Вы находитесь на странице: 1из 57

About Challenged votes

Candidate/Election agent/Polling
Agent may challenge.

Challenge fees - Rs. 10/= in cash.

Name to be recorded in ( Form


No. 7 ) List of Challenged Votes

Presiding officer to hold summary


inquiry.

10/19/15

RETURNING OFFICER 19 RIVONA

Failure of Challenge

Forfeit Rs. 10/=.


Sign the counterfoil on
the Receipt Book.
Allow the Voter to cast
vote.

10/19/15

RETURNING OFFICER 19 RIVONA

Challenge Proved

Dont allow the Voter to


vote.
File complain to S.H.O.
and hand over to Police.
Return back Rs. 10/= to
the challenger.

10/19/15

RETURNING OFFICER 19 RIVONA

Tendered votes

To be issued to an elector in
whose name another person has
already voted as such voter.

Satisfy about identity of such


person.

Enter the name of elector in


[ Form No. 8 ] List of Tendered
Votes and obtain his Signature/thumb
impression.

10/19/15

RETURNING OFFICER 19 RIVONA

Tendered votes

Such Voter shall then be issued


an ordinary Ballot Paper but from
the last serial number from the
bundle of Ballot Papers supplied
to you.

The words Tendered Ballot


Paper shall be written on the
back of each such paper by the
Presiding Officer in his own hand
writing and signed by him.

Tendered votes

Such Voter shall then go inside


the V.C. and exercise his option of
voting.

He will then hand over the Ballot


Paper to the Presiding Officer and
NOT PUT IT INTO THE BALLOT
BOX.

Voting by Blind and Infirm

Blind & infirm persons, owing to


blindness or infirmity is unable to
record his/her vote, then the
Presiding Officer should personally
do so according to the directions
of the Elector.

Make a brief note against the


entry relating to such voter in the
10/19/15
7
Marked Copy.[P.O.1]

RETURNING OFFICER 19 RIVONA

Disabled to be given
preference

10/19/15

RETURNING OFFICER 19 RIVONA

Refused to vote.

Voter deciding not to vote after


receiving the Ballot Paper, may return
the same without marking it.

Voter cannot be forced to vote.

The Ballot Paper should be cancelled


by writing on it the words Returned:
Cancelled.

Such Ballot Papers are to be sealed in


envelope and handed over to the RO at
receiving center.

10/19/15

RETURNING OFFICER 19 RIVONA

Spoiled Ballot Paper

If an Elector has marked the Ballot Paper


wrongly / on second thought wishes to vote
in favour of another candidate / spoils it and
returns the same to you, then the Voter
may be given another Ballot Paper provided
the Presiding Officer is satisfied of Electors
inadvertence.

The spoiled/returned Ballot Paper shall be


marked Spoiled: Cancelled

Keep record of all such Ballot Papers.

Such Ballot Papers are to be sealed in


envelope andRETURNING
handed
over to the
RO at the
10/19/15
10
OFFICER 19 RIVONA

Not allowed to vote

An Elector who is violating


secrecy
of
voting/voting
procedure
shall
not
be
allowed to vote.
An entry to that effect be
made in the Elector box of
such voter in the Marked
Copy[P.O.1]

10/19/15

RETURNING OFFICER 19 RIVONA

11

Closing of Poll

Poll should close exactly at 5.00 p. m.

A few minutes before the closing hour,


announce to all those within the limits
of Polling Station that they will be
allowed to vote.

Issue initialed blank slips to


electors in the Queue at 5.00 p.m.

Close poll once last Voter cast his/her


vote.

10/19/15

RETURNING OFFICER 19 RIVONA

12

the

Sealing of Box after the Poll

After the last voter has voted


remove the wire and cut the
twine so as to free the window
cover.

Move
the
window
cover
clockwise and turn the button
hard in the clockwise direction
until it stops and closes the slit

10/19/15

RETURNING OFFICER 19 RIVONA

13

Sealing of Box after the Poll

Turn the window cover anti-clockwise so


as to close the window fully. Hold the
button and the window cover together,
run a piece of wire through the hole in
the window cover and the corresponding
hole in the button and secure them
together firmly by twisting the ends of
the wire together tightly a few times.

