FORM A [See rule 23(1)

N",...3.2O...... ,r^,",,, ...1.g1.9!.12P.2o ln exercise of the power confened by sections 12 and 17 of the Panchayat Eleclions Act, 2003 ( West Ben. Act XXI of 2003), reatd wittlfrules 22 and 23 of the West Bengal Panchayat Eleclions Rules, 2006 , l, the District Panchayat Election fficer and District Magishate of the district of Darieelinq, as the prescribed authority appointed by the State Governrnent in the Department of Panchayats & Rural Development under notilication No. 5316/PN/O/1/1A-3/2010 DATED 0'l 07.2010 for the purpose of rules 22 & 23 of the said rules, hereby publish the draft of this order to determine for the Grams specified in column(1)of the Schedule below, the total no. of members, Schedule Castes members, Schedule Tribes members, Backward Classes memberc and rrucmen members to be elected lo such Gram Panchayats specified in the corresponding enhies in columns (2a), (2b), 2(c), (2d) and 2(e) respectively, to divide the area ol the Grams into constituencies wth serial numbers assigned to them specified in the corresponding entries in column (3), to allocate to each such constrtuency seat or seats specilied in the corresponding entries in column (4), seat or seats reserved lor the Schedule Castes or the Schedule Tribes or the Backward Classes persons specified in the corresponding entries in column (5) and seat or seats reserved for women spec ied in the corresponding entries in column (6) of the Schedule, for information of persons likely to be aflected thereby. The drafl will be laken up for consideration after fifleen days from this day and any objection or suggeslion with respecl thereto, which may be received by the undersrgned wrthin the said period, shall be duly considered..

The Schedule Block :

Name of Number of members to be elected in lhe Gram Panchayat Seats Seats reserved for Seats Gram allocated Scheduled Castes reserved for Panchayat Number, name and area of constituencies with serial to each or Scheduled w0men Tolal Scheduled Scheduled Backward Women numbers conslifuen Tribes or against serial number ol Casles Tribes Classes members cy with Backward Classes number ol members members members members serial against serial seats numbers number of seals (1) 12a) (2b) {2c) (2d) (2el (3) (4) (s) (6) JN/I JALAS P.S. Phansidewa, Mouza :Chotopathu, J.L. No.78 22 10 01 00 11 1 NIZAMTARA Compiising area : 1. Bhatanjote, 2. Chotopathu, 3 Dasarathjote. [Part No. 271119 & 2711201 JNIII P.S. Phansidewa, Mouza :Barapalhu, J.1.. No 77 2 Comprising area : 1 . Barapathu (Part) lPart No.27ll21l JNI I P.S. Phansidewa. Mouza :Barapathu, J.1.. No.77,2 Kalaram J.L. No 76 3 Comprising area : '1. Ghoshpati(West),2. Railway Station ( l\,lushorpati) lPart No. 27i1221 JNIIV P.S. Phansidewa, Mouza : Barapathu, J.1.. N0.77,2 4 Kalaram J.L. N0.76 Comprising area : 1. Kalaram lPart No. 271'1231 JNIV P.S. Phansidewa, Mouza : Barapathu, i.1.. N0.77, 5 '1. Comprising area : Barapathu (Parl) lPart No. 27ll2,ll JNIVI P.S. Phansidewa, Mouza :Nirmaljote, J.L. N0.73, 6 SC Comprising area : 1. Nirmaljote(Uttar) [Part No. 2711251 JN/VI P.S. Phansidewa, Mouza : Bhusvita , J.L. N0.71, 7 Comprising area : 1. Nayaniote, 2. Kabaljote, 3. Tambari, 4. Bhusivitaiote IPart No.2711261 JNIVIII P.S. Phansidewa, Mouza :Radha, J.L. N0.72, I SC Comprising area : 1. Velkkujote, 2. Kamargachh, 3. Kodalipara, 4. Radhajote [Part No. 271127 & 2711281 JNtVtX P.S. Phansidewa, Mouza : 1. Narayanjote , J.L. N0.75, 2 Darabox, JL N0.79 I Comprising area : 1. Narayanjote, 2. Banijote lPart No. 2711291 JNIX P.S. Phansidewa, Mouza : 1. Narayanjote , J.L. No.75, 2 Darabox, JL N0.79 10 SC Comprising area; 1. Purba Narayan,2. Darabox,3. KhaliiotelPart No. 2711301 JNIXI P.S. Phansidewa, Mouza : 1. Nardejote , J.L. No.74 11 Comprisir,g area : 1. Nardejote, 2. Rahamu, lPart No. 2711311 JNIXI;

