We, the subscribers hereto, being local government electors for the [F1[county/county borough of]] do hereby demand a poll under section 66 of the M1Licensing Act 1964 on the question whether licensed premises in the [F2district] should open on Sundays for the sale of intoxicating liquor.
Textual Amendments
F1Words in Sch. 8 Appendix, Form A substituted (1.4.1996) by virtue of 1994 c. 19, s. 66(6), Sch. 16 para. 22(10)(a)(with ss. 54(5)(7), 55(5)); S.I. 1996/396, art. 4 Sch. 2
F2Words substituted by Local Government Act 1972 (c. 70, SIF 81:1), Sch. 25 para. 9(1)
Marginal Citations
M11964 c. 26 (68A:1).
| Signature | Name in full | Qualifying address on register of local government electors | No. on register (including distinctive letter of parliamentary polling district) |
|---|---|---|---|
Front of ballot paper
Are you for or against the opening of licensed premises in the [F3[county/county borough of]]on Sundays for the sale of intoxicating liquor?
Textual Amendments
F3Words in Sch. 8 Appendix, Form B substituted (1.4.1996) by 1994 c. 19, s. 66(6), Sch. 16 para. 22(10)(b)(with ss. 54(5)(7), 55(5)); S.I. 1996/396, art. 4, Sch. 2
| FOR Sunday opening | |
| AGAINST Sunday opening |
Back of ballot paper
No.
Ballot on Sunday opening of licensed premises in the [F4[county/county borough of]] the day of , 19 .
Textual Amendments
F4Words in Sch. 8, Appendix Form B substituted (1.4.1996) by 1994 c. 19, s. 66(6), Sch. 16 para. 22(10)(b)(with ss. 54(5)(7), 55(5)); S.I. 1996/396, art. 4, Sch. 2
Directions for printing ballot paper
1E+WNothing is to be printed on the ballot paper except in accordance with these directions, and in so far as practicable—
(a)no word shall be printed on the face, except as provided by the form given above;
(b)no rule shall be printed on the face except the rules separating from one another the words “FOR Sunday opening", the words “AGAINST Sunday opening" and the corresponding spaces for the vote to be marked.
2E+WThe number on the back of the ballot paper is to correspond with that on the counterfoil, and shall be printed in small characters.
Form of directions for the guidance of voters in voting
1E+WThe voter should see that the ballot paper, before it is handed to him, is stamped with the official mark.
2E+WThe voter will go into one of the compartments and, with the pencil provided in the compartment, place a cross X on the right-hand side either in the space opposite the words “FOR Sunday opening", if he wishes to vote that way, or in the space opposite the words “AGAINST Sunday opening", if he wishes to vote that way.
3E+WThe voter will then fold up the ballot paper so as to show the official mark on the back, and leaving the compartment will, without showing the front of the paper to any person, show the official mark on the back to the presiding officer, and then, in the presence of the presiding officer, put the paper into the ballot box, and forthwith leave the polling station.
4E+WIf the voter inadvertently spoils a ballot paper he can return it to the officer who will, if satisfied of such inadvertence, give him another paper.
5E+WIf the voter places any mark on the paper by which he may afterwards be identified, his ballot paper will be void and will not be counted.
6E+WIf the voter fraudulently takes a ballot paper out of a polling station or fraudulently puts into the ballot box any paper other than the one given to him by the officer, he will be liable on conviction to imprisonment for a term not exceeding six months or to a fine not exceeding twenty pounds or to both such imprisonment and such fine.
I, A.B., of , having been requested to assist C.D. (in the case of a blind person voting as proxy add “voting as proxy for M.N.") who is numbered on the register of local government electors for the . . . F5 [[F6[division of the county/county borough of]] ] to record his vote at the poll now being held under the M2Licensing Act 1964 in the [F6said [county/county borough]], do hereby declare that [I am entitled to vote as an elector at this poll] [I am the (state relationship) of the said voter and have attained the age of [F7eighteen]], and that I have not previously assisted any blind person [except E.F., of ], to vote at this poll.
Textual Amendments
F5Words repealed by Local Government Act 1972 (c. 70, SIF 81:1), Sch. 30
F6Words in Sch. 8 Appendix, Form D substituted (1.4.1996) by 1994 c. 19, s. 66(6), Sch. 16 para. 22(10)(d)(with ss. 54(5)(7), 55(5)); S.I. 1996/396, art. 4, Sch. 2
F7Words inserted by Representation of the People Act 1969 (c. 15), s. 24(2) and saved by Representation of the People Act 1983 (c. 2, SIF 42), Sch. 7 para. 4
Marginal Citations
(Signed), A.B.
day of , 19 .
I, the undersigned, being the presiding officer for the polling station for the . . . F5[F6[division of the county/county borough of]] ], do hereby certify that the above declaration, having been first read to the above named declarant, was signed by the declarant in my presence.
(Signed), G.H.
day of , 19 .
at minutes past o’clock.
[a.m.] [p.m.]
Note.—If the person making the above declaration knowingly and wilfully makes therein a statement false in a material particular, he will be guilty of an offence.
(a)In the case of a person applying for a ballot paper as an elector—
(i)are you the person registered in the register of local government electors now in force as follows (read the whole entry from the register)?
(ii)have you already voted at the present poll here or elsewhere in the [F8[county/county borough of]], otherwise than as proxy for some other person?
Textual Amendments
F8Words in Sch. 8 Appendix, Form E substituted (1.4.1996) by 1994 c. 19, s. 66(6), Sch. 16 para. 22(10)(d)(with ss. 54(5)(7), 55(5)); S.I. 1996/396, art. 4, Sch. 2
(b)In the case of a person applying for a ballot paper as proxy—
(i)are you the person whose name appears as A.B. in the list of proxies for this poll as entitled to vote as proxy on behalf of C.D.?
(ii) have you already voted at the present poll here or elsewhere in the [F8[county/county borough of]] as proxy on behalf of C.D.