Part 1 Forms for use at a referendum where the poll is not taken together with another election or referendumI1

Official Poll Card (to be sent to a voter voting in person)

Front of form

Rear of form

Official Proxy Poll Card (to be sent to an appointed proxy voting in person)

Front of form

Rear of form

Ballot paper refusal list

Form of directions for the guidance of the voters and proxies in voting