| Referendum on the voting system for United Kingdom parliamentary elections |
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| *When you go to the polling station, tell the clerk your name and address, as |
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| shown on the front of the card. |
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| *The clerk will confirm your details on the register. |
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| When you are given your ballot paper, go to one of the polling booths. Mark a |
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| cross (X) in the box on the right hand side of the ballot paper opposite the answer |
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| Vote in ONE box only. Do not put any other mark on the ballot paper, or your |
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| If you spoil your ballot paper by mistake, show it to the presiding officer and ask |
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| Fold the ballot paper in two. Show the presiding officer the number and other |
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| unique identifying mark on the back of the ballot paper, but do not let anyone see |
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| your vote. Put the ballot paper in the ballot box and leave the polling station. |
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| If you will be away on the date of the poll— |
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| • | You can apply to vote by post. Your application must be received by the |
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| electoral registration officer before 5 pm on [-11 day/date deadline]. If you |
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| are given a postal vote, you will not be entitled to vote in person in this |
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| • | You can apply to vote by proxy (this means someone else can vote on your |
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| behalf). Your application must be received before 5 pm on [-6 day/date |
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| deadline]. If you appoint a proxy, you can still vote in this referendum |
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| yourself provided you do so before your proxy votes for you and provided |
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| your proxy is not entitled to vote on your behalf by post. |
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| In certain circumstances it may be possible to apply to vote by proxy after [-6 day/ |
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| To change any of your voting arrangements please contact [helpline number] as |
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| ISSUED BY THE COUNTING OFFICER |
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| [Where poll card sent to an anonymous elector substitute for the paragraphs marked with * |
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| You must have this card with you when you vote. You cannot vote without it. |
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