Application for postal ballot paper in Panchayath-Municipal elections

FORM 15
(See Rule 21)
APPLICATION FOR POSTAL BALLOT PAPERS

To

The Returning Officer,
...………..…..............
...………..…..............

Sir,

I am an elector of Ward ........………..…....... of .............................. *Town Panchayat Municipal Council/Municipal Corporation and I am entitled to vote on ........….............. at ...........…......... Polling Station. I have been posted on election duty on ........………................. as at ................................ Polling Station No. ...….....… of ........…….... Constituency/Ward of .………..….................. Municipality/Panchayat. I am therefore unable to vote in person at the Polling Station mentioned above.

Under Rule 21 of the Kerala Municipality (conduct of election) Rules, 1995. I request that I may be allowed to vote by postal ballot and issue the postal ballot paper. Necessary particulars are specified below:

1.
2.
3.
4.

Name
Address
Serial number in the electoral roll
Serial number of the part of the electoral roll

:
:
:
:

Place:
Date:

Signature
Designation

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*Strike off whichever is not applicable.