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CERTIFIED LIST OF VOTERS
for marking off the names of electors who have voted
State:Div:LIST:
Polling place:
Account of ballot papers and certification of votes marked
Issuingpoint #
House ofRepresentatives
Senate
Referendum
1st ballot paper issue
+ 2nd ballot paper issue
+ 3rd ballot paper issue
+ 4th ballot paper issue
+ 5th ballot paper issue
+ 6th ballot paper issue
+ 7th ballot paper issue
+ 8th ballot paper issue
+ 9th ballot paper issue
+ 10th ballot paper issue
= Total received (A)
Spoilt (B)
Unused (C)
Total Issued = (A) - (B) - (C)
OIC to ensure figures are transferred to OIC Return
+
+
I certify that this certified list of voters has been marked strictly in accordance with directions below
Issuing Officer
Issuing Officer
Issuing Officer
Officer in Charge
/ /
Directions to Issuing Officers
Ensure this account of ballot papers and the certified list are marked correctly!
Every time you are issued ballot papers:
Marking the certified list:
Count precisely the number of ballot papers received and tell the OIC if there is a discrepancy.
Write the number of ballot papers received for that issue under the correct ballot paper type column.
Use the black pen and ruler provided to draw a line between the arrowheads next to the voter's name.
If you make a mistake and mark the wrong name, refer to the procedures on your placecard or EPH.
EF008 05/2012