image/svg+xml
AECEF082a
Record of ordinary ballot boxesand security seals
Polling place
Page
of
Sealing ballot box
The seals shown below were securedon the empty ballot boxes prior tobeing used at the poll.
OIC name
Signature
Witness name
Signature
Breaking seals
The seals on the ballot box wereverified and found to be intact prior tobeing broken to conduct the scrutiny.
OIC name
Signature
Witness name
Signature
Ballot box details
Type
House of Reps
Senate
Referendum
Seal 1 number
Seal 2 number
OIC name
Signature
Sealing ballot box
Witness name
Signature
Breaking seals
OIC name
Signature
Witness name
Signature
Ballot box details
Type
House of Reps
Senate
Referendum
Seal 1 number
Seal 2 number
OIC name
Signature
Sealing ballot box
Witness name
Signature
Breaking seals
OIC name
Signature
Witness name
Signature
Ballot box details
Type
House of Reps
Senate
Referendum
Seal 1 number
Seal 2 number