ELECTORAL REGULATIONS, 2005 Form V.23D COLLATION AT NATIONAL COMMAND CENTRE OF RETURNS FROM PRESIDENTIAL CONSTITUENCY CENTRES Section 110 of the Electoral Act [Chapter 2:13] Collation of returns from Provincial Command centres Name of candidate Name of candidate Name of candidate Name of candidate Name of candidate Name of candidate 1. 2. 3. 4. 5. 6. Votes rejected Name of province 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Total votes received Declaration by Chief Elections Officer I hereby certify that the above is a correct statement of the collated results for the Presidential elections from the Provincial Command centres. Full names of Chief Elections Officer Signature of Chief Elections Officer Date Name of witness Signature of witness Declaration by candidates/ election agents I hereby confirm that this return is a correct statement of the collated results of the Presidential election. Name Name of political party Independent candidate 30 Designation Date Signature