New South Wales Consolidated Acts

PARLIAMENTARY ELECTORATES AND ELECTIONS ACT 1912 - SCHEDULE 4

SCHEDULE 4 – Ballot paper

(Sections 82, 114D, 114Q, 114ZR and 115)

Issuing officer’s initials □

Ballot paper

Legislative Assembly Election

Electoral District of (here insert name of district)

Write the number 1 in the square next to the candidate of your choice.
*You can show more choices, if you want to, by writing numbers in the other squares, starting with the number 2.
Fold this ballot paper so your vote cannot be seen and place it in the ballot box (or in the envelope provided).

Candidates**

□

□

□

□

□

□

*These words may be excluded where there are only 2 candidates.

**Insert after the name of each candidate, if appropriate, the name of a registered party or the word “Independent”.