P.S. Phansidewa, i,louza : 1. Narcejote , J.L. No.74 SC 12 Compi:sing area : 1. Banijote, 2. Md. Boxjote lPart N6, 2711321 JN/X t P.S. Phansidewa, Mouza: 1. Laldasjole, J.L N0.81,2. Rahamiote J.L. No 80,3. Hatiram J.L. N0.82 13 ST Comprising area : 1. Shivdayaljote, 2. Rahamjote (Part), 3. Laldasjote, 4. Dhakaljote [Pa( No. 2711331 JNtXtV P.S. Phansidewa, Mouza : '1. Laldasjote, J.L. No.81, 2 Raharnjote J.L. No.80,3. Hatiram J.L. No. 82 14 5t- Comprising area : 1. Hatiramjote, 2. Kalaramiote, 3. Kalachandaiote [Pert No. 27lt34l JNIXV P.S. Phansidewa, Mouza : 1. Kashiram, J.L. No.83, 2 Nirmaiote J.L. No.73 15 Comprising area : '1. Kinajote, 2. Tawajote, No.27l13 JNtXVt P.S. Pharsidewa, Mouza : 1. Leusipakuri , J.L. No.84, Comprising area : 1. Ruhidasa No. 2711361 lPart 16 '1. P.S. Phansidewa, Mouza : Leusipakuri , J.L. No.84 Compising area: Jhamaklaliole, 2. Gooyaljote lPart lrc 2111371 JNlXVil P.S. Phansidewa, ilouza : 1. Kashl;am , J.L. No.83, 2 Leusipakuri, J.L. No. 84 17 SC Comprising area : l.Kashiramjote 2. Harijote, 3. Khetkhaiote [Part No. 2711381 JNIXV t P.S. Phansidewa, Mouza : 1. Kashiram , J.L. N0.83, 2 18 Leusipakuri, J.L. No. 84 Comprisrnq area : 1.[,ladhuiote lPart No. 27ll39l JN/XtX P.S. Phdilsidewa, Mouza | 1. Leusipakuri, J L. No. 84 19 SC 'l.Rabvita Compri:iinq area : (No(h) [Part No. 271140 I JN/XX P.S. Fhansidewa, Mouza : 1. Leusipakuri, J.L. No. 84 SC 20 Comprising area : 1. Adam Ali 2. Ravitta ( South) lPart ilo. 27l't411 JNtXXi P.S. Pharrsidewa, Mouza : 1. Guabari, J.l. No. 93, 2. Rupandighi, J.l. No.92,3. Sohannanda, J.L. No. 91 Compdsing area: Baneswar, 2. Sa;lani lPart No. 2711421 21 SC P.S. P;rirrsidewa, Mouza : '1. Guaiari, J.l. No. 93, 2 Rupaiiirhi, J.l. No.92, 3. Sohannanda, J.L. No.9'1 Comp:isirg area: Rupandighi [P.,rt No. 27ll43l

JN/XXI P.S. Pharsidewa, Mouza : 1. Guaberi, J.l. No. 93, 22 Comprising area: 1. Guabari, 2. Pediajote, 3. Kaluajote lPart No. 2711441

AO ao.2D...... Date . J8 I u.6 A T\ , I Signature of th'e Prescribed fAuthority r-District Magistrate,