Form V.6 ELECTORAL ACT [CHAPTER 2:13] (Section 28) _______________ NOTICE OF OBJECTION BY A REGISTERED VOTER _______________ To the Constituency Registrar, ..................................................................... ..................................................................... ..................................................................... I (full name in block capitals), .................................................................................................... .......................................................................................................................................................... being a registered voter in the .................................................... constituency, do hereby object to the name of (full name in block capitals) ................................................................................................ .......................................................................................................................................................... being on the roll of voters of the .................................................................................... constituency in which I am registered, on the ground that .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... In terms of section 28 of the Electoral Act, [Chapter 2:13], I submit this objection in duplicate and enclose the sum of one hundred thousand dollars as a fee. Signature ......................................................................................................... Full postal address.............................................................................................................................. ............................................................................................................................... ............................................................................................................................... - 22 -