Counterfoil of Ballot Paper [See Rule 5(15)]

Uttaranchal Medical Council (Counterfoil of Ballot Paper) (1) Serial No. of ballot paper ... (2) No. of Elector on Electoral Roll to whom the ballot paper has been sent (Returning Officer) (Ballot Paper) (Front) S.No. (1) S.No. (2) Vote (X) (1) (2) (3) (Back of outer foil) DIRECTIONS FOR ELECTOR FOR RECORDING VOTES (1) You have vote (s) (2) Record each vote by putting a cross in column (3) against the name of candidate for whom you wish to vote. (3) You must not put more than ... cross. (4) You must not put more than one cross opposite the name of any candidate. (5) Your vote is secret. You must not your signature on the ballot paper or make any other mark on it which will reveal your identity. (6) After you record your votes, put the ballot paper in the smaller cover, close the cover and put it in the larger cover. Close the larger cover. Write your name and put your signature at the places marked on the larger cover. (7) Dispatch the larger cover to the Returning Officer so as to reach him before (Date) (Time)