ELECTORAL REGULATIONS, 2005 Declaration by candidates/ election agents I hereby confirm that this return is a correct statement of the collated results of the Presidential returns from the Presidential constituency centres. Name Name of political party Independent candidate Designation Date Signature 1. 2. 3. 4. 5. Distribution of Presidential constituency return: The Provincial return for the Presidential elections must be dispatched to the Chief Elections Officer at the National Command Centre. [Form inserted by s.i 87 of 2013] 29