# Representation of the People (Scotland) Regulations 2001, Chapter Form B (official proxy poll card to be sent to an

Extent: S

Front of form
Rear of form

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Source: https://www.legislation.gov.uk/uksi/2001/497/schedule/3/part/chapter/2 (the official version)
Page: https://openlegislation.uk/representation-of-the-people-scotland-regulations-2001/schedule-3/part/chapter-2
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.