Revocation of appointment of Polling Agent

FORM 29 [See Rule 47] Revocation of appointment of Polling Agent Election to the Municipal Corporation/Council/Nagar Panchayat To The Presiding Officer, I, _______________________ (the election agent of__________________) a candidate at the above election, hereby revoke the appointment of _______________ my/his polling agent.

Signature of person revoking Place______________ Date_______________