| INSTRUCTIONS TO THE VOTER |
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| 1. You must sign this declaration of identity in the presence of a person known to you. |
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| That person should then sign this declaration as a witness, adding his or her name and |
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| address. Without this the declaration will be invalid and your vote will not be counted. |
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| 2. When you are voting in the referendum on the voting system for United Kingdom |
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| parliamentary elections ([insert colour of ballot paper] ballot paper), mark a cross (X) in |
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| the box on the right hand side of the ballot paper opposite the answer you are voting for. |
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| Do this secretly. If you cannot vote without assistance, the person assisting you must not |
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| disclose how you have voted. Vote once only. Do not mark the ballot paper in any other |
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| way or your vote may not be counted. |
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| 3. When you are voting in the election to the Northern Ireland Assembly or for the |
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| election of district councillors, different colours are used for the ballot papers for each |
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| 4. When you are voting in the election to the Northern Ireland Assembly ([insert colour of |
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| ballot paper] ballot paper), number the candidates in order of preference, putting “1” |
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| against the candidate of your 1st preference, “2” against your 2nd preference and so on. |
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| You should not put the same preference against more than one candidate. You may show |
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| your preference for as many or as few candidates as you wish. Put no other mark on the |
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| ballot paper, or your vote may not be counted. Do this secretly. If you cannot vote without |
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| assistance, the person assisting you must not disclose how you have voted. |
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| 5. When you are voting in the election of district councillors ([insert colour of ballot |
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| paper] ballot paper), number the candidates in order of preference, putting “1” against the |
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| candidate of your 1st preference, “2” against your 2nd preference and so on. You should |
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| not put the same preference against more than one candidate. You may show your |
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| preference for as many or as few candidates as you wish. Put no other mark on the ballot |
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| paper, or your vote may not be counted. Do this secretly. If you cannot vote without |
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| assistance, the person assisting you must not disclose how you have voted. |
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| 6. Put the ballot papers in the small envelope marked “A” and seal it. Then put the |
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| envelope marked “A”, together with the declaration of identity, in the larger envelope |
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| marked “B”. Return it without delay. The ballot papers must be received by the counting |
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| officer not later than the close of the poll. |
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| 7. If you receive more than one ballot paper, remember that it is illegal to vote more than |
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| once (otherwise than as proxy) at the same election or to vote more than once (otherwise |
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| than as proxy) in the referendum. You are entitled to vote at different elections which are |
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| 8. In this referendum or in these elections you cannot vote in person at a polling station. |
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| 9. If by mistake you spoil your ballot paper, you can apply to the counting officer for |
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| another one. With your application you must return, in your own envelope, the spoilt |
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| ballot paper(s), the declaration of identity and the envelopes marked “A” and “B”. We can |
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| only issue replacement postal ballot papers before 5 p.m. on [-1 day/date deadline]. |
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