Electoral (Registration of Voters) Regulations, 2020

1. Do hereby object to the retention of: Surname: ………..…….…………………… First name: ……......…………………… Other names (initials only): ………………..………….....…………………………… in the Register of Voters for ………………………….......….….…………………….. Polling District in ……………………………….........…………. District, bearing the following details: Voter’s card number: ...…..………………………...….......…………………………… National registration card number: …...…….….........………../…………../….....……

2. The grounds of objection are: ……………………….................................................... ……………………………………………………………………………………………… ……………………………………………………………… Date: ………….., 20 ………… Signature or fingerprint of Registration Officer *Delete which does not apply 25th September, 2020 Statutory Instruments 503 Form XIV (Regulations 26(1)) REPUBLIC OF ZAMBIA The Electoral Process Act, 2016 (Act No. 35 of 2016 ______________ The Electoral Process (Registration of Voters) Regulations, 2020 CERTIFICATE I, HEREBY CERTIFY that this is a true copy of the Register of Voters prepared in respect of the above named polling district in accordance with the Electoral (Registration of Voters) Regulations and that this register will come into force with effect from ……………………..…….. replacing all previous registers and shall remain legally in force until a new Register of Voters is prepared and certified in accordance with the Regulations. ………………………………………………….. Chief Electoral Officer Made by the Electoral Commission of Zambia at Lusaka this 22nd day of September, 2020. JUSTICE E. E. CHULU, Chairperson E. J. SIKAZWE, Member A. D. SIMWINGA, Member LUSAKA 22nd September, 2020 [EC.101/5/2 CONF.] 504 Statutory Instruments 25th September, 2020