Form V. 24 ELECTORAL ACT [CHAPTER 2:13] ___________________ PARLIAMENTARY AND PRESIDENTIAL ELECTIONS: POSTAL BALLOT RESULTS Constituency Centre at:…………………………………………………………….. PART A: POSTAL BALLOT PAPER ACCOUNT Postal ballot papers received No. Nos. ________ to ________ inclusive Postal ballot papers accounted for 1. Ballot papers in ballot box…… 2. Ballot papers unused…………. No. Nos. ________ to _______ inclusive TOTAL Postal ballot papers sent to applicants TOTAL No. Nos. ________ to ________ inclusive Postal ballot papers to applicants accounted for 1. Placed in ballot-box………. 2. Rejected…………………. 3. Received after close of No. poll………………………….. 4. Returned undelivered……….. 5. Not accounted for………………. TOTAL TOTAL I hereby certify that the above is a correct statement of all postal ballot papers received by me. (Signed)……………………………………….. Constituency Elections Officer Dated this………………….…. day of……………………………………., 20…………… PART B: RESULT OF COUNTING Names of candidates 1. 2. 3. 4. 5. Party /Independent Valid postal votes received