S.I. No. 96/1946 - Department of Local Government and Public Health. The Electoral Order, 1946.

1. Before marking the accompanying ballot paper the voter must produce—

(i) The ballot paper showing the number thereon ;

(ii) This paper ; and

(iii) The envelope in which he has received the ballot paper ;

to some person to whom the voter is known, who will witness the declaration of identity (see other side).

2. The voter must sign the declaration of identity in the presence of the witness.

3. In order to vote, the voter must place the figure 1 in the space on the right-hand side of the ballot paper opposite to the name of the candidate for whom he votes ; that is to say, the candidate he likes best. If the voter does not place the figure 1 on his ballot paper or places the figure 1 opposite to more than one name, or places the figure 1 and some other figure opposite to the same name or place any mark on the paper by which he may afterwards be identified, his ballot paper will be void and will not be counted. The ballot paper must not be marked with a cross. The voter should not allow any person to see how he has voted.

The voter need not place the figure 2 opposite the name of the candidate for whom he does not wish to vote, but the fact of his doing so will not render his ballot paper void if it is otherwise properly marked.

4. Immediately after voting the voter must place the marked ballot paper in the enclosed small envelope on which are printed the words " Ballot paper envelope," and fasten it up. He must then place the ballot paper envelope, together with this paper, in the other larger enclosed envelope, addressed to the Returning Officer, and despatch the same by post without delay. Unless an elector returns his ballot paper at once, it may be too late to be counted.

5. if a voter receives more than one ballot paper, he must remember that he can vote only once.

Form E.A. 22.

THE

ELECTORAL ACT, 1923

.

(RULE 3 (4) FOURTH SCHEDULE).

FORM OF BALLOT PAPER ENVELOPE.

No..............................

............................................................ ............................................................ ................................

Ballot Paper only to be enclosed in this envelope.

This envelope, together with the Declaration of Identity, must be placed in the envelope addressed to the Returning Officer.

Constituency of............................................................ ........................................

FORM OF ENVELOPE TO BE ADDRESSED TO THE RETURNING OFFICER.

DÁIL ELECTION.

No Stamp Required

Constituency of .......................................

To the Returning Officer,

(Address) ............................................................ ................

............................................................ ............

Form E.A. 23.

THE

ELECTORAL ACT, 1923

.

(RULE 9 (4) (b), FOURTH SCHEDULE).

STATEMENT WITH RESPECT TO BALLOT PAPERS SENT TO POSTAL VOTERS.

Election held............................................................ .......19............., for the .................................................

Constituency of ............................................................ ...................................

1.

No. of ballot papers issued to Postal Voters

..........................

2.

No. of covering envelopes received by Returning Officer before the close of the poll

..........................

3.

No. of ballot papers returned by Postal Voters which were included in the count of ballot papers

..........................

4.

No. of cases in which declarations of identity or ballot papers were endorsed by the Returning Officer " Vote rejected " or marked by him " Rejected " in pursuance of Rule 6 (5) (7) and (9), and Rule 8 (3) in the Fourth Schedule to the

Electoral Act, 1923

..........................

5.

No. of covering envelopes received by Returning Officer after the close of the poll

..........................

6.

Number of cases in which envelopes sent to Postal Voters were returned as undelivered

..........................

7.

No. of cases in which covering envelopes have not been received by Returning Officer at date of statement

..........................

(Signed) ............................................................ ..............

Returning Officer.

Address................................................

Date.............................................19 .

Form E.A. 24.

THE

ELECTORAL ACT, 1923

.

(RULE 28, FIFTH SCHEDULE).

BALLOT PAPER ACCOUNT.

Constituency of ......................................................

Polling District of ..........................................

Polling Station No. ....................................................

WHITE BALLOT PAPERS.

Total number entrusted to Presiding Officer

.........................

DEDUCT.

Number of Ballot Papers unused

.........................

Number of Ballot Papers spoilt

.........................

Total

.........................

