………………………………………….

I declare that—

………………………………………………………………………..(Name)
of…………………………………………………………………… (address)

has been duly elected to fill the seat.
Place ……………………………..
Date ………………………………

________________________________________________________________________________________________
1. Renumbered by Notifn. No. S.O. 4542, dated the 20th December, 1968 (w.e.f. 1-1-1969).
2. Subs. by Notifn. No. S.O. 565(E), dated the 4th August, 1984, for certain words.
3. Ins., ibid.

Returning Officer.

172

Certificate of Election

Election of the ———————————-

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 22
(See rule 66)

I, Returning Officer for the…………………………..Parliamentary/Assembly constituency in the State
of………………hereby certify that I have on the……………………day of ………………………. 20………….
declared Shri………………………… of………………….1[sponsored by……….(name of the recognised/registered
political party)] to have been duly elected by the said constituency 2[in the General Election/Bye-election]
to be a member of the House of the People/Legislative Assembly and that in token thereof I have granted to
him this certificate of election.

Place ……………
Date …………….

…………………………………………………………………

Returning Officer,
for the………………………………………….Parliamentary
Assembly constituency.

SEAL
FORM 22A
[See rule 39AA(2)]

Appointment letter

I………………………..*President/General Secretary of………..Party do hereby appoint the following
persons as the authorised agents of the Party to verify under rule *39AA/ rule 42/ rule 42A/ rule 84 as to whom the
electors who are the members of the said political party have cast their votes. Photographs of the aforesaid authorised
agents are pasted hereunder and is attested under my hand and seal.

Name of the authorised agents

1……………………….
2……………………….

We agree to act as such authorised agents
1………………..
2………………..

Address of the authorised agents

Signature of * President/
General Secretary of the Party)

Space for the photographs

*Strike off the inappropriate alternative.]
__________________________________________________________________________________________
1. Ins. by Notifn. No. S. O. 961(E), dated the 29th December, 1986.
2. Ins. by Notifn. No. S. O. 565(E), dated the 4th August, 1984.
3. Ins. by Notifn. No. S. O. 272 (E), dated the 27 th February, 2004.

Signature of the authorised agents

(Seal)

173

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 23
[See rule 84(1)(a)]
(For use in Biennial Election when seat is contested)

Declaration of the result of Election under section 66 of the Representation of the People Act, 1951.
Election to the*………………………………………………………………………………………………………….

In pursuance of the provisions contained in section 66 of the Representation of the People Act, 1951,
read with clause (a) of sub-rule (1) of rule 84 of the Conduct of Elections Rules, 1961, I declare that—

…………………………(Name)
……………………….(Address)

…………………………(Name)
……………………….(Address)

2[sponsored by…………………. (name of the recognised/registered
political party)]

2[sponsored by…………………. (name of the recognised/registered
political party)]

**has been/**have been, duly elected to fill the seat(s) in that House of a …………………………………!member(s)
retiring on……………………………………………….. (date, month and year) on the expiration of their term of office.

Place…………….. Signature……………………………
Date………………

Returning Officer.]

_________________________________________________________________________________________
* Here insert one of the following alternatives as may be appropriate:—

(1) Council of States by the elected members of the Legislative Assembly of……………………(State).
(2) Council of States by the members of the electoral college of……………………(Union territory).
(3) Legislative Council of………………………… (State) by the members of the Legislative Assembly.
(4) Legislative Council of………………..(State) from the……………………………………………….
(Local Authorities’/Graduates’/Teachers’) constituency.

** Score out, if inappropriate.
!Fill up the number of members retiring.

__________________________________________________________________________________________
1. Ins. by Notifn. No. S. O. 4542, dated the 20th December, 1968 (w.e.f. 1-1-1969).
2. Ins. by Notifn. No. S. O. 565(E), dated the 4th August, 1984.

174

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 23A
[See rule 84(1)(a)]
(For use in Election to fill a casual vacancy when seat is contested)

Declaration of the result of Election under section 66 of the Representation of the People Act, 1951
Election to the!…………………………………………………………………………………………………………….

