ELECTORAL (SPECIAL AND POSTAL VOTING) REGULATIONS, 2013 FORM SV. 3 NOTIFICATION OF REJECTION OF SPECIAL VOTE APPLICATION Electoral Act [Chapter 2:13] (Section 81D (4) To………………………………………… ID No......................................................... (Name of applicant) You are hereby advised that your application for a special vote was rejected due to the following reason(s): 1. Not on voters roll 2. Late submission of application 3. Insufficient documentation Note: Although you may not cast a special vote, you may still cast your vote by personally presenting yourself at a polling station in your ward on the ordinary polling day. Issued by:…………………………………………………………..ID No…………………………… (Full names) Signature……………………………………………………………Date……………………………. Checked by:..........................................................ID No....................................................................... (Full names) Signature..............................................................Date.......................................................................... (For Chief Elections Officer) Official Date Stamp 78

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