FORM·20 Ballot Paper Account (See Rule 42 (1) Part-I Election to the..................... Gram Panchayat / Anchal Samiti/Zilla Parishad from the.......................constituency. No. and Name of the Polling Station................. Sl.No. From to Total No. 1. Ballot papers received ...................... 2. Ballot papers unused ..................... (a) With the signature of the presiding officer, if any, and ........... (b) Without the signature of the presiding officer ............ Total (a +b) 3. Ballot papers issued to voters Ballot paper used at the polling stations but NOT INSERTED IN TO THE BALLOT BOX 4. Ballot papers cancelled (a) for violation of voting procedure under rule 45 and ............ (b) for any other reason ............ (c) Ballot papers used as tendered ballot papers ............ Total (a +b+c) 5. Ballot papers to be bound in the Ballot Box (3 - 4 = 5 ) Date ........ Signature of Presiding Officer PART -II Result of initial Counting 1. Total number of Ballot papers found in the Ballot Box(es) used at the Polling Station ..................................... 2. Discrepancy, if any between the total number as shown against item 1 in the part and the total number of Ballot papers to be found in the Ballot box (as) shown in item 5 of part-I. Signature of Counting Supervisor Date ......... Signature of Returning Officer