Number in Ballot Box

.........................

COLOURED BALLOT PAPERS.

Total number of Coloured Ballot Papers entrusted to Presiding Officer

.........................

DEDUCT.

Number of Coloured Papers unused

.........................

Number of Coloured Papers spoilt

.........................

Total

.........................

Number of Coloured Papers used

.........................

I certify that the above Ballot Paper Account is true and accurate.

Signed ............................................................ .................

Presiding Officer.

Dated this.........................................day of........................................................19...

Form E.A. 25.

CERTIFICATE UNDER S. 22 OF THE

ELECTORAL ACT, 1923

.

Constituency of ............................................................ ............................................................ ......

I, the Returning Officer for the above constituency, hereby certify that ..........................................being numbered......................on the Register of Electors for the..........................................Polling District of the above-mentioned constituency, is employed by me for purposes in connection with an election for the said constituency, and that the circumstances of his employment are, in my opinion, such as to prevent him from voting at the polling station at which he would otherwise be entitled to vote, and I accordingly authorise him to vote at the polling station....................................at the.........................polling place.

Signed ............................................................ .................

Returning Officer.

Form E.A. 26.

THE

ELECTORAL ACT, 1923

.

(RULE 25—FIFTH SCHEDULE).

TENDERED VOTES LIST.

Constituency of......................................................

Polling District of..................................................

Polling Station No..................................................

Name of Person who Tendered Vote

Number of such Person on the Register

I certify that the above List is true and accurate.

Signed ............................................................ ..........................................................

Presiding Officer at Polling Station No ............................................................ ....

Dated this............................................day of .................................................19.....

Form E.A. 27.

NOTICE OF CANDIDATES ELECTED.

............................................................ .............. Constituency of ............................................................ ......

I hereby give notice, pursuant to Rule 43 in the Fifth Schedule to the

Electoral Act, 1923

, that at the constested Dáil Election for the said..............................Constituency of.................................held on the...........................day of....................................................the following Candidates were elected :—

............................................................ ............................................................ ............................................................ ...

............................................................ ............................................................ ............................................................ ...

The total number of votes given for each candidate and of any transfer of votes made under the said Electoral Act, and the total number of votes credited, to each candidate at the end of the count at which such transfer took place are as set out in the attached form.

(Here attach and complete Form 10—Fifth Schedule to

Electoral Act, 1923

if more than two candidates.)

Form E.A. 28.

THE

ELECTORAL ACT, 1923

.

(RULE 52—FIFTH SCHEDULE).

UNDERTAKING TO PRESERVE THE SECRECY OF THE BALLOT.

I solemnly undertake that I will not at this election for ............................................................ ........

............................................................ ............................................................ ............................................

do anything forbidden by

Section 28

of the

Electoral Act, 1923

, which I have read.

Signed in the presence of

............................................................ .....

Signed........................................

Returning Officer (or Presiding Officer) in the said constituency, or Peace Commissioner for the County of

Address...................................

Date..............................

............................................................ .....

SECTION 28

of THE

ELECTORAL ACT, 1923

.

28.—(1) Every officer, clerk, and agent in attendance at a polling station shall maintain, and aid in maintaining, the secrecy of the voting in such station, and shall not communicate, except for some purpose authorised by law, before thepoll is closed to any person, any information as to the name or number on the register of electors of any elector who ha or has not applied for a ballot paper pr voted at that station, or as to the official mark, and no such officer, clerk, or agent, and no person whosoever, shall interfere with or attempt to interfere with a voter when marking his vote, or otherwise attempt to obtain in the polling station information as to the candidate for whom any voter in such station is about to vote or has voted, or communicate at any time to any person any information obtained in a polling station as to the candidate for whom any voter in such station is about to vote or has voted, or as to the number on the back of the ballot paper given to any voter at such station.