In pursuance of the provisions contained in section 66 of the Representation of the People Act, 1951, read
with clause (a) of sub-rule (1) of rule 84 of the Conduct of Elections Rules, 1961, I declare that—

…………………………….(Name)

……………………………(Address) 1[sponsored by…………………(name of the recognised/registered political
party)] has been duly elected to fill the vacancy caused in that House by the

*resignation of…………………………………………………………………………………………………………..
_____________
*death of………………………………………………………………………………………………………………………
_____________

*election of…………………………………………………………………………….having been declared void.
_____________

*having become
*seat of…………………….______________ vacant.

*having been declared

Place………
Date……….

__________________________________________________________________________________________
! Here insert one of the following alternatives as may be appropriate: —

(1) Council of States by the elected members of the Legislative Assembly of ……………….(State).

(2) Council of States by the members of the electoral college of……………………………….(Union
territory).

(3) Legislative Council of…………………………………………(State) by the members of the Legislative
Assembly.

(4) Legislative Council of……………(State) from the…………..(Local Authorities’/Graduates’/Teachers’)
constituency.

*Score out, if inappropriate.]

__________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 565(E), dated the 4th August, 1984.

Signature…………..

Returning Officer.

175

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 23B]
2[See rule 84(1)(b)]
Return of Election

Election to the Council of States
__________________________________________________________________________________________

Election to the Legislative Council by Members of Assembly/…………………………….. constituency.

The result of the poll and of the transfer of votes is as follows:—
Number of valid votes………………………………………………………………………………………………..
Number of members to be elected…………………………………………………………………………………..
Quota (number of votes sufficient to secure the election of a candidate)…………………………………………..

I declare that—

(1) (Name)………………………………………………….
(Address)…………………………………………………..

3[Sponsored by…………………………………………(name of the

(2) (Name)………………………………………………
(Address)…………………………………………….

etc……………………………………………………………..has/have been duly elected.

Dated the…………………..day of…………………………………….20 .

__________________________________________________________________________________________
1. Renumbered by Notifn. No. S.O. 4542, dated the 20th December, 1968 (w.e.f. 1-1-1969).
2. Subs., ibid.
3. Ins. by Notifn. No. S. O. 961(E), dated the 29th December, 1986.

recognised/registered political party)]

(Signature)
Returning Officer.

176

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

FORM 24
(See rule 85)
Certificate of Election

I, Returning Officer for the election to the……….Council of States/Legislative Council by the elected
members of the……….Legislative Assembly………..Local Authorities’/Graduates’/Teachers’ constituency/members of
the…………..Legislative Assembly hereby certify that I have on the……………………….day of…….19………declared
Shri……….1[sponsored by……………..(name of the recognised/registered political party)] to have been duly elected
to be a member of the Council of States/Legislative Council and that in token thereof I have granted to him this
certificate of election.

Place…………………
Date…………………

……………………
Returning Officer.

for the election to the Council of States/Legislative Council.

SEAL

________________________________________________________________________________________________
1. Ins. by Notifn. No. S. O. 961(E), dated the 29th December, 1986.

177

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 24A
(See rule 85B)

[This form should be filed with the Election Commission before the due date for furnishing a return of the Political
Party’s income of the concerned financial year under section 139 of the Income-tax Act, 1961 (43 of 1961) and a
certificate to this effect should be attached with the Income-tax return to claim exemption under the Income-tax Act,
1961 (43 of 1961).]

1. Name of Political Party:

2. Status of the Political Party:
(recognised/unrecognised)

3. Address of the headquarters of the Political Party:
4. Date of registration of Political Party with Election Commission:
5. Permanent Account Number (PAN) and Income-tax Ward/Circle where return of the political party is filed:_______
6. Details of the contributions received, in excess of rupees twenty thousand, during the Financial Year:20 – . –20 .

*In case of payment by cheque/demand draft, indicate name of the bank and branch of the bank on which the
cheque/demand draft has been drawn.

7. In case the contributor is a company, whether the conditions laid down under section 293A of the Companies Act,
1956 (1 of 1956) have been complied with (A copy of the certificate to this obtained from the company should be
attached).

V erification

I,______________________________(full name in Block letters), son/daughter of
___________________________solemnly declare that to the best of my knowledge and belief,
the information given in this Form is correct, complete and truly stated.

I further declare that I am verifying this form in my capacity as
______________________on behalf of the Political Party above named and I am also
competent to do so.

