Polling Name of Registered Candidate Candidate Candidate Total Rejected Station Polling Voters 1 2 3 Valid Ballots Code Station Votes Agents or Candidates (if present) No. Name of Candidate ID/Passport Party Tel. Signature Date or Agent No. Name/ Contact Independent Candidate 1 2 3 Name of the Constituency Returning Officer: ………………………………… ID Number: ……………………………………………………………………. Signature: …………………………………………………………………….. Date: ………………………………………………………………………….. Handing Over - Taking Over at the National Presidential Tallying Centre HANDING OVER TAKING OVER Number of FORM 34 A submitted: Number of FORM 34 A received: …………………………………….. …………………………………….. Name of the Constituency Returning Officer: Commission Chairperson: …………………………… …................................................... ID Number: ID Number: …………………………… …………………………… Signature: Signature: …………………………….. …………………………… Date: Date: ………………………………. …………………………………
Polling Station Code Name of Polling Station Registered Voters Candidate 1 Candidate 2 Candidate 3 Total Valid Votes Rejected Ballots Agents or Candidates (if present) No. Name of Candidate or Agent ID/Passport No. Party Name/ Independent Candidate Tel. Contact Signature Date 1 2 3 Name of the Constituency Returning Officer: ………………………………… ID Number: ……………………………………………………………………. Signature: …………………………………………………………………….. Date: ………………………………………………………………………….. Handing Over - Taking Over at the National Presidential Tallying Centre HANDING OVER TAKING OVER Number of FORM 34 A submitted: …………………………………….. Name of the Constituency Returning Officer: …………………………… ID Number: …………………………… Signature: …………………………….. Date: ………………………………. Number of FORM 34 A received: …………………………………….. Commission Chairperson: …................................................... ID Number: …………………………… Signature: …………………………… Date: …………………………………
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