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Manual of Election Law_Volume II - Home: Chief Electoral Officer ...

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255<br />

FORM 17<br />

[See rule 49(3)(f)]<br />

Tendered Ballot Paper<br />

<strong>Election</strong> to the*.................……………………………….from the…………………………........ constituency<br />

……………………………................................Serial number <strong>of</strong> Ballot paper….............……………………<br />

Polling Station ......................……………………………………………………………………………………<br />

Name <strong>of</strong> Elector.…………………….....................………………………………………………………………..<br />

Serial number <strong>of</strong> elector .………......………………………... in Part number........<strong>of</strong> the electoral roll.<br />

Address <strong>of</strong> elector…………………………………………………………………..................................................<br />

Name <strong>of</strong> candidate in whose favour vote is tendered..................………………………………………………..<br />

Date ...............<br />

__________________________________________________________________________________________<br />

*Appropriate particulars <strong>of</strong> the election to be inserted here.

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