|
Constituency of ..........................................................................................
A
- Number of postal ballot papers
issued
................................
B-
Number of votes cast of:
Name
of candidates
Number
.......................................................................
................................
......................................................................
................................
......................................................................
................................
.....................................................................
................................
....................................................................
...............................
_________________
Total number of votes cast ..
_________________
C
- Number of rejected postall ballot papers
:
(a) rejected postall ballot papers at
sorting stage [as per regulations 15
and 17 of elections
(Postal Voting) Regulations] ..
..
............................
(b) rejected postal ballot papers at counting stage
peringkat pengiraan (as per regulation
25c (2)) ...
..
...........................
______________
Total number of rejected postal ballot papers
______________
D
- Total number of postal ballot papers returned
(B+C)
..
..
.. ..
..
..........................
E - Number of postal ballot papers issued
but
not returned
(A-) ..
..
..
...........................
I
certify that the above a statement is correct.
Dated of..............................20..............
Signature of Candidates
} ..............................................
or their election agents
}
or counting agents
}
..........................................
}
}
............................................
.....................................................
Returning Officer |
