Part 3

Forms referred to in Part 1

Note - The forms contained in this Part may be adapted so far as circumstances require.

Paragraph 9(2) and 10(3)

Form 1 - Form of corresponding number list (to be used for combined polls)

Voting area/electoral division/electoral area/ward/parish: ........................................

Date of Poll: .........................................

Sheet No.: .............................................

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Revised 25 October 2010