ELECTORAL REGULATIONS, 2005 Form V.11 POLLING STATION RETURN Section 64(1) (c) of the Electoral Act [Chapter 2:13] Presidential National Assembly Local Authority Tick applicable Section A Details of polling station Name of Polling Station Ward Constituency District Province Section B Ballot paper account before poll Ballot paper received Book Serial numbers From Number of ballots To Book 1 Book 2 Book 3 Book 4 Book 5 Book 6 Book 7 Book 8 Book 9 Book 10 Total Section C Ballot paper account after close of poll To be completed before unsealing of ballot boxes Total number of ballot papers expected to be in ballot boxes To be determined before opening of ballot boxes by adding up the counterfoils for issued ballots Unused ballot papers after polling From Unnumbered ballot papers 13 Serial numbers To Totals