10/19/15

RETURNING OFFICER 19 RIVONA

14

Sealing of Box after the Poll


Run a thread through the holes of the
button and the window cover and tie up
its ends tightly with multiple knots close
to the button. Affix your seal on the loose
ends of the thread as near the knots as
practicable after placing a piece of thick
strong paper below them so that the
knots cannot be undone by breaking the
seal. The box is now ready for dispatch to
the Returning Officer.
10/19/15
15

RETURNING OFFICER 19 RIVONA

Duties of Officers at Close of


Poll

Once the last voter has cast his vote, the


total number of voters to whom the Ballot
Papers (including Tendered Ballot Papers)
have been issued according to the Marked
Copy and the actual number of Ballot Paper
issued shall be tallied.

This information is to be recorded in


Presiding Officers Diary with signatures of
First & Second Polling Officer.

Fill in

DECLARATION AT THE END OF POLL [ PART III ]

Issue copies of the Ballot Paper Account to the


Polling Agents present taking their signatures.
Record names of Polling Agents who decline to
10/19/15
16
RETURNING
OFFICER Account
19 RIVONA
receive this Ballot
Paper

Duties of Officers at Close of


Poll

The First Polling Officer to give


information to the Presiding Officer about
the total number of voters as per Marked
Copy and number of voters who refused
to vote.

The First Polling Officer also to calculate


the total number of Male and Female
Voters and provides this information to
the Presiding Officer.
10/19/15
17

RETURNING OFFICER 19 RIVONA

Use of Mobile Phones


Presiding Officer is allowed to
use Mobile Phone, however
strictly in SILENT MODE.

18

10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

PRESIDING OFFICERS DIARY

Presiding Officer shall draw up the


proceeding of the entire happenings at
the Polling Station in the diary set out
in Appendix V.

This diary is to be forwarded to the


Returning Officer in TRIPLICATE at the
Receiving centre along with Ballot
Boxes and other sealed packets.

10/19/15

RETURNING OFFICER 19 RIVONA

19

PRESIDING OFFICERS DIARY


ON THE DAY OF
POLL
SEC Form ID

R - 15

GOA STATE ELECTION COMMISSION


ZILLA PANCHAYAT ELECTIONS

DATE
D

APPENDIX V
PRESIDING OFFICERS DIARY

1. Name of the Zilla Panchayat ( in block letters):- SOUTH


2. ZP Constituency No. & Name: - 19 - RIVONA

3. Number and Name of the Polling Station ___________


whether located in Yes
No
RET
UR
I.
Govt. or quasi Govt. bldg.
NIN
G
II.
Private building
OFF
III.
Temporary Structure
ICE
R
4. Number of polling officers recruited locally, if any: 19
RIV
20

10/19/15

ON
A

PRESIDING OFFICERS DIARY


5.

Appointment of Polling Officer made


in the absence of duly appointed
Polling Officer if any, and the
reasons for such appointment

6.

Number of ballot boxes /EVM used

7.

Number of paper seals used

From

Sl. Nos. of paper seals used


8.

Number of Polling Agents and the


number who arrived late.

9.

No. of candidates who appointed


polling agents at the polling station

10/19/15

RETURNING OFFICER 19 RIVONA

21

To

PRESIDING OFFICERS DIARY


10.

(i) Number of ballot papers issued


according
to Marked Copy of the
Voters list:
(ii) Number of ballot papers actually
issued at the Polling Station:

11.

Number of electors who voted:


(i)

Men

(ii)
Women
...
(iii)
...
12.

Total

Challenged Votes:

(i)
Number
allowed
.

10/19/15
RETURNING OFFICER 19 RIVONA

22

PRESIDING OFFICERS DIARY


13.

Number of electors who voted with


the
help
of
companion
...

14.

Number
of

15.

Number of electors :

Tendered

Votes

(i) From whom declaration as to their

age obtained
16.

(ii) Who refused to give such


Whether it was necessary to adjourn the poll and if so,
declaration
reason
for
such
adjournment
_______________________________________________
___________________________________________________________
__________________________________________________________

10/19/15

RETURNING OFFICER 19 RIVONA

23

PRESIDING OFFICERS DIARY


17.

18.

19.