(2) Every officer, clerk, and agent in attendance at the counting of the votes shall maintain, and aid in maintaining the secrecy of the voting, and shall not attempt to ascertain at such counting the number on the back of any ballot paper, or communicate any information obtained at such counting as to the candidate for whom any vote is given in any particular ballot paper.

(3) Every officer, clerk, and agent concerned in the issue of ballot papers to postal voter and the receipt of ballot papers from postal voters shall maintain, and aid in maintaining, the secrecy of the voting by such voters, and shall not communicate, except for some purpose authorised by law, before the poll is closed, to any person, any information as to the name or number on the register of electors of any postal voter to or from whom any ballot paper has been sent or received, or as to the official mark, and no such officer, clerk, or agent, and no person whosoever shall interfere with, or attempt to interfere with, the receipt, marking or return of his ballot paper by any postal voter, or attempt to obtain information as to the candidate for whom any such voter has voted, or communicate at any time to any person any information obtained in connection with the issue or receipt of ballot papers to or from postal voters as to the candidates for whom any such voter has voted, or as to the number on the back of the ballot paper sent to any such voter.

(4) No person shall directly or indirectly induce any voter to display his ballot paper after he hall have marked the same, so as to make known to any person the name of the candidate for or against whom he has marked his vote.

(5) Every person who acts in contravention of the provisions of this section shall be liable, on summary conviction before two justices of the peace or any magistrate having the powers or jurisdiction formerly exercisable by two justices of the peace, to imprisonment for any term not exceeding six month, with or without hard labour.

Form E.A. 29.

THE

ELECTORAL ACT, 1923

.

NOTICE OF ELECTION—UNCONTESTED ELECTION.

Constituency of............................................................ ..............................................

I, the undersigned, being Returning Officer for the...................................Constituency of..............................hereby give notice, pursuant to Rule 43 in the Fifth Schedule to the

Electoral Act, 1923

, that the following candidates have been elected members of Dáil Eireann to serve in the Oireachtas for the.........................Constituency of.....................................................

Surname

Other Names

Abode.

Rank, Profession, or Occupation.

..................................

..................................

..................................

............................................................ ...

..................................

..................................

..................................

............................................................ ...

..................................

..................................

..................................

............................................................ ...

..................................

..................................

..................................

............................................................ ...

..................................

..................................

..................................

............................................................ ...

..................................

..................................

..................................

............................................................ ...

Signed ............................................................ ..................

Returning Officer.

Dated this....................................................day of..............................19.......

SECOND SCHEDULE.

FEES FOR COPIES OF LISTS, REGISTERS, ETC.

For a copy of the Electors Lists or Register, or so much of the Lists or Register a relates to any Registration Unit, the minimum fee shall be one shilling.

A sum of one penny shall be added to the minimum fee for each one hundred, or part of one hundred, by which the number of persons on the Electors Lists or Register exceeds one hundred.

A sum of fourpence shall be charged for a copy of any claim or notice of objection.

THIRD SCHEDULE.

PUBLICATION OF DOCUMENTS FOR THE PURPOSES OF THE REGISTER OF ELECTORS.

Column I.

Column II.

Nature of Documents.

Dates until which documents are to be kept published.

Electors Lists.

22nd December.

Notices as to mode of making Claims and Objections.

20th January.

Corrupt and Illegal Practices Lists.

20th January.

List of Claimants.

20th January.

List of persons to whose Registration notice of objection has been given.

20th January.

List of Claimants to whose Registration notice of objection has been given.

14th day after publication.

Register.

Date of coming into force of next Register.

6. My name is not included as appearing to be entitled to be registered as a (f) Strike out Dáil Elector in the Electors Lists for the Register of Electors now in course of preparation, for the above-mentioned constituency or for any other constituency in Ireland.

(a) Here insert name in full.

(b) Here insert the qualifying date.

(c) Here insert full postal address of residence or if claimant has no settled residence, of place to which communications may be sent.

(d) Strike out par. 5 if business premises franchise is not claimed.

(e) Here insert full postal address and description of premises in respect of which claim is made ; for example, shop at..........