(Signature and name of the Treasurer/Authorised person)]

Date:____________________
Place:____________________

________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 1283(E), dated the 10th November, 2003.

178

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 25
(See rule 94A)
Affidavit

I, ……………………,the petitioner in the accompanying election petition calling in question the election
of Shri/Shrimati………….(respondent No…………in the said petition) make solemn affirmation/oath and say—

(a) that the statements made in paragraphs…………………..of the accompanying election petition about the
commission of the corrupt practice of*……………….and the particulars of such corrupt practice mentioned in
paragraphs……………..of the same petition and in paragraphs…………………of the Schedule annexed thereto are true to
my knowledge;

(b) that the statements made in paragraphs………………..of the said petition about the commission of the corrupt
practice of*…………………….and the particulars of such corrupt practice given in paragraphs……………………..of the said
petition and in paragraphs…………………………………of the Schedule annexed thereto are true to my information;

(c)
(d)
etc.

Solemnly affirmed/sworn by Shri/Shrimati………….at…..this………….day of……………….19 .

Signature of deponent.

Before me,
Magistrate of the first class/Notary/
Commissioner of Oaths.]
________________________________________________________________________________________________

* Here specify the name of the corrupt practice.

_______________________________________________________________________________________________
1. Added by Notifn. No. S.O. 597(E), dated the 27th February, 1962.

179

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

1[FORM 26
(See rule 4A)

Affidavit to be furnished by the candidate before the returning officer for election to ………………(name of the
House) from……………………….constituency (name of the constituency)

I, ……………………., son/daughter/wife of ………………………..aged about………………..years, resident of
………………………………….candidate at the above election, do hereby solemnly affirm/state on oath as under:—

1. I am/am not accused of any offence(s) punishable with imprisonment for two years or more in a pending case(s) in which a
charge(s) has/have been framed by the court(s) of competent jurisdiction.

If the deponent is accused of any such offence(s) he shall furnish the following information:—

(i) Case/First information report No./Nos. …………………………………………………………………………………..

(ii) Police station(s)………………District(s)………………………………..State(s)……………………………………….

(iii) Section(s) of the concerned Act(s) and short description of the offence(s) for which the candidate has been
charged………………………………………………………………………………………………………………………….

(iv) Court(s) which framed the charge(s)……………………………………………………………………………………….
(v) Date(s) on which the charge(s) was/were framed…………………………………………………………………………..

(vi) Whether all or any of the proceeding(s) have been stayed by any court(s) of competent
jurisdiction……………………………………………………………………………………………………………………..

2. I have been/have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2),
or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951)] and sentenced to
imprisonment for one year or more.

If the deponent is convicted and punished as aforesaid, he shall furnish the following information:
(i) Case/First information report No./Nos. …………………………………………………………………………………….
(ii) Court(s) which punished……………………………………………………………………………………………………
(iii) Police station(s)……………………….District(s)…………………………….State(s)…………………………………

(iv) Section(s) of the concerned Act(s) and short description of the offence(s) for which the candidate has ever been
charged…………………………………………………………………………………………………………………….

(v) Date(s) on which the sentence(s) was/were pronounced…………………………………………………………………..

(vi) Whether the sentence(s) has/have been stayed by any court(s) of competent jurisdiction……………………………….
Place:

Date:

Signature of deponent

VERIFICATION

I, the above-named deponent, do hereby verify and declare that the contents of the affidavit are true and correct to the best of my
knowledge and belief, no part of it is false and nothing material has been concealed therein.

Verified at ……………………..this………………………….day of…………………………., 20…..

Signature of deponent

Note: The columns in this Form which are not applicable to the deponent may be struck off.]
__________________________________________________________________________________________________________
1. Ins. by Notifn. No. S.O. 935(E), dated the 3rd September, 2002.

180

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

SCHEDULE
(See rule 83)

1[Illustration of the procedure as to the counting of votes at an election on the single transferable vote system
when more than one seat is to be filled.]

Assume that there are seven members to be elected, sixteen candidates, and one hundred and forty electors.

