11.07.2015 Views

Final Cover Election Expenditure - Election Commission of India

Final Cover Election Expenditure - Election Commission of India

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(Part B )Cash Register for Maintenance <strong>of</strong> Day to Day Accounts by Contesting CandidatesName <strong>of</strong> the Candidate: Name <strong>of</strong> Political Party, if any :Constituency from which contested:Date <strong>of</strong> Declaration <strong>of</strong> Result:Name and address <strong>of</strong> <strong>Election</strong> Agent:(From the date <strong>of</strong> nomination to the date <strong>of</strong> declaration <strong>of</strong> result <strong>of</strong> election, both dates inclusive)Receipt Payment BalanceAmountRemarks,if anyDateName andaddress <strong>of</strong>person/party/association/body/anyother fromwhom theamountreceivedReceipt No.AmountBillNo./Voucher No.andDateName <strong>of</strong>payeeandaddressNature <strong>of</strong><strong>Expenditure</strong>AmountPlaces atwhich orperson withwhom thebalance iskept (ifcash is keptat morethan oneplace/persons,mentionname andbalanceavailable)Anyexpensementionedincolumn 7<strong>of</strong>this tableandnotmentionedincolumn 2<strong>of</strong>table <strong>of</strong>Part-Ashould beclarifiedhere.1 2 3 4 5 6 7 8 9 10Certified that this is a true account kept by me/my election agent under Section 77 <strong>of</strong> the Representation<strong>of</strong> the People Act, 1951 (Certificate to be furnished after the date <strong>of</strong> declaration <strong>of</strong> result).Signature <strong>of</strong> the Candidate82

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