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[See Rule 25(1) ]
Revocation of Appointment of Polling
Agent
Election of Councillors to the City Municipal Council/Town Municipal
Council/Town Panchayat of the City/Town of ……………………………… ….. from
………………………...*ward
To:
The Presiding Officer,
………………………..
………………………..
I, ……………………………………...……………………. a Candidate/Election Agent** of ……………….
…………………… at the above election hereby revoke the appointment of
………………………………………………………….Polling Agent. ……………………………………….at the polling
Station No…………………………... at ……………………………………(Place)
Place :
Date: |
Signature of the Candidate
/Election Agent***
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* Appropriate particulars of the
election to be inserted.
** Score off the inappropriate altenative.
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