ELECTORAL (SPECIAL AND POSTAL VOTING) REGULATIONS, 2013 FORM PV.1 APPLICATION FOR A POSTAL BALLOT Section 73 of the Electoral Act [Chapter 2:13] _________________________ To: The Chief Elections Officer Private Bag 7782, Causeway, Harare NB : Read instructions overleaf before completing this form. Section A Form for applicant Your full names in block letters Your National Identity Number The place where you are on Government service outside Zimbabwe. To which address do you want your postal ballot paper(s) to be dispatched if you are successful in this application? I declare that the answers given to the questions are true and correct and that I am applying for a postal vote because I will be unable to vote at a polling station in my ward and constituency as I will be outside Zimbabwe on duty in the service of the Government of Zimbabwe. I have attached to this application a certified copy of my national registration certificate. Signature of applicant ............................................................................................ Date when signed ................................................................................................... Place where signed ................................................................................................. Signature of witness ................................................................................................ (See instructions overleaf) INSTRUCTIONS TO THE VOTER Read these instructions carefully before you begin to fill in the application for a postal vote. 1. A voter may apply for a postal ballot paper when he or she is unable to vote in his or her ward by reason of being: 79

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