VISIT : www.youtube.com/c/RamDawn ‘CHECK LIST OF ALL MATERIALS AT D.C Form + Cover Other Form/Paper Pasting Papers ‘Min. | Supplied | Submitted Mi, ¥ Name Given [Resa fares eae Form] cover | Set | vnsea Ea ead | PU | Ready [Form 7A Y/N Form-176 ing Agent's Pass Y/N iP Voter's Plague Y/N (EDC, CSV) P.S Name & No. Y/N [Address Tag Polling Agent (Board) Y/N [Special Tag 1g Officer (Board) | V/N IM.O. Report (if [Green Paper Seal ing Officer (Board) _| V/N 6 Point Input Pink Paper Seal ‘Officer (Board) _| ¥/N [Agent Movement Sheet strip Seal Officer (Board) | Y/N PSO5 [Alternative Documents List Y/N 34 Scrutiny Sheet [Male/Female Tally sheet Y/N [Camera Log Sheet [Specimen signature of agent ‘Stationary Goods Paper Seal A/C (f) Fs mT Given [ASD Voter List Read [ASD Voter's declaration ballot paper Pro Netal Seal Y/N [Marked copy of electoral roll [sms Syntax Distinguishing mark Y/N Form-17A, Referral image sheet [Arrow cross mark Y/N Voter's Sip (23 Bundle Black Cover stamp Pad Y/N [Tender Ballot Paper Cover (Only) indelible ink, Pot, Stick Y/N Form-178, Name Supplied —[Resdy |Wax Y/N (Working copy of Electoral Ri [statutory Yes/No Gata Stick Y/N [Alphabetical Elector Non-Statutory Yes/No Thread Y/N [Form-10 (Agent appointment) rd Packed Yes/No [Gum Y/N lath Packed Yes/No Voter's Slip Holder Y/N [Unused Tender Ballat Yes/No Vote Koksho Y/N ge Vote Receipt Book Yes/No Blade Y/N Form for SHO Yes/No Pen, Pencil Y/N infirm Voter List (Form-14A) [unused Special Tag Yes/No Ink for Stamp Pad Y/N i/infirm companion declaration [Unused Voter's Slip Yes/No Polythin Bag (C.U+B.U) Y/N [Under 18 age voter list Form-128 (E.D.C) Yes/No (Card Board Y/N [Under 18 age voter declaration. Blank Cover @. Yes/No [Match Box YIN Post Poll Scrutiny Report Yes/No Y/N [Booklet For 10 Forms Yes/No YINActivities of Agents during Poll Election to the House of People - 2019 Time fen a Items Tick (05:50 AM. Taw ear | Form-10 8 wane ea | Form-10 [ie wares ear_| Agent movement sheet fis ecs__| Entry Pass fro ea | B.U, VWPAT&C.USI.No. ‘arena ea_| Total Mock Poll Process fics ecs__| SI. No. of used Green Paper seal 3% wav wa | Used green paper seal fas ecr__| SI. No. of used special address tag w@ earn wa_| Used special address tag w@ earn es | Used Address Tag 1 P (CU) fear exr | SI. No. of used strip se: we earn we_| Used strip seal we ears ws | Used Address Tag 2 P (VVPAT) Tews ecr__| SI. No. of used Pink Paper seal w@ ear we | Used Pink Paper seal we eara es | Mock Poll certificate oe oT eer re aT eer rats ea _| Blank Tender Ballot Papers feo ecr__| Tender Ballot Paper Nos. fico ecs__| EVM identification slip “& wares wa_| EVM identification slip receive euras ea__| Marked copy of electoral roll ‘cranes ea_| Blank Voters Register (Form-17A) ‘Grams ea _| AlS (EDC, ASD, PB, PV) List During Poll | 98 ears wx | PrO declaration Part-II During Poll | #8 ears wr | Agent movement sheet During Poll | 38 vara ATEA aE MG aa Ate < fre ciate er, Comet Ore, faa Per, sore om; acer iT, carafe, ore, aCe, TT, oT Fra, wi-y0 aera Fora, TH core AnfoheTss, PrO cers era CATR al, coins fs anfSFECAB, Avent Movement sheet, Attested Copy of Agent's Signature ATE | FR Yoo => Wi-do KTR TA ay CATs AB aac, AE Fafere Sa Ow Bla | Mee A By SALE RA | APT “eyecare fain ftw WA | Agent Movement sheet ~a 7% ATE Bt | Fart wre => safes ecaroa afefens He Corel Sa Sa BM, AI AIR STAG 3¢ ARS ee TATE BCs | TT meer FRAT IMC GATS aT | TAT CHT FSFE MTT oa Fm ca wea, Foret “eC Fee” Foy Frc wren Fora ta Fra sat eH, Cafe ones sex Sra, fore corona Pra Fat eM, Tero TTa AE © Sra Ae OTT ET et CU & WPAT ~9 85 SE SH BI | CU Ge BT Cae BH | eTePITAA C.U, VVPAT & B.U, dirs cra fr, comers Bret FRM Fret (cael ayaRTA aT Rea) Sra Ae OTT BH age Alm Coles Pres, CmmveTA Goi, Spear Bret @ Fae Pace HB ATCT BAI | aA C_U, VVPAT ~98 GA TH Fr Sat Ba, aceroorA eT Pre fies AM BA | TH CL GA CATAS MTTEA BA | WR Udo => TE CO ATABHRETAB, PrO CSTD BFA CATAAT ofa, cote Fre onfBRRaTS acerwerA AE SANTA | CRTC CBID wera AIST MAH, A.LS ( EDC, ASD, PB) FA, Bre ASB 17 OME BA | AIST MICS GARE CCT CAPAC IM CTE BI | EVM identification slip 78 FAH CAI BA, FM OSTA HM CHeITEAT S covmtraefita ag OTH Bt | FSM Q:00 => BIS ae Ta Re, ALE CHT AFTCAT SA | FAIS Te corr TBRECSB, PrO CRIB Gera CAT ora, 10, cotta Fre BRD fat wea aI wT BA [ Visit : www.youtube.com/e/RamDawn }