PDF-For Official use only ELECTION COMMISSION OF INDIA MODEL CHECK LIST FOR MICRO OBSERVERS Nirvachan Sadan Ashoka Road New Delhi FORMAT FOR THE FEED BACK REPORT BY MICRO OBSERVERS TO BE SUBMITT
Name of the Micro Observer 2 Designation 3 No Name of the polling station allotted 4 Date time of arrival at the polling station 5 Name of the presiding officer
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