F1SI 1985/454
| ........................................District Council | PROXY'S OFFICIAL POLL CARD |
| ........................................District electoral area | Proxy's name ............................................................ |
| Polling day ........................................ | Proxy's address ............................................................ |
| Polling hours 7 a.m. to 10 p.m. | ................................................................................ |
| Elector's polling station is | Elector's name ........................................ |
| at ............................................................ | Elector's number on register ........................................ |
| ............................................................ | Elector's address ............................................................ |
| ............................................................ | ................................................................................ |
| INSTRUCTIONS To vote as proxy for the elector named above you must go to the polling station named above. Tell the clerk you wish to vote as proxy and give the name, number and address of elector as given above. The method of voting as proxy is the same as voting as an elector. The person who appointed you as his proxy may vote himself if he votes before you. | |
| IMPORTANT: YOU MUST IDENTIFY YOURSELF BY ONE OF THE DOCUMENTS SET OUT ON THE BACK OF THIS CARD. | |
The back of the card is the same as the back of an elector's official poll card set out in Form 6 above.
8. Form of directions for the guidance of voters in voting (rule 26)