[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