(f) Strike out whichever is inapplicable.

C.

Local Government Franchise.

(Occupation Qualification).

7 (h).

was in occupation of (e)........................................... on the (b)..................................day of........................................... and during the whole period of six months ending on the said day

been in

occupation of

{

(f) the said premises

(f) qualifying premises as follows :—

from...............to...............at...............

from...............to...............at...............

(g) My husband is entitled to be registered as a local government elector in respect of the said premises in which we both reside.

or

(Residence Qualification).

8 (h) I was ordinarily resident at............................................................ on the above-mentioned qualifying date.

D.

CLAIM.

I declare that the above particulars are correct and I hereby claim as follows (i)

(i) to be registered as a Dáil Elector ;

(ii) to be registered as a Local Government Elector.

Signed............................................................ ................

Date............................................................ ................

NOTES.

1.—Any false declaration for the purposes of a claim will render the person guilty liable on summary conviction to a fine of not less than £5.

2.—If Dáil franchise is not claimed Part B need not be filled in.

3.—If Local Government franchise is not claimed Part C need to be filled in.

(g) Strike out these words if the claim is made by a woman in respect of her own qualifications and not her husband's.

(h) Either paragraph 7 or 8 must be completed if Local Government Franchise is claimed.

(i) If either franchise is not claimed the appropriate paragraph should be struck out.

Form E.A. 8.

CLAIM BY ONE PERSON ON BEHALF OF ANOTHER.

Registration Unit............................................................ ... Polling District.......................................................

To the Registration Officer

for the Administrative County of............................................................ ..............................................

Address............................................................ ............................................................ .........................

............................................................ ............................................................ .......................................

I hereby claim on behalf of............................................................ ............................................................ ..............

that he (she) should be registered as an elector for (a) the constituency of..........................................................

(b) the Local Electoral Area of............................................................ ............................................................ ...............

in respect of *............................................................ ............................................................ .........................

and I hereby declare that †............................................................ ............................................................ ....

Signed ............................................................ ................

Address ............................................................ ................

Date ............................................................ ................

NOTE.

Where a claim is made by one person on behalf of another, the name is not to be entered on the Register unless the matters required to be stated in the declaration made by a person claiming on his own behalf are proved to the satisfaction of the Registration Officer.

Any false declaration made for the purpose of this claim will render the person signing the declaration liable on summary conviction to a fine of not less than £5.

* Here insert qualification (

e.g.

, residence at.. : occupation of business premises at... occupation of dwelling-house at... or husband's occupation of shop at....etc.) and full postal address and description of qualifying premises.

† Here must follow a declaration giving the same particulars as to the person on whose behalf the claim is made as that person would be required to give if he were claiming on his own behalf. [See form EA(7).]

Form E.A. 9.

The Electoral Acts, 1923 to 1935, the

Local Government Electors Registration Act, 1924

, the

Local Government (Extension of Franchise) Act, 1935

, and the Electoral (Dail Eireann and Local Authorities) Act, 1945.

LIST OF CLAIMANTS FOR REGISTRATION AS DÁIL AND/OR LOCAL GOVERNMENT ELECTORS.

QUALIFYING DATE, 15TH SEPTEMBER..........

THIS LIST IS ARRANGED IN THREE DIVISIONS—

Division I contains the names of those persons who claim to be registered both as Dáil electors and as Local Government Electors.

Division II contains the names of those persons who claim to be registered as Dáil Electors but not as Local Government Electors.

Division III contains the names of those persons who claim to be registered as Local Government Electors but not as Dáil Electors.

The letter " —O " placed against a name of a person in Divisions I and II indicates that such person claims in respect of occupation of the qualifying premises, and the absence of any such letter indicates that such person claims in respect of a residence qualification.

The letter " —R " placed against a name of a person in Division III indicates that such person claims in respect of residence in the qualifying premises and the absence of any such letter indicates that such person claims in respect of an occupation qualification.