Number of votes cast


From
To
Votes Cast
08.00 a.m. 10.00 a.m.
...
08.00 a.m. 12.00 Noon ...............................
08.00 a.m. 02.00 p.m.
08.00 a.m. 04.00 p.m.
08.00 a.m. 05.00 p.m.
No. of voters slips issued at closing
of poll
Electoral offences with details:
Number of cases of :
(i) Canvassing within 100 mts of
Polling Station
(ii) Impersonation of voters
(iii) Fraudulent defacing, destroying or
removal of
a list of notice or

No. of

PRESIDING OFFICERS DIARY


20.

Was the poll intrerrupted or obstructed by :


(i) Riot .....
(ii) Open Violence ....
(iii)
Natural Calamity ..........
(iv) Any other cause .................................................

Please give details of the above

21.

Was the poll vitiated by(i) Any ballot box used at the PS having
been unlawfully
taken out of the custody
of the Presiding Officer:

Yes

No

(a)
Accidently
or
intentionally
lost
or
destroyed ...................
(ii) The ballot papers having been unlawfully marked by any person & deposited in the
(b)
damaged
or
tampered
with
ballot
box,
please
give
details.
..............................

10/19/15

RETURNING OFFICER 19 RIVONA

25

Presiding Officers Diary


22.
23.
24.

25.

26

Serious complaints, if any, made by the


candidates ............
Number of cases of breach of law and order
.........
Report of mistakes and irregularities committed, if
any,
at
the
polling
station...
.................................
...............................................................................
.....................................
RET
Whether the declarations have been made UR
before
NIN
G
the commencement of the poll and if necessary,
OFF
ICE
during the poll when a new ballot box is placed
for
R
19
reception of marked ballot paper and at the
end
RIV
ON
of
poll
as
necessary:
A
10/19/15

Record of Paper Seals


Form Part I
Record of Paper Seals
Elections to Panchayat
No. and name of Polling Station
Sr. No. of ward assigned.
---------------------------------------------------------------------------------------------------------------------------------

Sr. No. of Ballot


Remarks
box used

Sr. No. of Paper


seal used

--------------------------------------------------------------------------------------------------------------------------------1
2
3
RET
UR
----------------------------------------------------------------------------------------------------------------NIN
----------------G
OFF
ICE
R
----------------------------------------------------------------------------------------------------------------19
-----------------RIV
ON
A
10/19/15
27

PART II
ACCOUNT OF PAPER SEALS
Serial number of paper seals supplied from................. To

________________________________________________
2.
Total number supplied
________________________________________________
3.
No. of paper seals used
________________________________________________
4.
No. of paper seals spoiled /damaged
________________________________________________
5.
No. of unused paper seals returned to Returning Officer
________________________________________________
1.

Place:
Date:
10/19/15

Signature of Presiding Officer


RETURNING OFFICER 19 RIVONA

28

SEALING OF ELECTION PAPERS


STATUTORY COVERS

The Sealed Packets containing:

1. Unused Ballot Paper


2. Spoiled and returned / cancelled Ballot
Papers
3. Marked copy
4. Tendered Voters list and various covers
containing Tendered ballot papers.
5. List of Challenged Votes
6. Unused and damaged Paper seals
7. Appointment Letters of Polling Agents.
10/19/15

RETURNING OFFICER 19 RIVONA

29

SEALING OF ELECTION PAPERS

The
Sealed
containing:

Packets

Ballot Paper Account in

Form No. 9
Account of Paper Seals
10/19/15

RETURNING OFFICER 19 RIVONA

30

FORM No. 9 BALLOT PAPER


ACCOUNT
GOA STATE ELECTION COMMISSION
ON THE DAY OF
POLL
SEC Form ID

ZILLA PANCHAYAT ELECTIONS

DATE
D

FORM No. 9
[ See rule 47(4)]

R - 16

BALLOT PAPER ACCOUNT


A. Election to the SOUTH
B. Polling Station:
.

Zilla Panchayat Constituency No. : - 19 RIVONA


. INCLUDING
TENDERED
BALLOT PAPERS

Serial No.
From

1.

Number of Ballot Papers received by the Presiding Officer at P/S.......

2.

