ekbZØks vksCtZoj izf’k{k.k yksdlHkk pquko 2014

1. ekbZØks vksCtZoj izf’k{k.k yksdlHkk pquko 2014

2. ikVZ & 1 ernku fnol ij bZoh,e o ernku izfØ;k ls lEcfU/kr lkekU; tkudkjh ¼i`Fkd ihihVh esa miyC/k½

3. ikVZ&AA ekbZØks vksCtoZj ds dk;Z

4. Lora= o fu"i{k pquko lEiknu gsrqA • fuokZpu vk;ksx ds pquko i;Zos{k.k izfØ;k esa lgk;rk gsrqA vko’;drk

5. ekbZØksvksCtoZj dh fu;qfDr • ftykfuokZpuvf/kdkjh }kjkdsUnzljdkj@jkT; ljdkjdsmiØeksadsjktif=r vf/kdkjh • vf/kdkfj;ksa dh vuqiyC/krk dh fLFkfresa 18 o"kZlsvf/kdvk;qdsjk"Vªh; lsok ;kstukdslnL; o Lo;alsohlaxBuksadslnL; Hkhfu;qDrgksldrsgSA

6. ekbZØksvksCtoZj dh fu;qfDrdgk¡ \ • ftykfuokZpuvf/kdkjh }kjkfpfUgrlaosnu'khyernkudsUnzksij • ,d Hkouftlesa 2&3 laosnu’khyernkudsUngksogka 2&3 ,e-vks- fu;qDrdjusdsLfkkuij ,d gh ,e-vks- fu;qDrdjukA

7. ,e-vks- i;Zos{kddslh/ks v/khugksrsgSa • ftysesafu;qDr ,evksgsrqftykLrjh; uksMyvf/kdkjhfu;qDrgksrkgStksmudsizf’k{k.k] ernkudsUnzijigqapkusrFkkpqukolekfIrijvksCtZojgsrqfjiksVZladyudjokusgsrqO;oLFkkdjukA

8. ,evksdkstkudkjhgksukvko’;d • EkrnkufnolijpqukoizfØ;k dh lkekU; tkudkjhA • bZoh,edklapkykuA • fuokZpuvk;ksx }kjktkjhfunsZ’kA • vksCtZoj }kjktkjhfunsZ’kA • ihBklhuvf/kdkfj;ksadsizf’k{k.kdsnkSjkumifLFkrjgukA

9. ,evksdsernkufnoliji;Zos{k.kfcUnq • cukoVh ernku izfØ;k • ernku dsUnz ij ernku vfHkdrkZ dh mifLFkfrA • Ekrnku dsUnz ij izos’k rFkk fudkl O;oLFkk • Ekrnkrk dh fu;ekuqlkj igpku • vfeV L;kgh dk lgh iz;ksx

10. EkrnkrkjftLVjesalghys[kk • Ekrnku dh xksiuh;rk • ernkuvfHkdrkZdkvkpj.k o mudhf’kdk;r

11. ;fn fdlhizdkjdkmYya/kugksrks • vksCtZojdkslwpuk

12. ernkulekfIrij • fu/kkZfjrizi= esavksCtZojdksfyQkQsesalwpuknsuk • ;fn blfjiksVZlsLi"Vhdj.kokafNrgksrks ,evksdksiqu% vkukgksxk • ;g fjiksVZiquZernkudkfu.kZ; djrs le; vU; rF;ksadslkFkvoyksduh; gSA

13. ekbZØksvksCtoZj }kjkizLrqr dh tkusokyhfjiksVZ

14. Name of the Micro Observer Designation No. & Name of the polling station allotted Date & time of arrival at the polling station Name of the presiding officer Total No. of voters Whether mock poll was conducted (Y/N) Whether mock poll result was cleared (Y/N) Time of mock poll Whether EVM ID/Machine No. shown to agents by Presiding Officer? (Y/N/) No. of polling agents preset FORMAT FOR THE FEED BACK REPORT BY MICRO OBSERVERS TO BE SUBMITTED TO THE CONSTITUENCY OBSERVER AFTER THE POLL

