ANNEXURE
(G.O.Ms.No.119, G.A.(Elec.B) Dept., dated:25-04-2014)
Election Duty Certificate for availing Special Casual Leave on the next day of Poll
This is to certify that Sri/Smt/Kum. _____________ S/o / D/o __________
working as ________________ in the Office of ______________
has been drafted for election duty as Presiding Officer / Assistant Presiding Officer during
the election held for _______________ Parliamentary / Assembly Constituency on
____________ and he / she has attended the said duty at the Poling Station
No._______________ . He / She is entitled to avail the Special Casual Leave on the next
day of Poll i.e. on ___________ under the provisions of G.O.Ms.No. ___, GA(Elec.B) Dept.,
Dt:25-04-2014.
Returning Officer (Signature / Facsimile and seal)
(G.O.Ms.No.119, G.A.(Elec.B) Dept., dated:25-04-2014)
Election Duty Certificate for availing Special Casual Leave on the next day of Poll
This is to certify that Sri/Smt/Kum. _____________ S/o / D/o __________
working as ________________ in the Office of ______________
has been drafted for election duty as Presiding Officer / Assistant Presiding Officer during
the election held for _______________ Parliamentary / Assembly Constituency on
____________ and he / she has attended the said duty at the Poling Station
No._______________ . He / She is entitled to avail the Special Casual Leave on the next
day of Poll i.e. on ___________ under the provisions of G.O.Ms.No. ___, GA(Elec.B) Dept.,
Dt:25-04-2014.
Returning Officer (Signature / Facsimile and seal)