Number of Ballot Papers issued to Voters.............................................

3.

Number of Unused Ballot Papers returned............................................

4.

Number of Ballot Papers Cancelled.......................................................

5.

Number of Ballot Papers used as Tendered Ballot Papers.....................

6.

Number of Ballot Papers in Ballot Box ................................................

Place: ..
Date: ...

1] 1 = 2 +
3
2] 2 = 4

To

Total

________________________
Signature of Presiding Officer

SEALED PACKETS

Containing

Hand

book of Instructions
Presiding Officers

to

Cover containing Presiding Officers

Diary.
Cover containing receipt book and

cash, if any.
Any

other covers, the R.O. may


direct.
10/19/15
32
RETURNING OFFICER 19 RIVONA

ADJOURNMENT OF POLL

Use police force to control the cases of


riot or any open violence or attempt of
the same.

Natural calamity.

However, if the situation is beyond


control, the Poll may be adjourned.

The same must be reported


Returning Officer immediately.

10/19/15

RETURNING OFFICER 19 RIVONA

33

to

DISORDERLY CONDUCT/PERSONS TO BE REMOVED

If any person behaves in disorderly


manner, you can have him/her arrested
then and there with the help of police.

Disorderly conduct also covers use of


loudspeakers disturbing the work at
the Polling Station.

10/19/15

RETURNING OFFICER 19 RIVONA

34

REMOVAL OF BALLOT PAPER


FROM POLLING STATION

Removal of Ballot Paper from Polling


Station is punishable.

10/19/15

RETURNING OFFICER 19 RIVONA

35

BREACH OF OFFICIAL DUTY


BY ELECTION OFFICER

36

Any Presiding Officer or


Polling
Officer
without
reasonable cause if guilty of
any act, or even of any
omission, in breach of his
official
duty,
he/she
commits an offence.
10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

Certain significant
instructions

ALWAYS BE:

JUST FAIR REASONABLE

ACT WITH CONFIDENCE AND PERFORM


ELECTION DUTY WHOLE HEARTEDLY.

THANKS
AND
ALL THE
BEST

CERTIFICATE

BACK

( Where the roll is reprinted to reflect Deletions & Corrections in the Supplement Nos. 1
5)

This is to certify that the Electoral Roll of Part No. 01 of 10-COLVA


Zilla Panchayat Constituency, reprinted after reflecting the
deletions and corrections shown in Supplement Nos. 01 05 has
been thoroughly compared and no discrepancy has been found.
There are total 28 numbers of pages ( From 01 to 28 )

RET
UR
NIN
G
OFF
ICE
Returning
R
19
RIV
ON
A

Signature & Seal of


the
Date: 16/03/2015

Returning Officer/Asstt.

Officer
39

10/19/15

MARKINGS ON MARKED COPY ..

Has
h
Mar
k

Delete
d

PHOTO
AS IN
CORRECTION
CORRECTION

LIST

BACK

ELECTION MATERIAL

BACK

Metal Seal

Distinguishing
Mark

Indelible
Ink

Cross Arrow Mark

10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

41
41

SPECIMEN SIGN OF CONTESTING


CANDIDATES...

BACK

SPECIMEN SIGNATURE OF CONTESTING CANDIDATES & THEIR ELECTION AGENTS

No. & Name of Zilla Panchayat Constituency:

10 COLVA

The specimen signatures of contesting candidates and their Election Agents are given below for the purpose of
verification of their signatures by the Presiding Officer in the letter of appointment of polling Agents at the time of
poll:-

Sr. Name of the Contesting


No.
Candidate

Specimen
Signature

Name of his/her Election


agent

Specimen
Signature

1.
2.
3.
4.

Date: ..
Place: .
42

Signature of the Presiding Officer


10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

LIST OF CONTESTING CANDIDATES... BACK


List of Contesting Candidates
Election to the Legislative Assembly from the: 10 COLVA Zilla Panchayat
Constituency

Sr.
No.

Name of Candidate

Address of Candidate

Party
Affiliation*

Symbol
Alloted

1.
2.
3.
4.
5.
6.
Date: ..
43

Signature of the Presiding Officer


10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

NOTICE SPECIFYING POLLING AREA..

