FORM 13 [See

rule 18(1)3

Application for Casting Vote by a Voter on Election Duty

To -
The Municipal Returning Officer,

Ward No. ...;.... ...... of the .................................................... Municipality.

Sir,
I intend to cast my vote at the ensuing election to the....................................Municipality
in Ward No.....................................to be taken at polling station No ...............................
«•
My name is entered at Serial No ...................................... in Part No ......................... of
Ward No. ......................... of the Electoral Roll of the ................................ Municipality.
I have been appointed to perform election duty and I produce herewith* my letter of
appointment.
I request that a ballot paper may be issued to me so that I may cast my vote.
#.

Yours faithfully,
Place ........... ,...................
Date .....: ......................... .......................................................................................................
Signature

. ' '151
 FORM 13A [See rule
21(1)]

BALLOT PAPER FOR

GENERAL/BYE ELECTION, 19..... COUNTERFOIL
The.............................................. Municipality Ward No........................
Electoral Roll Part No ..............................
Serial No. of Voter ..................................
Signature or Thumb Impression of Voter..............................................................................

(Perforation)

BALLOT PAPER FOR GENERAL/BYE

ELECTION, 19

The .............................................Municipality
Ward No.............................................

Name of Candidates Symbol

Note: Serial number of the ballot paper and its counterfoil shall be printed on the left hand side on the back of the ballot
paper.