FORM 11

[See Rule 24(2) ]

Appointment of Counting Agent


Election of Councilors to the City Municipal Council/Town Municipal Council/Town Panchayat of the City/Town of …………………………..…………… from ………………………...*ward


To:
The Returning Officer,
………………………..
………………………..
………………………..


I, ……………………………………………………………..……………. a Candidate / ** the Election Agent of ………………….……………..who is a candidate at the above election hereby appoint the following persons as my/his** counting agents to attend the counting of votes at……………………..

 

Name of the Counting Agent
Address of the Counting Agent

1.

2.

3.

etc.

Place :
Date:
Signature of the Candidate
** /Election Agent

We agree to act as such Counting Agents.

1.

2.

3.

etc.

 

Place:
Date:
Signature of the Counting Agents


Declaration of the Counting Agents(To be signed before the Returning Officer)

We hereby declare that at the above election, we will not do anything forbidden by Section 30 of the Karnataka Municipalities act, 1964 which we have read/has been read over to us.

1.
2.
3.

etc.

Place:
Date:
Signature of the Counting Agents
Signed before me

Signature of the Returning Agents

* Appropriate particulars of the Election to be inserted.

** Strike off the inappropriate alternative

Section 30 of the Karnataka Municipalities Act, 1964

"Maintenance of secrecy of voting - (1) Every Officer, clerk, Agent or other person who performs any duty in connection with the recording or counting of votes at any election under this Act shall maintain and aid in maintaining, the secrecy of the voting and shall not, except for some purpose authorised by or under any law, communicate to any person any information calculated to violate such secrecy.

(2) Any person who contravenes the provision of sub-section(1) shall be punishable with imprisonment for a term which may extend to three months or with fine or with both."