County (Borough) of ..................................................... Constituency of ....................................................

Polling District ............................................................ ...... Registration Unit ...................................................

No.

Names in full Surname first

Residence or property occupied and abode of non-resident occupier

(1)

(2)

(3)

Form E.A. 10.

THE

ELECTORAL ACT, 1923

.

(RULE 9, FIRST SCHEDULE)

CLAIM FOR CORRECTION OF ENTRY IN ELECTRON LISTS

Registration Unit ............................................................ ... Polling District ............................................................

To the Registration Officer for the

Administrative Country of............................................................ ............................................................ .........

Address............................................................ ............................................................ ..............................

I hereby claim that the following entry of my name in the Electors' Lists prepared by you :—

*............................................................ ............................................................ .................................................

should be altered as follows :—

†............................................................ ............................................................ ..................................

Signed ............................................................ .......

Address ............................................................ ......

Date............................................................ ...........

Note.—Where the correction claimed would give the claimant the right to vote at any election at which the claimant could not vote but for the correction, there must be added to this claim a declaration in the same form as that to be made by a person claiming to be registered as such a voter.

* Here insert extract from printed electors lists stating registration unit

†

e.g.,

Altering the mark placed against the name, correcting the particulars entered, etc.

Form E.A. 11.

THE

ELECTORAL ACT, 1923

.

(RULE 12, FIRST SCHEDULE.)

NOTICE OF OBJECTION TO A PERSON WHOSE NAME APPEARS ON THE ELECTORS LISTS AS A DAIL ELECTOR.

Constituency ............................................................ ............................................................ ..........................

Registration Unit ......................................... Polling District ............................................................ .............

To the Registration Officer

for the Administrative Country of............................................................ ..........................................

Address............................................................ ............................................................ ........

............................................................ ............................................................ ..................................

I hereby give you notice that I object to the entry of *.....................................................

............................................................ ............................................................ .................................................

............................................................ ............................................................ ............................................................ ....

as a Dáil Elector.

The grounds of my objection are............................................................ ............................................................ ......

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ............................................................ ....

My name appears on the Electrons Lists appearing to be entitled to be registered for the above constituency, as follows :—

†............................................................ ............................................................ ..................................

............................................................ ............................................................ ..........................................................

............................................................ ............................................................ ............................................................ ....

Signed............................................................ .....................

Address............................................................ ....................

............................................................ ....................

Date............................................................ .........

* Here insert extract from the electors list stating registration unit.

† Here insert extract from the electors lists, stating registration unit.

Form E.A. 12

NOTICE OF OBJECTION TO A PERSON WHOSE NAME APPEARS ON THE CLAIMS LIST AS A DAIL ELECTOR.

Constituency............................................................ ............................................................ ........................

Registration Unit............................................................ ......Polling District.........................................................

To the Registration Officer

for the Administrative Country of............................................................ ............................................

Address............................................................ ............................................................ .........

............................................................ ............................................................ ................................

I hereby give you notice that I object to the name of ............................................................ ................................

............................................................ ............................................................ ............................................................ .....

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ............................................................ ....

being placed in accordance with the claim made in that behalf in the lists of Dáil Electors.

The grounds of my objection are............................................................ ..........................................................

............................................................ ............................................................ ............................................................ ..

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ............................................................ ....

My name appears in the Electors Lists as appearing to be entitled to be registered as a Dáil Elector for the above Constituency, as follows :—

*............................................................ ............................................................ ..................................................

............................................................ ............................................................ ............................................................ ......

............................................................ ............................................................ ............................................................ ....

Signed............................................................ ..................

Address............................................................ ..................

............................................................ ....................

Date............................................................ ...............................

* Here insert extract from the electors lists, stating registration unit.

Form E.A. 13.

NOTICE OF OBJECTION TO A PERSON WHOSE NAME APPEARS ON THE LOCAL GOVERNMENT ELECTORS LISTS.

