| PLEASE READ INSTRUCTIONS TO THE VOTER |
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| Issued by the counting officer |
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| INSTRUCTIONS TO THE VOTER |
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| Complete the ballot papers yourself and in private. If you need help, contact |
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| the counting officer’s staff as shown below. |
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| [contact details for assistance; include address as appropriate] |
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| | You have ballot papers for the referendum on the voting system for United |
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| | Kingdom parliamentary elections and for the constituency and regional |
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| | elections for the National Assembly for Wales. |
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| | You must provide your [#signature and] date of birth. If you do not, the |
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| | postal voting statement will be invalid and your vote(s) will not be counted. |
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| | When you are voting in the referendum on the voting system for United |
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| | Kingdom parliamentary elections ([insert colour of ballot paper] ballot paper), |
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| | mark a cross (X) in the box on the right hand side of the ballot paper |
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| | opposite the answer you are voting for. Vote once only. Do not mark the |
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| | ballot paper in any other way or your vote may not be counted. |
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| | When you are voting in the elections to the National Assembly for Wales |
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| | ([insert colour or colours of ballot papers] ballot papers), mark a cross (X) |
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| | opposite the party or candidate you are voting for. You may only vote once |
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| | on each ballot paper. Put no other mark on the ballot papers or your votes |
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| | If you need help voting, the person helping you must not tell anyone how |
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| | Put all the ballot papers in the small envelope marked A and seal it. |
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| | Complete the postal voting statement by [#signing it, and] providing your |
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