Seventh Schedule, The Public Elections Act, 2012

(Section 81(2) FORM A ………………………………………………………………………………ELECTIONS* BALLOT PAPERS ACCOUNT To: THE DISTRICT RETURNING OFFICER…………………………………….. (i) (ii) (iii) (iv) Serial Numbers Serial Numbers Serial Numbers Number of persons provided to unused spoilt marked on the Register of Voters or Gazette List as being issued with Ballort Paper Date…………………………………… …………………….....…………….. **Signature of Presiding Officer Returning Officer …………………..Polling Station ………………...Electoral Region *(State the nature of elections here) **(Delete if inappropriate) FORM B ELECTIONS* NATIONAL ELECTORAL COMMISSION VERIFICATION OF BALLOT PAPERS ……………………………….......................………………….Electoral Region/District No. of Ballot Papers issued to………………………………………..…Polling Station Station………………….................……………..........…………………………………… *List of Political party/ Ballots Name of Candidate (1) No. of ballot papers cast for…………………… …………………… (2) No. of ballot papers cast for…………………… …………………… (3) No. of ballot papers cast for…………………… …………………… Etc. ……………………….. ………………………. ………………………. ……………………….. No. of ballot papers spoilt ………………………. No. of ballot papers issued ………………………. No. of ballot papers rejected ………………………. Under categories (b) and (c) below ………………………. Total 116 117 (Section 93(2) REJECTED BALLOT PAPERS No. cast for political party/candidate No. (1) ………. …………. ………… No. cast for political party/candidate No. (2) ………. …………. ………… No. cast for political party/candidate No. (3) ………. …………. ………… Total (a) bearing a number not included among those issued to the station; (b) bearing the same number as another ballot paper which has already been counted; (c) not bearing the official mark (if any has been prescribed); cast by an admitted impersonator; or bearing identification mark other than a finger print or printed number; (d) tendered ballot papers. Verified by:…………………..………….. District Returning Officer. Date …………………...........…………………. In the presence of- (1)……………..............……….Counting Agent (2)…………..............………….Counting Agent (3)……………................……………………etc. *Delete as appropriate when parliamentary and presidential elections are held on the same day. No. 4 The Public Elections Act 2012 No. 4 The Public Elections Act 2012118 119 EIGHT SCHEDULE Section (90(2)) NATIONAL ELECTORAL COMMISSION FORM OF STATEMENT OF RESULT OF POLL Electoral Region…………………………........……………………Polling Station No. Name of Presiding Officer……………….........………………………………………… (RECORD OF POLL) Name of political party No. of ballot cast in favour 1. ………………………………….. ………………………………….. 2. ………………………………….. ………………………………….. 3. …………………………………. ………………………………….. 4. ………………………………….. ………………………………….. 5. ………………………………….. ………………………………….. 6. …………………………………. ………………………………….. 7. ………………………………….. ………………………………….. 8. ………………………………….. ………………………………….. 9. …………………………………. ………………………………….. 10. ………………………………….. ………………………………….. 11. ………………………………….. ………………………………….. 12. …………………………………. ………………………………….. 13. ………………………………….. ………………………………….. 14. ………………………………….. ………………………………….. 15 ………………………………….. ………………………………….. 16. Total Number of ballots in Ballot Box ………………………………….. (Add 1-15) 17. Number of destroyed ballots ………………………………….. 18. Total of spoilt ballot ………………………………….. 19. Number of unused ballots papers ………………………………….. 20. To add 1 to 19 ………………………………….. 21. Number of ballot papers received from Commission ………………………………….. Note:- If the entries (20 and 21) disagreed, the statement is inaccurate, carefuly reexamine 1-20. Number of ballot papers in Ballot Box ………………………………….. Number of names on register of Electors ………………………………….. I hereby certify that the above statement is correct and that a copy was handed to the Assistant Presiding Officer, the Poll Clerk and to each of the polling agents who were present at the count. Dated at.........................….........……..this………..day of…………....………20…… Signature of Presiding Officer……................………….. Certified in the presence of: Assistant Presiding Officer……………..........………… Polling Assistant…………….......................…………… Polling Agent(s)………………....................…………… ……………………………................…………………… ………………………………................………………… …………………………………………................……… …………………………………………...............……… No. 4 The Public Elections Act 2012 No. 4 The Public Elections Act 2012120 121