List of Tendered Voters

FORM 31 (See Rule 63) List of Tendered Voters Election to the Municipal Corporation/Council/Nagar Panchayat from Constituency____________ Number and name of Polling Station_________________ Serial No. Part number Serial Number and Name of Elector Address of Elector Serial number of tendered ballot paper Serial No. of ballot paper issued to the person who has already voted Signature or thumb impression of person tendering vote 1 2 3 4 5 6

Date______________

Signature of Presiding Officer