Form 10 List of Challenged Votes [See Rules 41 (2)(c)] and 53 J Election to the Delhi Municipal Corporation form Ward No. _______________________ Name and name of the Polling Station _______________________________________________ Sl. No. of entry Name of elector Serial number of Part of Roll Elector's name in that Part Address of the person Name of identifier, if any Name of challenger Order of Presiding Order of Presiding Officer Signature of challenger on receiving refund of deposit 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 Date ____________ Signature of Presiding Officer Form 10-A No. and Name of the Ward ____________________________________________________________________ No. and name of Polling Station ________________________________________________________________ Part No. & Serial No. of elector Full name of elector full name of companion Address of companion Signature of companion 1 2 3 4 5 1 2 3 4 5 Date _____________ Signature of Presiding Officer