10/19/15

BACK

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

44

WARNING NOTICE

45

BACK

10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

Model Polling
Station

10/19/15

RETURNING OFFICER 19 RIVONA

BACK

46

APPT. OF POLLING AGENTS

BACK

FORM No. 15
APPOINTMENT OF POLLING AGENT
[ See Rule 27(2) and Rule 29(2) ]

Election to the . Zilla Panchayat Constituency.


To
The Returning Officer
Election to .
I, of the candidate at the
above election do hereby appoint Shri/Smt. . of
.. as a polling agent to attend Polling Station No. .. at place fixed for the poll
on ...
I hereby attest the signature of Shri/Smt. , the Polling Agent
Signature of Polling Agent attested by the Candidate

Place: ....
Date: .

10/19/15

RET
UR
NIN
G
Signature of Candidate
OFF
ICE
R
19
RIV
ON
A

47

Entry pass for Polling Agents

BACK
Sl. No. _____________

ENTRY PASS
AC No. & Name : ________________________
P.S. No. & Name : ________________________
Name of Candidate

: ________________________

Name of Polling Agent: ________________________


RET

UR
Name of Relief Agents, if any: __________________
NIN
G
OFF
ICE
R
19
RIV
ON
A

Signature of Presiding Officer


48

10/19/15

BACK
793

788

125

49

10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

837

FORM NO. 9
Ballot Paper Account

BACK

Election to the .. ..Zilla Panchayat


Ward/ Constituency No.
Polling Station No.
__________________________________________________________________________
Sr. No.
From .To.
Total Nos.
_________________________________________________________________________
(1)
(2)
(3)
__________________________________________________________________________

_________________________________________________________________________
1. Number of Ballot papers received by the presiding officer at the polling station
2. Number of Ballot papers issued to voters
3. Number of unused Ballot papers returned.
4. Number of Ballot papers cancelled.
RET
5. Number of Ballot papers used as tendered ballot papers.
UR
6. Number of Ballot papers in the ballot box.
NIN
G
__________________________________________________________________________
Place: ..
DO NOT INCLUDE TENDERED
Date:
BALLOT PAPERS AT SR. NO.S 1 & 2
Signature of
50

10/19/15

OFF
ICE
R
19
RIV
Presiding
ON
A

Officer

FORM NO. 7
List of Challenged Votes

BACK

Election to the RIVONA Zilla Panchayat, Constituency No.: 19


Polling Station _______________________________

Signature

Sr. No.
or
Name of Voter thumb
of
in the impression
Voter list of of voter
voters and his
address
1

Name
of

Order of
of
Presiding
identifier,
deposit Officer in
challenging
if any
made each case

Name of
person

Amount

Place: ..
Date:
51

10/19/15

Signature of the
challenger
acknowledging
the receipt of
deposit where
deposit is
returned
8

RET
UR
NIN
G
OFF
ICE
R
19
RIV
Signature of Presiding
Officer
ON
A

FORM NO. 8
List of Tendered Votes

BACK

Election to the RIVONA Zilla Panchayat, Constituency No.: 19


Polling Station _______________________________

Sr. No. of
Ward /
Constitu
ency

Sr. No. &


Name of
Elector

Address of
Elector

Sr. No. of Ballot


Sr. No. of
Paper issued to
Tendered
the person who
Ballot Paper
has already
voted
4

Place: ..
Date:
52

10/19/15

Signature
or Thumb
impression
of person
tendering
vote
6

RET
UR
NIN
G
OFF
ICE
R
19
RIV
Signature of Presiding
Officer
ON
A

FORM No. 9 BALLOT PAPER ACCOUNT BACK


ON THE DAY OF
POLL
SEC Form ID

GOA STATE ELECTION COMMISSION


ZILLA PANCHAYAT ELECTIONS

DATE
D

FORM No. 9
[ See rule 47(4)]

R - 16

BALLOT PAPER ACCOUNT


A. Election to the SOUTH
B. Polling Station:
.

Zilla Panchayat Constituency No. : - 19 RIVONA


. INCLUDING
TENDERED
BALLOT PAPERS

Serial No.
From

1.

Number of Ballot Papers received by the Presiding Officer at P/S.......

2.

Number of Ballot Papers issued to Voters.............................................