The valid ballot papers are arranged in separate parcels according to the first preference recorded for each
candidate, and the papers in each parcel counted. —

Let it be assumed that the result is as follows:—

A . . . . . . . . ………………………………………………………………………………………………….. 12
B. . . . . . . . ……………………………………………………………………………………………………. 8
C. . . . . . . . ……………………………………………………………………………………………………. 6
D. . . . . . . . ……………………………………………………………………………………………………. 9
E. . . . . . . . ……………………………………………………………………………………………………. 10
F. . . . . . . . …………………………………………………………………………………………………….. 7
G. . . . . . . . ……………………………………………………………………………………………………. 4
H. . . . . . . . ……………………………………………………………………………………………………. 19
I. . . . . . . . …………………………………………………………………………………………………….. 13
J. . . . . . . . …………………………………………………………………………………………………….. 5
K. . . . . . . . ……………………………………………………………………………………………………. 14
L. . . . . . . . ……………………………………………………………………………………………………. 8
M. . . . . . . . …………………………………………………………………………………………………… 10
N. . . . . . . . ……………………………………………………………………………………………………. 6
O. . . . . . . . ……………………………………………………………………………………………………. 4
P . . . . . . . . ……………………………………………………………………………………………………. 5

TOTAL 140

Each valid ballot paper is deemed to be of the value of one hundred and the values of the votes obtained by
the respective candidates are as shown in the first column of the result sheet.

The values of all papers are added together and the total 14,000 is divided by eight (i.e. the number which
exceeds by one the number of vacancies to be filled) and 1,751 (i.e. quotient 1,750 increased by one) is the
number sufficient to secure the return of a member and is called the quota.

The operation may be shown thus:—

Quota x 14,000 +1-1,750+1=1,751
8

The candidate H, the value of whose votes exceeds the quota, is declared elected.
As the value of the papers in H’s parcel exceeds the quota, his surplus must be transferred. His surplus is

149, i.e., 1,900 less 1,751.
The surplus arises from original votes, and therefore, the whole, of H’s papers are divided into sub-parcels

according to the next preferences recorded thereon, a separate parcel of the exhausted papers being also made.

________________________________________________________________________________________________
1. Subs. by Notifn. No.S.O. 3662, dated the 12th October, 1964.

181

sConduct of Elections Rules, 1961
(Statutory Rules and Order)

Let it be assumed that the result is as follows:—

Papers
B is marked as next available preference on ………………………………………………………………. 7
D is marked as next available preference on …………………………………………………………………4
E is marked as next available preference on …………………………………………………………………4

F is marked as next available preference on ………………………………………………………………….3
_____

Total of the unexhausted papers……………………….18
No. of exhausted papers………………………………….1

_____
Total of papers………………………………………….19

_____

The values of the papers in the sub-parcels are as follows:—
B . . . . . . . . . . . . . . . . . . . . . . . . . . . ………………………………………………………………………..700
D . . . . . . . . . . . . . . . . . . . . . . . . . . . ………………………………………………………………………..400
E……………….. ………………………………………………………………………………400
F . . . . . . . . . . . . . . . . . . . . . . . . . . . ……………………………………………………………………….. 300

________
Total values of unexhausted papers 1,800
Value of exhausted papers 100

________
TOTAL VALUE 1,900

________
The value of the unexhausted papers is 1,800 and is greater than the surplus. This surplus is, therefore,

transferred as follows:—

All the unexhausted papers are transferred, but at a reduced value, which is ascertained by dividing the
surplus by the number of unexhausted papers.

The reduced value of all the papers, when added together, with the addition of any value lost as the result
of the neglect of fractions, equals the surplus. In this case the new value of each paper transferred is

149 (the surplus)
_______________________________
18 (the number of unexhausted papers)

the residue of the value of each paper (100-8=92), being required by H for the purpose of constituting his quota, i.e.,
one exhausted paper value (100) plus the value (1,656) of 18 unexhausted papers.

These values of the sub-parcels transferred are:—

B=56 (i.e., seven papers at the value of ;
D=32 (i.e., four papers at the value of ;
E=32 (i.e., four papers at the value of ;
F=24 (i.e., three papers at the value of .

