ELECTORAL REGULATIONS, 2005 Form V.23A ELECTORAL ACT [CHAPTER 2:13] (Section 65) ___________________ COLLATION OF POLLING STATION RETURNS AT WARD COLLATION CENTRE Section 37C(4) (a) of the Electoral Act [Chapter 2:13] Name of ward Ward number Name of constituency Name of Province Total votes received by candidates in Local Authority election Name of polling station Name of candidate Name of candidate Name of candidate Name of candidate Name of candidate Name of candidate Name of candidate 1. 2. 3. 4. 5. 6. 7. 1. 2 3 4 5 6 7 Add special and postal votes Special votes for ward Postal votes for ward received Total votes received 21 Votes rejected

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