FORM 16 [See rules 45, 56 (7) and 56-A (7)] PART I Ballot Paper Account Election to the ................. from the ............ Constituency ................................ No. and name of Polling Station ................ Serial No. from ......... to .......... Total No ............ ....................................... 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) Dated ........... Signature of the Presiding Officer. 1. Substituted by SRO.330 Dated 1.7.1980. Part-II RESULT OF COUNTING 1. Name of Candidate Number of Valid Votes Cast 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 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 noticed between these two totals. .......................................................... Place........... Date........... Signature of the Counting Supervisor Place ........... Date .............................. ..... Signature of the Returning Officer.
