Form V.5 ELECTORAL ACT [CHAPTER 2:13] (Section 27) _______________ NOTICE OF OBJECTION ______________ To: ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... You are hereby notified that I have reason to believe— (a) that you are not entitled to be registered as a voter in the constituency of .............................. ; (b) that you are not qualified for registration as a voter in the constituency of ............................ ; on the grounds that ............................................................................................................................... ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. and that, unless you give notice of appeal on the form annexed hereto before the expiration of …………………………… days from the date of this notice, or unless on representations made by you, I withdraw this objection— (a) your claim to be registered as a voter will be rejected; (b) your name will be struck off the roll. If you give due notice of appeal, the matter will be set down for hearing before a magistrate of the province in which you reside and the day and place appointed for such hearing will be notified to you in due course. Date ……………………… this …………………. day of ………………., 20……….. …….……………………… Constituency registrar - 21 -