These operation can be shown on a transfer sheet as follows:

Transfer Sheet

Value of surplus (H’s) to be transferred ………………………………………………………………..149
Number of papers in H’s parcel . . . . ………………………………………………………………….19
Value of each paper in parcel . . . ……………………………………………………………………100
Number of unexhausted papers . . ……………………………………………………………………. 18
Value of unexhausted papers . .. ……………………………………………………………………. 1,800

New value of each paper transferred = Surplus
__________________________

149
________ = 8

number of unexhausted papers

18

182

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

________________________________________________________________________________________________

Names of candidates marked
as the next available
preference
________________________________________________________________________________________________

B. . . . . . . . . . . . . . ………………………………… 7
D. . . . . . . . . . . . . …………………………………. 4
E. . . . . . . . . . . . . . ………………………………… 4
F. . . . . . . . . . . . . . ………………………………… 3

TOTAL 18
Number of exhausted papers……………………………. 1
Loss of value owing to neglect of fractions ………… ..

TOTAL 19

56
32
32

24
_________

144
_________
..

5

_________
   149
_________

The values of the sub-parcels are added to the values of the votes already credited to the candidates B,D,E and F.
This operation is shown on the result sheet.

There being no further surplus the candidate lowest on the poll has now to be excluded. G and O both have 400.
The returning officer casts lots and G is chosen to be excluded.

Being original votes, G’s papers are transferred at the value of 100 each. A who was marked as next preference
on two papers receives 200, while D and E were each next preference on one paper and receiving 100 each.
O now being lowest is next excluded and his 400 is similarly transferred to I, B and K, I receiving 200 and B and K
100 each.

This leaves J and P lowest with 500 each and J is chosen by lot for exclusion first. His papers are transferred at
the value of 100 each to A, B, D and I, the three first named receiving 100 each, and I who had the next preference
on two papers receiving 200. P is then excluded and his papers are transferred to E, L and K, the two first named
receiving 100 each, and K, who had the next preference on three papers, receiving 300.

K now exceeds the quota and is declared elected.
Prior to further exclusion, K’s surplus of 49 has to be distributed.

The sub-parcel last transferred to K consisted of 3 votes transferred at the value of 100 each. This
sub-parcel is examined; there are no exhausted papers and B, F, and I are each next preference on one
paper and one paper is transferred to each of them at a reduced value determined by dividing the surplus (49)
by the number of unexhausted papers (3), B, F and I accordingly receive 16 each.

Number of
papers to be
transferred

Value of sub-
parcels to be
transferred

183

Conduct of Elections Rules, 1961
(Statutory Rules and Order)

The process of exclusion is now proceeded with.

C and N have 600 each, and C is chosen by lot for exclusion first. He has 6 original votes; B, D and E are
each next preference on two papers, and each receives 200. N is then excluded, A is next preference on 3 of his
papers, and receives 300; F, I and L are each next preference on one paper and receive 100 each.

This brings A and I above the quota and they are declared elected. Their surplus have now to be distributed
and I’s surplus which is the larger, 65, is dealt with first.

The last sub-parcel transferred to I consisted of one paper transferred at the value of 100, D is next
preference on this paper, and receives the whole surplus of 65.

A’s surplus of 49 is then dealt with. The last sub-parcel transferred to him consisted of 3 papers
transferred at the value of 100 each. B was next preference two of these papers and E on one, and the papers are
transferred accordingly. The value to be transferred is 16 per paper, i.e., the surplus (49), divided by the number of
the unexhausted (3). B accordingly receives 32 and E 16.

No other candidate having reached the quota, the process of exclusions is proceeded with, and F who is
now lowest with 840, is excluded.

His seven original votes are transferred first B, D and E are next preference on three, two and two papers,
respectively, and receive respectively 300, 200 and 200.

The transferred votes are next transferred in the order of their transfers to F. The 3 votes received at the
value of eight each at the distribution of H’s surplus are transferred at the same value to L who was next preference on
all 3 papers.

The vote valued at sixteen received by F at the distribution of K’s surplus, goes at the same value to M,
who was next preference on that paper. The vote transferred at the value of 100 on the exclusion of N is then
transferred at the same value to D, who thus received a total of 300.

No continuing candidate having reached the surplus, N, who is now lowest with 1016 is excluded.

His ten original votes are transferred first. B and D are first preference on three papers each and E and L
on two each. B and D accordingly receive 300 each, and E and L 200 each. This brings B, D and E above the quota
and they are declared elected. The requisite number of candidates having now been elected, the election is at an end,
and it is unnecessary to proceed to the transfer of M’s transferred votes.

Full details are shown in the result sheet.