ELECTORAL REGULATIONS, 2005 Full names of Ward Elections Officer Signature of Ward 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 at this ward collation centre. Declaration by candidates/ election agents I hereby declare that this return is a correct statement of all votes cast at the above mentioned polling station. Name Name of political party Independent candidate Designation Date Signature 1. 2. 3. 4. 5. Distribution of ward collation return: The ward collation return is to be completed and distributed as follows: 1. Display copy outside ward collation centre and a copy given to the candidate or his or her election agent. 2. Provide copy to each election agent and observer present at polling station. 3. Seal copy in the ballot box. 4. Send copy to the Presidential Constituency Centre. 5. Send copy to the National Assembly Constituency Centre. 6. Send copy to the Provincial Command Centre. 7. Send copy to Chief Elections Officer at the National Command Centre [Form substituted by s.i 87 of 2013] 23