ELECTORAL ACT ____________________________________________________________________________________ 6. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 7. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 8. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 9. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 10. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 11. Full names ................................................................................................................ (Block letters) National Registration No. .......................................................................................... Signature ……......................................................... .. Date .................................... Signed in the presence of .......................................................................................... (Candidate/Chief Election Agent/Authorized Representative) 166

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