PRI Forms(Statutory)

Sl. No. Title Form No. Download(English) Download(Odia)
1 Electoral Roll Format FORM-1
2 Notice for Publication of Electoral Roll FORM-2
3 Notice for Election by Election officer FORM-3
4 Nomination paper for election of Sarpanch/naib- Sarpanch and Ward Member FORM-4
5 List of Validly Nominated Candidates FORM-5
6 Ballot Paper for Election of Sarpanch/Ward Member FORM-6
7 Ballot Paper Account FORM-7
8 Register of Voters FORM-7A
9 Account of Votes Recorded FORM-7B
10 Result of Counting Form No.7B( Part-II)
11 Result of Counting of Votes and Declartion of result of Ward Member by Election Officer FORM-8
12 Result of Counting of Votes by Presiding Officer FORM-8A
13 Result of Counting of Votes and Decrartion of result of Sarpanch by Election Officer FORM-8B
14 Notice for Withdrawal FORM-9
15 Ballot Paper for Naib- Sarpanch FORM-10
16 Notice for Division of wards by Collector FORM-12
17 Statement Showing Division and reservation of Seats Ward member FORM-13
18 Notice for Election for Office Panchayat Samiti Member by Election Officer FORMS-3
19 Statement showing the Samiti Constituencies for which election to be held Form No 4
20 Receipt for deposit amount Form No.5
21 Receipt for Deposit of objection fee Form No.5(A)
22 Nomination Paper for Member of Samiti Form No.6
23 Declaration of Result of Uncontested Candidate Form No.7
24 List of Validly Nominated/Final list of candidates for election as member of Samiti Form No.8
25 Statement Showing the election Symbols allotted to candidates Form No.9
26 Notice of Withdrawal Form No.10
27 Ballot Paper Format Form No 11
28 Ballot paper Account Form No.12
29 Result after Counting of votes for election to the Office of the Member of samiti Form No.13
30 Result of Counting of Votes for election to the Office of the Member of samiti Form No.14
31 Notice for First meeting of Panchayat Samiti Form No.15
32 Notice for Calling for the nomination of candidates for the office of the Chairman and Vice-Chairman Form No.16
33 Nomination paper for the election of Chairman/Vice Chairman of Panchayat Samiti Form No.17
34 Result of Counting of Votes for election to the office of Chairman/Vice-Chairman Form No.18
35 List/Statement of Constituencies Form No19
36 Notice for delimitation and reservation of Constituencies by Collector. Form No 20
37 Register of Voters Form No 20A
38 Account of Votes Recorded Form No 20B
39 Notice for Election for Office Member of Parishad by Election Officer Form No.1
40 Receipt for Deposit Amount Form No.3
41 Receipt for Deposit of objection fee Form No.3A
42 Nomination Paper for Member of Parishad Form No.4
43 Declaration of result for an uncontested candidate Form No.5
44 List of Validly Nominated candidates for election as a member of Parishad Form No.6
45 Statement Showing the election Symbols allotted to candidates Form No.7
46 List of Validly Nominated/Final list of candidates for election as a member of Zilla Parishad Form No.8
47 Notice of Withdrawal Form No.9
48 Ballot paper Format Form No 10
49 Ballot paper Account Form No.11
50 Result of Counting of votes for election to the Office of the Member of Member by Presiding Officer Form No.11A
51 Result after Counting of votes for election to the Office of the Member of Parishad Form No.12
52 Notice for holding of First meeting of Parishad Form No.13
53 Notice for Calling for the nomination of candidates for the office of the President and Vice-President Form No.14
54 Nomination paper for the election of President and Vice President of Parishad Form No.15
55 Notice for holding of the election of Vice-President of Parishad Form No.16
56 Authorization of Persons to sponsor names of the Party’s candidate for allotment of symbols. Form No.17
57 Sponsoring of Candidates by the Party Form No.18
58 Register of Votes FORMS-18A
59 Account of Votes recorded Form No 18B
60 Statement Showing reservation of the Sarpanch in Gram Panchayat FORM-15
61 Claim Application for inclusion of name in the Electoral Roll FORM-16
62 Objection to inclusion of name in the Electoral Roll FORM-17
63 Notice for holding First Meeting FORM-17A
64 APPOINTMENT OF PRESIDING OFFICER OR POLLING OFFICER FOR THE ELECTION TO PRIs
65 CHECK MEMO OF ELECTION MATERIALS OR FORMS ETC
66 DECLARATION BY THE CANDIDATE
67 FORM FOR ACQUITTANCE ROLL
68 FORM FOR APPOINTMENT OF POLLING AGENT
69 FORMAT OF AFFIDAVIT TO BE SUBMITTED BY CANDIDATE TO THE ELECTION OFFICER OR RETURNING OFFICER
70 FORMS FOR ELECTION EXPENSES
71 LOG BOOK FOR PANCHAYAT ELECTION