Registration Unit ............................................................ ...Polling District..................................................

To the Registration Officer

for............................................................ ............................................................ .......................................

Address............................................................ ............................................................ ............

............................................................ ............................................................ ..............................

I hereby give you notice that I object to the entry of *............................................................ .....

............................................................ ............................................................ ............................................................ ....

as a Local Government Elector.

The grounds of my objection are :—

............................................................ ............................................................ .........................................................

............................................................ ............................................................ ............................................................ ....

I am entered in the Lists of Local Government Electors as follows :—

†............................................................ ............................................................ ...........................................

Signed............................................................ .............

Address............................................................ ............

............................................................ ............

Date............................................................ ........

* Here insert extract from the electors lists, stating registration unit.

† Here insert extract from the electors lists, stating registration unit.

Form E.A. 14.

NOTICE OF OBJECTION TO A PERSON WHOSE NAME APPEARS ON THE CLAIMS LIST AS A LOCAL GOVERNMENT ELECTOR.

Registration Unit............................................................ .................PollingDistrict...................................................

To the Registration Officer

for............................................................ ............................................................ ................................................

Address............................................................ ............................................................ .......

............................................................ ............................................................ ..............................

I hereby give you notice that I object to the name of............................................................ .....................

............................................................ ............................................................ ............................................................ ....

being placed in accordance with the claim made in that behalf in the Lists of Local Government Electors.

The grounds of my objection are............................................................ ..................................................

............................................................ ............................................................ ..................................................

............................................................ ............................................................ ............................................................ ....

My name appears on the Electors Lists as appearing to be entitled to be registered as a Local Government Elector as follows :—*

............................................................ ............................................................ ............................................................ .

............................................................ ............................................................ .......................................................

............................................................ ............................................................ ............................................................ ....

Signed............................................................ .........

Address............................................................ .........

............................................................ .........

Date................................................

* Here insert extract from the electors lists, stating registration unit.

Form E.A. 15.

NOTICE OF OBJECTION BY REGISTRATION OFFICER

Registration Unit............................................................ ......Polling District..................................................

To............................................................ ............................................................ ...................................

Address............................................................ ........................................................

............................................................ ............................................................ ..................

I hereby give notice that the object to your being registered as a *(Dáil) *(Local Government)Elector in the Register of Electors now in course of preparation.

The grounds of this objection are as follows :—

............................................................ ............................................................ ..........................................................

............................................................ ............................................................ .........................................................

............................................................ ............................................................ ............................................................ ....

I further give you notice that this objection will be considered by me at

............................................................ ......................on the............................................................ ..........

day of................................................

Signed............................................................ .......................

Registration Officer

Address............................................................ ......................

............................................................ ......................

Date............................................................ ..............

* Strike out whichever is inappplicable.

Form E.A. 16.

NOTICE OF REGISTRATION OFFICER OF APPEAL AGAINST HIS DECISION

Registration Unit .......................................................... Polling District ............................................................ .....

To the Registration Officer

for............................................................ ............................................................ ..................................................

Address............................................................ ........................................................

I hereby give notice of appeal against your decision *....................................................

............................................................ ............................................................ ............................................................ ....

............................................................ ............................................................ ............................................................ ...

on the following grounds :—

†............................................................ ............................................................ ................................

............................................................ ............................................................ .........................................................

Signed............................................................ ........................

Address............................................................ ......................

............................................................ ...................

Date............................................................ ...................

* Give particularls of decision,

e.g.,

" refusing to enter my name on the Register of Dail electors," etc.

† Here insert grounds of appeal.

Form E.A. 17.

NOTICE OF APPEAL TO THE OPPOSITE PARTY.

Registration Unit .......................................................... Polling District ............................................................ ...

To............................................................ ............................................................ ..........................................................

Address............................................................ ............................................................ ........................................

............................................................ ............................................................ ......................................

I hereby give you Notice of Appeal against the decision of the Registration Officer for *.............

