Form V.9 OBVERSE ELECTORAL ACT [CHAPTER 2:13] _______________ PARLIAMENTARY ELECTIONS: FORM OF BALLOT PAPER FRONT NAME OF NAME OF PARTY SYMBOL PHOTOGRAPH CANDIDATE BACK --------------- --------------- CONSTITUENCY BY- CONSTITUENCY BY-ELECTION ELECTION SERIAL NO. - - - - 000001 SERIAL NO. - - - - 000001 OFFICIAL MARK --------------- --------------- ELECTION OF MEMBER OF ELECTION OF A MEMBER OF PARLIAMENT PARLIAMENT - 28 - MARKING SPACE