Form 12 PART I- Ballot Paper Account (See Rule 50) Election to the Delhi Municipal Corporation from Ward No. _________________________________ Number and name of the Polling Station ________________________________ Serial Number Total Numbers 1. Ballot papers received 2. Ballot papers not used 3. Ballot papers issued to voters 4. Ballot papers cancelled 5. Number of tendered votes cast at the polling station Date _________________ Signature of Presiding Officer PART II - Result of Counting Sl. No. Name of candidate Number of valid votes cast 1 2 3 4 5 etc. Rejected ballot papers _________________________________ Total No. of ballot papers found in the Ballot box(es) _________________________________ Signature of the counting Supervisor Date : Signature of the Returning Officer