15. Whether any party (candidate) not represented by polling agent Whether entry pass system for Agents followed (Y/N/) Time of commencement of poll No. of people standing at the queue at the time of commencement of poll Whether voters were identified by verifying EPIC or other valid documents before permitted to vote (Y/N) Whether the polling staff were filling details in the 17A register with reference to each voter The time of first visit by the sector officer How many times the sector officer visited the polling station during poll hours Whether CPF deployed at the polling station (Y/N) Contd........... FORMAT FOR THE FEED BACK REPORT BY MICRO OBSERVERS TO BE SUBMITTED TO THE CONSTITUENCY OBSERVER AFTER THE POLL

16. If yes, whether CPF jawan was observing the proceeding in the polling station while standing at the door Was there any incident of violence/argument/threat etc. took place Did you notice any incident of polling staff going to voting compartment to guide the voters (Y/N) Did any voter/agent complaint about voting process/polling staff? Whether hourly total was compared between EVM total and 17A? (Y/N/) Whether flow of voters was regular or intermittent? How many voters were standing at the queue at 3.00 PM/ 4.00 PM/5.00 PM How many voters were given token by the presiding officer at 5.00 PM Contd........... FORMAT FOR THE FEED BACK REPORT BY MICRO OBSERVERS TO BE SUBMITTED TO THE CONSTITUENCY OBSERVER AFTER THE POLL

17. How many voters had cast their vote at 5.00 PM How many voters cast their vote after 5.00 PM What time the poll was actually closed Total No. of Votes polled % of votes polled No. of voters voted using documents other than EPIC No. of absentee/shifted voters voted Whether EVM was sealed properly in the presence of agents Whether signatures of agents obtained in the Part-I of 17C? Whether copy of 17C given to agents (Y/N) What time the pickup party came to the polling station for escorting the polling staff? Contd........... FORMAT FOR THE FEED BACK REPORT BY MICRO OBSERVERS TO BE SUBMITTED TO THE CONSTITUENCY OBSERVER AFTER THE POLL

18. Whether mock poll has been conducted in presence of micro Observer? Y/N Whether data of mock poll from the ballot unit was cleared and the EVM count was set to zero after the mock poll and before the beginning of real poll? Y/N How many polling agents and of which political party, where present during the mock poll? Whether more than one polling agent from the same political party were present inside the polling station at any time? Checklist for Micro-Observers

19. Whether poling agents were allowed to note the serial, numbers of balloting unit and control unit and green paper seal? Whether the entry pass system was enforced properly? Whether any unauthorized person was inside the polling station at any point of time? Whether marking of indelible ink on left forefinger was done properly? Whether the identification document particulars were being filled up meticulously in Register of Voters (From 17-A)? Contd......... Checklist for Micro-Observers

20. Whether the list of votes issued with Postal Ballot was available with the Presiding Officer & Polling Agents? Has any person issued Postal Ballot appears to vote again in person? Whether events are recorded from time to time as and when they occur in the Presiding Officer Diary? Whether the Presiding Officer or Polling Officer was going towards voting compartment or giving any undue instructions to the voters? Contd......... Checklist for Micro-Observers

21. Whether the scrutiny of voters in the Absentee, Shifted and Duplicate list was done meticulously by the Presiding Officers in accordance with ECI Guidelines? Whether copies of accounts of votes recorded in Form-17C have been given to the polling agents? Whether voting compartment was properly placed to ensure secrecy of voting? Whether sealing of voting machine was done according to instructions? Contd......... Checklist for Micro-Observers

22. Whether any complaint by polling agent, election agent or any political party received? Any other incident or issue that you would like to highlight. Contd......... Checklist for Micro-Observers

23. /kU;okn