ELECTORAL REGULATIONS, 2005 PART B: RESULT OF COUNTING Names of candidates Party /Independent Valid postal votes received 1. 2. 3. 4. 5. 6. Valid postal votes received Postal votes rejected Total valid and rejected postal votes cast I hereby certify that the above is a correct statement of all postal votes counted at the abovementioned constituency centre FULL NAME ………...………………………………(Signed)…………………………………… Ward Elections Officer FULL NAME ……..………………………………….(Signed)…………………………………… (Witness) Dated this………………….…. day of…………………………., 20…………… Names and signatures of candidates/election agents and others (please specify party/organisation and designation opposite signature) Full name ……………….Signature….………… Party and Designation …………… Date…………… Full name ……………….Signature….………… Party and Designation …………… Date…………… Full name ……………….Signature….………… Party and Designation …………… Date…………… Full name ……………….Signature….………… Party and Designation …………… Date…………… Full name ……………….Signature….………… Party and Designation …………… Date…………… [Form substituted by s.i 94 of 2008] 33