3.

Number of Unused Ballot Papers returned............................................

4.

Number of Ballot Papers Cancelled.......................................................

5.

Number of Ballot Papers used as Tendered Ballot Papers.....................

6.

Number of Ballot Papers in Ballot Box ................................................

Place: ..
Date: ...

1] 1 = 2 +
3
2] 2 = 4

To

Total

________________________
Signature of Presiding Officer

Unsealed Documents

54

Presiding Officer Diary (Triplicate)


Ballot Paper Account / Form No. 9
(Triplicate)
Declaration by Presiding Officer (Part I
& Part 3)
Poll Statistics (Triplicate)

10/19/15

RET
UR
NIN
G
OFF
ICE
R
19
RIV
ON
A

PART - I of Declaration before Commencement of the Poll

BACK

DECLARATION BY THE PRESIDING OFFICER BEFORE COMMENCEMENT OF THE POLL

Election to

19-RIVONA Zilla Panchayat

Serial No. and Name of Polling Station: _________

Date of Poll: 18/03/2015

I hereby declare
1.

That I have demonstrated to the Polling Agents and other persons present that the Ballot Box to be used for the Poll is empty.

2.

That on the Paper Seal used for securing the Ballot Box, I have affixed my own signature and obtained thereon the signatures of
such of the Polling Agents as are present and desrirous of affixing the same.

3.

That I have demonstrated to the Polling Agents and others present that the Marked Copy of the Electoral Roll to be used during the
poll does not contain any marks other than those used for issuing Postal Ballot Papers and Election Duty Certificate, and

4.

That, I have allowed the Polling agents to note te first and the last of the serial numbers of the Ballot Papers and showed them
bundles of ballot papers which will be used at the Polling Station.

Date:........................... Signature of Presiding Officer


Signature of Polling Agents:
5.

.....................................................................( of candidate ............................................................................)

6.

.....................................................................( of candidate ............................................................................)

The following Polling Agent(s) declined to affix their Signature(s) on this declaration
7.

.....................................................................( of candidate ............................................................................)

8.

.....................................................................( of candidate ............................................................................)

Date:........................... Signature of Presiding Officer

PART - II Declaration at the time of use of subsequent Ballot Box

BACK

PART - II
Declaration By The Presiding Officer at the time of use of subsequent Ballot Box

Election to

19-RIVONA Zilla Panchayat

Serial No. and Name of Polling Station: _________

Date of Poll: 18/03/2015

I hereby declare
1.

That I have demonstrated to the Polling Agents and other persons present that the Second/Third/................. Ballot Box to be used
for the Poll is empty and

2.

That on the Paper Seal used for securing the Ballot Box, I have affixed my own signature and obtained thereon the signatures of
such of the Polling Agents as are present and desrirous of affixing the same.

Date:........................... Signature of Presiding Officer


Signature of Polling Agents:
3.

.....................................................................( of candidate ............................................................................)

4.

.....................................................................( of candidate ............................................................................)

The following Polling Agent(s) declined to affix their Signature(s) on this declaration
5.

.....................................................................( of candidate ............................................................................)

6.

.....................................................................( of candidate ............................................................................)

Date:........................... Signature of Presiding Officer

Declaration at the End of Poll

BACK

PART - III
Declaration at the End of Poll
I have furnished to the Polling Agents, who were present at the Polling Station at the close of the Poll and
whose signatures are affixed below, an attested copy of each of the entries in Part I Account of Votes
Recorded of Form 9.
Date: ..........................
Time:........................... Signature of Presiding Officer
Received an attested copy of the entries in the Account of Votes Recorded ( Part I of Form 17 C)
Signature of Polling Agents:
1.

.....................................................................( of candidate ............................................................................)

2.

.....................................................................( of candidate ............................................................................)

3.

.....................................................................( of candidate ............................................................................)

The following Polling Agents who were present at the close of the poll declined to receive an attested copy of the
Part I of Form 17C and to give a receipt therefore and so an attested copy of that Form was not supplied to them
4.

.....................................................................( of candidate ............................................................................)

5.

.....................................................................( of candidate ............................................................................)

Date:........................... Signature of Presiding Officer

Вам также может понравиться