| ISSUED BY THE RETURNING OFFICER |
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| Instructions to the Voter |
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| If you need help or require replacement documents please contact the Returning |
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| Officer at [insert contact details for assistance including address as appropriate]. |
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| After receiving this postal vote, you cannot vote in person at a polling station at |
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| this election. You must not vote more than once (unless you are appointed as a |
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| proxy for another elector) at the same election. |
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| This postal voting statement relates to the ballot papers for the Scottish |
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| parliamentary election only. You will receive your ballot papers and instructions |
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| for the referendum on the voting system for United Kingdom parliamentary |
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| elections separately. If you have not received them by [insert date], please contact |
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| You must provide your [signature and]** date of birth even if you have already |
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| signed a postal voting statement in respect of the referendum on the voting system |
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| for United Kingdom parliamentary elections which is to be held on the same day. |
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| You have two ballot papers (a constituency ballot paper coloured [insert colour] and |
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| a regional ballot paper coloured [insert colour]). Please check that the ballot paper |
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| number on the back of each ballot paper matches the number at the top of the |
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| postal voting statement. If it does not match, contact the Returning Officer at the |
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| Your vote is personal—complete it yourself and in private. If you need help voting, |
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| the person helping you must not tell anyone how you voted. |
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| For your votes to be counted you must provide your date of birth and signature** |
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| on the postal voting statement. Please use black ink. Your date of birth and |
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| signature** will be checked against the date of birth and signature** you provided |
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| to the Electoral Registration Officer when you asked for a postal vote to ensure that |
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| you are the same person who applied for the postal vote. |
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| The ballot papers and postal voting statement must be received by the Returning |
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| Officer by 10 pm on [day and date of poll]. You can also deliver your completed |
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| postal vote to any polling station in this constituency on polling day up to 10 pm. |
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