............................................................ ............................................................ .........................................

............................................................ ............................................................ .................................................

on the following grounds :—

†............................................................ ............................................................ ...............................

............................................................ ............................................................ .........................................................

Signed............................................................ ..........................

Address............................................................ ..........................

............................................................ ........................

Date............................................................ ...................

* Give particullars of decision,

e.g.,

" allowing your claims to be entered on the register as a Dáil elector, " etc.

† Here insert grounds of appeal.

Form E A. 18.

REGISTER

OF

DÁIL ELECTORS AND LOCAL GOVERNMENT ELECTORS FOR THE YEAR.

This Register is in force the Year ended............................................................ .................................

Constituency of............................................................ ............................................................ .....................

Polling District............................................................ ............................................................ ....................

Registration Unit............................................................ ............................................................ ...................

Country (Borough) Electoral Are............................................................ ............................................................ .....

Urban (Town) Electroral Area............................................................ ............................................................ ........

Division I contains the names of those persons who are entitled to the vote both as Dáil Electors and as Local Government Electors.

Division II contains the names of those persons who are entitled to vote as Dáil Electors but not as Local Government Electors.

Division III contains the names of those personswho are entitled to vote as Local Government Electors but not as Dáil Electors.

Divisions I and II together form the register of Dail Electors for the above mentioned unit.

Divisions I and III together form the register of Local Government Electors.

The letter—O placed against a name of a person in Divisions I and II indicates that such person is registered in respect of occupation of the qualifying premises, and where no letter is so placed, such person is registered in respect of a residence qualification.

The lettermdash;R placed against a name of a person in Division III indicates that such person is registered in respect of residence in the qualifying premises, and where no letter is so placed, such person is registered in respect of an occupation qualification.

The letter J indicates that the person is qualified and liable to serve as a Juror.

Note.—Persons against whose name the mark † is placed are not entitled to vote in respect of that entry at Election of Country Councillors.

Persons against whose name the mark * is placed will vote at another polling place at Dáil Elections.

Persons against whose names the letter (a) is placed are Postal Voters

No.

Name in full. Surname first

Residence or property occupied and abode of non-resident occupier.

(1)

(2)

(3)

Division I

Division II

Division III

Form E.A. 19.

THE

ELECTORAL ACT, 1923

(RULE 3, FIRST SCHEDULE.)

POSTAL VOLTERS LIST.

Constituency of............................................................ ...............

No

Names in full Surname first

Qualifying premises as shown in column 3 of Register

Number and unit of service

(1)

(2)

(3)

(4)

Polling District....................

..................................................

Form E.A. 20

THE

ELECTORAL ACT, 1923

.

(RULE 1 (2) FOURTH SCHEDULE).

DECLARATION OF IDENTITY (FOR USE AT AN ELECTION AT WHICH THERE ARE MORE THAN TWO CANDIDATES).

Ballot Paper No...................

I hereby declare that I am the person to whom the Ballot Paper numbered as above and the envelope in which it was enclosed (both of which I now produce) were sent.

Voter's Signature ............................................................ ............

The above-named, who is personally known to me, has produced the ballot paper and envelope above referred to, and has signed the above declaration in my presence.

Witness's Signature ............................................................ ....

If Witness is serving in the Defence Forces, state Number (if any), unit and corps, rank, etc. If not serving in the Defence Forces, state address.

}

.....................................

.....................................

......................................

[See Instructions on the back of this Form].

[Back of Form].

INSTRUCTIONS TO VOTER.

Electoral Order, 1946.

The Minister for Local Government and Public Health in exercise of the powers vested in him by the Electoral Acts, 1923 to 1935, the

Local Government Electors Registration Act, 1924

, the

Local Government (Extension of Franchise) Act, 1935

, the Electoral (Dáil Eireann and Local Authorities) Act, 1945, and the Juries Acts, 1927 and 1945, and of all other powers in this behalf enabling him does hereby order and prescribe as follows, that is to say :—