FORM 22

[See Rule 58 (4) ]

Revocation of Appointment of Counting Agent


Election of Councillors to the Corporation of the City of …………………….… from the ………………………...*ward


To:
The Returning Officer,
………………………..
………………………..
………………………..


I, ………………………………….….……………. a candidate** / the Election Agent of …………………….………..who is a candidate at the above election hereby revoke the appointment of ………………………. My**/his counting Agent.

Place :  
Date :
  Signature of person Revoking

* Appropriate particulars of the election to be inserted.

** Score off the inappropriate alternative