SLIP SLIP

(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)

S.No. 1 S.No. 2
[Signature (in full) of P.O.] [Signature (in full) of P.O.]
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SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 3 S.No. 4
[Signature (in full) of P.O.] Signature (in full) of P.O.]
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SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 5 S.No. 6
[Signature (in full) of P.O.] Signature (in full) of P.O.]
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SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 7 S.No. 8
[Signature (in full) of P.O.] Signature (in full) of P.O.]
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SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 9 S.No. 10
[Signature (in full) of P.O.] Signature (in full) of P.O.]
Constituency No. ------- P.S. No. ------ Constituency No. ------- P.S. No. ------

SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 11 S.No. 12
[Signature (in full) of P.O.] Signature (in full) of P.O.]
Constituency No. ------- P.S. No. ------ Constituency No. ------- P.S. No. ------

SLIP SLIP
(For voters in Q at closing Hr of poll) (For voters in Q at closing Hr of poll)
S.No. 13 S.No. 14
[Signature (in full) of P.O.] Signature (in full) of P.O.]
Constituency No. ------- P.S. No. ------ Constituency No. ------- P.S. No. ------