REQUEST FORMAT FOR CHANGE OF POLLING BOOTH
[Rule 5 and 6(2)]
The Returning Officer
ICAI, New Delhi
Sir
I am a voter by poll as per list of voters as on 1/4/2021 and unable to exercise my option in terms of *Rule 5 or *Rule 6(2) of the Chartered Accountants (Election to the Council) Rules, 2006 for change of my polling booth from the online portal of ICAI despite repeated attempts, in terms of Announcement dated 14th October, 2021. Kindly accept my request for change of Polling Booth as per details given below:
(Strike off not applicable*)
1. Name:
2. Membership No. :
3. Voter serial No. :
(if known)
4. Polling Booth already allotted : ————————–
5. a.) Desired City** :
(Beyond one’s regional constituency as per Rule 6(2))
OR
b.) Desired polling Booth:
(Within one’s own regional constituency as per Rule 5)
6. Mobile No. ————————
7. E-mail id ———————-
8. Specimen Signature of the Member
9. **Reason for change i) Change in professional address (Tick as applicable) ii) Expected to be away from professional address on day of polling ** [If the change sought is for a polling city located in beyond one’s regional constituency]
Yours faithfully
Signature of the Member —————————
Name—————
Place :
Date:
